Vnitr Lek 1998, 44(6):342-346

[Optimalization of rate adaptation using Holter functions in DDD/R pacemakers].

T Novotný, R Dvorák, M Kozák, J Vlasínová

I. interní klinika FNsP Bohunice, Brno.

Introduction of the pacing rate adaptation according to the momentary metabolic needs added other programmable parametres which demand physician's attention during the initial postimplantation programmation and also in follow-up of pacemaker patients. The parametres setting is strictly individual with a need of feedback control. In some devices it is enabled by Holter functions as a part of pacemaker software. These methods were used to set the rate adaptive parametres in the group of 23 patients with implanted DDD/R pacemaker. The walking stress test was used. Model follow-up situations are presented in 3 case reports. Using Holter functions enables the physician to put patient's subjective complains in relation with actual heart rate--this is used to optimize the parametres of rate adaptation. The authors consider the Holter functions a necessary part of rate adaptive pacemaker software.

Keywords: Aged; Electrocardiography, Ambulatory; Heart Rate; Humans; Male; Middle Aged; Pacemaker, Artificial; Software

Published: June 1, 1998  Show citation