Cardiac Pacing and Defibrillation in Pediatric and Congenital Heart Disease

With a growing population of young patients with congenital heart disease reaching adulthood, this unique new book offers an in-depth guide to managing the challenges and issues related to device therapy in this patient group.

• The only book resource dedicated to pacing, cardiac resynchronization therapy and ICD therapy for the pediatric and congenital heart disease patient
• Contains practical advice for pacemaker and ICD implantation, programming, trouble-shooting, managing complications and follow up
• Up-to-date with the latest in device technology
• Contains multiple graphics, device electrogram tracings, and radiographic images for clarity
• Includes video clips and over 150 multiple choice questions with extended answers on companion website, ideal for self test
• An invaluable resource for both the specialist pediatric cardiologist and the general cardiologist responsible for children with heart disease and pacing devices

Foreword, ix

List of Contributors, xi

Preface, xv

About the CompanionWebsite, xvii

Part 1: Introduction

1 History of Cardiac Pacing and Defibrillation in the Young, 3
Larry Rhodes and Robert Campbell

2 Clinically Relevant Basics of Pacing and Defibrillation, 12
Maully Shah and Erick Cuvillier

Part 2: Clinical Concepts

3 Indications for Permanent Pacing, Device, and Lead Selection, 37
Philip M. Chang, Christopher Carter, and Yaniv Bar-Cohen

4 Indications for Implantable Cardioverter Defibrillator Therapy, Device, and Lead Selection, 62
Mitchell I. Cohen and Susan P. Etheridge

5 Hemodynamics of Pacing and Cardiac ResynchronizationTherapy (CRT) for the Failing Left and Right Ventricle, 91
Kara S. Motonaga and Anne M. Dubin

6 Sensor Driven Pacing: Ideal Characteristics in Pediatrics, 118
David Bradley and Peter S. Fischbach

7 Implantable Cardioverter-Defibrillator Testing in Pediatric and Congenital Heart Disease, 123
Elizabeth A. Stephenson and Charles I. Berul

Part 3: Implantation Techniques

8 Permanent Transvenous Pacemaker, CRT, and ICD Implantation in the Structurally Normal Heart, 133
Akash R. Patel and Steven Fishberger

9 Permanent Pacemaker, CRT, and ICD Implantation in Congenital Heart Disease, 147
Ian Law and Nicholas H. Von Bergen

10 Permanent Epicardial Pacing:When, How, andWhy? 163
Larry Rhodes and Maully Shah

11 Managing Device Related Complications and Lead Extraction, 172
Avi Fischer and Barry Love

12 Temporary Pacing in Children, 195
Anjan S. Batra and Ilana Zeltser

Part 4: Device Programming and Follow-Up

13 Pacemaker and ICD Programming in Congenital Heart Disease, 211
Jonathan Kaltman and Jeffrey Moak

14 Pacemaker Troubleshooting and Follow-Up, 231
Ronn E. Tanel and Frank Zimmerman

15 ICD Troubleshooting and Follow-Up, 252
Steven Fishberger and Maully Shah

16 CRT device Programming and Optimization, 271
Anoop Singh and Seshadri Balaji

17 Implantable Syncope and Arrhythmia Monitors, and Automated External Defibrillators, 280
John R. Phillips and Pamela S. Ro

18 Electromagnetic Interference and Implantable Devices, 294
Karen Smoots and R. Lee Vogel

19 Quality of Life, Sports, and Implantable Devices in the Young, 302
Elizabeth Saarel

20 Device Innovations and the Future of DeviceTherapy for Arrhythmia and Heart Failure Management, 308
Michael P. Carboni and Ronald J. Kanter

Glossary, 322

Maully Shah, M.B.B.S, F.A.C.C, F.H.R.S, C.C.D.S, C.E.P.S
Director, Cardiac Electrophysiology
The Children's Hospital of Philadelphia
Professor of Pediatrics,
Perelman School of Medicine, University of Pennsylvania
Philadelphia, PA, USA

Larry Rhodes, M.D.
Chair, Department of Pediatrics
Robert C. Byrd Health Sciences Center
Professor of Pediatrics
West Virginia Univeristy
Morgantown, WV, USA

Jonathan R. Kaltman, MD
Chief, Heart Development and Structural Disease Branch,
National Heart, Lung, and Blood Institute, National Institutes of Health,
Bethesda, MD, USA

With a growing population of young patients with congenital heart disease reaching adulthood, this unique new book offers an in-depth guide to managing the challenges and clinical issues related to device therapy in this patient group. Focusing on pacemaker, cardiac resynchronization therapy devices and ICD implantation techniques, device programming, trouble-shooting and follow up as it relates to the pediatric and congenital heart disease patients, this book provides a resource for the specialist pediatric cardiologist, electrophysiologist and the general cardiologist caring for children and young adults with congenital heart disease who have cardiac rhythm management devices.

Section one covers the basics of pacing and defibrillation with special reference to the pediatric patient. Sections two, three and four discuss clinical concepts, indications, practical approaches to device implantation, programming, trouble-shooting, managing complications, and providing follow up. These sections include discussion of specific congenital heart diseases and the unique challenges that they present in relation to device implantation and programming. The book includes helpful graphics, device electrogram tracings and radiographic images. Section four also includes a chapter on quality of life and sports participation, key elements of a young person’s lifestyle.

• The only book resource dedicated to pacing, cardiac resynchronization therapy and ICD therapy for the pediatric and congenital heart disease patient,
• Contains practical advice for pacemaker and ICD implantation, programming, trouble-shooting, managing complications and follow up,
• Up-to-date with the latest in device technology,
• Contains multiple graphics, device electrogram tracings, and radiographic images,
• Includes video clips and multiple choice questions for selected chapters on a companion website.

An invaluable resource for both the specialist pediatric cardiologist and the general cardiologist responsible for children with heart disease and pacing devices.