Transcript NOUVEAUTES en STIMULATION CARDIAQUE

Cardiac
Pacemaker
NEWS IN
CARDIAC
PACING
Heart
NEWS IN
CARDIAC
PACING
Cardiac
Pacemaker
Heart
Atrial stimulation in
Sleep Apnea Syndrome:
Sleep apnea is characterized by pauses in breathing. Effective
treatment is CPAP (Continuous Positive Airway Pressure) and requires some
heavy equipment while sleeping.
Without the use of this equipment, lack of oxygen causes slow
heartbeat, and even temporary discontinuation sometimes.
© Dr. Richard MONIN
NEWS IN
CARDIAC
PACING
Cardiac
Pacemaker
Heart
In order to stimulate their atrium, a cardiac pacemaker is implanted
in patients suffering from apneas and whose heartbeats are too slow. Thus,
night apneas are reduced by 50%, which noticeably reduces day symptoms
such as fatigue and drowsiness.
© Dr. Richard MONIN
NEWS IN
CARDIAC
PACING
Cardiac
Pacemaker
Heart
How to stimulate the atrium?
Atrial
pacing wire
PACEMAKER
Ventricular
Pacing
wire
By implanting a stimulator acting on both the atrium and the
ventricle, and by synchronizing the two atria with a catheter positioned
through the interatrial septum. This technique is performed in “La Parisière”
Private Hospital.
© Dr. Richard MONIN
NEWS IN
CARDIAC
PACING
Cardiac
Pacemaker
Heart
Warning:
This technique is reserved to patients suffering from heart rhythm disorders
combined with sleep apnea syndrome.
Even though prognosis and symptoms are improved, standard treatment
with CPAP is still needed so far.
© Dr. Richard MONIN
NEWS IN
CARDIAC
PACING
Cardiac
Pacemaker
Heart
For further information:
- GARRIGUE S, BORDIER PH, JAIS P, SHAH DC, HOCINI M, HAISSAGUERE M,
CLEMENTY J. Benefit of Atrial Pacing in Sleep Apnea Syndrome. New England
Journal Medicine. 2002 ; 346(6) : 404-412.
- MONIN R. : Resynchronisation des oreillettes par sonde vissée dans le septum
interauriculaire en stimulation. DDDR .STIMUCOEUR. 1998 ; 3 : 88-90.
© Dr. Richard MONIN