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Permanent pacemakers and implantable defibrillators: considerations for intensivists McPherson CA; Manthous CAm J Respir Crit Care Med 2004[Nov]; 170 (9): 933-40Pacemakers 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.|*Defibrillators, Implantable[MESH]|*Electrocardiography[MESH]|*Pacemaker, Artificial[MESH]|Arrhythmias, Cardiac/*diagnosis/mortality/*therapy[MESH]|Critical Care/methods[MESH]|Equipment Design[MESH]|Equipment Failure[MESH]|Equipment Safety[MESH]|Female[MESH]|Follow-Up Studies[MESH]|Humans[MESH]|Male[MESH]|Risk Assessment[MESH]|Severity of Illness Index[MESH]|Survival Rate[MESH]|Treatment Outcome[MESH] |
