UNIT XII: MINOR PROCEDURES


C. Permanent Pacemakers



Contents:

  1. Indications for pacemakers
    1. Sick sinus syndrome
    2. Heart block
    3. Hypertrophic obstructive cardiomyopathy
    4. Other

  2. Techniques of pacemaker implantation
    1. Transvenous (single chamber and dual chamber)
    2. Epicardial (single chamber and dual chamber)
    3. Phrenic nerve pacing
    4. Cardiomyoplasty pacing

  3. Types of pacemakers
    1. Single chamber
    2. Dual chamber
    3. Specialized applications
    4. Phrenic
    5. Cardiomyoplasty

  4. Pacemaker complications
    1. Infections
    2. Pacing thresholds
    3. Exit block
    4. Pacemaker programming
    5. Lead fracture

Clinical Skills:

During the training program the resident:

  1. Performs transvenous and epicardial pacemaker insertion using single and dual chamber pacemakers;

  2. Manages complications of pacemakers (e.g., infections, programming problems, lead fractures);

  3. Implants diaphragmatic pacemakers.

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