Implantation Procedure of Permanent Pacemaker (PPM) in Patients with Clinical Total AV Blok: A case study in a Private Hospital in Tangerang City
Corresponding Author(s) : Aryanthi Widyastuti
anthi.yerro@gmail.com
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 10 No. 4 (2022): 2022 Volume -10 - Issue 4
Abstract
Permanent Pacemaker (PPM) is a medical device that can electrically stimulate the heart muscle to contract to produce a heartbeat. One of the indications for installing PPM is Total AV Block, which is a condition in which there is a cardiac conduction disorder that occurs when the electrical supply from the SA Node to the AV Node is blocked. The PPM is placed subcutaneously on the left chest, its function is to stabilize irregular heart rhythms. This research is a qualitative research. Data collection was carried out in April-September 2022 at a private hospital in Tangerang City through observations, interviews and documentation of the team involved in the implantation-implantation of PPM. From the results, implantation-implantation of PPM is the best treatment given to patients with Total AV Block. Before the procedure, the patient's Heart Rate (HR) was 34bpm/minute but after the procedure the Heart Rate (HR) increased to 80bpm/minute. It was found that the PPM implantation procedure in a private hospital in Tangerang City includes several stages. The PPM implantation procedure includes patient preparation, tools and materials preparation, implantation techniques and post-action care. The team consists of Cardiologists, Scrub Nurses, Circular Nurses, Nursing Assistants, Cardiovascular Technicians and PPM Applicants. PPM implantation is performed with the guidance of X-Ray Fluoroscopy.
Keywords
Permanent Pacemaker (PPM), Total AV Block
1.
Aryanthi Widyastuti, Putu Irma Wulandari, I Kadek Sukadana, Kusman, Anak Agung Aris Diartama. Implantation Procedure of Permanent Pacemaker (PPM) in Patients with Clinical Total AV Blok: A case study in a Private Hospital in Tangerang City. Int. J. of Allied Med. Sci. and Clin. Res. [Internet]. 2022 Nov. 15 [cited 2026 Mar. 4];10(4):427-32. Available from: https://ijamscr.com/ijamscr/article/view/1262
Download Citation
Endnote/Zotero/Mendeley (RIS)BibTeX
References
-
1. Kemenkes RI. Situasi kesehatan jantung. Pus Data Inf Kementeri Kesehat RI. 2014;3. Availablefrom:http://www.depkes.go.id/download.php?file=download/pusdatin/infodatin/infodatin-jantung.pdf
2. Sistem Kardiovaskuler FR. Bagian fisiologi program Studi pendidikan dr fak Kedokt Univ Udayana; 2018. p. 1-17.
3. Darmawan H. Successful conversion of complete atrioventricular block to sinus rhythm without cardiac pacemaker: A case report. J Kedokt dan Kesehat Indones. 2019;10(3):287-91.
4. Hanafy DA, Rahdian A, Tondas AE, Hartono B, Tanubudi D, Munawar M, et al. Pedoman terapi memakai Alat elektronik kardiovaskular Implan (ALEKA). Perhimpunan Dokt Spesialis Kardiovaskular Indones. 2014:7-23.
5. Boom CE, Widyapuspita O. Tatalaksana Perioperatif pada Pasien dengan Cardiac Implantable Electronic Devices (Cieds) atau Alat Elektronik Kardiovaskular Implan (Aleka). JAI b. 2019;11(2):81-96. doi: 10.14710/jai.v11i2.24714.
6. Davies A. Permanent pacemakers: an overview. Br J Card Nurs. 2009;4(6):261-9. doi: 10.12968/bjca.2009.4.6.42422.
7. Suryono. Anatomi, fisiologi dan Patofisiologi bising jantung. Digit Repos Universidad Jember; 2016. p. 1-15.
8. Timurawan A, Manusia AT. Paper knowledge. Toward a media history of documents; 2017.
9. Handayani A, Jantung SK, Farmatera B. 2017;2(3):116.
10. Teori P, Henderson V. Intermediate P. Asuhan Keperawatan pada Pasien Total AV Blok Terpasang Pacu Jantung Sementara melalui Pendekatan Teori Virginia Henderson di Ruang Perawatan. 2022;13(April):280-3.
11. Sudharsono A, Hanafy DA, Yuniadi Y. Leadless Cardiac Pacemakers: where are we? Indones J Cardiol. 2017;37(1):47-56. doi: 10.30701/ijc.v37i1.556.
12. Aquilina O. A brief history of cardiac surgery. Images Paediatr Cardiol. 2006;8(2):17-81. PMID 22368662.
13. Ganz LI. Temporary cardiac pacing. Card Electrophysiol Rev. 1999;2(4):389-92.
14. Strilka CR, Henderson MJ, Col L, Gavitt BJ, Col L, Aguirre J, et al. Critical care air transport clinical practice guideline transcutaneous & temporary transvenous pacing (CPG id: 50). 2020;11(1):1-16.
15. Rajappan K. Permanent pacemaker implantation technique: Part II. Heart. 2009;95(4):334-42. doi: 10.1136/hrt.2008.156372, PMID 19176569.
16. Studi P, Keperawatan S, Kusuma S, Surakarta H. Pre operasi pasien pacemaker; 2018.
17. Kesehatan T, Negara UD, Indonesia R, Standar B, Radiografer P, Ri MK. No Title. 2020;
18. Ketenagakerjaan KM. Republik indonesia. SKKNI Tahun. 2020.
19. Society A. Technologists R, ave C. The ASRT practice standards for medical imaging and radiation therapy. Media. 2019 C. On ACRM. Contrast media ACR manual on contrast media; 2022.
20. Media C. ACR Manual On Contrast Media ACR Manual on Contrast Media. 2022.
21. Haghjoo M. Techniques of permanent pacemaker implantation; 2014. p. 3-12.
22. Pertama E. Panduan praktik klinis (ppk) dan clinical pathway (cp) penyakit jantung dan pembuluh darah; 2016.
23. Petugas P, Radiasi P. Efek radiasi terhadap manusia. Available from: https://sakti.pusri.co.id/unduh/materik3/file/1613635367EfekRadiasiterhadapManusia.pdf
24. Brian Olshansky M. Patient education: pace maker (Beyond the Basic); 2020.
References
1. Kemenkes RI. Situasi kesehatan jantung. Pus Data Inf Kementeri Kesehat RI. 2014;3. Availablefrom:http://www.depkes.go.id/download.php?file=download/pusdatin/infodatin/infodatin-jantung.pdf
2. Sistem Kardiovaskuler FR. Bagian fisiologi program Studi pendidikan dr fak Kedokt Univ Udayana; 2018. p. 1-17.
3. Darmawan H. Successful conversion of complete atrioventricular block to sinus rhythm without cardiac pacemaker: A case report. J Kedokt dan Kesehat Indones. 2019;10(3):287-91.
4. Hanafy DA, Rahdian A, Tondas AE, Hartono B, Tanubudi D, Munawar M, et al. Pedoman terapi memakai Alat elektronik kardiovaskular Implan (ALEKA). Perhimpunan Dokt Spesialis Kardiovaskular Indones. 2014:7-23.
5. Boom CE, Widyapuspita O. Tatalaksana Perioperatif pada Pasien dengan Cardiac Implantable Electronic Devices (Cieds) atau Alat Elektronik Kardiovaskular Implan (Aleka). JAI b. 2019;11(2):81-96. doi: 10.14710/jai.v11i2.24714.
6. Davies A. Permanent pacemakers: an overview. Br J Card Nurs. 2009;4(6):261-9. doi: 10.12968/bjca.2009.4.6.42422.
7. Suryono. Anatomi, fisiologi dan Patofisiologi bising jantung. Digit Repos Universidad Jember; 2016. p. 1-15.
8. Timurawan A, Manusia AT. Paper knowledge. Toward a media history of documents; 2017.
9. Handayani A, Jantung SK, Farmatera B. 2017;2(3):116.
10. Teori P, Henderson V. Intermediate P. Asuhan Keperawatan pada Pasien Total AV Blok Terpasang Pacu Jantung Sementara melalui Pendekatan Teori Virginia Henderson di Ruang Perawatan. 2022;13(April):280-3.
11. Sudharsono A, Hanafy DA, Yuniadi Y. Leadless Cardiac Pacemakers: where are we? Indones J Cardiol. 2017;37(1):47-56. doi: 10.30701/ijc.v37i1.556.
12. Aquilina O. A brief history of cardiac surgery. Images Paediatr Cardiol. 2006;8(2):17-81. PMID 22368662.
13. Ganz LI. Temporary cardiac pacing. Card Electrophysiol Rev. 1999;2(4):389-92.
14. Strilka CR, Henderson MJ, Col L, Gavitt BJ, Col L, Aguirre J, et al. Critical care air transport clinical practice guideline transcutaneous & temporary transvenous pacing (CPG id: 50). 2020;11(1):1-16.
15. Rajappan K. Permanent pacemaker implantation technique: Part II. Heart. 2009;95(4):334-42. doi: 10.1136/hrt.2008.156372, PMID 19176569.
16. Studi P, Keperawatan S, Kusuma S, Surakarta H. Pre operasi pasien pacemaker; 2018.
17. Kesehatan T, Negara UD, Indonesia R, Standar B, Radiografer P, Ri MK. No Title. 2020;
18. Ketenagakerjaan KM. Republik indonesia. SKKNI Tahun. 2020.
19. Society A. Technologists R, ave C. The ASRT practice standards for medical imaging and radiation therapy. Media. 2019 C. On ACRM. Contrast media ACR manual on contrast media; 2022.
20. Media C. ACR Manual On Contrast Media ACR Manual on Contrast Media. 2022.
21. Haghjoo M. Techniques of permanent pacemaker implantation; 2014. p. 3-12.
22. Pertama E. Panduan praktik klinis (ppk) dan clinical pathway (cp) penyakit jantung dan pembuluh darah; 2016.
23. Petugas P, Radiasi P. Efek radiasi terhadap manusia. Available from: https://sakti.pusri.co.id/unduh/materik3/file/1613635367EfekRadiasiterhadapManusia.pdf
24. Brian Olshansky M. Patient education: pace maker (Beyond the Basic); 2020.
2. Sistem Kardiovaskuler FR. Bagian fisiologi program Studi pendidikan dr fak Kedokt Univ Udayana; 2018. p. 1-17.
3. Darmawan H. Successful conversion of complete atrioventricular block to sinus rhythm without cardiac pacemaker: A case report. J Kedokt dan Kesehat Indones. 2019;10(3):287-91.
4. Hanafy DA, Rahdian A, Tondas AE, Hartono B, Tanubudi D, Munawar M, et al. Pedoman terapi memakai Alat elektronik kardiovaskular Implan (ALEKA). Perhimpunan Dokt Spesialis Kardiovaskular Indones. 2014:7-23.
5. Boom CE, Widyapuspita O. Tatalaksana Perioperatif pada Pasien dengan Cardiac Implantable Electronic Devices (Cieds) atau Alat Elektronik Kardiovaskular Implan (Aleka). JAI b. 2019;11(2):81-96. doi: 10.14710/jai.v11i2.24714.
6. Davies A. Permanent pacemakers: an overview. Br J Card Nurs. 2009;4(6):261-9. doi: 10.12968/bjca.2009.4.6.42422.
7. Suryono. Anatomi, fisiologi dan Patofisiologi bising jantung. Digit Repos Universidad Jember; 2016. p. 1-15.
8. Timurawan A, Manusia AT. Paper knowledge. Toward a media history of documents; 2017.
9. Handayani A, Jantung SK, Farmatera B. 2017;2(3):116.
10. Teori P, Henderson V. Intermediate P. Asuhan Keperawatan pada Pasien Total AV Blok Terpasang Pacu Jantung Sementara melalui Pendekatan Teori Virginia Henderson di Ruang Perawatan. 2022;13(April):280-3.
11. Sudharsono A, Hanafy DA, Yuniadi Y. Leadless Cardiac Pacemakers: where are we? Indones J Cardiol. 2017;37(1):47-56. doi: 10.30701/ijc.v37i1.556.
12. Aquilina O. A brief history of cardiac surgery. Images Paediatr Cardiol. 2006;8(2):17-81. PMID 22368662.
13. Ganz LI. Temporary cardiac pacing. Card Electrophysiol Rev. 1999;2(4):389-92.
14. Strilka CR, Henderson MJ, Col L, Gavitt BJ, Col L, Aguirre J, et al. Critical care air transport clinical practice guideline transcutaneous & temporary transvenous pacing (CPG id: 50). 2020;11(1):1-16.
15. Rajappan K. Permanent pacemaker implantation technique: Part II. Heart. 2009;95(4):334-42. doi: 10.1136/hrt.2008.156372, PMID 19176569.
16. Studi P, Keperawatan S, Kusuma S, Surakarta H. Pre operasi pasien pacemaker; 2018.
17. Kesehatan T, Negara UD, Indonesia R, Standar B, Radiografer P, Ri MK. No Title. 2020;
18. Ketenagakerjaan KM. Republik indonesia. SKKNI Tahun. 2020.
19. Society A. Technologists R, ave C. The ASRT practice standards for medical imaging and radiation therapy. Media. 2019 C. On ACRM. Contrast media ACR manual on contrast media; 2022.
20. Media C. ACR Manual On Contrast Media ACR Manual on Contrast Media. 2022.
21. Haghjoo M. Techniques of permanent pacemaker implantation; 2014. p. 3-12.
22. Pertama E. Panduan praktik klinis (ppk) dan clinical pathway (cp) penyakit jantung dan pembuluh darah; 2016.
23. Petugas P, Radiasi P. Efek radiasi terhadap manusia. Available from: https://sakti.pusri.co.id/unduh/materik3/file/1613635367EfekRadiasiterhadapManusia.pdf
24. Brian Olshansky M. Patient education: pace maker (Beyond the Basic); 2020.