| Autor: |
Roy V. Jutzy, Dale M. Isaeff, Joseph Florio |
| Rok vydání: |
1989 |
| Předmět: |
|
| Zdroj: |
Journal of Electrophysiology. 3:202-216 |
| ISSN: |
0892-1059 |
| DOI: |
10.1111/j.1540-8167.1989.tb01553.x |
| Popis: |
Rate adaptive pacing adds a new dimension to pacemaker therapy. The possibility of near physiological pacing utilizing the piezoelectric sensor is now offered to a broad range of patients with varied clinical problems. Improved cardiac output during exercise increases exercise capabilities and patient satisfaction. Single-chamber rate adaptive pacing has been demonstrated to improve cardiac performance. The expansion of this technology into a dual-chamber pacing unit achieves the combined benefit of AV synchrony with synthesized chronotropic competence. The challenge in clinical practice is to construct an appropriate rate responsive regimen and then to confirm the adequacy and safety of the programmed parameters. Considerable experience with single- and dual-chamber rate adaptive pacemakers led us to develop a protocol for initial pacemaker selection, subsequent programming of these units, and confirmation of optimal function. A practical method for evaluation of rate adaptive pacemaker patients is outlined with programming guidelines. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
Plný text