Document Detail


How smart should pacemakers Be?
MedLine Citation:
PMID:  10089863     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The concept of the "smart" pacemaker has been continuously changing during 40 years of progress in technology. When we talk today about smart pacemakers, it means optimal treatment, diagnosis, and follow-up for patients fitting the current indications for pacemakers. So what is smart today becomes accepted as "state of the art" tomorrow. Originally, implantable pacemakers were developed to save lives from prolonged episodes of bradycardia and/or complete heart block. Now, in addition, they improve quality of life via numerous different functions acting under specific conditions, thanks to the introduction of microprocessors. The devices have become smaller, with the miniaturization of the electrical components, without compromising longevity. Nevertheless, there are still some unmatched objectives for these devices, for example, the optimization of cardiac output and the management of atrial arrhythmias in dual-chamber devices. Furthermore, indications continue to evolve, which in turn require new, additional functions. These functions are often very complex, necessitating computerized programming to simplify application. In addition, the follow-up of these devices is time-consuming, as appropriate system performance has to be regularly monitored. A great many of these functions could be automatically performed and documented, thus enabling physicians and paramedical staff to avoid losing time with routine control procedures. In addition, modern pacemakers offer extensive diagnostic functions to help diagnose patient symptoms and pacemaker system problems. Different types of data are available, and their presentation differs from one company to the other. This huge amount of data can only be managed with automatic diagnostic functions. Thus, the smart pacemaker of the near future should offer high flexibility to permit easy programming of available therapies and follow-up, and extensive, easily comprehensible diagnostic functions.
Authors:
N Saoudi; U Appl; F Anselme; M Voglimacci; A Cribier
Related Documents :
2746623 - The development of a system for the evaluation of electromagnetic interference with pac...
83633 - Partial pacemaker recycling of implanted qrs-inhibited pulse generators.
22435343 - Safety of flecainide.
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American journal of cardiology     Volume:  83     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1999 Mar 
Date Detail:
Created Date:  1999-04-07     Completed Date:  1999-04-07     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  180D-186D     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiology, CHRU Charles Nicolle, Rouen, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Arrhythmias, Cardiac / diagnosis,  etiology,  therapy*
Artificial Intelligence*
Diagnosis, Computer-Assisted / instrumentation
Electrocardiography / instrumentation*
Electrocardiography, Ambulatory / instrumentation
Equipment Design
Humans
Microcomputers*
Pacemaker, Artificial*
Signal Processing, Computer-Assisted / instrumentation*
Software

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Taking advantage of sophisticated pacemaker diagnostics.
Next Document:  Pacemaker leads: performance and progress.