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Article: Automatic mode switching of implantable pacemakers: II. Clinical performance of current algorithms and their programming

TitleAutomatic mode switching of implantable pacemakers: II. Clinical performance of current algorithms and their programming
Authors
Issue Date2002
PublisherWiley-Blackwell Publishing, Inc. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0147-8389&site=1
Citation
Pace - Pacing And Clinical Electrophysiology, 2002, v. 25 n. 7, p. 1094-1113 How to Cite?
AbstractWhile the hemodynamic and clinical significance of automatic mode switching (AMS) in patients with pacemakers has been demonstrated, the clinical behavior of AMS algorithms differ widely according to the manufacturers and pacemaker models. In general, a "rate-cutoff" detection method of atrial tachyarrhythmias provides a rapid AMS onset and resynchronization to sinus rhythm at the termination of atrial tachyarrhythmias, but may cause intermittent oscillations between the atrial tracking and AMS mode. This can be minimized with a "counter" of total number of high rate events before the AMS occurs. The use of a "running average" algorithm results in more stable rate control during AMS by reducing the incidence of oscillations, but at the expense of delayed AMS onset and resynchronization to sinus rhythm. Algorithms may be combined to fine tune the AMS response and to avoid rapid fluctuation in pacing rate. Appropriate programming of atrial sensitivity, and the avoidance of ventriculoatrial cross-talk are essential for optimal AMS performance.
Persistent Identifierhttp://hdl.handle.net/10722/162602
ISSN
2015 Impact Factor: 1.156
2015 SCImago Journal Rankings: 0.662
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, CPen_US
dc.contributor.authorLeung, SKen_US
dc.contributor.authorTse, HFen_US
dc.contributor.authorBarold, SSen_US
dc.date.accessioned2012-09-05T05:21:35Z-
dc.date.available2012-09-05T05:21:35Z-
dc.date.issued2002en_US
dc.identifier.citationPace - Pacing And Clinical Electrophysiology, 2002, v. 25 n. 7, p. 1094-1113en_US
dc.identifier.issn0147-8389en_US
dc.identifier.urihttp://hdl.handle.net/10722/162602-
dc.description.abstractWhile the hemodynamic and clinical significance of automatic mode switching (AMS) in patients with pacemakers has been demonstrated, the clinical behavior of AMS algorithms differ widely according to the manufacturers and pacemaker models. In general, a "rate-cutoff" detection method of atrial tachyarrhythmias provides a rapid AMS onset and resynchronization to sinus rhythm at the termination of atrial tachyarrhythmias, but may cause intermittent oscillations between the atrial tracking and AMS mode. This can be minimized with a "counter" of total number of high rate events before the AMS occurs. The use of a "running average" algorithm results in more stable rate control during AMS by reducing the incidence of oscillations, but at the expense of delayed AMS onset and resynchronization to sinus rhythm. Algorithms may be combined to fine tune the AMS response and to avoid rapid fluctuation in pacing rate. Appropriate programming of atrial sensitivity, and the avoidance of ventriculoatrial cross-talk are essential for optimal AMS performance.en_US
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing, Inc. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0147-8389&site=1en_US
dc.relation.ispartofPACE - Pacing and Clinical Electrophysiologyen_US
dc.subject.meshAlgorithmsen_US
dc.subject.meshAtrial Fibrillation - Physiopathology - Prevention & Controlen_US
dc.subject.meshCardiac Pacing, Artificial - Methodsen_US
dc.subject.meshElectrophysiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshPacemaker, Artificialen_US
dc.titleAutomatic mode switching of implantable pacemakers: II. Clinical performance of current algorithms and their programmingen_US
dc.typeArticleen_US
dc.identifier.emailTse, HF:hftse@hkucc.hku.hken_US
dc.identifier.authorityTse, HF=rp00428en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1046/j.1460-9592.2002.01094.x-
dc.identifier.pmid12164453-
dc.identifier.scopuseid_2-s2.0-0036316527en_US
dc.identifier.hkuros115128-
dc.identifier.hkuros81909-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036316527&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume25en_US
dc.identifier.issue7en_US
dc.identifier.spage1094en_US
dc.identifier.epage1113en_US
dc.identifier.isiWOS:000177197400014-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLau, CP=7401968501en_US
dc.identifier.scopusauthoridLeung, SK=7202044902en_US
dc.identifier.scopusauthoridTse, HF=7006070805en_US
dc.identifier.scopusauthoridBarold, SS=7101800584en_US

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