心脏起搏适应症（英文版）.pptVIP

INDICATIONS FOR PACING;Aims of the talk;The most common indication for brady pacing;Factors that help determine the need for brady pacemaker include:;Following AMI PPM is indicated in the presence of;CRT is indicated in patients with LVEF 35% if they also have:;GUIDELINES;Classes of recommendation in ACC / AHA Guidelines;Types of Permanent Pacing;BRADY PACING;General Principles of Brady pacing;Diseases within AVN;Disease distal to AVN;34y old Male, presented 2 weeks after return from holiday in the lake district with muscle and joint aches, headache and syncope! On examination he has skin lesion (image), right VII palsy and a HR of 30 bpm. Serology confirmed Lyme disease;PPM in AV BLOCK IS NOT INDICATED;65 y old male, presented with acute confusion. ECG showed 3rd degree HB. Telemetry revealed several pauses. The longest pause is 4 sec. Assuming all other causes of acute confusional state have been ruled out, should he get a PPM?;76 y old female. Known permanent AF and HTN. She has come to see you in OPC and this time complains of episodes of feeling lightheaded. She is currently on warfarin, amlodipine 5 mg OD, digoxin 125mcg OD and bisoprolol 7.5 mg OD. Her resting HR is 70-80 bpm and BP 130/75. You arranged an event recorder which revealed periods of bradycardia (40 bpm) concomitant with her symptoms. Does she need PPM? ;ACC/ AHA Class I indications for pacing in 3rd (and advanced 2nd ) degree AVB;Pacing in chronic bi / trifascicular block;PPM after AMI;PPM after AMI;60 y old male, c/o recurrent palpitations and presyncope. His continuous monitor lead recording is shown below. Does he need PPM? ;Pacing SND;;Issue date: May 2007 Review date: July 2010;CRT-P for HF;CRT-D for HF;Issue date: January 2006 Review date: July 2007; ICD- Secondary prevention ; ICD- Primary prevention;Take home message!;The most common indication for brady pacing;Factors that help determine the need for brady pacemaker include:;Following AMI PPM is indicated in the presence o