…EPS), and the transition from a purely device based management strategy (implantable cardioverter defibrillators) to one that incorporates pharmacological and interventional (substrate ablation) therapies [5] …

…devices. This section is devoted to artificial pacemakers. More advanced devices (ICD, implantable cardioverter defibrillator; CRT, cardiac resynchronization therapy) are discussed in subsequent chapters. The…

…Definition and pathophysiology Cardiac implantable electronic devices (CIEDs) include permanent pacemakers, implantable cardioverter defibrillators (ICDs), and cardiac resynchronization therapy (CRT) devices. Implantable loop recorders are…

…term prediction of sudden cardiac arrest. The constraint does not lie in therapy: implantable cardioverter defibrillators (ICDs) are highly effective, terminating well over 99% of…

…recording and unmask the atrial activity. The investigation is diagnostic, not therapeutic. An unstable patient should be cardioverted, not investigated. Contraindications Haemodynamic instability — hypotension, shock…

…For example, if there is acute ischemia located in the anterior wall and there is ST segment elevation in lead V3, then there should also…

…ischemia. The term transmural ischemia implies that the ischemia affects all wall layers – from endocardium to epicardium – in the myocardium affected by the occlusion. Transmural…

…electrical currents. An ECG lead is a graphical description of the electrical activity of the heart and it is created by analyzing several electrodes. In…

…of cardiac arrest. Recurrent VT or VF after ROSC in a patient with a coronary risk profile should lead to consideration to perform early angiography.

…chest (precordial) electrodes are not changed but additional leads may be attached in children under the age of 5 years. These additional leads are V3R…