Rate-Adaptive Cardiac Pacing in Children Using a Minute Ventilation Biosensor
YABEK, S.M., ET AL.: Rate‐Adaptive Cardiac Pacing in Children Using a Minute Ventilation Biosensor.Chronotropic integrity is required for a normal cardiac output response to exercise. We evaluated a rate‐adaptive ventricular demand pacemaker (Telectronics, META‐MV) which uses minute ventilation as t...
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| Veröffentlicht in: | Pacing and clinical electrophysiology 1990-12, Vol.13 (12), p.2108-2112 |
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| container_title | Pacing and clinical electrophysiology |
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| creator | YABEK, STEVEN M. WERNLY, JORGE CHICK, THOMAS W. BERMAN JR, WILLIAM McWILLIAMS, BENNIE |
| description | YABEK, S.M., ET AL.: Rate‐Adaptive Cardiac Pacing in Children Using a Minute Ventilation Biosensor.Chronotropic integrity is required for a normal cardiac output response to exercise. We evaluated a rate‐adaptive ventricular demand pacemaker (Telectronics, META‐MV) which uses minute ventilation as the sensed physiological variable for adjusting pacing rate, in seven young patients with a mean age of 11.4 years. All patients had clinically significant bradycardia related to complete heart block (n = 4) or sinus node dysfunction (n = 3). For the entire group, paced heart rates increased from 70 ± 10 beats/min to 151 ± 19 beats/min with exercise testing. The onset of rate adaptation took < 30 seconds. Changes in paced rate were linearly related to workload, VO2 (5.9 to 20.7 mL/min/kg) and minute ventilation (8–65 L/min). The decline in pacing rate after exercise was related directly to the gradual decrease in minute ventilation and VO2. Our data show that minute ventilation closely and accurately reflects the metabolic demands of varying workloads in children and can be used to achieve physiological, rate‐adaptive pacing. |
| doi_str_mv | 10.1111/j.1540-8159.1990.tb06952.x |
| format | Article |
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We evaluated a rate‐adaptive ventricular demand pacemaker (Telectronics, META‐MV) which uses minute ventilation as the sensed physiological variable for adjusting pacing rate, in seven young patients with a mean age of 11.4 years. All patients had clinically significant bradycardia related to complete heart block (n = 4) or sinus node dysfunction (n = 3). For the entire group, paced heart rates increased from 70 ± 10 beats/min to 151 ± 19 beats/min with exercise testing. The onset of rate adaptation took < 30 seconds. Changes in paced rate were linearly related to workload, VO2 (5.9 to 20.7 mL/min/kg) and minute ventilation (8–65 L/min). The decline in pacing rate after exercise was related directly to the gradual decrease in minute ventilation and VO2. Our data show that minute ventilation closely and accurately reflects the metabolic demands of varying workloads in children and can be used to achieve physiological, rate‐adaptive pacing.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/j.1540-8159.1990.tb06952.x</identifier><identifier>PMID: 1704603</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Bradycardia - therapy ; Cardiac Pacing, Artificial - methods ; Child ; Electric Conductivity ; Electrodes, Implanted ; Equipment Design ; Female ; Heart Rate - physiology ; Humans ; Male ; minute ventilation ; Oxygen Consumption - physiology ; Pacemaker, Artificial ; pediatric pacing ; Physical Exertion - physiology ; rate-adaptive pacing ; Respiration - physiology ; Tidal Volume - physiology ; Time Factors</subject><ispartof>Pacing and clinical electrophysiology, 1990-12, Vol.13 (12), p.2108-2112</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4098-8ea94f6b6f8775c41e8ce923868df5c9de2ba7e457e12d1923904b16b75cfa963</citedby><cites>FETCH-LOGICAL-c4098-8ea94f6b6f8775c41e8ce923868df5c9de2ba7e457e12d1923904b16b75cfa963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1540-8159.1990.tb06952.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1540-8159.1990.tb06952.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1704603$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>YABEK, STEVEN M.</creatorcontrib><creatorcontrib>WERNLY, JORGE</creatorcontrib><creatorcontrib>CHICK, THOMAS W.</creatorcontrib><creatorcontrib>BERMAN JR, WILLIAM</creatorcontrib><creatorcontrib>McWILLIAMS, BENNIE</creatorcontrib><title>Rate-Adaptive Cardiac Pacing in Children Using a Minute Ventilation Biosensor</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>YABEK, S.M., ET AL.: Rate‐Adaptive Cardiac Pacing in Children Using a Minute Ventilation Biosensor.Chronotropic integrity is required for a normal cardiac output response to exercise. We evaluated a rate‐adaptive ventricular demand pacemaker (Telectronics, META‐MV) which uses minute ventilation as the sensed physiological variable for adjusting pacing rate, in seven young patients with a mean age of 11.4 years. All patients had clinically significant bradycardia related to complete heart block (n = 4) or sinus node dysfunction (n = 3). For the entire group, paced heart rates increased from 70 ± 10 beats/min to 151 ± 19 beats/min with exercise testing. The onset of rate adaptation took < 30 seconds. Changes in paced rate were linearly related to workload, VO2 (5.9 to 20.7 mL/min/kg) and minute ventilation (8–65 L/min). The decline in pacing rate after exercise was related directly to the gradual decrease in minute ventilation and VO2. Our data show that minute ventilation closely and accurately reflects the metabolic demands of varying workloads in children and can be used to achieve physiological, rate‐adaptive pacing.</description><subject>Adult</subject><subject>Bradycardia - therapy</subject><subject>Cardiac Pacing, Artificial - methods</subject><subject>Child</subject><subject>Electric Conductivity</subject><subject>Electrodes, Implanted</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Heart Rate - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>minute ventilation</subject><subject>Oxygen Consumption - physiology</subject><subject>Pacemaker, Artificial</subject><subject>pediatric pacing</subject><subject>Physical Exertion - physiology</subject><subject>rate-adaptive pacing</subject><subject>Respiration - physiology</subject><subject>Tidal Volume - physiology</subject><subject>Time Factors</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkMtO6zAURS3EFZTHJyBFDJgl1078ZEQbARepPISAMrOc5ARc0qTYKZS_J1EqGF9PLHnvs461EDomOCLd-TuPCKM4lISpiCiFozbDXLE4Wm-h0U-0jUaYUBHKRKpdtOf9HGPMMWU7aIcITDlORuj63rQQjguzbO0HBKlxhTV5cGdyW78Etg7SV1sVDurg0fcvJri29aqF4Anq1lamtU0dTGzjofaNO0B_SlN5ONzc--jx4vwh_RdOby-v0vE0zClWMpRgFC15xkspBMspAZmDihPJZVGyXBUQZ0YAZQJIXJAuUZhmhGdduTSKJ_voZOAuXfO-At_qhfU5VJWpoVl5LXHMCJZxVzwdirlrvHdQ6qWzC-O-NMG6d6nnuheme2G6d6k3LvW6Gz7abFllCyh-Rwd5XX425J-2gq__IOu7cXoedx_sEOGAsL6F9Q_CuDfNRSKYnt1cajGbXTxPpkTHyTdDg5MM</recordid><startdate>199012</startdate><enddate>199012</enddate><creator>YABEK, STEVEN M.</creator><creator>WERNLY, JORGE</creator><creator>CHICK, THOMAS W.</creator><creator>BERMAN JR, WILLIAM</creator><creator>McWILLIAMS, BENNIE</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199012</creationdate><title>Rate-Adaptive Cardiac Pacing in Children Using a Minute Ventilation Biosensor</title><author>YABEK, STEVEN M. ; WERNLY, JORGE ; CHICK, THOMAS W. ; BERMAN JR, WILLIAM ; McWILLIAMS, BENNIE</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4098-8ea94f6b6f8775c41e8ce923868df5c9de2ba7e457e12d1923904b16b75cfa963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Bradycardia - therapy</topic><topic>Cardiac Pacing, Artificial - methods</topic><topic>Child</topic><topic>Electric Conductivity</topic><topic>Electrodes, Implanted</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Heart Rate - physiology</topic><topic>Humans</topic><topic>Male</topic><topic>minute ventilation</topic><topic>Oxygen Consumption - physiology</topic><topic>Pacemaker, Artificial</topic><topic>pediatric pacing</topic><topic>Physical Exertion - physiology</topic><topic>rate-adaptive pacing</topic><topic>Respiration - physiology</topic><topic>Tidal Volume - physiology</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>YABEK, STEVEN M.</creatorcontrib><creatorcontrib>WERNLY, JORGE</creatorcontrib><creatorcontrib>CHICK, THOMAS W.</creatorcontrib><creatorcontrib>BERMAN JR, WILLIAM</creatorcontrib><creatorcontrib>McWILLIAMS, BENNIE</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>YABEK, STEVEN M.</au><au>WERNLY, JORGE</au><au>CHICK, THOMAS W.</au><au>BERMAN JR, WILLIAM</au><au>McWILLIAMS, BENNIE</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rate-Adaptive Cardiac Pacing in Children Using a Minute Ventilation Biosensor</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>1990-12</date><risdate>1990</risdate><volume>13</volume><issue>12</issue><spage>2108</spage><epage>2112</epage><pages>2108-2112</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>YABEK, S.M., ET AL.: Rate‐Adaptive Cardiac Pacing in Children Using a Minute Ventilation Biosensor.Chronotropic integrity is required for a normal cardiac output response to exercise. We evaluated a rate‐adaptive ventricular demand pacemaker (Telectronics, META‐MV) which uses minute ventilation as the sensed physiological variable for adjusting pacing rate, in seven young patients with a mean age of 11.4 years. All patients had clinically significant bradycardia related to complete heart block (n = 4) or sinus node dysfunction (n = 3). For the entire group, paced heart rates increased from 70 ± 10 beats/min to 151 ± 19 beats/min with exercise testing. The onset of rate adaptation took < 30 seconds. Changes in paced rate were linearly related to workload, VO2 (5.9 to 20.7 mL/min/kg) and minute ventilation (8–65 L/min). The decline in pacing rate after exercise was related directly to the gradual decrease in minute ventilation and VO2. Our data show that minute ventilation closely and accurately reflects the metabolic demands of varying workloads in children and can be used to achieve physiological, rate‐adaptive pacing.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>1704603</pmid><doi>10.1111/j.1540-8159.1990.tb06952.x</doi><tpages>5</tpages></addata></record> |
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| ispartof | Pacing and clinical electrophysiology, 1990-12, Vol.13 (12), p.2108-2112 |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Adult Bradycardia - therapy Cardiac Pacing, Artificial - methods Child Electric Conductivity Electrodes, Implanted Equipment Design Female Heart Rate - physiology Humans Male minute ventilation Oxygen Consumption - physiology Pacemaker, Artificial pediatric pacing Physical Exertion - physiology rate-adaptive pacing Respiration - physiology Tidal Volume - physiology Time Factors |
| title | Rate-Adaptive Cardiac Pacing in Children Using a Minute Ventilation Biosensor |
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