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Nachweis und Bedeutung von permanenten und transitorischen Schrittmacherfunktionsstörungen bei 180 Patienten mit Ein- und Zwei-Kammer-Aggregaten

Nachweis und Bedeutung von permanenten und transitorischen Schrittmacherfunktionsstörungen bei... This prospective study comprises 180 patients (77 women, 103 men, age 24–90 years, average 66.4±11.7 years) with multi-programing uni- and dual-chamber pacemakers from 51 primary implantation centers. The consecutive inclusion during a stationary rehabilitation program took place a mean of 16.4 months after implantation. Two-thirds of the aggregates were atrial-participating systems, about 40% had the additional possibility of frequency adaption. All of the patients received an ECG at rest, exercise stress testing and Holter monitoring as well as telemetric pacemaker control. The examinations were repeated depending on the results.    Of the patients, 67.7% (n=122) showed pacemaker malfunction according to the chosen definition; 32% of them had classical malfunctions (dislocation of the lead, aggregate-fault, disorders in sensitivity and stimulation). Holter monitoring appears to be the most sensitive method, with 98% of malfunctions being detected. In contrast, only about 50% were diagnosed by telemetric pacemaker control. As a therapeutic consequence, three-quarter of patients had pacemaker reprograming, 16 patients (8.9%) received an out operative revision and 14 more were recommended to have an operative revision. Clinical symptoms of patients do not correlate to extent and severity of malfunction.    There is a high rate of pacemaker malfunction in a group of consecutive pacemaker patients. Clinical relevance is underlined by the high number of necessary reoperations. Only telemetric pacemaker control is not sufficient to detect malfunctions. Aftercare should be completed by Holter monitoring at least once, containing special software and professional analysis. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Herzschrittmachertherapie + Elektrophysiologie Springer Journals

Nachweis und Bedeutung von permanenten und transitorischen Schrittmacherfunktionsstörungen bei 180 Patienten mit Ein- und Zwei-Kammer-Aggregaten

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References (25)

Publisher
Springer Journals
Copyright
Copyright © 2002 by Steinkopff Verlag
Subject
Medicine & Public Health; Cardiology
ISSN
0938-7412
DOI
10.1007/s00399-002-0355-4
Publisher site
See Article on Publisher Site

Abstract

This prospective study comprises 180 patients (77 women, 103 men, age 24–90 years, average 66.4±11.7 years) with multi-programing uni- and dual-chamber pacemakers from 51 primary implantation centers. The consecutive inclusion during a stationary rehabilitation program took place a mean of 16.4 months after implantation. Two-thirds of the aggregates were atrial-participating systems, about 40% had the additional possibility of frequency adaption. All of the patients received an ECG at rest, exercise stress testing and Holter monitoring as well as telemetric pacemaker control. The examinations were repeated depending on the results.    Of the patients, 67.7% (n=122) showed pacemaker malfunction according to the chosen definition; 32% of them had classical malfunctions (dislocation of the lead, aggregate-fault, disorders in sensitivity and stimulation). Holter monitoring appears to be the most sensitive method, with 98% of malfunctions being detected. In contrast, only about 50% were diagnosed by telemetric pacemaker control. As a therapeutic consequence, three-quarter of patients had pacemaker reprograming, 16 patients (8.9%) received an out operative revision and 14 more were recommended to have an operative revision. Clinical symptoms of patients do not correlate to extent and severity of malfunction.    There is a high rate of pacemaker malfunction in a group of consecutive pacemaker patients. Clinical relevance is underlined by the high number of necessary reoperations. Only telemetric pacemaker control is not sufficient to detect malfunctions. Aftercare should be completed by Holter monitoring at least once, containing special software and professional analysis.

Journal

Herzschrittmachertherapie + Elektrophysiologie – Springer Journals

Published: Dec 1, 2002

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