Author/Editor		Zupan, Anja; Brecelj, Aleš; Geršak, Borut
Title		Srčni spodbujevalniki - kaj, kdaj in kako
Translated title		Implantable pacemakers - what, when and how
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 44, št. 1
Publication year		2005
Volume		str. 43-53
Language		slo
Abstract		The digital world of computer technologies is becoming increasingly important in all fields of science, including medicine. Many new approaches that seemed to be pure fantasy decades ago are now being realised, in both diagnostics and treatment. One of these incredible advances in modern medicine are implantable pacemakers, which have undergone tremendous development since first implantation in 1958 by Senning in Sweden. A pacemaker is a small computer that is implanted into the human body and from then on tracks every heartbeat, triggering a pulse when the heart fails to make a contraction. This is a device which has thoroughly changed the quality and duration of life of people suffering from cardiac rhythm disturbances: such children are now able to grow up and develop normally into adults and many still active adults do not need to give up their sports activities. The following article discusses some basic issues related to implantable pacemakers, from principles of their functioning and indications for their implantation to the essentials of treating patients with this device.
Summary		Kot druga področja znanosti tudi medicino preplavlja svet računalniške tehnologije. V diagnostiki in zdravljenju se odpirajo mnogi novi pristopi, ki so se še nekaj desetletij nazaj zdeli domišljija. Ena takih izjemnih pridobitev sodobnejše medicine je tudi srčni spodbujevalnik, ki je od svoje prve vstavitve leta 1958 (Senning, Švedska) doživel neverjeten razvoj. Majhen računalnik, ki se vstavi v telo in od takrat naprej sledi in nadzira vsak srčni utrip ter vskoči, ko srcu spodleti. Naprava, ki bistveno izboljša kakovost in podaljša življenje ljudem z motnjami srčnega ritma: otroci s prirojenimi ali pridobljenimi motnjami ritma lahko normalno odrastejo, mnogi športno dejavni odrasli lahko nadaljujejo s svojo dejavnostjo. V prispevku so predstavljena osnovna načela delovanja srčnih spodbujevalnikov, indikacije za njihovo vstavitev in obravnava bolnika s srčnim spodbujevalnikom.
Descriptors		CARDIAC PACING, ARTIFICIAL ARRHYTHMIA ELECTRODES, IMPLANTED