Newer algorithms in bradycardia management

Daniel Sohinki, Owen A. Obel

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Permanent cardiac pacemakers (PPM) are effective in the treatment of bradycardia in a growing number of clinical scenarios. An appreciation of the capacity of PPMs to result in negative hemodynamic and proarrhythmic effects has grown alongside clinical experience with permanent pacing. Such experience has necessitated the development of algorithms aimed at optimizing device functionality across a broad spectrum of physiologic and pathologic conditions. This review highlights recent device-based algorithms used in automated threshold testing, reduction of right ventricular pacing, prevention and treatment of pacemaker-mediated tachycardia, mode switching for atrial tachyarrhythmias, rate-modulated pacing, and advances in arrhythmia storage and remote monitoring.

Original languageEnglish (US)
Pages (from-to)283-292
Number of pages10
JournalCardiology clinics
Volume32
Issue number2
DOIs
StatePublished - May 2014

Keywords

  • Atrioventricular search hysteresis
  • Automated threshold testing
  • Mode switching
  • Pacemaker-mediated tachycardia
  • Rate modulation
  • Remote monitoring
  • Right ventricular pacing

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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