Summary
The patient-pacemaker combination requires a specific follow-up with important technological implications. Capture and inhibition remain the basic functions to be assessed. Sophisticated devices are changing and complicating follow-up.
An appropriate rehabilitation of the patient will permit a return to a virtually normal life but vigorous exercise should be avoided. A subgroup of pacemaker dependent patients requires special attention. Potential hazards for paced patients are: ionizing radiation, interference by internal and external sources. Even damage or destruction of a pacemaker can occur. Interference of muscular origin is common in unipolar systems. It can be prevented by the adjustment of sensitivity or by the use of bipolar leads.
The actual reliability and longevity of lithium-powered pacemakers allow a convenient surveillance schedule.
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References
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© 1983 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt
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Ector, H.E., De Geest, H. (1983). Follow-up of Pacemaker Patients. In: Steinbach, K. (eds) Cardiac Pacing. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-72367-4_69
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DOI: https://doi.org/10.1007/978-3-642-72367-4_69
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