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Hemodynamic Effects of Ventricular Pacing

  • A. Raineri
  • P. Assennato
  • B. Candela
  • G. L. Piraino
  • G. Mercurio
  • M. Traina
Part of the Ettore Majorana International Science Series book series (volume 21)

Abstract

Fixed rate ventricular pacing is used in most cases of implanted pacemakers. It does not usually create considerable hemodynamic problems, as the heart, by its adaptation mechanism, is capable of varying its pump performance to meet the metabolic needs[1,3].

Keywords

Ejection Fraction Stroke Volume Hemodynamic Effect Strenuous Exercise Moderate Exercise 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    M. McGregor and G. A. Klasser, Observations on the effect of heart rate on cardiac output in patients with complete heart block at rest and during exercise, Circulation. (Supp1.2) 215: 14–15 (1964).Google Scholar
  2. 2.
    E. Sowton, Haemodynamic studies in patients with artificial pacemakers, Brit.Heart J., 26: 737 (1964).CrossRefGoogle Scholar
  3. 3.
    S. Bervegard, B. Jonsson, I. Karlof, H. Lagergren, and E. Sowton, Effect of changes in ventricular rate on cardiac output and central pressures at rest and during exercise in patients with artificial pacemakers, Cardiovasc.Res., 1: 21 (1967).CrossRefGoogle Scholar
  4. 4.
    A. Benchimol, Y-B. Li, E. G. Dimond, R. B. Voth, and A. S. Roland, Effect of hear rate, exercise, and nytroglycerin on the cardiac dynamics in complete heart block, Circulation, 28: 510 (1963).CrossRefGoogle Scholar
  5. 5.
    R. A. Gesell, Cardiodynamics in heart block as effected by auricular systole, auricular fibrillation and stimulation of vagus nerve, Am.J.Physiol., 40: 267 (1961).Google Scholar
  6. 6.
    P. Samet, W. Bernstein, and S. Levine, Significance of atrial contribution of ventricular filling, Am.J.Cardiol., 15: 195 (1965).CrossRefGoogle Scholar
  7. 7.
    P. Samet, W. H. Bernstein, S. Lavine, and A. Lopez, Hemodynamic effects of tachycardias produced by atrial and ventricular pacing, Am.J.Med., 39: 905 (1965).CrossRefGoogle Scholar
  8. 8.
    P. Samet, C. Castillo, and W. H. Bernestein, Hemodynamic sequelae of artial ventricular and sequential atrioventricular pacing in cardiac patients, Am.Heart J., 72: 725 (1966).CrossRefGoogle Scholar
  9. 9.
    S. Furman, Physiologic Pacing, Pace, 3: 639 (1980).CrossRefGoogle Scholar
  10. J. B. N. Goldreyer, Physiologic Pacing: The role of AV Synchronomy, Pace, 5: 613 (1982).CrossRefGoogle Scholar
  11. 11.
    S. S. Young, L. G. Bentivoglio, V. Maranhao, and H. Goldberg, “From Cardiac Catheterization Data to Hemodynamic Parameters,” FIA, Davis Co., Philadelphia, page 160 (1972).Google Scholar
  12. 12.
    H. N. Wagner, P. Rigo, R. H. Baxter, P. 0. Alderson, K. H. Douglass, and F. D. Housholder, Monitoring ventricular function at rest and during exercise with a nonimaging nuclear detector, Amer.J.Cardiol., 43: 975 (1979).CrossRefGoogle Scholar
  13. 13.
    H. J. Berger, R. A. Davies, W. P. Batsford, P. B. Hoffer, A. Gottschalk, and B. L. Zaret, Beat to beat left ventricular performance assessed from the equilibrium cardiac blood pool using a computerized nuclear probe, Circulation, 63: 133 (1981).CrossRefGoogle Scholar
  14. 14.
    J. D. Bristow, R. E. Fergusson, F. Mintz, and E. Rapaport, Influence of heart rate on left ventricular volume in dogs, J.Clin.Invest., 42: 649 (1963).CrossRefGoogle Scholar
  15. 15.
    G. Glick, J. R. Williams, Jr., D. C. Harrison, A. G. Morrow, and E. Braunwald, Cardiac dimensions in intact unanesthetized man. VI. Effects of changes in heart rate, J.Appl.Physiol., 21: 947 (1966).Google Scholar
  16. 16.
    A. G. Trakiris, D. E. Donald, R. E. Sturm, and E. H. Wood, Volume, ejection fraction, and internal dimensions of left ventricle determined by biplane videometry, Fed.Proc., 28: 1358 (1969).Google Scholar
  17. 17.
    D. R. Ricci, A. E. Orlick, E. L. Alderman, N. B. Ingels, G. T. Daughters, and E. B. Stinson, Influence of heart rate on left ventricular ejection fraction in human beings, Am.J.Cardiol., 44: 447 (1979)CrossRefGoogle Scholar
  18. 18.
    H. P. Krayenbuhl, W. D. Bussuran, M. Turina, and E. Utley, Is the ejection fraction an index of myocardial contractility? Cardiology, 53: 1 (1968).CrossRefGoogle Scholar
  19. 19.
    R. D. Gentzler, A. S. Hunter, and J. H. Gault, Preload dependence of ejection fraction (abstr.) Am.J.Cardiol., 33: 139 (1974).CrossRefGoogle Scholar
  20. 20.
    D. R. Ricci, A. E. Orlick, E. L. Alderman, N. B. Ingles, Jr., G. T. Daughters II, C. A. Kusnick, B. A. Reitz, and E. B. Stinson, Role of tachycardia as an inotropic stimulus in man, J.Clin. Invest., 63: 695 (1979).CrossRefGoogle Scholar
  21. 21.
    F. H. Mahler, J. Ross, Jr., R. A. O’Rourke, and J. W. Covell, Effects of changes in preload, afterload and inotropic state on ejection and isovolumic phase measures of contractility in the conscious dog, Am.J. Cardiol., 35: 626 (1975).CrossRefGoogle Scholar
  22. 22.
    S. K. Rerych, P. M. Scholz, G. E. Newman, D. C. Sabiston, Jr., and R. H. Jones, Cardiac function at rest and during exercise in normals and in patients with coronary heart disease: evaluation by radionuclide angiography, Ann.Surg., 187: 449 (1978).CrossRefGoogle Scholar
  23. 23.
    H. J. Berger, L. A. Reduto, D. E. Johnstone et al., Global and regional left ventricular response to bicycle exercise in coronary artery disease: assessment by quantitative radionuclide angiography, Am.J.Med., 66: 13 (1979).CrossRefGoogle Scholar
  24. 24.
    S. Bevegard, Studies on the regulation of the circulation in man, Acta Physiol.Scand., 57: 200 (1962).CrossRefGoogle Scholar
  25. 25.
    A. Holmgren, B. Jonsson, and T. Sjöstrand, Circulatory data in normal subjects at rest and during exercise in recumbent position, with special reference to the stroke volume at different work intensities, Acta Physiol.Scand., 49: 343 (1960).CrossRefGoogle Scholar
  26. 26.
    A. Raineri, Hemodynamic effects of ventricular pacing, Impulse, A special 10th anniversary issue from CPI, April 1982, page 19.Google Scholar
  27. 27.
    A. Raineri, G. Mercurio, A. M. Milito, and P. Assennato, Functional evaluation of patients with implanted pacemakers, In: “Selected Topics in Exercise Cardiology and Rehabilitation,” Plenum Press, New York and London (1980).Google Scholar

Copyright information

© Plenum Press, New York 1985

Authors and Affiliations

  • A. Raineri
    • 1
  • P. Assennato
    • 1
  • B. Candela
    • 1
  • G. L. Piraino
    • 1
  • G. Mercurio
    • 1
  • M. Traina
    • 1
  1. 1.Cattedra di Fisiopatologia CardiovascolareUniversità di Palermo, PoliclinicoPalermoItaly

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