Investigation of the BNP level changes in blood stream in different modes and lead locations after pacemaker implementation

Autor: Alireza Mehri Dehnavi, Afshin Fakhrpour, Mohamad Bagher Tavakoli, Mohamad Hossein Nikoo
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Journal of Medical Signals and Sensors, Vol 2, Iss 1, Pp 38-41 (2012)
Druh dokumentu: article
ISSN: 2228-7477
Popis: As has been proven, increase of mechanical strain could result in an increase of brain natriuretic peptide (BNP) in the blood stream of implanted patient pacemakers. We measured the BNP concentration in blood due to different mode and lead implantation location of pacemaker in the time period of 3 months. The aim of this study was to investigate the changing trend of BNP level after pacemaker implantation. One hundred and three pacemaker implanted patients were monitored. Patients were in the age span of 54±12 years, including 48 men and 55 women. A group of 44 were programmed in Dual Chamber Rate Adaptive (DDDR) Pacemaker mode and a group of 59 were programmed in Ventricular Rate Modulated Pacing (VVIR) mode by the recommendation of the cardiologist. Between these two groups, the pacing levels of pacemakers was divided to under and above 50%. Some of these pacemaker leads were located at the apex of the right ventricle and the others were located in the septum wall in the right ventricle. To evaluate BNP changes during a period of 3 months, the BNPs were measured in pg/ml within 24 h of implantation (BNP1) and after 3 months (BNP2). For different classes of pacemaker implantations, the ratio of final measurement (BNP2) is divided to after implantation measurements (BNP1). Results showed that in VVIR mode, the ratio is 1.54±0.3 and in DDDR mode, the ratio is 0.38±0.17, with acceptable standard error means (
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