par Jacobs, Paul
Référence Revue médicale de Bruxelles, 18, 4, page (162-166)
Publication Publié, 1997
Article révisé par les pairs
Résumé : Cardiac pacemakers are used to maintain a sufficient cardiac rythm. The last generation may stimulate and sense both cardiac chambers, atrium and ventricule (physiologic pacemaker or dualchamber pacemakers). The rythm may also be adaptated to the patient's activity (mode rate-adaptative or sensor-driven). All the pacemakers are multiprogrammable and a follow-up program in a pacemaker clinic is mandatory as every programmable parameter and pacing mode is adaptated individually to the patient and also because complications arc not uncommon. Despite high protection, pacemakers may be susceptible to certain sources of electromagnetic interferences. The maximal risk is present in medical environment and may easily be prevented (magnetic resonance imaging, defibrillation, electrosurgical cautery...).