Key result
Radioelectrocardiography during exercise improves detection of pacemaker rhythm disturbances over resting ECG.
Why the study?
Rhythm disturbances caused by implanted pacemakers can be difficult to detect at rest and may only appear during physical activity, requiring improved diagnostic methods.
Does radioelectrocardiography during physical activity improve the detection of rhythm disturbances in patients with implanted cardiac pacemakers compared to resting electrocardiogram?
Does radioelectrocardiography during physical activity improve the detection of rhythm disturbances in patients with implanted cardiac pacemakers compared to resting electrocardiogram?
Answers are grounded in this paper and cite their sources.
Radioelectrocardiography during physical activity can detect pacemaker-related arrhythmias that are missed by resting ECG.
The electrical pacemakers widely used in treat- ment of patients with impaired atrioventricular con- duction can under certain circumstances produce new disturbances of rhythm.Such disturbances may result from alteration of haemodynamic condi- tions (Sowton, 1965), improved blood supply, changes in myocardial threshold caused by prolonged artificial stimulation, or from a failure of pacemaker assembly (Furman et al., 1966).They may also be due to the technical properties of a particular type of pacemaker.Most of these arrhythmias become apparent soon after implantation of the pacemaker, but some do not show until the patient is fully active.The latter are difficult to detect with the electrocardiogram at rest.Radioelectrocardiography makes it possible to reveal them during physical activity.
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Stopczyk et al. (1969) studied impaired atrioventricular conduction with implanted cardiac pacemakers. Radioelectrocardiography vs. electrocardiogram at rest was evaluated on detection of rhythm disturbances. Radioelectrocardiography enables the detection of rhythm disturbances during physical activity in patients with implanted pacemakers, which are difficult to detect with a resting electrocardiogram.
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