EDUCATION IN HEART
Arrhythmias
Permanent pacemaker implantation technique: part I
Correspondence to:
Dr Kim Rajappan, Cardiac Department, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK; kim.rajappan@orh.nhs.uk
| The first 150 words of the full text of this article appear below. |
Although device therapy is increasingly a subspecialty in its own right, permanent pacemaker (PPM) implantation remains one of the core skills of cardiologists. Most trainees will require at least basic skills in PPM implantation and the aim of this article (in two parts) is to provide a guide to the steps involved, and some of the fundamentals of technique. No article on this subject can be totally comprehensive and cover all the subtle nuances of technique used by different operators. Furthermore, like any practical skill it is only possible to give a flavour of the methodology in writing, and nothing can replace the practical tuition of an experienced implanter in the pacing theatre during a number of PPM implants. That having been said, before outlining some of the practical aspects of PPM implantation, the first step is to identify whether a patient needs a PPM. This may be straightforward,
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