Key result
A review of permanent pacemakers and implantable cardioverter-defibrillators highlights recent technological advances and the need for intensivist-cardiologist collaboration in critical care.
Why the study?
Pacemakers and cardioverter-defibrillators are implanted for an increasing array of cardiovascular indications, requiring intensivists to understand device-related issues in critical illness.
Intensivists should collaborate closely with electrophysiologists for device optimization in critically ill patients; extends practical ICU management of pacemakers and ICDs.
Pacemakers and cardioverter-defibrillators are implanted in patients with cardiovascular disease for an ever-increasing array of indications. Intensivists provide care frequently for patients who have these devices, and thus, they must be familiar with common problems and nuances that may contribute to critical illness. Close collaboration of the critical care physician and cardiologist/electrophysiologist assures that pacemakers and defibrillators are tuned to optimize the hemodynamic milieu of critically ill patients. Many recent advances in the sophistication of implanted devices are reviewed herein.
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McPherson et al. (2004) conducted a review in Cardiovascular disease requiring pacemakers or implantable cardioverter-defibrillators. Permanent pacemakers and implantable cardioverter-defibrillators was evaluated. A review of permanent pacemakers and implantable cardioverter-defibrillators highlights recent technological advances and the need for intensivist-cardiologist collaboration in critical care.
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