The Influence of Cardiac Pacemaker Programming Modes on Exercise Capacity

被引：9

作者：

Caloian, Bogdan ^{[1
]}

Sitar-Taut, Adela Viviana ^{[2
]}

Gusetu, Gabriel Nicolae ^{[1
]}

Pop, Dana ^{[1
]}

Zdrenghea, Dumitru Tudor ^{[1
]}

机构：

[1] Iuliu Hatieganu Univ Med & Pharm, Clin Rehabil Hosp, Cardiol Rehabil Dept, Cluj Napoca, Romania

[2] Iuliu Hatieganu Univ Med & Pharm, Med Clin 4, Internal Med Dept, Cluj Napoca, Romania

来源：

IN VIVO | 2018年 / 32卷 / 02期

关键词：

Cardiac pacemaker; pacemaker programming modes; single-chamber pacing; dual-chamber pacing; rate responsive function; exercise capacity; ATRIAL; DDD; REHABILITATION; DYSFUNCTION;

D O I：

10.21873/invivo.11256

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Background/Aim: The cardiac pacing mode influences the atrioventricular synchronicity and the response of the heart rate to physical exercise. The aim of this study was to compare the influence of the most common pacemaker programming modes on exercise capacity. Patients and Methods: Fifty-two pacemaker-wearing patients were clinically evaluated and submitted to an exercise stress test. Results: Symptoms of heart failure were more frequently met in the single-chamber pacemaker group compared to the dual-chamber group. The parameters recorded during the exercise stress test were significantly better with the rate responsive function (RRF) activated. The effort time was higher by an average of 2.1 minutes and the exercise capacity was higher by 0.92 metabolic equivalents. Conclusion: Dual-chamber pacing is superior to single-chamber (ventricular) pacing and the activation of the RRF in single-chamber pacemakers has similar impact on exercise capacity as the preservation of atrioventricular synchronicity by dual-chamber pacemakers.

引用

页码：419 / 424

页数：6

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