Key result
Rate-adaptive pacing improves exercise tolerance and patient wellbeing in elderly patients.
Why the study?
Pacing the elderly is controversial, with guidelines emphasizing rate adaptive pacing for improved exercise tolerance and wellbeing, but debate remains on pacing modes.
Key points are not available for this paper at this time.
Comparison
Rate adaptive pacing (VVIR and DDD) versus ventricular demand pacing (VVI)
Design
Other
Challenges age-based denial of rate-adaptive pacing; leaves open whether guidelines should apply physiologic modes irrespective of age.
Issues in cardiac pacing: can agism be justified?Pacing the elderly is a controversial subject, with British Pacing and Electrophysiology Group (BPEG) guidelines' emphasising the value of rate adaptive pacing (VVIR and DDD) for improved exercise tolerance and patient wellbeing.
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PAYNE et al. (1994) studied this question. Rate adaptive pacing (VVIR and DDD) is emphasized by guidelines to improve exercise tolerance and patient wellbeing in elderly patients.
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