Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China.
J Zhejiang Univ Sci B. 2010 Aug;11(8):634-8. doi: 10.1631/jzus.B1001016.
Over the last five decades, pacemaker therapy has undergone remarkable technological advances with increasing sophistication of pacemaker features. However, device longevity has remained one of the major issues in pacemaker design ever since the first endocardial pacing lead implantation in 1958. In addition to various hardware design to enhance device longevity, software-based solutions to minimize pacing energy and yet with good safety margin have also been developed. Together with desire and need of fully automatic pacing system in increasingly busy pacemaker clinic, several manufacturers have introduced different automatic threshold management algorithm. This article summarizes the current state-of-the-art management in pacing threshold in the modern pacemakers.
在过去的五十年中，起搏器治疗技术取得了显著的进步，起搏器功能日益复杂。然而，自 1958 年首例心内膜起搏导线植入以来，设备的使用寿命一直是起搏器设计中的主要问题之一。除了各种旨在延长设备使用寿命的硬件设计外，还开发了基于软件的解决方案，以最小化起搏能量，同时保持良好的安全裕度。随着在日益繁忙的起搏器诊所中对全自动起搏系统的渴望和需求，几家制造商已经引入了不同的自动阈值管理算法。本文总结了现代起搏器中起搏阈值的最新管理方法。
