Key result
New clinical guidelines offer a practical protocol to optimize single- and dual-chamber rate adaptive pacemakers.
Why the study?
The challenge in clinical practice is to construct an appropriate rate responsive pacemaker regimen and confirm the adequacy and safety of programmed parameters.
Outlines a practical method and programming guidelines for the evaluation and management of patients with rate adaptive pacemakers.
Rate adaptive pacing adds a new dimension to pacemaker therapy. The possibility of near physiological pacing utilizing the piezoelectric sensor is now offered to a broad range of patients with varied clinical problems. Improved cardiac output during exercise increases exercise capabilities and patient satisfaction. Single‐chamber rate adaptive pacing has been demonstrated to improve cardiac performance. The expansion of this technology into a dual‐chamber pacing unit achieves the combined benefit of AV synchrony with synthesized chronotropic competence. The challenge in clinical practice is to construct an appropriate rate responsive regimen and then to confirm the adequacy and safety of the programmed parameters. Considerable experience with single‐ and dual‐chamber rate adaptive pacemakers led us to develop a protocol for initial pacemaker selection, subsequent programming of these units, and confirmation of optimal function. A practical method for evaluation of rate adaptive pacemaker patients is outlined with programming guidelines.
No takes yet. Share an insight, caveat, or question.
Isaeff et al. (1989) conducted a review in Patients requiring pacemaker therapy. Rate adaptive pacing programming was evaluated. A practical method and programming guidelines for the evaluation and optimal programming of single- and dual-chamber rate adaptive pacemakers were developed based on clinical experience.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: