Chapter 41. Pacemaker Therapy, Including Cardiac Resynchronization Therapy

  1. Salim Yusuf DPhil, FRCPC, FRSC Research Chair Professor of Medicine Director Vice President Research2,3,4,
  2. John A Cairns MD, FRCPC Professor of Medicine Former Dean5,
  3. A John Camm MD British Heart Foundation Professor Head of Cardiac6,
  4. Ernest L Fallen MD, FRCPC Professor Emeritus7 and
  5. Bernard J Gersh MB, ChB, DPhil Consultant Professor of Medicine8
  1. William D Toff MD, FESC1 and
  2. A John Camm MD British Heart Foundation Professor Head of Cardiac6

Published Online: 21 MAY 2010

DOI: 10.1002/9781444309768.ch41

Evidence-Based Cardiology, Third Edition

Evidence-Based Cardiology, Third Edition

How to Cite

Toff, W. D. and Camm, A. J. (2009) Pacemaker Therapy, Including Cardiac Resynchronization Therapy, in Evidence-Based Cardiology, Third Edition (eds S. Yusuf, J. A. Cairns, A. J. Camm, E. L. Fallen and B. J. Gersh), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444309768.ch41

Editor Information

  1. 2

    McMaster University, Canada

  2. 3

    Population Health Research Institute, McMaster University, Hamilton Health Sciences, Canada

  3. 4

    Hamilton Health Sciences, Hamilton, Ontario, Canada

  4. 5

    Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada

  5. 6

    St George's University of London, London, UK

  6. 7

    McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada

  7. 8

    Mayo Clinic College of Medicine, Rochester, MN, USA

Author Information

  1. 1

    Department of Cardiovascular Sciences, University of Leicester, Leicester, UK

  2. 6

    St George's University of London, London, UK

Publication History

  1. Published Online: 21 MAY 2010
  2. Published Print: 13 NOV 2009

ISBN Information

Print ISBN: 9781405159258

Online ISBN: 9781444309768

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Keywords:

  • Sinus tachycardia;
  • Atrioventricular nodal reentrant tachycardia;
  • Atrioventricular reentrant tachycardia;
  • Atrial tachycardia;
  • Inappropriate sinus tachycardia;
  • Sinoatrial reentrant tachycardia;
  • Nonparoxysmal junctional tachycardia;
  • Junctional ectopic tachycardia;
  • Atrial fibrillation;
  • Atrial flutter;
  • Multifocal atrial tachycardia

Summary

Paroxysmal supraventricular tachycardias are common arrhythmias in the adult population. There mechanisms could be a result from automaticity, reentrant or triggered mechanism. Symptoms are typically a secondary to the fast heart rate or ventricular response. Treatment is based on the hemodynamic stability of the patient. If the patient is unstable, cardioversion is performed. If the patient is hemodynamically stable pharmacologic therapy which blocks or slow conduction through the atrioventricular node may be used. Supraventricular rhythms tend to recur. Therefore, long-term success at eradiation and termination is via catheter based ablations. In this chapter we will attempt to address the incidence, prognosis, clinical presentation, pathophysiology and management of supraventricular arrhythmias.