Abstract
Artificial cardiac pacing, the use of electrical stimuli to cause contraction of heart muscle, is a sophisticated therapeutic and diagnostic tool. Its rapid technologic improvement since first developed in the late 1930’s by Hyman, has made it possible not only to avoid certain cases of death due to heart block, but also to extend and improve the quality of life. Pacemaker therapy is generally used to treat heart rate or rhythm disturbances, being either tachy- or bradyarrhythmias that produce a detrimental drop in cardiac output. Of the many different types of pacemakers and electrodes currently available, ventricular demand pacing is the most commonly used.
Highlights
Artificial cardiac pacing, the use of electrical stimuli to cause contrac tion of heart m uscle, is a sophisti cated therapeutic and diagnostic tool
The insertion of permanent pace makers and the care of patients with p erm anent pacem akers is p er formed in specialised centres by highly trained staff
In addi tion, certain patients develop tran sient reversible conduction distur bances after myocardial infarction. They require tem porary pacing at this time, though they very rarely require the insertion of a perm a nent pacem aker
Summary
Daar is heelwat indikasies vir die aanbring van ’n tydelike transveneuse pasaangeër. Daarom moet verpleegperso neel wat nie noodwendig direk in kardiologiese eenhede werk nie kennis dra van die tegnieke vir die aanbring van tyde like pasaangeërs, die versorging van hierdie pasiënte en moontlike komplikasies. WORKMAN Senior Professional Nurse, Cardiac Caterisation and Research Laboratory, Groote Schuur Hospital
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