4
Product Description
Indications
Indications
Guidelines of cardiological
societies
Generally approved differential diagnostic methods, indications, and
recommendations for pacemaker therapy apply to BIOTRONIK devices.
The guidelines provided by cardiology associations offer decisive information:
•
We recommend observing the indications published by the German Cardiac
Society (Deutsche Gesellschaft für Kardiologie, Herz- und Kreislaufforschung)
and the ESC (European Society of Cardiology).
•
This also applies to the guidelines published by the Heart Rhythm Society (HRS),
the American College of Cardiology (ACC), the American Heart Association
(AHA), and other national cardiology associations.
Device types
For the following symptoms/expectations, the following device types are indicated:
Pacing modes
For the following symptomatic, the following pacing modes are indicated:
Symptom/expectation
SR
DR
HF
Disorientation due to bradycardia
x
x
x
Presyncope x
x
x
Benefit from resynchronization of the right and left
ventricles
x
Syncope
x
x
x
Symptom/expectation
Pacing mode
Sick sinus syndrome
Dual-chamber pacing
Chronic, symptomatic second and third-degree AV block Dual-chamber pacing
Adams-Stokes syndrome
Dual-chamber pacing
Symptomatic bilateral bundle branch block when
tachyarrhythmia and other causes have been ruled out
Dual-chamber pacing
•
Chronotropic incompetence
•
Benefit from increased pacing rate with physical
activity
R mode or CLS
Sinus node dysfunction in the presence of normal AV and
intraventricular conduction
Atrial pacing
Bradycardia in conjunction with the following:
•
Normal sinus rhythms with only rare episodes of
AV block or sinus arrest
•
Chronic atrial fibrillation
•
Severe physical disability
Ventricular pacing
