Unipolar Sensing in Contemporary Pacemakers: Using Myopotential Testing to Define Optimal Sensitivity Settings

Journal of Interventional Cardiac Electrophysiology

Volumn 2, Issue 1, 1997, Pages 33-40

  Exner, Derek V ^a,b   Rothschild, John M ^a   Heal, Sheilah ^a   Gillis, Anne M ^a,b  

^a UNIVERSITY OF CALGARY   (Canada)

^b ALBERTA ENVIRONMENT AND PARKS   (Canada)

Author keywords

Ambulatory electrocardiography; Bipolar; Cardiac pacing; Leads; Sensing; Unipolar

Indexed keywords

EID: 2342563902     PISSN: 1383875X     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1009708606035     Document Type: Article

References (25)

1. Bernstein AD, Parsonnet V. Survey of pacing in the United States in 1993. Am J Cardiol 1996;78:187-196.
2. Goldman B, Nishimura S, Lau C. Survey of cardiac pacing in Canada (1993). Can J Cardiol 1996;12:573-578.
3. Hauser RG. Bipolar leads for cardiac pacing in the 1980's: a reappraisal provoked by skeletal muscle interference. PACE 1982;5:654-657.
4. Weiss DN, Zilo P, Luceri RM, et al. Should unipolar pacemaker leads be banned? Lessons from pacemaker/implantable cardioverter defibrillator interactions. PACE 1997;20: 237-239.
5. Mymin D, Cuddy TE, Sinha SN, et al. Inhibition of demand pacemakers by skeletal muscle potentials. JAMA 1973;223: 527-529.
6. Piller LW, Kennelly BM. Myopotential inhibition of demand pacemakers. Chest 1974;66:418-420.
7. Ohm OJ, Bruland H, Pedersen OM, Waerness E. Interference effect of myopotentials on function of unipolar demand pacemakers. Br Heart J 1974;36:74-84.
8. Secemsky SI, Hauser RG, Denes P, et al. Unipolar sensing abnormalities: incidence and clinical significance of skeletal muscle interference and undersensing in 228 patients. PACE 1982;5:10-19.
9. Brevik K, Ole-Jörgen O, Engedal H. Long-term comparison of unipolar and bipolar pacing and sensing, using a new multi-programmable pacemaker system. PACE 1983;6:592-600.
10. Binner L, Richter P, Wieshammer S, et al. Bipolar versus unipolar mode in dual chamber pacing. Comparison of myopotential interference, acute and long-term pacing and sensing thresholds. PACE 1987;10:646.
11. Fetter J, Bobeldyk GL, Engman FJ. The clinical incidence and significance of myopotential sensing with unipolar pacemakers. PACE 1984;7(5):871-881.
12. Gross JN, Platt S, Ritacco R, et al. The clinical relevance of electromyopotential oversensing in current unipolar devices. PACE 1992; 15:2023-2027.
13. Siemens-Pacesetter medical advisory lead models 1010T and 1050T. February 1993.
14. Sweesy M, Forney C, Hayes D, et al. Evaluation of an in-line bipolar polyurethane ventricular pacing lead. PACE 1992; 15:1982-1985.
15. Helguera M, Pinski S, Maloney J, et al. Long-term performance of endocardial pacing leads. PACE 1994;17:56-64.
16. Glikson M, von Feldt L, Suman V, Hayes D. Clinical surveillance of an active fixation, bipolar polyurethane insulated pacing lead, Part I: The atrial lead. PACE 1994;17: 1399-1404.
17. Hayes D, Graham K, Irwin M, et al. Multicenter experience with a bipolar tined polyurethane ventricular lead. PACE 1995;18:999-1004.
18. Gaita F, Asteggiano R, Bocchiardo M, et al. Holter monitoring and provocative maneuvers in assessment of unipolar demand pacemaker myopotential inhibition. Am Heart J 1984;107:925-928.
19. Garby M, Behrens M, Andrews C, Wanliss M, Klementowicz P, Furman S. Comparison of myopotential interference in unipolar-bipolar programmable DDD pacemakers. PACE 1987;10:1322-1330.
20. Jain P, Wasir HS. Myopotential inhibition of unipolar demand pacemakers: utility of provocative maneuvers in assessment of management. Int J Cardiol 1992;34:33-39.
21. Rosenqvist M, Nordlander R, Andersson M, Edhag O. Reduced Incidence of myopotential inhibition by abdominal generator implantation. PACE 1986;9:417-421.
22. Gillis AM, Hillier KR, Rothschild JM, McDonald M, Simpson C, Wyse DG. Ambulatory electrocardiography for the detection of pacemaker lead failure. PACE 1997;20:1274-1282.
23. Mond HG. Unipolar versus bipolar pacing - poles apart. PACE 1991;14:1411-1424.
24. Zimmern SH, Clark MF, Austin WK, Fedor JM, Gallagher JJ, Sverson RH, Duncan JL. Characteristics and clinical effects of myopotential signals in a unipolar DDD pacemaker population. PACE 1986;9:1010-1025.
25. Pollak A, Falk RH. Pacemaker therapy in patients with atrial fibrillation. Am Heart J 1993;125:824-830.