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Follow‐Up of a Respiratory Rate Modulated Pacemaker
Author(s) -
SANTOMAURO MAURIZIO,
FAZIO SERAFINO,
FERRARO SERGIO,
MADDALENA GIOVANNI,
PAPACCIOLI GIUSEPPE,
PAPPONE CARLO,
SACCA LUIGI,
CHIARIELLO MASSIMO
Publication year - 1992
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1992.tb02896.x
Subject(s) - medicine , heart rate , respiratory rate , cardiology , anesthesia , nifedipine , stimulation , respiration , blood pressure , anatomy , calcium
The efficacy of 27 respiration sensitive rate modulated pacemakers (Biorate RDP‐3, Biotec) implanted in the left pectoral area was evaluated every 3 months during a mean follow‐up period of 29 months (range 10‐50 months]. Rate modulation function was unchanged other than for three patients in whom the auxiliary leads became displaced. Two implants lost ventricular sensing in this nonprogrammable model. In all but the three patients, Holter monitoring demonstrated pacing rate variation corresponding to daily activity. Stress test duration increased from 8.2 ± 1.5 minutes (in fixed rate WI rate) to 12.83 ± 2.0 minutes (in the VVIR mode) (P < 0.05). Right arm movement increased the pacing rate by 5 ± 3 beats/min (NS), while the left arm movement increase was 30 ± 5 beats/min (P < 0.05). Mental, arithmetic, and nifedipine tests did not change the rate modulated pacing rate. The system responded to a change in respiratory rate by an increase in stimulation rate. A satisfactory response in sensitivity and velocity was present only with medium‐high workloads. Interference with rate modulation occurred with movement of the arm ipsillateral to the implanted pulse generator.