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[利用收缩期时间间期实现心脏起搏器的生理频率适应]

[Physiologic frequency adaptation of cardiac pacemakers using systolic time intervals].

作者信息

Rentsch W, Niederlag W, Foelske H, Wunderlich E, Schmidt P K

机构信息

Laboratorium für bio-medizinische Elektronik, Pirna.

出版信息

Z Gesamte Inn Med. 1987 Jul 15;42(14):386-9.

PMID:3673133
Abstract

Of the parameters in consideration for control of physiological rate responsive pacing special interest is directed to stroke volume. In search of indirect parameters which are correlated to stroke volume it is demonstrated on principle that systolic time intervals could be used. From the relation ejection time versus pre-ejection time (LVET/PEP) which is known for its correlation to stroke volume a simple algorithm is derived which is based on the realization that PEP is related to the reciprocal of cardiac output. First investigations with patients demonstrated the possibility of the computation of heart rate from PEP only, with good physiological significance.

摘要

在考虑用于控制生理性频率应答起搏的参数时,特别关注每搏输出量。在寻找与每搏输出量相关的间接参数时,原则上证明了收缩期时间间期可被利用。从已知与每搏输出量相关的射血时间与射血前期时间的关系(左室射血时间/射血前期时间,LVET/PEP)中,得出了一个简单的算法,该算法基于射血前期时间与心输出量的倒数相关这一认识。对患者的初步研究表明,仅根据射血前期时间计算心率是可行的,且具有良好的生理学意义。

相似文献

1
[Physiologic frequency adaptation of cardiac pacemakers using systolic time intervals].[利用收缩期时间间期实现心脏起搏器的生理频率适应]
Z Gesamte Inn Med. 1987 Jul 15;42(14):386-9.
2
[Comparison of systolic intervals, cardiac index and systolic index. Changes in frequency induced by a pacemaker].[收缩期间期、心脏指数和收缩期指数的比较。起搏器引起的频率变化]
Arch Inst Cardiol Mex. 1980 Jul-Aug;50(4):497-503.
3
[Non-invasive evaluation of left ventricular function (systolic time interval) in patients using double-chamber pacemakers programmed on DDD and VVI].[使用DDD和VVI模式程控的双腔起搏器患者左心室功能(收缩时间间期)的无创评估]
Rev Port Cardiol. 1989 May;8(5):367-70.
4
[Serum levels of beta-methyldigoxin and contractile efficiency of the myocardium evaluated with systolic polygraphy and determination of cardiac output].[通过收缩期多谱描记法评估血清β-甲基地高辛水平及心肌收缩效率并测定心输出量]
Minerva Med. 1981 Feb 18;72(4-5):225-31.
5
[Variable heart time volumes with physiologic cardiac pacemaker. Too few heart patients receive a modern 2 chamber pacemaker].[生理性心脏起搏器的可变心搏量。接受现代双腔起搏器的心脏病患者太少]
Fortschr Med. 1985 Nov 14;103(42):78-9.
6
[Activitrax--a pacemaker with a regulated rhythm rate].[Activitrax——一种具有可调节心律速率的起搏器]
Kardiol Pol. 1989;32(10-12):434-9.
7
[Effects of calcium antagonists on left ventricular systolic time intervals in patients with artificial pacemakers].[钙拮抗剂对人工起搏器患者左心室收缩时间间期的影响]
Boll Soc Ital Cardiol. 1979;24(6):617-9.
8
Systolic time interval characteristics in children with Duchenne's progressive muscular dystrophy.杜氏进行性肌营养不良患儿的收缩期时间间期特征
Pediatrics. 1982 Dec;70(6):958-64.
9
[DDD versus DDDR pacemaker stimulation: comparison of cardiopulmonary performance, incidence of atrial arrhythmias and quality of life].[DDD与DDDR起搏器刺激:心肺功能、房性心律失常发生率及生活质量的比较]
Z Kardiol. 1996 Apr;85(4):226-36.
10
[Pre-ejection period controlled cardiac pacemaker].[射血前期控制型心脏起搏器]
Biomed Tech (Berl). 1989 Jul-Aug;34(7-8):177-84.

引用本文的文献

1
Rate-responsive pacing based on sympathetic activity.基于交感神经活动的频率适应性起搏。
Med Biol Eng Comput. 1993 Jul;31 Suppl:S108-14. doi: 10.1007/BF02446658.