What does this research mean for the field?

Implantable sensors in dual-chamber rate-adaptive pacemakers effectively control pacemaker-mediated tachycardias by correctly identifying abnormal atrial signals and appropriately reducing the ventricular pacing rate. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.ESTABLISHES_NEW_DIRECTION.

January 1, 1992Pacing and Clinical Electrophysiology

The Use of Implantable Sensors for the Control of Pacemaker Mediated Tachycardias: A Comparative Evaluation Between Minute Ventilation Sensing and Acceleration Sensing Dual Chamber Rate Adaptive Pacemakers

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Why the study?

Does DDDR pacing with implantable sensors reduce ventricular response rates during simulated atrial arrhythmias compared to DDD pacing in patients with pacemakers?

Population

16 patients with dual chamber rate adaptive pacemakers

Comparison

DDDR pacing mode utilizing implantable sensors… vs DDD pacing mode without sensor-based rate control

Design

Other

Authors

CLCHU‐PAK LAUQueen Mary Hospital YTYau‐Ting TaiChinese University of Hong Kong PFPing‐Ching FongHong Kong College of Technology

Discussion

Member takes

Implication

DDDR mode may limit rapid pacing from myopotential interference; leaves open benefit in atrial tachyarrhythmias.

Structured PICO

Does DDDR pacing with implantable sensors reduce ventricular response rates during simulated atrial arrhythmias compared to DDD pacing in patients with pacemakers?

Population

16 patients with dual chamber rate adaptive (DDDR) pacemakers (9 with minute ventilation sensing DDDR-Meta, 7 with body acceleration sensing Relay)

Intervention

DDDR pacing mode utilizing implantable sensors to detect abnormal atrial signals and respond via mode shift or conditional ventricular tracking limit

Comparator

DDD pacing mode without sensor-based rate control

Outcome

Ventricular response rate during simulated atrial arrhythmias (myopotential sensing and external chest wall stimulations)surrogate

Implantable sensors in DDDR pacemakers effectively detect and control ventricular response rates during simulated atrial arrhythmias compared to standard DDD mode.

Cite This Study

LAU et al. (1992) studied this question.

synapsesocial.com/papers/6a1bc3181567d2fc4d5eec70 https://doi.org/10.1111/j.1540-8159.1992.tb02899.x

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The Use of Implantable Sensors for the Control of Pacemaker Mediated Tachycardias: A Comparative Evaluation Between Minute Ventilation Sensing and Acceleration Sensing Dual Chamber Rate Adaptive Pacemakers

Discussion

Member takes

Implication

Structured PICO

Cite This Study

The Use of Implantable Sensors for the Control of Pacemaker Mediated Tachycardias: A Comparative Evaluation Between Minute Ventilation Sensing and Acceleration Sensing Dual Chamber Rate Adaptive Pacemakers

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider