Table of Contents

Preface, vi

Acknowledgments, vii

1 Cardiovascular anatomy and physiology, 1

2 Cardiac conduction system, 15

3 The cardiac cycle and hemodynamics, 21

4 Heart disease, 29

5 Cardiac medications related to cardiac rhythm management devices, 37

6 The basics of ecg and rhythm interpretation, 48

7 Arrhythmia analysis, 58

8 E lectricity 101, 78

9 Pacing 101, 84

10 Indications for pacing, 104

11 Pacemaker implantation, 116

12 Connecting the leads to the pulse generator, 131

13 Pacemaker modes and codes, 140

14 Single-chamber timing cycles, 153

15 Introduction to dual-chamber timing cycles, 169

16 Dual-chamber timing cycles: the atrial channel, 179

17 Dual-chamber timing cycles: the ventricular channel, 195

18 Paced ECG and EGM analysis, 205

19 Upper-rate behavior, 219

20 Advanced dual-chamber timing, 233

21 Rate-responsive pacing, 242

22 Special features, 260

23 Automatic capture algorithms, 278

24 Pacemaker follow-up, 297

25 Follow-up and troubleshooting, 310

Key answer, 316

Index, 320

About the Author

Tom Kenny, FHRS, CCDS Tom Kenny has always been an educator. From his start as aCritical Care Educator for the North Broward Hospital District inFort Lauderdale, Florida, to serving as Director of Education atPrepMD in Braintree, Massachusetts, Tom has focused on providingreal-world, practical education for clinicians. Although he hasserved on faculty at Broward Community College and lectures for theHeart Rhythm Society and the Food and Drug Administration, Tom hasalways believed that it was imperative to educate the frontlines of healthcare, the men and women clinicians across thecountry who treat patients day in and day out. He has served atIntermedics and St. Jude Medical in corporate medical deviceeducation, where he sought to make highly complicated therapieseasily understood. In his tenure at both companies, he expandedtraining programs and developed educational materials. Finding thatthere was little in the way of pacemaker training for educatedclinicians who just did not happen to know pacing, Tom brought hisstyle of training to the classroom and now to book form. Tom is anative New Yorker who currently divides his time betweenMassachusetts and Texas. He has five children.