Adaptive cardiac resynchronization therapy device: a simulation report.

We report the results of a simulation of an adaptive cardiac resynchronization therapy (CRT) device performing biventricular pacing in which the atrioventricular (AV) delay and interventricular (VV) interval parameters are changed dynamically in response to data provided by the simulated IEGMs and s...

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Publicado en:Pacing & Clinical Electrophysiology Vol. 28; no. 11; pp. 1168 - 1174
Autores principales: Rom R, Erel J, Glikson M, Rosenblum K, Ginosar R, Hayes DL
Formato: research Journal Article
Publicado: Wiley-Blackwell Nov2005
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Adaptive cardiac resynchronization therapy device: a simulation report.
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          Rom R
          Erel J
          Glikson M
          Rosenblum K
          Ginosar R
          Hayes DL
      sug:
        subj:
          Arrhythmia Therapy
          Cardiac Resynchronization Therapy Equipment and Supplies
          Heart Conduction System Physiopathology
          Heart Rate
          Models, Biological
          Neural Networks (Computer)
          Pacemaker, Artificial
          Arrhythmia Physiopathology
          Computer-Aided Design
          Computer Simulation
          Electrocardiography Equipment and Supplies
          Electrocardiography Methods
          Equipment Failure
          Feedback
          Human
          Information Science Methods
          Plethysmography Equipment and Supplies
          Plethysmography Methods
      ab: We report the results of a simulation of an adaptive cardiac resynchronization therapy (CRT) device performing biventricular pacing in which the atrioventricular (AV) delay and interventricular (VV) interval parameters are changed dynamically in response to data provided by the simulated IEGMs and simulated hemodynamic sensors. A learning module, an artificial neural network, performs the adaptive part of the algorithm supervised by an algorithmic deterministic module, internally or externally from the implanted CRT or CRT-D. The simulated cardiac output obtained with the adaptive CRT device is considerably higher (30%) especially with higher heart rates than in the nonadaptive CRT mode and is likely to be translated into improvement in quality of life of patients with congestive heart failure.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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