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Cardiac Rhythm Management
IPG / Pacemakers
Bradycardia Therapy
Bradycardia is a condition of the heart, where the heart is beating in a (sometimes irregular) rhythm that is too slow to maintain sufficient supply of oxygenated blood throughout the body. Such condition may be caused by dysfunctions of the sinu-atrial (SA) node, the atrio-ventricular (AV) node, or other parts of the heart's conduction system. In these cases bradycardia therapy aims at restoring a regular sinus rhythm and sufficient heart rate through battery-powered devices (referred to as pacemakers or implantable pulse generators [IPG]) using small electrical impulses delivered through leads directly to the heart in an effort to stimulate heart muscle cells externally, when intrinsic stimulation fails or is unreliable.
ICD / Defibrillators
Tachycardia Therapy
Tachycardia refers to any heartbeat greater than 100 beats per minute.
This can originate from the top of the heart and above the ventricle, and therefore is called a supraventricular tachycardia (SVT), or from the ventricle (bottom chamber). Patients may have no symptoms. This is more common with increasing age. For patients who do experience symptoms, these include palpitations, shortness of breath, dizziness and skipped beats. The patient often perceives the irregular heartbeat as very unpleasant. Loss of consciousness may result if the heart rate becomes too rapid. A heart failure implantable cardioverter-defibrillator (ICD) delivers electroshocks to terminate tachycardias.
Rhythm Monitoring
Implantable cardiac monitors (ICM) are small devices used for long-term monitoring of a patient's heart electrical activity to detect irregular heart rhythm (arrhythmia). The technology can eliminate the need for a bulky external Holter monitor that requires wire leads attached to the patient and can only monitor the patient for 24 - 48 hours. The small ICMs can be inserted under the skin during an in- office visit. It lasts for several years. The intelligent ICM can automatically detect arrhythmias even when the patient is unaware of these. The device is able to store several ECGs covering multiple types of arrhythmias. In combination with BIOTRONIK Home Monitoring the data is send to the physician on a daily basis. In this way the physician is better informed and can make a diagnosis earlier. Medical guidelines recommend the use of ICMs for patients with unexplained syncope and for those suspect to have atrial fibrillation (AF).
External Pacemakers
External pacing is one of the fastest methods for treating multiple types of conduction abnormalities.
It can be applied in the hospital setting or by emergency medical service providers when transporting critically ill patients
