![]() Developed in collaboration with the European Heart Rhythm Association. Guidelines for cardiac pacing and cardiac resynchronization therapy: The Task Force for Cardiac Pacing and Cardiac Resynchronization Therapy of the European Society of Cardiology. Vardas PE, Auricchio A, Blanc JJ, Daubert JC, Drexler H, Ector H, Gasparini M, Linde C, Morgado FB, Oto A, Sutton R, Trusz-Gluza M, European Society of Cardiology., and European Heart Rhythm Association.North American Society of Pacing and Electrophysiology/British Pacing and Electrophysiology Group. The revised NASPE/BPEG generic code for antibradycardia, adaptive-rate, and multisite pacing. Bernstein AD, Daubert JC, Fletcher RD, Hayes DL, Lüderitz B, Reynolds DW, Schoenfeld MH, and Sutton R.A selection of class I indications is: chronic symptomatic third- or second degree (Mobitz I or II) atrioventricular block, syncope with sinus node disease, alternating bundle branch block, and persisting AV block after surgery.Ītrial-sensed ventricular-paced rhythm AV dual-paced rhythm Biventricular ICDs ( CRT-D): an ICD with biventricular pacing option.Ī full list of pacemaker indications can be read in the ESC guidelines on cardiac pacing. ![]() New biventricular ICDs have 3 leads: an atrial lead, a left ventricular lead and a right ventricular lead. All ICDs have optional pacemaker activity to treat bradycardias. ICDs can save lives in patients who have a high risk of ventricular arrhythmias. If this is not effective, a defibrillator shock is delivered, usually with 16-36 Joules of energy. Usually the first treatment is anti-tachy pacing (pacing at a rate +- 10% above the ventricular rate in ventricular tachycardia, which can convert the rhythm to sinus rhythm). ICDs are a separate category and usually not considered pacemakers although they do have a pacing function. ![]()
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