Document Detail


Influence of DDD rate response pacing with integrated double sensors on physical efficiency and quality of life.
MedLine Citation:
PMID:  18713758     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: The aim of this study was to evaluate whether the use of a double sensor gives additional benefits for patients in improving physical efficiency as well as quality of life (QoL) as compared to the accelerometer sensor alone. METHODS AND RESULTS: The presented research is a prospective, randomized, single-blind clinical trial. Double-sensor (accelerometer and minute-ventilation) pacemakers (Guidant, Pulsar Max DR) were implanted in 20 patients with sinus node dysfunction (SND) and chronotropic incompetence. After randomization, patients were placed in one of two groups: 1, only the accelerometer sensor was activated; 2, both sensors were activated. After a 3-month follow-up, an initial cardio-pulmonary exercise test was performed, after which the patients were placed in the opposite group for a further 3 months. Finally, the second tests were performed. In 75% of the patients an improvement in QoL was observed in the double-sensor group (P = 0.0242) when compared with the single-sensor group. The addition of a ventilating sensor had no influence on the duration of exercise test (A: 11 +/- 3.19 vs. B: 11 +/- 2.92 P = 1.0000). The parameters of cardio-pulmonary exercise tests recorded in situations A and B before exertion, and 6 minutes after exertion were not statistically different. CONCLUSION: The use of double-sensor pacemakers does not improve physical efficiency; however, it does improve QoL.
Authors:
Eugeniusz Pilat; Rafal Mlynarski; Agnieszka Wlodyka; Wlodzimierz Kargul
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2008-08-18
Journal Detail:
Title:  Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology     Volume:  10     ISSN:  1532-2092     ISO Abbreviation:  Europace     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-25     Completed Date:  2009-02-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  England    
Other Details:
Languages:  eng     Pagination:  1189-94     Citation Subset:  IM    
Affiliation:
Department of Electrocardiology, Upper-Silesian Cardiology Center, The Medical University of Silesia, ul. Ziolowa 45/47, Katowice 40-635, Poland.
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MeSH Terms
Descriptor/Qualifier:
Acceleration
Activities of Daily Living
Arrhythmias, Cardiac / diagnosis*,  prevention & control*
Equipment Design
Equipment Failure Analysis
Female
Humans
Male
Middle Aged
Monitoring, Ambulatory / instrumentation*,  methods*
Quality of Life*
Single-Blind Method
Systems Integration
Transducers

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


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