Abstract
During dynamic exercise the acceleration of ventricular rate, due to vagal withdrawal, is the most important contribution for increasing cardiac output according to the metabolic needs. The inability to adequately increase the heart rate in response to exercise is defined Atrial Chronotropic Incompetence (ACI).
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Daubert C, Malbo Ph, Pouillot C, Lelong B (1991) Atrial chronotropic incompetence: implications for DDDR pacing. In: Barold SS, Mugica J (eds) New perspectives in cardiac pacing. Futura Publishing Company Inc, Mount Kisco NY, pp 251–271
Ellestad MHJ, Wan MKC (1975) Predictive implications of stress testing. Follow-up of 2700 subjects after maximum treadmill stress testing. Circulation 51: 363–369
Laurer MS, Peter MO, Larson MG et al (1996) Impaired heart rate response to graded exercise. Prognostic implications of chronotropic incompetence in the Framingham Heart Study. Circulation 93: 1520–1526
Wiens RD, Lafia P, Marder CM et al (1984) Chronotropic incompetence in clinical exercise testing. Am J Cardiol 54: 74–78
Hinkle LE, Carver ST, Plakun A (1972) Slow heart rates and increased risk of cardiac death in middle-aged men. Arch Inter Med 129: 762–748
Hammond HK, Froelicher VF (1985) Normal and abnormal heart rate responses to exercise. Prog Cardiovasc Dis 27: 271–296
Vardas PE, Fitzpatrick A, Ingram A et al (1991) Natural history of sinus node chronotropy in paced patients. PACE 14 (part I): 155–160
Kay GN, Ashar MS, Bubien RS et al (1995) Relationship between heart rate and oxygen kinetics during constant workload exercise. PACE 18: 1853–1860
Wilkoff BL, Miller RE (1992) Exercise testing for chronotropic assessment. Cardiol Clin 10: 705–717
Adornato E, Pennisi V, Catanzariti D, Pangallo A (1992) Acute and chronic electrophysiologic effect of pentisomide on the sinus and AV nodal function. Noninvasive evaluation by a pacemaker with temporary pacing inhibition. PACE 15 (part II): 21–27
Chamberlain-Webber R, Petersen MEV,Ahmed R et al (1992) Diagnosis of sick sinus syndrome with flecainide in patients with normal sinus node recovery times investigated for unexplained syncope. Eur J Cardiac Pacing Electrophysiol 2: 106–108
Adornato E et al (1994) Stimolazione DDDR e VVIR a confronto. Risultati di uno studio multicentrico sulla qualità della vita in pazienti con pacemaker permanente bicamerale. Cardiostimolazione Vol XII n 2
Attuel P, Pellerin D, Mugica J, Coumel Ph (1988) DDD pacing: an effective treatment modality for recurrent atrial arrhythmias. PACE 11: 1647
Santini M, Messina G, Vitali E et al (1984) Antiarrhythmic efficacy of physiological pacing in sick sinus syndrome. In: Santini M, Pistolese M, Alliegro A (eds) Progress in clinical pacing. CEPI, Roma, p 440
Sutton R (1990) Pacing in atrial arrhythmias. PACE 13: 18–23
Kappenberger LJ, Vogt P, Schlapper JJ et al (1989) Clinical experience with dual chamber rate-responsive pacemakers. J Electrophysiol 3: 190
Adornato E, Adornato EMF (1996) Permanent pacemakers and atrial fibrillation. In: Adornato E (ed) Therapies for cardiac arrhythmias in 1996: where are we going?. Edizioni Luigi Pozzi, Roma, pp 571–578
Adornato E, Monea P, Consolo A et al (1993) Comparative evaluation of DDDR and DDD pacing modes in the prevention of atrial fibrillation. In: Europace–6th European Symposium on Cardiac Pacing, Ostend. Moruzzi Ed, pp 267–271
Adornato E, Monea P, Catanzariti D et al (1994) Automatic mode switching in dual chamber pacing. In: Adornato E, Galassi A (eds) How to approach cardiac arrhythmias in 1994. Edizioni Luigi Pozzi, Roma, pp 431–444
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© 1998 Springer-Verlag Italia
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Adornato, E., Adornato, E.M.F. (1998). Chronotropic Incompetence: How to Diagnose and Treat It?. In: Raviele, A. (eds) Cardiac Arrhythmias 1997. Springer, Milano. https://doi.org/10.1007/978-88-470-2288-1_62
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DOI: https://doi.org/10.1007/978-88-470-2288-1_62
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