Nuts and Bolts of Implantable Device Therapy

Tom Kenny, FHRS, CCDSTom Kenny has always been an educator. From his start as a Critical Care Educator for the North Broward Hospital District in Fort Lauderdale, Florida, to serving as Director of Education at PrepMD in Braintree, Massachusetts, Tom has focused on providing real-world, practical education for clinicians. Although he has served on faculty at Broward Community College and lectures for the Heart Rhythm Society and the Food and Drug Administration, Tom has always believed that it was imperative to educate the “front lines” of healthcare, the men and women clinicians across the country who treat patients day in and day out. He has served at Intermedics and St. Jude Medical in corporate medical device education, where he sought to make highly complicated therapies easily understood. In his tenure at both companies, he expanded training programs and developed educational materials. Finding that there was little in the way of pacemaker training for educated clinicians who just did not happen to know pacing, Tom brought his style of training to the classroom and now to book form. Tom is a native New Yorker who currently divides his time between Massachusetts and Texas. He has five children.

• Preface viAcknowledgments vii1 Cardiovascular anatomy and physiology 12 Cardiac conduction system 153 The cardiac cycle and hemodynamics 214 Heart disease 295 Cardiac medications related to cardiac rhythm management devices 376 The basics of ecg and rhythm interpretation 487 Arrhythmia analysis 588 Electricity 101 789 Pacing 101 8410 Indications for pacing 10411 Pacemaker implantation 11612 Connecting the leads to the pulse generator 13113 Pacemaker modes and codes 14014 Single-chamber timing cycles 15315 Introduction to dual-chamber timing cycles 16916 Dual-chamber timing cycles: the atrial channel 17917 Dual-chamber timing cycles: the ventricular channel 19518 Paced ECG and EGM analysis 20519 Upper-rate behavior 21920 Advanced dual-chamber timing 23321 Rate-responsive pacing 24222 Special features 26023 Automatic capture algorithms 27824 Pacemaker follow-up 29725 Follow-up and troubleshooting 310Key answer 316Index 320