The QT-sensitive cybernetic pacemaker: a new role for an old parameter?
| Autor: | Paolo Emilio Puddu, Torresani J |
|---|---|
| Rok vydání: | 1986 |
| Předmět: |
medicine.medical_specialty
Pacemaker Artificial etiology Heart Ventricles Arrhythmias QT interval Sudden death Cardiac physiopathology Death Sudden etiology Electrocardiography Heart Conduction System physiopathology Heart Ventricles physiopathology Humans Long QT Syndrome physiopathology/therapy Pacemaker Artificial Death Sudden Electrocardiography Heart Conduction System Internal medicine medicine Humans Cardiac cycle business.industry Arrhythmias Cardiac General Medicine Arrhythmic death Death Pacemaker Long QT Syndrome Cardiology physiopathology/therapy physiopathology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Scopus-Elsevier |
| Popis: | A critical review of the available data on QT interval is presented to delineate techniques useful to the development of a QT-sensitive cybernetic pacemaker. The reason for the development of this unit stems from the ability of QT prolongation to predict the onset of life-threatening ventricular arrhythmias in some clinical situations; the QT interval is physiologically related to the cardiac cycle length, therefore providing adequate information to drive both ventricuiar and atrioventricuiar sequential rate-responsive pacemakers. This unit might also monitor cardiac rhythm and detect the pathophysioiogic precursors of advanced grades of ventricular arrhythmias. A therapeutic role, both pharmacologic and electrical, may also be possible in the future. Integration of these concepts and cooperation between interested physicians, technicians and manufactors will be necessary to produce such a unit at a low cost-benefit ratio. The potential clinical application of this pacemaker deserves attention for the prophylaxis and treatment of sudden arrhythmic death. |
| Databáze: | OpenAIRE |
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