How smart should pacemakers be?
| Autor: | Michel Voglimacci, Ursula Appl, Frédéric Anselme, Nadir Saoudi, Alain Cribier |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Pacemaker
Artificial medicine.medical_specialty media_common.quotation_subject Data type Pacemaker system Electrocardiography Presentation Microcomputers Artificial Intelligence Internal medicine medicine Humans Diagnosis Computer-Assisted media_common Flexibility (engineering) business.industry Optimal treatment Arrhythmias Cardiac Signal Processing Computer-Assisted Equipment Design Atrial arrhythmias Surgery Risk analysis (engineering) Electrocardiography Ambulatory Cardiology State (computer science) Cardiology and Cardiovascular Medicine business Software |
| Zdroj: | The American Journal of Cardiology. 83:180-186 |
| ISSN: | 0002-9149 |
| Popis: | The concept of the “smart” pacemaker has been continuously changing during 40 years of progress in technology. When we talk today about smart pacemakers, it means optimal treatment, diagnosis, and follow-up for patients fitting the current indications for pacemakers. So what is smart today becomes accepted as “state of the art” tomorrow. Originally, implantable pacemakers were developed to save lives from prolonged episodes of bradycardia and/or complete heart block. Now, in addition, they improve quality of life via numerous different functions acting under specific conditions, thanks to the introduction of microprocessors. The devices have become smaller, with the miniaturization of the electrical components, without compromising longevity. Nevertheless, there are still some unmatched objectives for these devices, for example, the optimization of cardiac output and the management of atrial arrhythmias in dual-chamber devices. Furthermore, indications continue to evolve, which in turn require new, additional functions. These functions are often very complex, necessitating computerized programming to simplify application. In addition, the follow-up of these devices is time-consuming, as appropriate system performance has to be regularly monitored. A great many of these functions could be automatically performed and documented, thus enabling physicians and paramedical staff to avoid losing time with routine control procedures. In addition, modern pacemakers offer extensive diagnostic functions to help diagnose patient symptoms and pacemaker system problems. Different types of data are available, and their presentation differs from one company to the other. This huge amount of data can only be managed with automatic diagnostic functions. Thus, the smart pacemaker of the near future should offer high flexibility to permit easy programming of available therapies and follow-up, and extensive, easily comprehensible diagnostic functions. |
| Databáze: | OpenAIRE |
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