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Improved delivery of rate-adaptive pacing using an impedance-derived contractility sensor in high-intensity exercise: A case report.
Procter, William Thomas Christopher; Elliott, James; Butt, Abdul H; Monkhouse, Christopher; Bhuva, Anish N; Moore, Philip.
Afiliación
  • Procter WTC; Faculty of Science & Engineering, Manchester Metropolitan University, Manchester, UK.
  • Elliott J; Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
  • Butt AH; Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
  • Monkhouse C; Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
  • Bhuva AN; Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
  • Moore P; Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
Pacing Clin Electrophysiol ; 46(9): 1141-1144, 2023 09.
Article en En | MEDLINE | ID: mdl-36790011
Effective rate-adaptive pacing may be difficult in the presence of atrial fibrillation (AF), and is important during high-intensity exercise. This case presents a 74-year-old elite cyclist with AF and a biventricular pacemaker after atrioventricular (AV) node ablation. He reported sudden breathlessness due to heart rate drops, caused by breaching the artefact threshold on the minute-ventilation sensor. He was exchanged to a generator with an impedance-derived contractility sensor (closed-loop stimulation), resulting in resolution of symptoms, and no further rate drops. This is the first description of the utility of closed-loop stimulation in high-intensity exercise.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Marcapaso Artificial / Fibrilación Atrial Límite: Aged / Humans / Male Idioma: En Revista: Pacing Clin Electrophysiol Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Marcapaso Artificial / Fibrilación Atrial Límite: Aged / Humans / Male Idioma: En Revista: Pacing Clin Electrophysiol Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos