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Approach to patients with implanted pacemaker and scheduled surgical or diagnostic procedure

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dc.creator Pavlović Siniša
dc.creator Milašinović Goran
dc.creator Živković Mirjana
dc.date 2011
dc.date.accessioned 2013-05-30T11:42:59Z
dc.date.available 2013-05-30T11:42:59Z
dc.date.issued 2013-05-30
dc.identifier http://www.doiserbia.nb.rs/img/doi/0354-950X/2011/0354-950X1102025P.pdf
dc.identifier http://www.doaj.org/doaj?func=openurl&genre=article&issn=0354950X&date=2011&volume=58&issue=2&spage=25
dc.identifier.uri http://koha.mediu.edu.my:8181/jspui/handle/123456789/4772
dc.description Application of cardiac electrostimulation in strictly defined indications has been on the increase over the last few decades. Frequent use of this therapy as well as the fact that it is applied predominantly in patients in the seventh decade of life, implies possible significant comorbidities and need for various diagnostic and surgical procedures. These are the reasons we decided to point out certain specific features in approaching this patient group in preparation and implementation of these procedures. Preoperative approach starts with usual patient history, with additional information on the type of pacemaker, last pacemaker check and electrocardiogram. This general approach is not substantialy different for pacemaker or ICD patients. What is specific is the possible interferrence caused by devices used in diagnostic or therapeutic procedures (diathermy, lithotripsy). Complications that may arise are usually related to the underlying disease rather than the pacemaker malfunction, but still, careful approach and pacemaker check are warranted, especially in the group marked as "pacemaker dependent". Adequate preoperative assessment, only slightly different from the usual, represents a sufficient guarantee for safe procedures - diagnostic, therapeutic or surgical.
dc.language eng
dc.publisher Klinički centar Srbije, Institut za bolesti digestivnog sistema
dc.source Acta Chirurgica Iugoslavica
dc.subject preoperative workup
dc.subject pacemaker therapy
dc.subject surgical procedures
dc.subject anaestesiologic implications
dc.title Approach to patients with implanted pacemaker and scheduled surgical or diagnostic procedure

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