Sensors for rate‐adaptive pacing: How they work, strengths, and limitations.
Chronotropic incompetence is the inability of the sinus node to increase heart rate commensurate with increased metabolic demand. Cardiac pacing alone may be insufficient to address exercise intolerance, fatigue, dyspnea on exertion, and other symptoms of chronotropic incompetence. Rate‐responsive (...
| Publicado en: | Journal of Cardiovascular Electrophysiology Vol. 31; no. 11; pp. 3009 - 3028 |
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| Autores principales: | , , , , |
| Formato: | equations & formulas pictorial review tables/charts tracings Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2020
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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=146850885&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146850885 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10453873 GSB jtl: Journal of Cardiovascular Electrophysiology issn: 10453873 maglogo: Y pubinfo: dt: Nov2020 vid: 31 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 146850885 146309691 146850885 146850885 10.1111/jce.14733 146850885 ppf: 3009 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Sensors for rate‐adaptive pacing: How they work, strengths, and limitations. aug: au: Trohman, Richard G. Huang, Henry D. Larsen, Timothy Krishnan, Kousik Sharma, Parikshit S. affil: Department of Medicine, Section of Electrophysiology, Arrhythmia and Pacemaker Services, Division of Cardiology, Rush University Medical Center, Chicago Illinois, , USA sug: subj: Arrhythmia Therapy Electrodes, Implanted Evaluation Cardiac Pacing, Artificial Methods Equipment Design Evaluation Product Evaluation Equipment Failure Accelerometers Life Style Heart Rate Electrophysiology ab: Chronotropic incompetence is the inability of the sinus node to increase heart rate commensurate with increased metabolic demand. Cardiac pacing alone may be insufficient to address exercise intolerance, fatigue, dyspnea on exertion, and other symptoms of chronotropic incompetence. Rate‐responsive (adaptive) pacing employs sensors to detect physical or physiological indices and mimic the response of the normal sinus node. This review describes the development, strengths, and limitations of a variety of sensors that have been employed to address chronotropic incompetence. A mini‐tutorial on programming rate‐adaptive parameters is included along with emphasis that patients' lifestyles and underlying medical conditions require careful consideration. In addition, special sensor applications used to respond prophylactically to physiologic signals are detailed and an in‐depth discussion of sensors as a potential aid in heart failure management is provided. pubtype: Academic Journal doctype: equations & formulas pictorial review tables/charts tracings Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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