Summary
The clinical feasibility of achieving permanent, atrial guided pacing via a transvenous single catheter with double electrodes has previously been proposed by the AA and recently adopted. A morphological modification of the atrial sensor has subsequently been reported by other AA and applied to a ventricular pacing system that automatically responds to variations in the atrial rate without A V synchrony. The validity of such a device, the RS4/SRT system, has been evaluated in 8 patients with advanced A V block, normal sinus function and acceptable ventricular performance. 3 to 22 month follow-up studies (373 ± 166 days) with the RS4 demonstrated the following:
-
Choerent rate response of the system according to device specifications at rest (pharmacological tests).
-
Greater exercise tolerance (ergometric tests) with RS4 in the RS mode vs. VVI mode.
-
Ripetitive adjustment of ventricular pacing rate as response to variations in sinus rate (Dynamic 24-hour ECG monitoring).
-
Greater subjective well-being of patients during normal activities with the RS mode compared to VVI one.
The results obtained show that the RS4/SRT system constitutes a valid progress compared to the traditional VVI pacing.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Antonioli, GE, Grassi G, Baggioni GF, Andreuccetti, D, Paone F, Marzaloni M: “A simple P-sensing, ventricular stimulating lead driving a VAT generator"”. In C Meere (Ed), Proceedings of the 6th World Symp on Cardiac Pacing. Pacesymp Montreal, Canada 1979; chap 34–9.
Antonioli GE, Grassi G, Baggioni GF, Andreuccetti D, Papone F, Marzaloni M: “A simple new method for atrial triggered pacemaker”. G Ital Cardiol, 1980; 10: 679.
Antonioli GE, Grassi G, Baggioni GF, Marzaloni M, Andreuccetti D, Sermasi S: “VAT and VDT system using a single bipolar catheter”. 1st Asian-Pacific Symp. on Cardiac Pacing. Jerusalem 1980; Pace, 1980; 3: 362 (Abstr).
Antonioli GE, Grassi G: “Stimolatore atrio-comandato e ventricolo-sincrono con catetere unico a doppio elettrodo”. Pacemaker in Italia 1980; 9: 3.
Antonioli GE, Grassi G, Marzaloni M, Rusconi L, Sermasi S: “Catetere unico per stimolazione atrio-guidata. Rassegna critica”. Cardiostimolazione, 1983; 1: 74.
Antonioli GE, Grassi G, Marzaloni M, Sermasi S: “A new implantable VDT pacemaker using a single catheter with a doble electrode”. 2nd European Symp. on Cardiac Pacing. Florence Pace 1981, 1981; 4: A-80
Goldreyer BN, Olive AL, Leslie J, Cannom DS, Wyman MG: “A new orthogonal lead for P synchronous pacing”. Pace, 1981; 4: 638.
MacCarter DJ, Alliegro A, Hector H, Rollies L, Dubert A, Antonioli GE, Sermasi S, Mugica J, Letouzey JP, Santini M: Frequenzadaptierte Schrittmachertherapie beim Menschen unter verschiedenen Belastungsbedingungen”. Herz-Medizin, 1981; 3: 145.
Antonioli GE, Sermasi S, Pesaresi A, Marzaloni M, MacCarter DJ: “Improved exercise tolerance in man via automatic” ’rate responsive’ pacing. A case history”. IX World Congr of Cardiology, Moscow June 1982; 20–26: Abstract book II, pag 13 n°43.
Sermasi S, Marzaloni M, Rusconi L, Pesaresi A, Pasini W, Albani A, Antonioli GE: “Adeguamento atrio-guidato non sincronizzato della frequenza di stimolazione ventricolare nel BA V completo”. Atti XIII Congr Naz Cardiol ANMCO, Firenze OIC Press 3–6 Giugno 1982, c 277, pag 389,1982 (Abstr).
MacCarter DJ, Santini M, Goicolea A, Antonioli GE, Sermasi S, Knudson M, Goldreyer BN: “Improved exercise tolerance and arrhythmia protection with a new dual chambered rate responsive pacing system”. 55th Scientific Session Am Heart Ass, Dallas 15–18 November 1982 Circulation, 1982; 66.3 11–219 (Abstr).
Santini M, Alliegro A, Di Mascolo R, Rocchi M, Messina G, Dini P, Ialongo D, Rusconi L, Sermasi S, Marzaloni M, Antonioli GE: “It pacemaker atrio-regolato. Un nuovo approccio alia stimolazione fisiologica”. Cardiostimolazione 1983; 1: 37.
Author information
Authors and Affiliations
Editor information
Rights and permissions
Copyright information
© 1983 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt
About this paper
Cite this paper
Sermasi, S., Marzaloni, M., Rusconi, L., Pauletti, M., Contini, C., Antonioli, G.E. (1983). Automatic Atrial-Guided Adjustment of Ventricular Pacing Rate in Complete AV Block. In: Steinbach, K. (eds) Cardiac Pacing. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-72367-4_40
Download citation
DOI: https://doi.org/10.1007/978-3-642-72367-4_40
Publisher Name: Steinkopff, Heidelberg
Print ISBN: 978-3-642-72369-8
Online ISBN: 978-3-642-72367-4
eBook Packages: Springer Book Archive