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Cardiac Pacemaker—A Smart Device

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Biotechnology Products in Everyday Life

Part of the book series: EcoProduction ((ECOPROD))

Abstract

Maintaining a normal heart rate (between 60 and 100 beats per min) and rhythm (beats regularly) is vital for human health. The significant reduction in heartbeat (less than 60 beats per min) is called bradycardia. It has enhanced mortality rate because of the lack of effective treatment. Treatment patterns are changing, since 1960s a pacemaker was used for the first time in a clinical setting and revolutionized the bradycardia therapy. In this chapter, readers will learn the history of modern pacemaker, mechanism, function, and its pros and cons. Readers will be surprised to discover how smart a modern pacemaker is. Till now, pacemaker is the definitive treatment for a drug refractory bradycardia and has saved tens of thousands of lives worldwide.

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References

  1. Aquilina, O.: A brief history of cardiac pacing. Images Paediatr. Cardiol. 8(2), 17–81 (2006)

    CAS  Google Scholar 

  2. Sowton, E., Flores, J.: Natural history of pacemaker patients. Bull. N. Y. Acad. Med. 47(8), 999–1010 (1971)

    CAS  Google Scholar 

  3. Tarjan, P.P.: History of cardiac pacing-I. Am. J. Cardiol. 41(3), 614–615

    Google Scholar 

  4. Hori, M.: History of cardiac pacing and pacemaker update. Nihon Rinsho Japan. J. Clin. Med. 48(2), 227–232 (1990)

    CAS  Google Scholar 

  5. Furman, S.: Early history of cardiac pacing and defibrillation. Indian Pacing Electrophysiol. J. 2(1), 2–3 (2002)

    Google Scholar 

  6. Krason-Rzeszutek, E., Lelakowski, J., Haberka, K., Sedziwy, L.: The natural history of patients with an artificial pacemaker. Wiad. Lek. 41(13), 842–845 (1988)

    CAS  Google Scholar 

  7. Abelmann, W.H., Paul, M.: Zoll and electrical stimulation of the human heart. Clin. Cardiol. 9(3), 131–135 (1986)

    Article  CAS  Google Scholar 

  8. Braun, P.: Paul Zoll and the discovery of pacemaker. Ther. Hung. 40(1), 44–46 (1992)

    CAS  Google Scholar 

  9. Parsonnet, V.: History of cardiac pacing-II. Am. J. Cardiol. 41(3), 615 (1978)

    Article  CAS  Google Scholar 

  10. Stoney, W.S., Finger, F.E., Alford Jr., W.C., Burrus, G.R., Frist, R.A., Thomas Jr., C.S.: The natural history of long-term cardiac pacing. Ann. Thorac. Surg. 23(6), 550–554 (1977)

    Article  CAS  Google Scholar 

  11. Tang, A.S., Roberts, R.S., Kerr, C., Gillis, A.M., Green, M.S., Talajic, M., Yusuf, S., Abdollah, H., Gent, M., Connolly, S.J.: Relationship between pacemaker dependency and the effect of pacing mode on cardiovascular outcomes. Circulation 103(25), 3081–3085 (2001)

    Article  CAS  Google Scholar 

  12. Montanez, A., Hennekens, C.H., Zebede, J., Lamas, G.A.: Pacemaker mode selection: the evidence from randomized trials. Pacing Clin. Electrophysiol.: PACE 26(5), 1270–1282 (2003)

    Article  Google Scholar 

  13. Ochagavia Calvo, A., Baigorri, Gonzalez F.: Selection of pacemaker stimulation mode. Med. Intensiva 30(5), 218–222 (2006)

    Article  CAS  Google Scholar 

  14. Rudzinski, T., Ciesielczyk, M., Religa, W., Zebrowski, M., Bednarkiewicz, Z., Krzeminska-Pakula, M.: Elderly and patients with sick sinus syndrome have lower chances for appropriate pacemaker mode selection, according to the Polish Cardiac Society recommendations—a single-centre retrospective analysis. Kardiologia polska 64(4), 391–395 (2006); discussion 396

    Google Scholar 

  15. Ross, R.A., Kenny, R.A.: Pacemaker syndrome in older people. Age Ageing 29(1), 13–15 (2000)

    Article  CAS  Google Scholar 

  16. Bohm, A., Pinter, A., Dekany, M., Preda, I.: Ventriculoatrial cross-talk dependent pacemaker syndrome. Pacing Clin. Electrophysiol.: PACE 23(6), 1062–1063 (2000)

    Article  CAS  Google Scholar 

  17. Van Wallace, C.J.O.: Diagnosing and treating pacemaker syndrome. Crit. Care Nurse 21(1), 24–31, 35 (2001); quiz 36-27

    Google Scholar 

  18. Gribbin, G.M., Parry, S.W.: Single-chamber versus dual-chamber pacemakers. N. Engl. J. Med. 339(9), 631–632 (1998)

    CAS  Google Scholar 

  19. Barold, S.S.: Eccentricities of dual chamber implantable pacemakers. Pacing Clin. Electrophysiol.: PACE 23(8), 1290–1294 (2000)

    Article  CAS  Google Scholar 

  20. Slimane, M.L., Ben, Ameur Y.: Dual Chamber Card. Pacing. A multicenter study apropos of 353 pacemakers. La Tunis. Med. 80(10), 624–627 (2002)

    Google Scholar 

  21. Rodriguez Chavez, L.L.: Dual chamber pacemakers: common problems and how to treat them. Archivos de cardiologia de Mexico 76(Suppl 2), S214–220 (2006)

    Google Scholar 

  22. Dual-chamber pacemakers worth their cost. Health News 11(4), 5 (2005)

    Google Scholar 

  23. Provenier, F., Jordaens, L., Verstraeten, T., Clement, D.L.: The “automatic mode switch” function in successive generations of minute ventilation sensing dual chamber rate responsive pacemakers. Pacing Clin. Electrophysiol.: PACE 17(11 Pt 2), 1913–1919 (1994)

    Article  CAS  Google Scholar 

  24. Furugen, A., Matsuda, N., Kasanuki, H.: Cardiac resynchronization therapy. Nihon Rinsho Jpn. J. Clin. Med. 64(5), 941–948 (2006)

    Google Scholar 

  25. Gold, M.R.: Cardiac resynchronization therapy for heart failure. Curr. Cardiol. Rep. 8(5), 314–315 (2006)

    Article  Google Scholar 

  26. Sticherling, C., Schaer, B., Coenen, M., Kuhne, M., Ammann, P., Osswald, S.: Cardiac resynchronization therapy in chronic heart failure. Swiss Med. Wkly. 136(39–40), 611–617 (2006)

    Google Scholar 

  27. Jolobe, O.M.: Health economics of cardiac resynchronization therapy. Br. J. Hosp. Med. 78(10), 594 (2017)

    Article  Google Scholar 

  28. Rademakers, L.M., de Boeck, B.W., Maessen, J.G., Prinzen, F.W.: Development of strategies for guiding cardiac resynchronization therapy. Heart Fail. Clin. 4(3), 333–345 (2008)

    Article  Google Scholar 

  29. Terminology and Diagnostic Criteria Committee JSoUiM. Introduction to indexes for cardiac resynchronization therapy (CRT) indication. J. Med. Ultrason. 41(2), 261–274 (2014)

    Google Scholar 

  30. Chen, Z., Kotecha, T., Crichton, S., Shetty, A., Sohal, M., Arujuna, A., Kirubakaran, S., Bostock, J., Cooklin, M., O’Neill, M., Wright, M., Gill, J.S., Rinaldi, C.A.: Lower incidence of inappropriate shock therapy in patients with combined cardiac resynchronisation therapy defibrillators (CRT-D) compared with patients with non-CRT defibrillators (ICDs). Int. J. Clin. Pract. 67(8), 733–739 (2013)

    Article  CAS  Google Scholar 

  31. Freedman, R.A., Petrakian, A., Boyce, K., Haffajee, C., Val-Mejias, J.E., Oza, A.L.: Performance of dedicated versus integrated bipolar defibrillator leads with CRT-defibrillators: results from a prospective multicenter study. Pacing Clin. Electrophysiol.: PACE 32(2), 157–165 (2009)

    Article  Google Scholar 

  32. Lopes, N., Cavaco, D., Adragao, P., Carmo, P., Costa, F., Morgado, F.: Leadless pacemaker: a paradigm change. Revista portuguesa de cardiologia: orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese J. Cardiol.: Official J. Portuguese Soc. Cardiol. 35(11), 627–628 (2016)

    Google Scholar 

  33. McCauley, B.D., Chu, A.F.: Leadless cardiac pacemakers: the next evolution in pacemaker technology. R. I. Med. J. 100(11), 31–34 (2017)

    Google Scholar 

  34. Lopes, N., Cavaco, D., Carmo, P., Scanavacca, M.I., Adragao, P.: Leadless pacemaker: a new concept in cardiac pacing. Arquivos brasileiros de Cardiol. 107(4), 381–382 (2016)

    Google Scholar 

  35. Reddy, V.Y., Miller, M.A., Knops, R.E., Neuzil, P., Defaye, P., Jung, W., Doshi, R., Castellani, M., Strickberger, A., Mead, R.H., Doppalapudi, H., Lakkireddy, D., Bennett, M., Sperzel, J.: Retrieval of the leadless cardiac pacemaker: a multicenter experience. Circ. Arrhythmia Electrophysiol. 9(12) (2016)

    Google Scholar 

  36. Leier, M.: Advancements in pacemaker technology: the leadless device. Crit. Care Nurse 37(2), 58–65 (2017)

    Article  Google Scholar 

  37. Cappato, R.: Leadless pacemaker: an interesting solution coming back. J. Cardiovasc. Med. 19(Suppl 1), e19–e20 (2018)

    Article  Google Scholar 

  38. Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232561/

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Acknowledgements

Author thanks to Mr. Deepak Abhaya Srisrimal, Dhanvantari Nano Ayushadi Pvt Ltd, Chennai, India, for reviewing this chapter.

Conflicts of interest. The author declares no conflict of interest.

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Authors and Affiliations

  1. School of Medicine, University of Missouri, Columbia, MO, 65211, USA

    Xuwei Hou

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  1. Xuwei Hou
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Correspondence to Xuwei Hou .

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Editors and Affiliations

  1. Department of Radiology, University of Missouri, Columbia, MO, USA

    Menka Khoobchandani

  2. AAPT Foundation, Aurangabad, India

    Arpita Saxena

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Hou, X. (2019). Cardiac Pacemaker—A Smart Device. In: Khoobchandani, M., Saxena, A. (eds) Biotechnology Products in Everyday Life. EcoProduction. Springer, Cham. https://doi.org/10.1007/978-3-319-92399-4_6

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