The method of classifying pacemaker function originated in 1987 as the NASPE/BPEG (North American Society of Pacing and Electrophysiology/ British Pacing and Electrophysiology Group). The classification has subsequently been modified to incorporate rate modulated pacing and multisite pacing (Table 3.1). The first position of the code indicates the cardiac chamber paced, which may include the atrium (A), ventricle (V), both the atrium and ventricle (dual or D), or none (O). The second position represents the cardiac chamber sensed, which may include the atrium (A), ventricle (V), both the atrium and ventricle (dual or D), or none (O). Manufacturers may also designate S for a single chamber that is sensed, or paced, either the atrium or the ventricle. The third position represents the function that the pacemaker performs: triggered (T), inhibited (I), triggered and inhibited (dual or D), or none (O). Triggered refers to pacing in the chamber paced after the sensing of intrinsic activity in the chamber sensed. The sensing and pacing may occur in different chambers.
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References
Candinas R, Jakob M, Buckingham TA, et al. Vibration, acceleration, gravitation, and movement: activity controlled rate adaptive pacing during treadmill exercise testing and daily life activities. PACE 1997;20:1777–1786.
Lazarus A, Mitchell K. A prospective multicenter study demonstrating clinical benefit with a new accelerometer-based DDDR pacemaker. PACE 1996;19:1694–1697.
Leung S-K, Lau C-P, Tang M-O, et al. An integrated dual sensor system automatically optimized by target rate histogram. PACE 1998;21:1559–1566.
Bonnet J-L, Geroux L, Cazeau S. Evaluation of a dual sensor rate responsive pacing system based on a new concept. PACE 1998;21:2198–2203.
Mehta D, Lau C-P, ward DE, et al. Comparative evaluation of chronotropic responses of QT sensing and activity sensing rate responsive pacemakers. PACE 1988;11:1405–1412.
Callaghan F, Vollman W, Livingston A, et al. The ventricular depolarization gradient: effects of exercise, pacing rate, epinephrine, and intrinsic heart rate control on the right ventricular evoked response. PACE 1989;12:1115–1130.
Ruiter J, Heemels JP, Kee K, et al. Adaptive rate pacing controlled by the right ventricular preejection interval: clinical experience with a physiological pacing system. PACE 1992;15:886–894.
Faerestrand S, Ohm O-J, Stangeland L, et al. Long-term clinical performance of a central venous oxygen saturation sensor for rate adaptive cardiac pacing. PACE 1994;17:1355–1372.
Rickards AF, Bombardini T, Corbucci G, et al. An implantable intracardiac accelerometer for monitoring myocardial contractility. PACE 1996;19:2066–2071.
Clementy J, Barold S, Garrigue S, et al. Clinical significance of multiple sensor options: rate response optimization, sensor blending, and trending. Am J Cardiol 1999;83:166D–171D.
Alt E, Combs W, Willhaus R, et al. A comparative study of activity and dual sensor: activity and minute ventilation pacing responses to ascending and descending stairs. PACE 1998;21:1862–1868.
Wang PJ, Kramer A, Estes NAM III, Hayes DL. Timing cycles for biventricular pacing. PACE 2002;25:52–75.
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Wang, P.J., Al-Ahmad, A., Hsia, H.H., Zei, P.C. (2008). Modes of Pacemaker Function. In: Kusumoto, F.M., Goldschlager, N.F. (eds) Cardiac Pacing for the Clinician. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-72763-9_3
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