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Published ahead of print on August 5, 2004, doi:10.1164/rccm.200402-211UP

Am. J. Respir. Crit. Care Med., Volume 170, Number 9, November 2004, 933-940

A more recent version of this article appeared on November 1, 2004
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Submitted on February 20, 2004
Accepted on August 4, 2004

Permanent Pacemakers and Implantable Defibrillators Considerations for Intensivists

Craig A McPherson1 and Constantine Manthous1*

1 Department of Internal Medicine, Sections of Cardiology, Pulmonary and Critical Care, Bridgeport Hospital and Yale University School of Medicine, Bridgeport, CT, United States

* To whom correspondence should be addressed. E-mail: pcmant{at}bpthosp.org.

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, so 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.


Key words: Pacemaker, implantable cardiac defibrillator, critical care, arrhythmia




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