Quantitative analysis of contribution of rate response in three different ventricular rate responsive pacemakers during out of hospital activity.

The contribution of rate response provided by three different types of rate responsive pacemaker (Sensolog, Meta, and Vitatron TX) was assessed in 25 patients during out of hospital activity. Pacemakers were optimally programmed and full disclosure 24-hour Holter ECG recordings were obtained during...

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Publicado en:Pacing & Clinical Electrophysiology Vol. 13; no. 1; pp. 37 - 45
Autores principales: Sulke N, Pipilis A, Bucknall C, Sowton E
Formato: Journal Article
Publicado: Wiley-Blackwell Jan1990
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan1990
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Quantitative analysis of contribution of rate response in three different ventricular rate responsive pacemakers during out of hospital activity.
      aug:
        au:
          Sulke N
          Pipilis A
          Bucknall C
          Sowton E
      sug:
        subj:
          Activities of Daily Living
          Heart Rate Physiology
          Pacemaker, Artificial
          Adult
          Aged
          Cardiac Pacing, Artificial Methods
          Electrocardiography
          Electrocardiography, Ambulatory
          Female
          Male
          Middle Age
          Time Factors
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: The contribution of rate response provided by three different types of rate responsive pacemaker (Sensolog, Meta, and Vitatron TX) was assessed in 25 patients during out of hospital activity. Pacemakers were optimally programmed and full disclosure 24-hour Holter ECG recordings were obtained during everyday activities. Close visual analysis of these tracings revealed that rate response is active for < 15% of the 24-hour study period with high rate response (paced rate above 100 beats/min) for just 5% of the day showing peak activation between 1600 and 2000 hours. Low rate response (paced rate below 100 beats/mm but 5 beats above base rate) was maximal between 0800 hours and midday and comprised 10% of all heart beats during the study period. Thirty percent of study patients were nonpacemaker dependent and rate response in these subjects was significantly (P < 0.001)less active between 0800 hours and midday than in pacemaker dependent patients though it was equivalent at all other times. Nonpacemaker dependent patients achieved natural sirius response in the morning and tended to rely on pacemaker supplied rate response in the latter part of the day.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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