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Conference Paper: Automatic optimization of resting and exercise atrioventricular interval using a peak endocardial acceleration sensor: Validation with Doppler echocardiography and direct cardiac output measurements

TitleAutomatic optimization of resting and exercise atrioventricular interval using a peak endocardial acceleration sensor: Validation with Doppler echocardiography and direct cardiac output measurements
Authors
KeywordsAtrioventricular interval
Cardiac output
Doppler echocardiography
Peak endocardial acceleration
Issue Date2000
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
The Cardiostim 2000 Congress in Cardiac Electrophysiology, Nice, France, 14-17 2000. In PACE - Pacing and Clinical Electrophysiology, 2000, v. 23 n. 11, pt. 2, p. 1762-1766 How to Cite?
AbstractPeak endocardial acceleration (PEA) measured by an implantable acceleration sensor inside the tip of a pacing lead reflects ventricular filling and myocardial contractility. The contribution of the plateau phase of PEA as an indicator of optimal ventricular filling, hence of the appropriate atrioventricular interval (AVI) at rest and during exercise, was studied in 12 patients (age 69 ± 6 years) with complete AV block and a PEA sensing DDDR pacemakers (Living 1 Plus, Sorin Biomedica). At a mean resting heart rate of 79 ± 15 beats/min, the mean AVI optimized by PEA versus Doppler echocardiography (echo) were identical (142 ± 37 vs 146 ± 26 ms, P = 0.59). During submaximal exercise at a mean heart rate of 134 ± 6 beats/min, AVI optimized by PEA was 135 ± 37 ms. Cardiac output at rest, measured by the CO2 rebreathing method, was comparable with AVI determined by echo versus PEA (4.3 ± 2.9 and 3.7 ± 2.4 L/min, respectively), and increased to the same extent (8.0 ± 3.9 vs 8.3 ± 5.2 L/min) during submaximal exercise. In patients with AV block, AVI automatically set by PEA was comparable with AVI manually optimized by Doppler echocardiography and was associated with comparable exercise induced hemodynamic changes.
Persistent Identifierhttp://hdl.handle.net/10722/76529
ISSN
2023 Impact Factor: 1.7
2023 SCImago Journal Rankings: 0.579
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, SKen_HK
dc.contributor.authorLau, CPen_HK
dc.contributor.authorLam, CTFen_HK
dc.contributor.authorHo, Sen_HK
dc.contributor.authorTse, HFen_HK
dc.contributor.authorYu, CMen_HK
dc.contributor.authorLee, Ken_HK
dc.contributor.authorTang, MOen_HK
dc.contributor.authorTo, KMen_HK
dc.contributor.authorRenesto, Fen_HK
dc.date.accessioned2010-09-06T07:22:12Z-
dc.date.available2010-09-06T07:22:12Z-
dc.date.issued2000en_HK
dc.identifier.citationThe Cardiostim 2000 Congress in Cardiac Electrophysiology, Nice, France, 14-17 2000. In PACE - Pacing and Clinical Electrophysiology, 2000, v. 23 n. 11, pt. 2, p. 1762-1766en_HK
dc.identifier.issn0147-8389en_HK
dc.identifier.urihttp://hdl.handle.net/10722/76529-
dc.description.abstractPeak endocardial acceleration (PEA) measured by an implantable acceleration sensor inside the tip of a pacing lead reflects ventricular filling and myocardial contractility. The contribution of the plateau phase of PEA as an indicator of optimal ventricular filling, hence of the appropriate atrioventricular interval (AVI) at rest and during exercise, was studied in 12 patients (age 69 ± 6 years) with complete AV block and a PEA sensing DDDR pacemakers (Living 1 Plus, Sorin Biomedica). At a mean resting heart rate of 79 ± 15 beats/min, the mean AVI optimized by PEA versus Doppler echocardiography (echo) were identical (142 ± 37 vs 146 ± 26 ms, P = 0.59). During submaximal exercise at a mean heart rate of 134 ± 6 beats/min, AVI optimized by PEA was 135 ± 37 ms. Cardiac output at rest, measured by the CO2 rebreathing method, was comparable with AVI determined by echo versus PEA (4.3 ± 2.9 and 3.7 ± 2.4 L/min, respectively), and increased to the same extent (8.0 ± 3.9 vs 8.3 ± 5.2 L/min) during submaximal exercise. In patients with AV block, AVI automatically set by PEA was comparable with AVI manually optimized by Doppler echocardiography and was associated with comparable exercise induced hemodynamic changes.en_HK
dc.languageengen_HK
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_HK
dc.relation.ispartofPACE - Pacing and Clinical Electrophysiologyen_HK
dc.subjectAtrioventricular interval-
dc.subjectCardiac output-
dc.subjectDoppler echocardiography-
dc.subjectPeak endocardial acceleration-
dc.subject.meshAgeden_HK
dc.subject.meshCardiac Outputen_HK
dc.subject.meshCardiac Pacing, Artificial - methods - standardsen_HK
dc.subject.meshEchocardiography, Doppleren_HK
dc.subject.meshElectrocardiographyen_HK
dc.subject.meshElectrophysiologic Techniques, Cardiac - instrumentationen_HK
dc.subject.meshExercise Testen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHeart Block - physiopathology - therapy - ultrasonographyen_HK
dc.subject.meshHeart Rateen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshPacemaker, Artificialen_HK
dc.subject.meshReaction Timeen_HK
dc.subject.meshResten_HK
dc.titleAutomatic optimization of resting and exercise atrioventricular interval using a peak endocardial acceleration sensor: Validation with Doppler echocardiography and direct cardiac output measurementsen_HK
dc.typeConference_Paperen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0147-8389&volume=23 &issue=11 pt 2&spage=1762&epage=1766&date=2000&atitle=Automatic+optimization+of+resting+and+exercise+atrioventricular+interval+using+a+peak+endocardial+acceleration+sensor:+validation+with+doppler+echocardiography+and+direct+cardiac+output+measurementsen_HK
dc.identifier.emailTse, HF:hftse@hkucc.hku.hken_HK
dc.identifier.authorityTse, HF=rp00428en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1540-8159.2000.tb07014.x-
dc.identifier.pmid11139919-
dc.identifier.scopuseid_2-s2.0-0033665883en_HK
dc.identifier.hkuros57044en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0033665883&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume23en_HK
dc.identifier.issue11. pt. 2en_HK
dc.identifier.spage1762en_HK
dc.identifier.epage1766en_HK
dc.identifier.isiWOS:000165755900014-
dc.publisher.placeUnited Statesen_HK
dc.description.otherThe Cardiostim 2000 Congress in Cardiac Electrophysiology, Nice, France, 14-17 2000. In PACE - Pacing and Clinical Electrophysiology, 2000, v. 23 n. 11, pt. 2, p. 1762-1766-
dc.identifier.scopusauthoridLeung, SK=7202044902en_HK
dc.identifier.scopusauthoridLau, CP=7401968501en_HK
dc.identifier.scopusauthoridLam, CTF=7402990956en_HK
dc.identifier.scopusauthoridHo, S=12794365900en_HK
dc.identifier.scopusauthoridTse, HF=7006070805en_HK
dc.identifier.scopusauthoridYu, CM=7404978038en_HK
dc.identifier.scopusauthoridLee, K=16750539400en_HK
dc.identifier.scopusauthoridTang, MO=7401973887en_HK
dc.identifier.scopusauthoridTo, KM=35978260700en_HK
dc.identifier.scopusauthoridRenesto, F=6504224284en_HK
dc.identifier.issnl0147-8389-

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