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
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.