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Activity-Sensing Rate-Adaptive Pacing

  • Conference paper
Rate Adaptive Cardiac Pacing

Abstract

The idea of measuring body movement as a measure of activity level is not new, and has been used for quantifying and evaluating drug treatment in hyperactive children [1]. In the simplest form, the level of activity can be measured by an automatic mechanical “watch” (with the spring removed), and the “shaking” on the watch during body movement can be measured in terms of hours and minutes the watch goes through in a given time. The watch or mechanical accelerometer can be attached to either the waist or dominant hand of the child. Thus the detection of body movement can theoretically indicate exercise and Dahl [2] in 1979 published a patent on this principle. Because of the simplicity, this principle subsequently has been employed in rate-adaptive pacemakers and is one of the most important sensors available today.

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References

  1. Schulman JL, Reisman JM (1959) An objective measure of hyperactivity. Am J Ment Defic 64: 455–456

    PubMed  CAS  Google Scholar 

  2. Dahl JD (1979) Variable rate timer for a cardiac pacemaker. US Patent 140 132

    Google Scholar 

  3. Alt E, Heinz M, Theres H, Matula M, Blömer H (1987) A new body motion activity-based rate-responsive pacing system. PACE 10: 422, A65

    Google Scholar 

  4. Alt E, Matula M, Theres H, Heinz M, Baker R (1989) The basis for activity-controlled rate variable cardiac pacemakers: an analysis of mechanical forces on human body induced by exercise and environment. PACE 12: 1667–1680

    Article  PubMed  CAS  Google Scholar 

  5. Lau CP, Stott JRR, Toff WD, Zetlein MB, Ward DE, Camm AJ (1988) Selective vibration sensing: a new concept for activity-sensing rate-responsive pacing. PACE 11: 1299–1309

    Article  PubMed  CAS  Google Scholar 

  6. Lau CP, Butrous GS, Ward DE, Camm AJ (1989) Comparative assessment of exercise performance of six different rate-adaptive right ventricular cardiac pacemaker. Am J Cardiol 63: 833–839

    Article  PubMed  CAS  Google Scholar 

  7. Lau CP, Mehta D, Toff W, Stott RJ, Ward DE, Camm AJ (1988) Limitations of rate response of activity-sensing rate-responsive pacing to different forms of activity. PACE 11: 141–150

    Article  PubMed  CAS  Google Scholar 

  8. Lau CP, Tai YT, Fong PC, Li JPS, Leung SK, Chung FLW, Song S. Clinical experience with an accelerometer based activity sensing dual chamber rate adaptive pacemaker. PACE/PP2; 15: 334–343

    Google Scholar 

  9. Zitzmann EM, Matula M, Alt E, Mentrup H, Heinz M (1990) A new dual-chamber rateresponsive pacing system sensitive to low-frequency acceleration. PACE 13: 1217, A114

    Google Scholar 

  10. Silvermint EH, Salo RW, Meyerso SC, Burell JL, Freudenberg MW, Linder WJ, Maile KR, Nguyen HD, Zelkin B (1990) Distinctive characteristics of Excel VR rate-adaptive pacemaker with an innovative activity sensor. PACE 13: 1210, A87

    Google Scholar 

  11. Humen DP, Kostuk WJ, Klein GJ (1985) Activity-sensing, rate-responsive pacing: improvement in myocardial performance with exercise. PACE 8: 52 - 59

    Article  PubMed  CAS  Google Scholar 

  12. den Dulk K, Bouwells L, Lindemans FW, Rankin I, Brugada P, Wellens (1988) The Activitrax rate-responsive pacemaker system. Am J Cardiol 61: 107–112

    Article  Google Scholar 

  13. Lindemans FW, Rankin IR, Murtaugh R, Chevalier PA (1986) Clinical experience with an activity-sensing pacemaker. PACE 9: 978–986

    Article  PubMed  CAS  Google Scholar 

  14. Benditt DG, Mianulli M, Fetter J, Benson DW, Dunnigan A, Molina E, Gornick CC, Almquist A (1987) Single-chamber cardiac pacing with activity-initiated chronotropic response; evaluation by cardiopulmonary testing. Circulation 75: 184–191

    Article  PubMed  CAS  Google Scholar 

  15. Lipkin DP, Buller N, Frenneaux M, Ludgate L, Lowe T, Webb SC, Krikler DM (1987) Randomized crossover trial of rate-responsive Activitrax and conventional fixed-rate ventricular pacing. Br Heart J 58: 613–616

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  16. Ladusans EJ, Tynan M, Jones O, Curry PVL (1986) Single-lead rate-responsive permanent cardiac pacing in very young children. Clin Prog Electrophysiol Pacing 4 [Suppl]: 22 (abstr)

    Google Scholar 

  17. Kiel EA, Dungan NT, Westerman GR, Norton JB, Readinger RI, Van Devanter SH (1987) Ventricular rate-responsive activity pacing in children. Clin Res 35:51 A (abstr)

    Google Scholar 

  18. Miller JD, Young ML, Atkins D, Wolff GS (1989) Rate-responsive ventricular pacing in pediatric patients. Am J Cardiol 64: 1052–1053.

    Article  PubMed  CAS  Google Scholar 

  19. McAlister HF, Soberman J, Klementowicz P, Andrew SC, Furman S (1989) Treadmill assessment of an activity-modulated pacemaker: the importance of individual programming. PACE 12: 486–501

    Article  PubMed  CAS  Google Scholar 

  20. Stangl K, Wirtzfeld A, Heinze H, Gobi G, Lochschmidt O (1986) Activitrax pacemaker: physiological rate response with a non-physiological sensor? In: Santini M, Pistolese M, Alliegro A (eds) Progress in clinical pacing. Centro Editoriale Publicitario Italiano, Rome, pp 124–132

    Google Scholar 

  21. Toff WD, Leeds C, Joy M, Bennet G, Camm AJ (1987) The effect of aircraft vibration on the function of an activity-sensing pacemaker. Br Heart J 57: 573 (abstr)

    Google Scholar 

  22. Gordon RS, O’Dell KB, Low RB, Blumen IJ (1990) Activity-sensing permanent internal pacemaker dysfunctions during helicopter aeromedical transport. Ann Emerg Med 19: 1260–1263

    Article  PubMed  CAS  Google Scholar 

  23. Wilkoff BL, Shimokochi DD, Schaal SF (1987) Pacing rate increase due to application of steady external pressure on an activity-sensing pacemaker. PACE 10: 423 (abstr)

    Google Scholar 

  24. Mond H, Lire P, Hunt D (1990) A third generation activity pacemaker: is the rate-response algorithm superior? PACE 13: 514 (abstr)

    Google Scholar 

  25. Lau CP, Tse WS, Camm AJ (1988) Clinical experience with Sensolog 703: a new activitysensing rate-responsive pacemaker. PACE 11: 1444–1455

    Article  PubMed  CAS  Google Scholar 

  26. Stangl K, Wirtzfeld A, Lochschmidt O, Basler B, Mittnachi A (1989) Physical movement sensitive pacing: comparison of two activity-triggered pacing systems. PACE 12: 102–110

    PubMed  CAS  Google Scholar 

  27. Mahaux V, Waleffe A, Kulbertus HE (1989) Clinical experience with a new activity-sensing rate-modulated pacemaker using autoprogrammability. PACE 12: 1362–1368

    Article  PubMed  CAS  Google Scholar 

  28. Tse WS, Lau CP, Nadia S, Ward DE, Camm AJ (1988) Comparison of three activity-sensing rate-responsive pacemakers. PACE 11: 799 (abstr)

    Google Scholar 

  29. Kubisch K, Peters W, Chiladakis L et al. (1989) Clinical experience with rate-responsive pacemaker Sensolog P703. PACE 11: 1829–1833

    Article  Google Scholar 

  30. Webb S, Lewis L, Morris-Thrugood J (1989) Activity-sensing pacemakers: clinical implications of different implant sites. In: Proceedings of the 4th Asian-Pacific symposium on cardiac pacing and electrophysiology, 20–23 August 1989, Singapore, 139

    Google Scholar 

  31. Lee MT, Baker R (1990). Orcadian rate variation in rate-adaptive pacing systems. PACE 13: 1797–1801.

    Article  PubMed  CAS  Google Scholar 

  32. Bacharech DW, Hilden JS, Millerhagen JO, Westrum BL, Kelly JM (1992). Activity-based pacing: comparison of a device using an accelerometer versus a piezoelectric crystal. PACE 15: 188–196

    Article  Google Scholar 

  33. Alt E, Matula M, Thilo R, Theres H, Heinz M, Blomer H (1988) A new mechanical sensor for detecting body activity and posture, suitable for rate-responsive pacing. PACE 11: 1875–1881

    Article  PubMed  CAS  Google Scholar 

  34. Lau CP, Ritchie D, Butrous GC, Ward DE, Camm AJ (1988) Rate modulation by arm movements of the respiratory-dependent rate-responsive pacemaker. PACE 11: 744–752

    Article  PubMed  CAS  Google Scholar 

  35. Lau CP, Ward DE, Camm AJ (1989) Single-chamber cardiac pacing with two forms of respiration-controlled rate-responsive pacemakers. Chest 95: 352–359

    Article  PubMed  CAS  Google Scholar 

  36. Lau CP (1990) Activity-sensing rate-responsive pacing. PACE 13: 819–820

    Article  PubMed  CAS  Google Scholar 

  37. Alt E, Theres H, Heinz M, Matula M, Thilo R, Blömer H (1988) A new rate-modulated pacemaker system optimized by combination of two sensors. PACE 11: 1119–1129

    Article  PubMed  CAS  Google Scholar 

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© 1993 Springer Verlag, Berlin Heidelberg

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Lau, C.P. (1993). Activity-Sensing Rate-Adaptive Pacing. In: Alt, E., Barold, S.S., Stangl, K. (eds) Rate Adaptive Cardiac Pacing. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76649-7_7

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  • DOI: https://doi.org/10.1007/978-3-642-76649-7_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-76651-0

  • Online ISBN: 978-3-642-76649-7

  • eBook Packages: Springer Book Archive

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