Atrial Pacing is indicated for people with sinus node dysfunction and normal AV and intraventricular conduction systems.
Dual-Chamber Pacing is indicated for those people exhibiting: sick sinus syndrome, chronic, symptomatic second- and third-degree AV block, recurrent Adams-Stokes syndrome, symptomatic bilateral bundle branch block when tachyarrhythmia and other causes have been ruled out. Rate-Modulated Pacing is indicated for people with chronotropic incompetence, and for those who would benefit from increased stimulation rates concurrent with physical activity. Implantation of a leadless pacemaker system is indicated for patients with significant bradycardia and normal sinus rhythm with rare episodes of A-V block or sinus arrest chronic atrial fibrillation severe physical disability. Implantation of a CRT-P is indicated for: maintaining synchrony of the left and right ventricles in patients who have undergone an AV nodal ablation for chronic atrial fibrillation and have NYHA Class II or III heart failure the reduction of the symptoms of moderate to severe heart failure (NYHA Class III or IV) in those patients who remain symptomatic despite stable, optimal medical therapy, and have a left ventricular ejection fraction ¢35% and a prolonged QRS duration. Implantation of a single-chamber pulse generator, dual-chamber pulse generator, or CRT-P system with pacing leads is indicated in one or more of the following permanent conditions: syncope, presyncope, fatigue, disorientation. Rate-Modulated Pacing is indicated for patients with chronotropic incompetence, and for those who would benefit from increased stimulation rates concurrent with physical activity. Normal sinus rhythm with rare episodes of A-V block or sinus arrest.The Aveir™ Leadless Pacemaker system is indicated for patients with significant bradycardia and: Your physician will estimate the time needed to stay in the hospital, depending on your individual needs.īrief Summary: Prior to using these devices, please review the Instructions for Use for a complete listing of indications, contraindications, warnings, precautions, potential adverse events and directions for use. You may stay in the hospital for several hours up to several days. You may feel discomfort and most likely will be tired. Immediately after your procedure, you will be moved to recovery for observation. Implanting a pacemaker can take several hours. This means the physician needs time to locate good positioning of the system. The duration of the procedure depends on the kind of device you are receiving as well as your specific anatomy. You may feel some pressure while the team implants your device, but you should not feel any pain. If you receive conscious sedation, you may be able to hear and even talk with the medical team during the procedure, and team members may have instructions for you.
Conscious sedation is a combination of medicines to help you relax (a sedative) and to block pain (an anesthetic).
She turns to Adair for help, never dreaming she'll discover in him a man who matches her appetite for life and passion.Īs Barnaby and Penelope unravel the mystery of the missing children, they uncover a shocking trail that leads to the upper echelons of society, and a ruthless criminal who is ready to destroy all they hold dear, including their newfound understanding of the irresistible intrigues of the heart.During the implant procedure, you are either given a general anesthetic or conscious sedation. More than a pretty face in a satin gown, Penelope has devoted her will and intelligence to caring for London's orphans. When Penelope Ashford appeals for his aid, he is moved by her plight-and captivated by her lush beauty. Handsome, enigmatic, and deliciously dangerous, Barnaby Adair has made his name by solving crimes within the ton.
New York Times bestselling author Stephanie Laurens knows Regency London, and outside the exclusive enclave in which the aristocracy lived in wealth and comfort, lay another world. Romance Writers of America RITA Award Finalist About the Book