Telemetry guided pacemaker programming: Impact of output amplitude and the use of low threshold leads on projected pacemaker longevity

PACE - Pacing and Clinical Electrophysiology

Volumn 21, Issue 11 I, 1998, Pages 2055-2063

  Schwaab, Bernhard ^a   Fröhlig, Gerd ^a   Schwerdt, Holger ^a   Heisel, Armin ^a   Berg, Monika ^a   Schieffer, Hermann ^a  

^a SAARLAND UNIVERSITY   (Germany)

Author keywords

Battery telemetry; Low threshold electrode; Pacemaker programming; Projected pacemaker longevity; Safety margin

Indexed keywords

ARTICLE; ARTIFICIAL HEART PACEMAKER; CLINICAL ARTICLE; COST EFFECTIVENESS ANALYSIS; ELECTRIC POTENTIAL; HEART PACING; HUMAN; PACEMAKER ELECTRODE; SAFETY; SYSTEM ANALYSIS; TELEMETRY;

AGED; AGED, 80 AND OVER; CARDIAC PACING, ARTIFICIAL; ELECTRIC POWER SUPPLIES; ELECTRICITY; ELECTRODES, IMPLANTED; EQUIPMENT DESIGN; EQUIPMENT SAFETY; FEMALE; HEART ATRIA; HEART VENTRICLES; HUMANS; MALE; MIDDLE AGED; PACEMAKER, ARTIFICIAL; PROSPECTIVE STUDIES; SURVIVAL ANALYSIS; TELEMETRY; TIME FACTORS;

EID: 0031723992     PISSN: 01478389     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1540-8159.1998.tb01123.x     Document Type: Article

References (50)

1. Furman S. From the editor... Pacemaker longevity. PACE 1989; 12:1437-1438.
2. Cazeau S, Ritter P, Lazarus A, et al. Pacemaker miniaturization: A good trend? PACE 1996; 19: 1-3.
3. Daubert JC. Should the race for pulse generator miniaturization be stopped? PACE 1996; 19:4-6.
4. Mond HG. Development of low-stimulation-threshold, low-polarization electrodes. In SS Barold, J Mugica (eds.): New Perspectives in Cardiac Pacing. Mount Kisco, New York, Futura Publishing Company, 1991, pp. 133-162.
5. Mond H, Stokes K, Helland J, et al. The porous titanium steroid eluting electrode: A double blind study assessing the stimulation threshold effects of steroid. PACE 1988; 11:214-219.
6. Mugica J, Duconge B, Henry L, et al. Clinical experience with new leads. PACE 1988; 11:1745-1752.
7. Brewer G, Mathivanar R, Skalsky M, et al. Composite electrode tips containing externally placed drug releasing collars. PACE 1988; 11:1760-1769.
8. Midei MG, Jones BR, Brinker JA. A comparison of platinized grooved electrode performance with ring-tip electrodes. PACE 1989; 12:752-756.
9. Thuesen L, Jensen PJ, Vejby-Christensen H. Lower chronic stimulation in the carbon-tip than in the platinum-tip endocardial electrode: A randomized study. PACE 1989; 12:1592-1595.
10. Klein HH, Steinberger J, Knake W. Stimulation characteristics of a steroid-eluting electrode compared with three conventional electrodes. PACE 1990; 13:134-137.
11. Wilson A, Cowling R, Mathivanar et al. Drug-eluting collar - A new approach to reducing threshold. PACE 1990; 13:1876-1878.
12. Wish M, Swartz J, Cohen A, et al. Steroid tipped leads versus porous platinum permanent pacemaker leads: A controlled study. PACE 1990; 13:1887-1890.
13. Sutton R, Guneri S. The impact of steroid eluting leads on long-term pacing in the atrium and ventricle. Eur JCPE 1991; 1:10-15.
14. Mond HG, Stokes KB. The electrode-tissue interface: The revolutionary role of steroid elution. PACE 1992; 15:95-107.
15. Santini M, De Seta F. Do steroid-eluting electrodes really have better performance than other state-of-the-art designs? PACE 1993; 16:722-728.
16. Gillis AM, Rothschild JM, Hillier K, et al. A randomized comparison of a bipolar steroid-eluting electrode and a bipolar microporous platinum electrode: Implications for long-term programming. PACE 1993; 16:964-970.
17. Del Bufalo AGA, Schlaepfer J, Fromer M, et al. Acute and long term ventricular stimulation thresholds with a new iridium oxide-coated electrode. PACE 1993; 16:1240-1244.
18. Fröhlig G, Schwaab B, Schwerdt H, et al. A new steroid eluting screw-in electrode. PACE 1994; 17:1134-1142.
19. Payne GE, Dunham DG, Ashok CR, et al. Clinical experience with a new lead combining active fixation with steroid elution. PACE 1994; 17:1665-1671.
20. Svensson O, Karlsson JE, Binner L, et al. Comparison of threshold values between steroid and nonsteroid unipolar membrane leads. PACE 1994; 17:2008-2011.
21. Schuchert A, Cappato R, Kuck KH, et al. Programming of the pacing impulse in pacemakers connected to steroid lead systems. PACE 1995; 18:318-322.
22. Bourke JP, Howell L, Murray A, et al. Do electrode and lead differences for permanent cardiac pacing translate into clinically demonstrable differences? PACE 1989; 12:1419-1425.
23. Stamato NJ, O'Toole MF, Fetter JG, et al. The safety and efficacy of chronic ventricular pacing at 1.6 Volts using a steroid eluting lead. PACE 1992; 15:248-251.
24. Schwaab B, Schwerdt H, Heisel A, et al. Chronic ventricular pacing using an output amplitude of 1.0 Volts. PACE 1997; 20:2171-2178.
25. Ireland JR, Kay GN. Pulse generator circuitry. In KA Ellenbogen, GN Kay, BL Wilkoff (eds.): Clinical Cardiac Pacing. Philadelphia, PA, W.B. Saunders, 1995, pp. 112-126.
26. Furman S. Basic concepts. In: A Practice of Cardiac Pacing. 3rd ed. Mount Kisco, New York, Futura Publishing Company, 1993, pp. 29-89.
27. Schwerdt H, Fröhlig G, Kindermann M, et al. Methodological and clinical aspects of minimizing power consumption in pacemakers providing telemetry. Herz Kreislauf 1994; 26:119-124.
28. Barold SS, Ong LS, Heinle RA. Stimulation and sensing thresholds for cardiac pacing: Electrophysiologic and technical aspects. Prog Cardiovasc Dis 1981; 24:1-24.
29. Mansfield PB. Myocardial stimulation: The electrochemistry of electrode-tissue coupling. Am J Physiol 1967; 212:1475-1488.
30. Astrinsky EA, Furman S. Pacemaker output programming for maximum safety and maximum longevity. Clin Prog Pacing Electrophysiol 1983; 1:51-58.
31. Irnich W. The longevity of miniaturized cardiac pacemakers. Herzschrittmacher 1989; 9:164-171.
32. Lagergren H. Permanent intracardiac stimulation for complete heart block and Adam-Stokes syndrome. Acta Chir Scand 1966; 132:663-677.
33. Tyers GFO, Brownlee RR. Power pulse generators, electrodes and longevity. Prog Cardiovasc Dis 1981; 23:421-434.
34. Irnich W, Gebhardt U, Effert S. A contribution for the selection of cardiac pacemakers with different batteries. Biomed Eng 1977; 22:106-114.
35. Relay 293-03 / 294-03. Physicians Manual. Intermedics, Inc., June 1991.
36. Fogel R, Pirzada F, Casavant D, et al. Initial experience with 1.5 mm2, high impedance, steroid-eluting pacing electrodes. PACE 1996; 19:188-196.
37. Klein HH, Knake W. Energy-conserving programming of VVI pacemakers: A telemetry-supported, long-term, follow-up study. Clin Cardiol 1990;: 409-413.
38. Schuchert A, Kuck KH. Influence of internal current and pacing current on pacemaker longevity. PACE 1994; 17:13-17.
39. Barold SS, Stokes K, Byrd CL, et al. Energy parameters in cardiac pacing should be abandoned. PACE 1997; 20:112-121.
40. Preston TA, Judge RD. Alteration of pacemaker threshold by drug and physiological factors. Ann NY Acad Sci 1969; 167:686-692.
41. Sowton E, Barr I. Physiological changes in threshold. Ann N Y Acad Sci 1969; 167:679-685.
42. Kusch O, Schwaab B, Fröhlig G, et al. Does doubling the charge threshold give an adequate safety margin for pacing with active fixation atrial leads at low voltages? (abstract) PACE 1997; 20:1152.
43. Schwaab B, Fröhlig G, Schwerdt H, et al. Three microporous active fixation leads in atrial position. (abstract) PACE 1995; 18:865.
44. Schwaab B, Fröhlig G, Schwerdt H, et al. Output voltage below the battery voltage - It is worth it? (Abstract) PACE 1995; 18:865.
45. Zanini R, Facchinetti A, Gallo G, et al. Survival rates after pacemaker implantation: A study of patients paced for sick sinus syndrome and atrioventricular block. PACE 1989; 12:1065-1069.
46. Müller CH, Cernin J, Glogar D, et al. Survival rate and causes of death in patients with pacemakers: Dependence on symptoms leading to pacemaker implantation. Eur Heart J 1988; 9:1003-1009.
47. Furman S. From the editor... Long-term survivors of pacemaker implant. PACE 1996; 19:134-135.
48. Furman S. Patient survival after pacemaker implantation. PACE 1996; 19:397.
49. Serwer A, Mericle JM. Evaluation of pacemaker pulse generator and patient longevity in patients aged 1 day to 20 years. Am J Cardiol 1987; 59:824-827
50. Gillis AM, MacQuarrie D, Wilson S. The impact of pulse generator longevity on the long-term costs of cardiac pacing. PACE 1996; 19:1459-1468.