Pacemakers Today

فهرست عناوین اصلی در این پاورپوینت

فهرست عناوین اصلی در این پاورپوینت

● Cardiac Assist Devices
● Types
● History
● Pacemakers Today
● Internal Cardiac Defibrillators (ICD)
● Temporary Pacing Indications
● Permanent Pacing Indications
● Chronic AVHB
● Chronic Bifascicular and Trifascicular Block
● AVHB after Acute MI
● Sinus Node Dysfunction
● Hypersensitive Carotid Sinus Syndrome
● Neurally Mediated Syncope
● Miscellaneous
● Indications for ICDs
● Device Selection
● Pacemaker Characteristics
● ICD selection
● Approaches to Insertion
● Mechanics
● Unipolar Pacemaker
● Bipolar Pacemaker
● Indications
● Atrial Fibrillation
● Types
● Asynchronous/Fixed Rate
● Synchronous/Demand
● Examples of Demand Pacemakers
● Dual Chamber: A-V Sequential
● A-V Sequential
● Single Chamber
● “Pure Atrial Pacing”
● Problems with Atrial Pacing
● Ventricular Pacemakers
● Programmability
● 3-Letter or 5-Letter Code
● First letter
● Second Letter
● Third Letter
● Fourth Letter
● Fifth Letter
● Table of Pacer Codes
● Types of Pulse Generators
● Examples
● Other Information
● Sensing
● Undersensing: Failure to sense
● Oversensing
● Capture
● Noncapture/Failure to Capture
● Pacer Failure
● Pacer Malfunctions per ECG
● Pacer Malfunction SX
● EKG Evaluation
● CAPTURE
● Anesthesia for Insertion
● Pacemaker Insertion
● Interference
● Anesthesia for Pt with Pacemaker
● Automatic
● AICD
● Parts of AICD
● Placement of AICD
● AICD Indications
● Defibrillator Codes
● Settings
● Tiered Therapy
● Anesthesia
● VADs
● Electromagnetic Interference on Pacers and AICDs
● Deactivating a Pacemaker
● If Pt has a Pacemaker/AICD
● Coding Patient
● Pts with Pacemakers/AICDs/VADs
● Anesthetic Considerations
● Electrocautery Use
● Postoperative Considerations
● Examples of Rhythms
● References

نوع زبان: انگلیسی حجم: 4.51 مگا بایت
نوع فایل: اسلاید پاورپوینت تعداد اسلایدها: 108 صفحه
سطح مطلب: نامشخص پسوند فایل: ppt
گروه موضوعی: زمان استخراج مطلب: 2019/05/17 06:00:16

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عبارات مهم استفاده شده در این مطلب

عبارات مهم استفاده شده در این مطلب

pacemaker, ., pacing, block, sinus, heart, lead, indication, rate, avhb, patient, syndrome,

توجه: این مطلب در تاریخ 2019/05/17 06:00:16 به صورت خودکار از فضای وب آشکار توسط موتور جستجوی پاورپوینت جمع آوری شده است و در صورت اعلام عدم رضایت تهیه کننده ی آن، طبق قوانین سایت از روی وب گاه حذف خواهد شد. این مطلب از وب سایت زیر استخراج شده است و مسئولیت انتشار آن با منبع اصلی است.

http://www.csen.com/pace1.ppt

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عبارات پرتکرار و مهم در این اسلاید عبارتند از: pacemaker, ., pacing, block, sinus, heart, lead, indication, rate, avhb, patient, syndrome,

مشاهده محتوای متنیِ این اسلاید ppt

مشاهده محتوای متنیِ این اسلاید ppt

cardiac assist devices wayne e. ellis ph.d. crna types pacemakers aicds vads history first pacemaker implanted in ۱۹۵۸ first icd implanted in ۱۹۸ greater than ۵ patients in the us population have pacemakers ۱۱۵ implanted each year pacemakers today single or dual chamber multiple programmable features adaptive rate pacing programmable lead configuration internal cardiac defibrillators icd transvenous leads multiprogrammable incorporate all capabilities of contemporary pacemakers storage capacity have multiple tachycardia zones with appropriate therapy records adverse events and treatment temporary pacing indications routes transvenous transcutaneous esophageal unstable bradydysrhythmias atrioventricular heart block unstable tachydysrhythmias endpoint reached after resolution of the problem or permanent pacemaker implantation transvenous optimal. with transcutaneous av capture happens simultaneously. with esophageal possibly only atrial capture . permanent pacing indications chronic avhb chronic bifascicular and trifascicular block avhb after acute mi sinus node dysfunction hypersensitive carotid sinus and neurally mediated syndromes miscellaneous pacing indications chronic avhb especially if symptomatic pacemaker most commonly indicated for type ۲ ۲º block occurs within or below the bundle of his ۳º heart block no communication between atria and ventricles chronic bifascicular and trifascicular block differentiation between uni bi and trifascicular block syncope common in patients with bifascicular block intermittent ۳º heart block common block in the conduction systems below the bundle of his in the bundle branches right bundle branch and anterior and posterior fascicles of left bundle branch avhb after acute mi incidence of high grade avhb higher indications for pacemaker related to intraventricular conduction defects rather than symptoms prognosis related to extent of heart damage sinus node dysfunction sinus bradycardia sinus pause or arrest or sinoatrial block chronotropic incompetence often associated with paroxysmal svts bradycardia tachycardia syndrome may result from drug therapy symptomatic often the primary indication for a pacemaker chronotropic incompetence is known as a deficient rate response or stress or exercise symptomology determined with ambulatory monitoring pacemaker does not necessarily improve survival. dual chamber pacing improves survival greater than ventricular pacing alone. hypersensitive carotid sinus syndrome syncope or presyncope due to an exaggerated response to carotid sinus stimulation defined as asystole greater than ۳ sec due to sinus arrest or avhb an abrupt reduction of bp or both decreased blood pressure due to vasodilation pure cardioinhibitory response pacing helps most people have a mixed response and attention must be given to both components. neurally mediated syncope ۱ ۴ of patients with syncope triggering of a neural reflex use of pacemakers is controversial since often bradycardia occurs after hypotension in a recent study a ۸۵ reduction in risk of recurrent syncope in patients randomized to dual chamber pacing miscellaneous hypertrophic obstructive cardiomyopathy dilated cardiomyopathy cardiac transplantation termination and prevention of tachydysrhythmias pacing in children and adolescents dual chamber pacemaker with a short atrioventricular delay reduces the magnitude of left ventricular outflow tract obstruction pacemakers may help by changing the contraction pattern of the ventricle alleviates symptoms improve hemodynamics using a dual chamber pacemaker with short atrioventricular delay ۲ timing of atrial contractions decreases mitral regurgitation high incidence of bradydysrhythmias ۸ ۲۳ after transplant due to snd a flutter psvt and vt. pacing in kids for sinus node dysfunction with symptomatic bradycardia advanced ۲nd or ۳rd degree avhb either congenital or acquired especially if symptomatic. consider if rate appropriate for child’s age and consider presence of ventricular dysfunction r t congenital anomalies. no real rate criteria. indications for icds cardiac arrest due to vt vf not due to a transient or reversible cause spontaneous sustained vt syncope with hemodynamically significant sustained vt or vf nsvt with cad previous mi lv dysfunction and inducible vf or vt not suppressed by a class ۱ antidysrhythmic device selection temporary pacing invasive vs. noninvasive permanent pacemaker icd invasive epicardial and endocardial or transvenous. non invasive transcutaneous or transesophageal. temporary a good option to buy time until a permanent pacemaker can be implanted. pacemaker characteristics adaptive rate pacemakers single pass lead systems programmable lead configuration automatic mode switching unipolar vs. bipolar electrode configuration icd selection antibradycardia pacing antitachycardia pacing synchronized or nonsynchronized shocks for dysrhythmias many of the other options incorporated into pacemakers approaches to insertion a. iv approach endocardial lead b. subcostal approach epicardial or myocardial lead c. noninvasive transcutaneous pacing alternative to emergency transvenous pacing mechanics  provide the rhythm heart cannot produce  either temporary or permanent  consists of external or internal power source and a lead to carry the current to the heart muscle  batteries provide the power source  pacing lead is a coiled wire spring encased in silicone to insulate it from body fluids unipolar pacemaker lead has only one electrode that contacts the heart at its tip pole the power source is the pole patient serves as the grounding source patient’s body fluids provide the return pathway for the electrical signal electromagnetic interference occurs more often in unipolar leads unipolar pacemaker bipolar pacemaker if bipolar there are two wires to the heart or one wire with two electrodes at its tip provides a built in ground lead circuit is completed within the heart provides more contact with the endocardium needs lower current to pace less chance for cautery interference bipolar pacemaker indications ۱. sick sinus syndrome tachy brady syndrome ۲. symptomatic bradycardia ۳. atrial fibrillation ۴. hypersensitive carotid sinus syndrome second degree heart block mobitz ii indications ۶. complete heart block sinus arrest block tachyarrhythmias supraventricular ventricular to overdrive the arrhythmia atrial fibrillation a fibrillating atrium cannot be paced place a vvi patient has no atrial kick types ۱. asynchronous fixed rate ۲. synchronous demand ۳. single dual chamber sequential a v ۴. programmable nonprogrammable asynchronous fixed rate  does not synchronize with intrinsic hr  used safely in pts with no intrinsic ventricular activity if pt has vent. activity it may compete with pt’s own conduction system vt may result r on t phenomenon ex voo aoo doo synchronous demand contains two circuits one forms impulses one acts as a sensor when activated by an r wave sensing circuit either triggers or inhibits the pacing circuit called triggered or inhibited pacers most frequently used pacer eliminates competition energy sparing examples of demand pacemakers ddi vvi vvt aai aat disadvantage pacemaker may be fooled by interference and may not …

کلمات کلیدی پرکاربرد در این اسلاید پاورپوینت: pacemaker, ., pacing, block, sinus, heart, lead, indication, rate, avhb, patient, syndrome,

این فایل پاورپوینت شامل 108 اسلاید و به زبان انگلیسی و حجم آن 4.51 مگا بایت است. نوع قالب فایل ppt بوده که با این لینک قابل دانلود است. این مطلب برگرفته از سایت زیر است و مسئولیت انتشار آن با منبع اصلی می باشد که در تاریخ 2019/05/17 06:00:16 استخراج شده است.

http://www.csen.com/pace1.ppt

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