What are the indications for a pacemaker in a patient?
Sinus Node Dysfunction.
When is a pacemaker contraindicated?
Contraindications for permanent pacemaker insertion include the following: Local infection at implantation site. Active systemic infection with bacteremia. Severe bleeding tendencies (relative contraindication)
Do you need a pacemaker for sinus bradycardia?
Pacemaker: People with frequent or severe sinus bradycardia may need a pacemaker. This is a small device that’s implanted in your chest. It uses electrical impulses to help maintain a normal heart rate.
What are the current indications for pacemaker therapy?
The indications for pacemaker therapy have expanded in the past 45 years and now include the treatment of bradyarrhythmias and the electrical therapy of tachyarrhythmias, certain types of syncope, and advanced heart failure.
What to know before implanting a pacemaker for AV block?
Before a decision is made to implant a pacemaker for AV block, it is important to exclude and correct reversible causes such as electrolyte abnormalities.
Can a pacemaker be an indication of bradycardia?
It is important to establish an association between the bradycardia and the symptoms since the pacemaker adds little to no benefit unless symptoms are caused by bradycardia. Asymptomatic sinus bradycardia is not an indication of pacing. The diagnosis of chronotropic incompetence is established by means of exercise stress testing.
When to use an ICD instead of a pacemaker?
For example, the guidelines cite a patient who requires a pacemaker for heart block that occurs in the setting of MI who also has an extremely low LVEF, who may be best served by initial implantation of an ICD rather than a pacemaker.
