Electrophysiological basis of cardiac pacing
Keywords:
cardiac pacing, pacemaker, electrophysiologyAbstract
The search for a physiological cardiac pacing has made the functioning of the pacemakers increasingly complex. This complexity ranges from the detection of the cardiac signal, its fitting-out and the response of the pacemaker by means of algorithms, to the electrical pacing of the heart. It is a must for us, as professionals devoted to cardiology, to know the basic principles of this process. The electrophysiological basis of electrical cardiac pacing is treated in this article, trying to achieve a general understanding of it, and in consequence facilitating a better comprehension of a topic that we hear or deal with, over and over, in our medical practice.
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1. Bosch Novela E. Fundamentos físicos de la estimulación cardíaca. El circuito de estimulación. Cuadernos Técnicos. 2003;8:5-8.
2. Rodríguez García J, Lorente Carreño D, Ruiz Granell R, Bosch Novelad E. Conceptos técnicos fundamentales de la estimulación cardiaca. Rev Esp Cardiol ( Supl). 2007;7:4G-19G.
3. Fernàndez Burgos E. Curso de marcapasos [monografía en Internet]. Argentina: Federación Argentina de Cardiología; 2004 [citado 30 Sept 2009]. Disponible en: http://www.secex.org/marca/index.htm
4. Electrónica fácil [página web en Internet]; ©2004. España: F.J.M. [citado 30 Mayo 2009]. Disponible en: www.electronicafacil.net/tutoriales/Ley-Ohm.html
5. Ohm GS. Die galvanische Kette, mathematisch bearbeitet. Berlín: TH Riemann, 1827.
6. Cascón Pérez JD, Barrios Alonso V, Guzmán Martínez G, Vaticòn Herreros C. Estimulación cardíaca permanente. [monografía en Internet]. Madrid: Servicio de Cardiología del Hospital Ramón y Cajal. Disponible en: http://www.cathcor.com.ve/archivos/MARCAPASOS.pdf
7. Fischer W, Ritter Ph. Cardiac pacing in clinical practice. New York: Springer; 1998. p. 12-25.
8. García Civera R, Ruiz Granell R, Morell Cabedo S, Sanjuán Máñez R, Martínez León J, Botella Solana S, et al. Electrofisiología cardiaca clínica y ablación. Madrid: McGraw-Hill Interamericana; 1999. p. 47-51.
9. Pollak WM, Simmons JD, Interian A Jr, Castellanos A, Myerburg RJ, Mitrani RD. Pacemaker diagnostics: a critical appraisal of current technology. Pacing Clin Electrophysiol. 2003;6:76-98.
10. Sorin Group Company. Programadores PMP 2000 y PMP 2000T. Manual Operativo. Roma; 1997.
11. Bagwell P, Pannizzo F, Furman S. Unipolar and bipolar right atrial appendage electrodes: comparison of sensing characteristics. Med Instrum. 1985;19:132-5.
12. Medtronic AT500 Technical Manual. Minneapolis: Medtronic Inc; 2000.
13. Nowak B. Pacemaker stored electrograms: teaching us what is really going on in our patients. Pacing Clin Electrophysiol. 2002;25:838-49.
14. Montiela J, Olagüe de Rosb J, Morrel S, García I. Seguimiento del paciente con marcapasos. Disfunciones del sistema de estimulación. Efectos de indicación o programación incorrecta: síndrome de marcapasos .Rev Esp Cardiol (Supl). 2007; 7:26G-44G.
15. Defaye P, Leclercq JF, Guilleman D, Scanu P, Hazard JR, Fatemi M, et al. Contributions of high resolution electrograms memorized by DDDR pacemakers in the interpretation of arrhythmic events. Pacing Clin Electrophysiol. 2003;26:214-220.
16. Nowak B, McMeekin J, Knops M, Wille B, Schroder E, Moro C, et al. Validation of dual-chamber pacemaker diagnostic data using dual-channel stored electrograms. Pacing Clin Electrophysiol. 2005;28:620-9.
17. Padeletti L, Michelucci A, Frohlig G, Corbucci G, Van Oort G, Barold SS. Digital technology in cardiac pacing: methods for morphology analysis of sensed endocavitary signals. J Interv Card Electrophysiol. 2005;14:9-16.
18. Nowak B, Sperzel J, Rauscha F, Mont L, Alzueta J, Senden PJ, et al. Diagnostic value of onset-recordings and marker annotations in dual chamber pacemaker stored electrograms. Europace. 2003;5:103-109.
19. Bagwell P, Pannizzo F, Furman S. Unipolar and bipolar right atrial appendage electrodes: comparison of sensing characteristics. Med Instrum. 1985;19:132-5.
20. Pollak WM, Simmons JD, Interian A Jr, Castellanos A, Myerburg RJ, Mitrani RD. Pacemaker diagnostics: a critical appraisal of current technology. Pacing Clin Electrophysiol. 2003;26:76-98.
21. Huikuri H. Effect of stored electrograms on management in the paced patient. Am J Cardiol. 2000;86:101-3.
22. Pollak WM, Simmons JD, Interian A Jr, Atapattu SA, Castellanos A, Myerburg RJ, et al. Clinical utility of intraatrial pacemaker stored electrograms to diagnose atrial fibrillation and flutter. Pacing Clin Electrophysiol. 2001;24:424-9.
23. García Calabozo R. Temas de actualidad en estimulación cardiaca. Rev Esp Cardiol. 2005;5:A66-76.
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