Open AccessSuccessful application of closed loop stimulation pacemakers with remote monitoring in 3 miniature donkeys with syncope
Author(s) -
De Lange Lisa,
Van Steenkiste Glenn,
Vernemmen Ingrid,
Vera Lisse,
Cromheeke Kristel M. C.,
Walser Ulla,
Meert Hans,
Decloedt Annelies,
Loon Gunther
Publication year - 2021
Publication title -
journal of veterinary internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.356
H-Index - 103
eISSN - 1939-1676
pISSN - 0891-6640
DOI - 10.1111/jvim.16305
Subject(s) - medicine , cls upper limits , cardiology , atrioventricular block , heart rate , closed loop , control engineering , blood pressure , optometry , engineering
Rate‐adaptive single chamber pacemakers with accelerometer, closed loop stimulation (CLS), and remote monitoring functionality (Eluna 8 SR‐T, Biotronik, SE & Co, Germany) were implanted in 3 miniature donkeys with third‐degree atrioventricular block and syncope. After recovery, different pacemaker programming modes were tested at rest, during stress without physical exercise and during physical exercise. Pacing rates were compared to actual atrial rates and showed that CLS functionality allowed physiological heart rate adaptation. A transmitter installed in the stable provided wireless connection of the pacemaker to the internet. Home monitoring was activated which performed daily wireless transmission of pacemaker functional measurements to an online server allowing diagnosis of pathological arrhythmias and pacemaker malfunction from a distance. Closed loop stimulation and remote monitoring functionality resulted in nearly physiological rate adaptation and allowed remote “from‐the‐stable” patient follow‐up.