Improved pattern of rate responsiveness with dynamic slope setting for the qt sensing pacemaker.

We have recently described the eleclrophysioIogical basis of a new algorithm for the QT (TX) sensing rate responsive pacemaker. By using the new software program running on the standard programmer it has been possible to simulate the new algorithm in ten patients with complete heart block {seven pat...

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Publicado en:Pacing & Clinical Electrophysiology Vol. 12; no. 2; pp. 311 - 321
Autores principales: Baig MW, Wilson J, Boute W, Begemann MJ, Gobbold JP, Perrins EJ
Formato: clinical trial research Journal Article
Publicado: Wiley-Blackwell Feb1989
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb1989
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      pub: Wiley-Blackwell
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        atl: Improved pattern of rate responsiveness with dynamic slope setting for the qt sensing pacemaker.
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        au:
          Baig MW
          Wilson J
          Boute W
          Begemann MJ
          Gobbold JP
          Perrins EJ
      sug:
        subj:
          Heart Rate
          Pacemaker, Artificial
          Adult
          Aged
          Computer Simulation
          Electrocardiography
          Exercise Test
          Female
          Heart Block Therapy
          Male
          Middle Age
          Models, Biological
          Single-Blind Studies
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: We have recently described the eleclrophysioIogical basis of a new algorithm for the QT (TX) sensing rate responsive pacemaker. By using the new software program running on the standard programmer it has been possible to simulate the new algorithm in ten patients with complete heart block {seven patients had implanted TX units and three were paced with an external TX pacemaker) during routine exercise testing. In this way a single-blind, intra-patient comparison of the pattern of pacing rote change using both the existing and new algorithms was possible. In nine out of the ten cases the time taken to increase the pacing rate from 70 to 80 bpm was reduced significantly when the new algorithm was used (P = 0.037]. Additionally, the correlation between the atrial and ventricular rates in those patients with normal sinus node function (seven patients)j was determined. In all cases we have observed a significantly improved correlation between the atrial and ventricular paced rates during exercise with the new algorithm (P < 0.001).
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        Journal Article
      ougenre: Article
    language: English
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