Comparison of cardiac pacing modes in patients with chronic obstructive pulmonary disease
| Autor: | Paul A. Levine, Linda Houston-Feenstra, Roy V. Jutzy |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Pulmonary and Respiratory Medicine
Spirometry Male medicine.medical_specialty Cardiac output Pacemaker Artificial Anaerobic Threshold Physical Exertion Vital Capacity Hemodynamics Physical exercise Blood Pressure Maximal Midexpiratory Flow Rate Respiratory physiology Critical Care and Intensive Care Medicine Oxygen Consumption Heart Rate Internal medicine Forced Expiratory Volume medicine Bradycardia Humans Lung Diseases Obstructive Cardiac Output Lung Aged Aged 80 and over Sick Sinus Syndrome COPD medicine.diagnostic_test business.industry Pulmonary Gas Exchange Respiratory disease Cardiac Pacing Artificial Equipment Design Carbon Dioxide medicine.disease Surgery Cardiology Female Cardiology and Cardiovascular Medicine business Anaerobic exercise |
| Zdroj: | Chest. 105(1) |
| ISSN: | 0012-3692 |
| Popis: | Study objective This study compares the relative benefits of dual chamber adaptive rate pacing (DDDR) with ventricular adaptive rate pacing (WIR) in patients with chronic obstructive pulmonary disease (COPD). Study design Cardiac hemodynamics were evaluated with serial exercise tests. A minimum of 2 h was allowed between studies. Pulmonary gas exchange was measured and cardiac output (CO) was determined at rest and immediately after maximum exercise by Dopple echocardiography. Patients Sixteen patients with DDDR pacemakers were studied. Eight patients had COPD and eight patients had normal lung function (NLF). Baseline lung function was documented with spirometry. Interventions The patients with NLF functioned as a control group. Prior to entry into the study, the rate-modulated parameters of the pacemaker were programmed to a clinically determined optimal set of parameters for each individual patient These were not changed for the duration of the study. Results Both groups showed a statistically significant improvement in exercise duration, CO at maximum exercise, and cardiac output difference (CODiff) with the dual chamber adaptive rate pacing mode (DDDR). (COdiff is the charge in CO from rest to maximum exercise.) Patients with NLF also showed a significant improvement in anaerobic threshold (AT) and Vco 2 max with DDDR. Patients with lung disease showed a statistically significant improvement at all levels of exercise in the ventilatory equivalent for oxygen. Conclusion In this study, those patients with chronic lung disease who required cardiac pacing performed significantly better in the DDDR mode as compared with the WIR mode. Therefore, the DDDR pacing mode should provide an improved quality of life for the patient with COPD who also requires cardiac pacing. |
| Databáze: | OpenAIRE |
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