TY - CHAP M1 - Book, Section TI - Surgical Implantation of Pacemakers and Automatic Defibrillators A1 - Spotnitz, Henry M. A1 - Spotnitz, Michelle D. A2 - Cohn, Lawrence H. A2 - Adams, David H. Y1 - 2017 N1 - T2 - Cardiac Surgery in the Adult, 5e AB - Pacemaker and defibrillator management is the subject of comprehensive reviews.1-8 The efficacy and cost-effectiveness of pacemakers are widely accepted, but the appropriate role for ICD insertion7 and biventricular pacing5 in older patients is still in evolution. Pacemaker and ICD technology are now applicable across the entire span of human age. Pacing for heart failure and ICD prophylaxis against lethal arrhythmias are recent frontiers. Electrophysiologists dominate these areas, reflecting decreased interest by thoracic surgeons and cardiology referral patterns. However, thoracic surgeons must maintain skills as implanters in order to serve as consultants or surgeons for complex or complicated cases. This chapter reviews practical information related to pacemaker and ICD insertion and management. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1144167503 ER -