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Optimal Cardiac Pacing in Patients with Coronary Artery Disease
Author(s) -
BAROLD S. SERGE,
BAROLD HELEN S.
Publication year - 1998
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.1540-8159.1998.tb00072.x
Subject(s) - medicine , coronary artery disease , angina , cardiology , cardiac pacing , heart rate , myocardial infarction , blood pressure
Pacemaker patients with coronary artery disease and angina pectoris fare better with devices providing AV synchrony and rate increase on exercise provided the programmed upper rate is not excessive. Optimal programming requires knowledge of the factors influencing pacemaker rate response, MVO 2 and cardiac sympathetic activity. Inappropriately high rates during rate adaptive pacing can be controlled by new multisensor systems with sensor cross‐checking to avoid false positive responses with inappropriate increases in the pacing rate. Permanent pacing in patients with intractable angina who are unsuitable for interventional procedures permits more aggressive pharmacological therapy.