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Automatic Pacemakers

  • Conference paper
Rate Adaptive Cardiac Pacing

  • 45 Accesses

Abstract

The word automatic is by far one of the most abused terms in all the modern languages. Consequently in the context of this discussion it be used sparingly. Automatic pacemakers are really intelligent pacemakers where the decision-making capability of the device is such as to be able to apply sophisticated “rules” on information it obtains from the biological environment to determine the operation of the device, specific for each individual patient, under all conditions possible throughout the operation of the device.

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References

  1. Berkovitz Patent (1964)

    Google Scholar 

  2. Mugica J et al. (1973) Pacemaker with automatic adaptation to the pacing threshold. In:Thalen HJT (ed) Cardiac Pacing. Van Gorcum, Amsterdam, p 150

    Google Scholar 

  3. Thalen HJT, Rickards AF, Wittkampf FHM et al. (1981) Evoked response sensing (ERS as automatic control of the pacemaker output. Proceedings of the 2nd European symposium on cardiac pacing, Florence, pp 1229 1234

    Google Scholar 

  4. Preston TA, Bowers DL (1973) Report of a continuous threshold tracking system. In:Thalen HJT (ed) Cardiac Pacing. Van Gorcum, Amsterdam, p 295

    Google Scholar 

  5. Preston TA, Bowers DL (1974) The automatic threshold tracking pacemaker. Med Instrum (Baltimore) 8:322–325

    CAS  Google Scholar 

  6. Preston TA, Bowers DL (1975) Clinical applications of the threshold tracking pacemaker. Am J Cardiol 36:322–326

    Article  PubMed  CAS  Google Scholar 

  7. Boute W et al. (1988) Morphology of endocardial T-waves of fusion beats. PACE 11:1693– 1697

    Google Scholar 

  8. Auerbach AA, Furman S (1979) The autodiagnostic pacemaker. PACE 2:58–68

    Article  PubMed  CAS  Google Scholar 

  9. Donaldson RM, Rickards AF (1983) The ventricular endocardial paced evoked response. PACE 6:253–259

    Article  PubMed  CAS  Google Scholar 

  10. Walton C, Gergely S, Economides AP (1987) Platinum pacemaker electrodes:origins and effects of the electrode-tissue interface impedance. PACE 10:87–99

    Article  PubMed  CAS  Google Scholar 

  11. Burgess MJ, Steinhaus BM, Spitzer KW, Ershler PR (1988) Nonuniform epicardial activation and repolarization properties of in vivo canine pulmonary conus. Circ Res 62 /2:233–246

    Article  PubMed  CAS  Google Scholar 

  12. Callaghan F, Vollman W, Livingson A, Birinder B, Abels D (1989) The ventricular depolarization gradient:effects of exercise, pacing rate, epinephrine, and intrinsic heart rate control on the right ventricular evoked response. PACE 12:1115–1130

    Article  PubMed  CAS  Google Scholar 

  13. Rickards AF, Donaldson RM, Thalen HJT (1983) The use of the QT interval to determine pacing rate:early clinical experience. PACE 6:346-354 Automatic Pacemakers 313

    Google Scholar 

  14. Curtis AB et al. (1990) Characteristic variation in evoked potential amplitude with changes in pacing stimulus strength. Am J Cardiol 66:416–422

    Article  PubMed  CAS  Google Scholar 

  15. Ripart A, Mugica J (1983) Electrode-heart interface:definition of the ideal electrode. PACE 6:410–420

    Article  PubMed  CAS  Google Scholar 

  16. Walton C, Economides AP, Gergely S (1989) Determination of myocardial depolarization and repolarization times using the unipolar ventricular evoked potential:contrasting effects of stimulus interval and isoprenaline in the isolated perfused rabbit heart. PACE 12:784–792

    Article  PubMed  CAS  Google Scholar 

  17. Wittkampf FHM et al. (1983) Apparatus for physiological stimulation and detection of evoked response. US Patent 4,3783, 531

    Google Scholar 

  18. Callaghan FJ (1990) Automatic functions in cardiac pacing. Eng Med Biol 9 /2:28–31

    Article  CAS  Google Scholar 

  19. Paul V et al. (1989) Closed loop control of rate adaptive pacing. PACE 12:1897–1902

    Google Scholar 

  20. Watson WS (1985) Myopotential sensing in cardiac pacemakers. In:Barold SS Modern cardiac pacing. Futura, Mount Kisco, pp 813–857

    Google Scholar 

  21. Butrous GS (1983) The effect of power frequency high intensity electric fields on implanted cardiac pacemaking. PACE 6:1282

    Article  PubMed  CAS  Google Scholar 

  22. Stein MT (1983) Cardial pacemaker amplifier. US Patent 4,379, 459

    Google Scholar 

  23. Irnich W (1983) Interference recognition circuit in a heart pacemaker. US Patent 4,516, 579

    Google Scholar 

  24. Begemann MS (1988) Automatic refractory period. PACE 11:820

    Google Scholar 

  25. Rickards AF (1981) Relationship between QT interval and heart rate. Br Heart J 45:56–61

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  26. Mahaux V et al. (1989) Clinical experience with new activity sensing rate modulated pacemaker using autoprogrammability. PACE 8:1362 - 1368

    Article  Google Scholar 

  27. Alt E, Theres H, Heinz M, Matula M, Thilo R, Blömer H (1988) A new rate-modulated pacemaker system optimized by combination of two sensors. PACE 11:1119–1129

    Article  PubMed  CAS  Google Scholar 

  28. Heinz M, Alt E, Theres H, Oelker J, Zimmermann S (1990) Combination of multiple parameters for pacemaker rate control by intracardiac impedance measurement. PACE 13:1197

    Google Scholar 

  29. Senden PJ et al. (1989) Clinical study of a dual sensor rate adaptive pacemaker. PACE 12:1574

    Google Scholar 

  30. Sulke, N et al (1990) Quantatative analysis of contribution of rate response in three different ventricular rate responsive pacemakers during out of hospital activity. PACE 13:37–44.

    Article  PubMed  CAS  Google Scholar 

  31. Den Dulk K, Lindemans FW, Bar FW et al. (1982) Pacemaker related tachycardias. PACE 5:476

    Article  Google Scholar 

  32. Furman S, Fisher JD (1982) Endless loop tachycardia in an AV universal ( DDD) pacemaker. PACE 5:486

    Article  PubMed  CAS  Google Scholar 

  33. Den Dulk K, Lindemans F, Wellens HJJ (1984) Management of pacemaker circus movement tachycardias. PACE 7:346

    Article  Google Scholar 

  34. Bertholet M, Materne P, Dubois C et al. (1984) Artificial circus movement tachycardias:incidence, mechanisms, and prevention. PACE 8:415

    Article  Google Scholar 

  35. Elmqvist H (1983) Prevention of pacemaker mediated arrhythmias. PACE 6:382

    Article  PubMed  CAS  Google Scholar 

  36. Duncan J et al. (1988) Prevention and termination of pacemaker medicated tachycardias. PACE 11:1679

    Article  PubMed  CAS  Google Scholar 

  37. Wessale JL et al. (1988) Cardiac output versus pacing rate at rest and with exercise in dogs with AV block. PACE 11:575–582

    Article  PubMed  CAS  Google Scholar 

  38. Chirife R et al. (1989) Initial studies on a new rate adaptive pacemaker. PACE 12:1568

    Google Scholar 

  39. Stangl K et al. (1988) First clinical experience with an oxygen saturation controlled pacemeter in man. PACE 11/II:1883–1887

    Google Scholar 

  40. Lecocq B et al. (1989) Physiologic relationships between cardiac cycle and QT duration in healthy volunteers. Am J Ca, Sept. 1

    Google Scholar 

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Author information

Authors and Affiliations

  1. Telectronics Pacing Systems, Research and Development, Denver, USA

    T. A. Nappholz

Authors
  1. T. A. Nappholz
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Editor information

Editors and Affiliations

  1. I. Medizinische Klinik, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 8000, München 80, Germany

    Eckhard Alt

  2. Genesee Hospital, University of Rochester School of Medicine and Dentistry, 224 Alexander Street, 14607, Rochester, New York, USA

    S. Serge Barold

  3. Bereich Medizin (Charité), Humboldt-Universität Berlin, Schumannstr. 20, 1040, Berlin, Germany

    Karl Stangl

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© 1993 Springer Verlag, Berlin Heidelberg

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Nappholz, T.A. (1993). Automatic 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_24

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  • DOI: https://doi.org/10.1007/978-3-642-76649-7_24

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-76651-0

  • Online ISBN: 978-3-642-76649-7

  • eBook Packages: Springer Book Archive

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