Improved rate responsive algorithm in qt driven pacemakers -- evaluation of initial response to exercise.
The QT pacemaker is a rate modulated pacemaker (hat uses (he evoked QT interval as an indicator to determine its optimal pacing rate. Despite the generally favorable clinical results with this form of pacing, some flaws in the system have been reported, such as the frequently observed rather slow in...
| Publicado en: | Pacing & Clinical Electrophysiology Vol. 12; no. 5; pp. 805 - 812 |
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| Autores principales: | , , , , , , , , , |
| Formato: | clinical trial research Journal Article |
| Publicado: |
Wiley-Blackwell
May1989
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105716964&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105716964 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01478389 4F8 jtl: Pacing & Clinical Electrophysiology issn: 01478389 maglogo: Y pubinfo: dt: May1989 vid: 12 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105716964 2009414150 10.1111/j.1540-8159.1989.tb01902.x NLM2471166 105716964 ppf: 805 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Improved rate responsive algorithm in qt driven pacemakers -- evaluation of initial response to exercise. aug: au: den Heijer P Nagelkerke D Perrins EJ Horstmann E Van Woersem RJ Niederlag W Jordaens L De Wilde P Hameleers AJ Boute W sug: subj: Algorithms Electrocardiography Exercise Pacemaker, Artificial Aged Arrhythmia Therapy Clinical Trials Exercise Test Female Heart Rate Male Multicenter Studies Software Human Aged: 65+ years Female Male ab: The QT pacemaker is a rate modulated pacemaker (hat uses (he evoked QT interval as an indicator to determine its optimal pacing rate. Despite the generally favorable clinical results with this form of pacing, some flaws in the system have been reported, such as the frequently observed rather slow initial response 0/ the pacing rate to physical exercise, and the phenomenon of oscillation of the heart rate. These problems can be attributed to the rate adaptive algorithm used in the current QT pacemaker. Recently, in a reexamination of the relationship between evoked QT interval and pacing rate, a curvilinear relationship between these parameters has been demonstrated. As a result, a new algorithm has been developed/or the next generation of the QT pacemaker. Before this new algorithm was implemented in new implantable devices, it was evaluated in a multicenter clinical investigation, with emphasis on the initial response of the pacing rate to exercise. This study was carried out by means of special software in the programmer of the QT pacemaker. By employing real-time bidirectional telemetry, it was possible to submit the study population, consisting of 37 patients with implanted QT pacemakers of the current generation, to identical exercise tests. Comparing these exercise tests, it appears that a considerable gain in speed of response to exercise can be achieved by using the same sensor with a/aster reacting, nonlinear rate adaptive algorithm. pubtype: Academic Journal doctype: clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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