植入性心臟電子儀器地基本原理與設定
This document discusses the basic principles and settings of implantable cardiac electronic devices. It covers topics such as voltage, current, impedance, pacing modes, detection zones, cardioversion, defibrillation, anti-tachycardia pacing, and challenges in reducing inappropriate therapies. Key points include an overview of Ohm's Law and its application to pacemakers, examples of different pacing modes like VVI and DDD, considerations for programming detection zones and therapy levels in ICDs, and the use of ATP to terminate VT episodes.
This document discusses potential complications that can occur during and after CIED implantation procedures and how to manage them. It covers acute complications during implantation like pneumothorax, hemothorax, and arterial puncture. It also discusses chronic issues like pocket hematoma, infection, erosion, and Twiddler's syndrome. Management strategies are provided for many of the complications, such as observation for small pneumothorax vs chest tube for large ones. Avoiding problems like conductor fracture or loose connections that can cause open circuits is also addressed.
植入性心臟電子儀器地基本原理與設定
This document discusses the basic principles and settings of implantable cardiac electronic devices. It covers topics such as voltage, current, impedance, pacing modes, detection zones, cardioversion, defibrillation, anti-tachycardia pacing, and challenges in reducing inappropriate therapies. Key points include an overview of Ohm's Law and its application to pacemakers, examples of different pacing modes like VVI and DDD, considerations for programming detection zones and therapy levels in ICDs, and the use of ATP to terminate VT episodes.
This document discusses potential complications that can occur during and after CIED implantation procedures and how to manage them. It covers acute complications during implantation like pneumothorax, hemothorax, and arterial puncture. It also discusses chronic issues like pocket hematoma, infection, erosion, and Twiddler's syndrome. Management strategies are provided for many of the complications, such as observation for small pneumothorax vs chest tube for large ones. Avoiding problems like conductor fracture or loose connections that can cause open circuits is also addressed.
MRI Conditional Pacemaker
This document discusses MRI conditional pacemakers and the process for patients with these devices to undergo MRI scans safely. It provides information on:
1) The components and basic principles of how MRI machines work to produce images.
2) How pacemaker systems were designed with solutions like minimizing ferromagnetic materials and optimizing circuitry to reduce interactions with the MRI's magnetic and radiofrequency fields.
3) Clinical study results demonstrating the safety and effectiveness of MRI conditional pacemakers, with no differences found in capture thresholds or sensed amplitudes before and after MRI scans.
4) Recommended patient care pathways for MRI scans including pre-screening, pre-scan preparation through programming the pacemaker,
This document provides guidance on troubleshooting issues with Cardiovascular Implantable Electronic Devices (CIEDs) in hospital rooms and cardiac care units. It discusses potential acute and chronic problems including loose connections, sensing issues due to lead maturation or inappropriate programming, and pacing issues from lead insulation breaks or conductor coil fractures. Four main problems are outlined - failure to capture, loss of output, oversensing, and undersensing. Troubleshooting tips are provided for addressing each issue. The key point emphasized is that pacemakers are designed to pace and sense cardiac signals effectively.
This document provides a summary of the history and development of pacemakers. It discusses some of the early milestones such as the first external pacemaker in 1932 and the first implantable pacemaker in 1958. It then covers improvements such as the first battery-powered pacemaker in 1960 and the first programmable pacemaker in 1963. The document also discusses components of pacemaker systems including the pulse generator, leads, and how pacemakers function through pacing and sensing.
This document discusses indications for cardiac implantable electronic devices (CIEDs) such as pacemakers, cardiac resynchronization therapy (CRT), and implantable cardioverter defibrillators (ICDs) according to guidelines. It covers classifications of bradyarrhythmias and indications for pacing in various conditions such as persistent bradycardia. Indications for CRT and ICDs are also outlined based on left ventricular ejection fraction, heart failure class, and other factors. Current health insurance reimbursement policies in Taiwan for these devices are also summarized.
The document outlines the schedule for the First Annual Scientific Meeting of Taiwan Heart Rhythm Society to be held on December 3-4, 2011 at the Hsinchu Sheraton Hotel, including various sessions on device therapy, ablation, ECG interpretation, and lectures in different meeting rooms over the two day period.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise boosts blood flow, releases endorphins, and promotes changes in the brain which help enhance one's emotional well-being and mental clarity.
The document provides guidelines for intraoperative nursing care for cardiac implantable electronic device (CIED) procedures. It discusses preparations for pacemaker surgery such as obtaining consent and preoperative labs. It also describes accessing blood vessels like the subclavian or cephalic veins for device implantation. Details are given on single, dual, and triple chamber pacemaker systems. Key steps of the implantation procedure include ensuring sterility, monitoring vitals, testing device thresholds and outputs, and confirming proper sensing and pacing. Postoperative care involves monitoring settings, bed rest, antibiotics, and wound compression.
A meeting was held on April 15, 2012 at the 12th floor of the Taipei International Hotel. The location of the meeting was described as being "outside on the floor" which likely means an outdoor terrace or balcony area on the 12th floor. Few other details were provided in the short text.
This document discusses a 49-year-old man who presented with intermittent shortness of breath and narrow complex tachycardia. An electrocardiogram showed a rate of 150-160 bpm, suggestive of atrial flutter or atrial tachycardia. Further tests including echocardiogram, transesophageal echocardiogram, and electrophysiology study mapping located the source of the arrhythmia in the superior vena cava, which was then treated with radiofrequency catheter ablation and isolation of the superior vena cava. The post-procedure diagnosis was atrial tachycardia originating from the superior vena cava.
MRI Conditional Pacemaker
This document discusses MRI conditional pacemakers and the process for patients with these devices to undergo MRI scans safely. It provides information on:
1) The components and basic principles of how MRI machines work to produce images.
2) How pacemaker systems were designed with solutions like minimizing ferromagnetic materials and optimizing circuitry to reduce interactions with the MRI's magnetic and radiofrequency fields.
3) Clinical study results demonstrating the safety and effectiveness of MRI conditional pacemakers, with no differences found in capture thresholds or sensed amplitudes before and after MRI scans.
4) Recommended patient care pathways for MRI scans including pre-screening, pre-scan preparation through programming the pacemaker,
This document provides guidance on troubleshooting issues with Cardiovascular Implantable Electronic Devices (CIEDs) in hospital rooms and cardiac care units. It discusses potential acute and chronic problems including loose connections, sensing issues due to lead maturation or inappropriate programming, and pacing issues from lead insulation breaks or conductor coil fractures. Four main problems are outlined - failure to capture, loss of output, oversensing, and undersensing. Troubleshooting tips are provided for addressing each issue. The key point emphasized is that pacemakers are designed to pace and sense cardiac signals effectively.
This document provides a summary of the history and development of pacemakers. It discusses some of the early milestones such as the first external pacemaker in 1932 and the first implantable pacemaker in 1958. It then covers improvements such as the first battery-powered pacemaker in 1960 and the first programmable pacemaker in 1963. The document also discusses components of pacemaker systems including the pulse generator, leads, and how pacemakers function through pacing and sensing.
This document discusses indications for cardiac implantable electronic devices (CIEDs) such as pacemakers, cardiac resynchronization therapy (CRT), and implantable cardioverter defibrillators (ICDs) according to guidelines. It covers classifications of bradyarrhythmias and indications for pacing in various conditions such as persistent bradycardia. Indications for CRT and ICDs are also outlined based on left ventricular ejection fraction, heart failure class, and other factors. Current health insurance reimbursement policies in Taiwan for these devices are also summarized.
The document outlines the schedule for the First Annual Scientific Meeting of Taiwan Heart Rhythm Society to be held on December 3-4, 2011 at the Hsinchu Sheraton Hotel, including various sessions on device therapy, ablation, ECG interpretation, and lectures in different meeting rooms over the two day period.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise boosts blood flow, releases endorphins, and promotes changes in the brain which help enhance one's emotional well-being and mental clarity.
The document provides guidelines for intraoperative nursing care for cardiac implantable electronic device (CIED) procedures. It discusses preparations for pacemaker surgery such as obtaining consent and preoperative labs. It also describes accessing blood vessels like the subclavian or cephalic veins for device implantation. Details are given on single, dual, and triple chamber pacemaker systems. Key steps of the implantation procedure include ensuring sterility, monitoring vitals, testing device thresholds and outputs, and confirming proper sensing and pacing. Postoperative care involves monitoring settings, bed rest, antibiotics, and wound compression.
A meeting was held on April 15, 2012 at the 12th floor of the Taipei International Hotel. The location of the meeting was described as being "outside on the floor" which likely means an outdoor terrace or balcony area on the 12th floor. Few other details were provided in the short text.
This document discusses a 49-year-old man who presented with intermittent shortness of breath and narrow complex tachycardia. An electrocardiogram showed a rate of 150-160 bpm, suggestive of atrial flutter or atrial tachycardia. Further tests including echocardiogram, transesophageal echocardiogram, and electrophysiology study mapping located the source of the arrhythmia in the superior vena cava, which was then treated with radiofrequency catheter ablation and isolation of the superior vena cava. The post-procedure diagnosis was atrial tachycardia originating from the superior vena cava.
1) The digital ESC Congress 2020 attracted over 116,000 healthcare professionals from 211 countries, focusing on new knowledge in arrhythmias and device therapy.
2) New guidelines and studies provided updates on atrial fibrillation screening and management, showing benefits of early rhythm control and new anticoagulants.
3) Studies explored new pacing approaches like His bundle and left bundle pacing to improve effectiveness and reduce fluoroscopy time.
A meeting was held on August 10, 2019 (Saturday) in room 803 of the Taipei Chang Yung-fa International Convention Center. The meeting location and date are provided.