Abstract
Rate adaptation to exercise and non-exercise requirements is an important means by which a physiological pacing system can optimise haemodynamics [1, 2], symptomatology [3,4], quality of life [5], hormonal function [6] and circadian blood pressure variability [7] in patients with bradycardia. However, in order for an implantable sensor to function optimally, judicious programming and follow up of these patients are mandatory. Besides routine assessment of battery and electrode status like the follow up of all conventional pacemaker recipients, special attention to the sensor and algorithms of rate adaptation will be necessary (Table 1).
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References
Karlof I (1975) Haemodynamic effect of atrial triggered versus fixed rate pacing at rest and during exercise in complete heart block. Acta Med Scand 10:1215
Fananapazir L, Rodemaker M, Bennett DH (1985) Reliability of the evoked response in determining the paced ventricular rate and performance of the QT or rate responsive (TX) pacemaker. PACE 8:701–714
Perrins EJ, Morley CA, Chen SL, Gutton R (1983) Randomised controlled trial of physiological and ventricular pacing. Br Heart J 50:112–117
Kruse I, Amman K, Conradson TB, Ryden L (1982) A comparison of the acute and long term hemodynamic effects of ventricular inhibited and atrial synchronous ventricular inhibited pacing. Circulation 65:846–855
Lau CP, Rushby J, Leigh-Jones M, Tam CYF, Poloniecki J, Ingram A, Sutton R, Camm A J (1989) Symptomatology and quality of life in patients with rate responsive pacemakers:a double-blind crossover study. Clin Cardiol 12:505–512
Alt E, Zitzmann E, Heinz M, Gastmann U, Matula M, Lehmann M (1990) The effect of rate responsive pacing on exercise capacity, serum catecholamines and other metabolic parameters. PACE 13:531
Lau CP, Tai YT, Fong PC, Chung F (1991) The contribution of atrioventricular synchrony and rate responsiveness to the circadian blood pressure. PACE 14:620, A9
Wilkoff BL, Shimokochi DD, Schaal SF (1987) Pacing rate increase due to application of steady external pressure on an activity sensing pacemaker. PACE 10:423 (abstr)
Lau CP, Ritchie D, Butrous GS, Ward DE, Camm AJ (1988) Rate modulation by arm movements of the respiratory dependent rate responsive pacemaker. PACE 11:744–752
Lau CP, Ward DE, Camm AJ (1989) Single chamber cardiac pacing with two forms of respiration controlled rate responsive pacemakers. Chest 95:352–359
De Cock CC, Paris JHC, Van Eenigl MJ, Roos JP (1989) Efficacy and safety of rate responsive pacing in patients with coronary artery disease and angina pectoris. PACE 12:1405–1411
Moreira LFP, Costa R, Stolf NAG, Jatene AD (1989) Pacing rate increase as cause of syncope in a patient with severe cardiomyopathy. PACE 12:1027–1029
den Dulk K, Lindemans FW, Bruguda P, Smiths JLRM, Wellens HJJ (1988) Pacemaker syndrome with AAI rate variable pacing:importance of atrioventricular conduction properties, medication and pacemaker programmability. PACE 11:1226–1233
Wilkoff BL, Covey J, Blackburn G (1989) A mathematical model of the cardiac chronotropic response to exercise. J Electrophysiol 3:176–180
Alt E (1987) A protocol for treadmill and bicycle stress testing designed for pacemaker patients. Stimucoeur 15:33–35
Lau CP, Leung WH, Wong CK, Cheng CH, Tai YT (1989) Adaptive rate pacing at submaximal exercise:the importance of the programmed upper rate. J Electrophysiol 3:283–288
Swinehart JM, Recker RR (1973) Tachycardia and nightmares. Nebr Med J 58:314–315
Nordlander R, Hedman A, Pehrsson JK (1989) Rate responsive pacing and exercise capacity. PACE 12:749–751
Kristensson B, Karlson O, Ryden L (1986) Holter-monitored heart rhythm during atrioventricular synchronous and fixed-rate ventricular pacing. PACE 9:511–518
Lee MT, Baker R (1990) Circadian rate variation in rate-adaptive pacing systems. PACE 13:1797–1801
Leoppky JA, Greene ER, Hoekenger DE, Caprihan A, Luft UC (1981) Beat-by-beat stroke volume assessment by pulsed Doppler in upright and supine exercise. J Appl Physiol 50:1173–1182
Miyamoto Y (1981) Transient changes in ventilation and cardiac output at the start and end of exercise. Jpn J Physiol 31:149–164
Baig MW, Wilson J, Boute W, Begemann MJS, Cobbold JP, Perins EJ (1989) Improved pattern of rate responsiveness with dynamic slope setting for the QT sensing pacemaker. PACE 12:311–320
Ruiter J, Burgersdij KC, Zeeder SM, Kee D (1987) Atrial Activitrax pacing:the atrioventricular interval during exercise (abstract). PACE 10:1226
Lau CP, Wong CK, Cheng CH, Leung WH (1990) Importance of heart rate modulation on cardiac hemodynamics during post-exercise recovery. PACE 13:1277–1285
Lau CP, Butrous GS, Ward DE, Camm AJ (1989) Comparative assessment of exercise performance of six different rate adaptive right ventricular cardiac pacemakers. Am J Cardiol 63:833–839
Mahaux V, Waleffe A, Kulbertus HE (1989) Clinical experience with a new activity sensing rate modulated pacemaker using autoprogrammibility. PACE 12:1362–1368
Hayes DL, Higano ST (1989) Utility of rate histograms in programming and follow up of a DDDR pacemaker. Mayo Clin Proc 64:495–502
Lau CP, Tse WS, Camm AJ (1988) Clinical experience with Sensolog 703:a new activity sensing rate responsive pacemaker. PACE 11:1444–1455
Lau CP, MehtaD, Toff W, Stott RJ, Ward DE, Camm AJ (1988) Limitations of rate response of activity sensing rate responsive pacing to different forms of activity. PACE 11:141–150
Lau CP, Wong CK, Leung WH, Cheng CH (1989) A comparative evaluation of minute ventilation sensing and activity sensing adaptive-rate pacemakers during daily activities. PACE 12:1514–1521
Higano S, Hayes DL, Eisinger G (1989) Advantages of discrepant upper rate limit in a DDDR pacemaker. Mayo Clinic Proc 64:932–939
Higano ST, Hayes DL, Eisinger G (1989) Sensor-driven rate smoothing in a DDDR pacemaker. PACE 12:922–929
Lau CP, Tai YT, Fong PC, Li JBS, Chung FLW (1990) Clinical experience with a minute ventilation sensing rate adaptive pacemaker:upper rate behavior and the adaptation of PVARP. PACE 13:1201, A50
Lau Cp, Tai YT, Forg PC, Li JPS, Levy SK, Chung FLW, Song S (1992) Clinical experience with an accelerometer based activity sensing dual chamber rate adaptive pacemaker. PACE 15:334–343
Lau CP, Tai YT, Fong PC, Li JP, Chung FL, Song S (1992) The use of implantable sensors for the control of pacemaker mediated tachycardias:a comparative evaluation between minute ventilation sensing and acceteration sensing dual chamber rate adaptive pacemakers. PACE 15:34–44
Lau CP (1991) Sensors and pacemaker mediated tachycardias. PACE
Lau CP, Li JPS, Wong CK, Chang CH, Chung FLW (1991) Sensor initated terminating pacemakers mediated tachycardia in a DDDR pacemaker. Am Heart J 121:515–517
Anderson C, Oxhoj H, Arnsbo P (1989) Pregnancy and Cesarean section in a patient with a rate-responsive pacemaker. PACE 12:386–391
Lau CP, Lee CP, Wong CK, Leung WH, Cheng CH (1990) Rate responsive pacing with a minute ventilation sensing pacemaker during pregnancy and delivery. PACE 13:158–163
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© 1993 Springer Verlag, Berlin Heidelberg
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Lau, C.P. (1993). Follow Up of Patients with Rate-Adaptive Pacemakers. In: Alt, E., Barold, S.S., Stangl, K. (eds) Rate Adaptive Cardiac Pacing. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76649-7_20
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DOI: https://doi.org/10.1007/978-3-642-76649-7_20
Publisher Name: Springer, Berlin, Heidelberg
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