Multicenter Clinical Evaluation of a New SSIR Pacemaker
| Autor: | Ezio Soldati, Alessandro Capucci, Giuseppe Arena, Cristina Leonardi, R. Ometto, Maria Grazia Bongiorni, Galli R, Fabio Zardo, Roberto Cazzin, Andrea Biagini, Richard G. Charles, Vincenzi M, Piervittorio Moracchini, Mario Parlapiano, Carolyn Makin, Luigi de Simone |
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| Rok vydání: | 1992 |
| Předmět: |
Male
Pacemaker Artificial medicine.medical_specialty Holter monitor Acceleration Sensitivity and Specificity Bruce protocol Heart Rate Internal medicine Atrial Fibrillation Heart rate medicine Humans Lead (electronics) Exercise Aged Sick Sinus Syndrome medicine.diagnostic_test business.industry Cardiac Pacing Artificial Equipment Design General Medicine Noise rate Heart Block Evaluation Studies as Topic Electrocardiography Ambulatory Exercise Test Cardiology Female Implant Cardiology and Cardiovascular Medicine business Holter monitoring Clinical evaluation |
| Zdroj: | Pacing and Clinical Electrophysiology. 15:1798-1803 |
| ISSN: | 1540-8159 0147-8389 |
| DOI: | 10.1111/j.1540-8159.1992.tb02971.x |
| Popis: | A multicenter clinical evaluation of Sorin Swing 100, a new SSIR pacemaker with a gravimetric sensor, was performed by seven different centers enrolling a total of 89 patients, 56 men and 33 women, mean age 73.1 years, for pacemaker implantion (73 patients) or pacemaker replacement (16 patients). Pacing mode was VVIR in 73 patients and AAIR in 16. The behavior of pacing rate was evaluated 3 months after the implant by performing a 24-hour Holter monitor, an exercise stress test, and tests for the assessment of mechanical external interference (MEI). A physiological behavior of the paced rate was always observed during Holter monitoring. In 52 completely paced patients mean diurnal, nocturnal, and maximal heart rate were, respectively, 74.9 ± 5.7 ppm, 58.1 ± 5.8 ppm, and 113.4 ± 12.7 ppm; a paced rate exceeding 100 ppm was reached on the average 5.6 times/Holter monitor. In all but two patients the sleep rate (55 ppm) was reached during the night or long resting time. During exercise stress test a direct correlation between the increase in pacing rate and the increase in workload was observed; the mean maximal heart rate reached in 49 completely paced patients was, respectively, 102.8 ± 9 ppm in 17 patients who accomplished stage 1, 116.2 ± 13.6 ppm in 28 patients who accomplished stage 2, and 133 ± 6.7 ppm in 10 patients who accomplished stage 3 of the Bruce protocol. MEI testing never increased the pacing rate over the noise rate (10 ppm over the basic rate). In only seven patients the results obtained suggested to change the nominal set up of the pacemaker. Our experience clearly indicates that Swing 100 is an effective, reliable, and easy to use SSIR pacemaker. The availability of the sleep rate allows a more physiological pattern of pacing rate and can lead to significant energy saving. |
| Databáze: | OpenAIRE |
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