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The Feasibility of Fully Automated Pacemaker Advise in Treating Atrial Tachyarrhythmias

RUITER, JACOB H. ; MULDER, ELLES ; SCHUCHERT, ANDREAS ; BURRI, HARAN ; STÜHLINGER, MARKUS C. ; HARTIKAINEN, JUHA ; SERMASI, SERGIO ; VLAŠÍNOVÁ, JITKA ; MAIRESSE, GEORGES H. ; BUB, EBERHARD ; LEWALTER, THORSTEN

Pacing and clinical electrophysiology, 2010-05, Vol.33 (5), p.605-614 [Periódico revisado por pares]

Malden, USA: Blackwell Publishing Inc

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Título:
The Feasibility of Fully Automated Pacemaker Advise in Treating Atrial Tachyarrhythmias
Autor: RUITER, JACOB H. ; MULDER, ELLES ; SCHUCHERT, ANDREAS ; BURRI, HARAN ; STÜHLINGER, MARKUS C. ; HARTIKAINEN, JUHA ; SERMASI, SERGIO ; VLAŠÍNOVÁ, JITKA ; MAIRESSE, GEORGES H. ; BUB, EBERHARD ; LEWALTER, THORSTEN
Assuntos: Aged ; Aged, 80 and over ; Atrial Fibrillation - drug therapy ; Atrial Fibrillation - therapy ; Atrial Flutter - drug therapy ; Atrial Flutter - therapy ; atrial tachyarrhythmia ; Biological and medical sciences ; Cardiac Pacing, Artificial ; diagnostics ; expert system ; Expert Systems ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; pacemaker ; Pacemaker, Artificial ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Tachycardia, Paroxysmal - drug therapy ; Tachycardia, Paroxysmal - therapy
É parte de: Pacing and clinical electrophysiology, 2010-05, Vol.33 (5), p.605-614
Notas: istex:76D5AE529221CC41D35903EC38B228AD08181517
ark:/67375/WNG-P44V38DP-8
ArticleID:PACE2689
Disclosures: Dr. Mulder is an employee of Medtronic. The other authors report no conflict of interest.
ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
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Descrição: Background: Modern pacemakers continuously store significant cardiac‐related events. Interpreting these data and reprogramming the pacemaker can be time‐consuming and demands expert knowledge. A software‐based expert system, the therapy advisor (TA), was developed, which analyzes stored data and provides reprogramming recommendations. This study addresses whether pacemaker experts consider the messages that are automatically generated appropriate in the management of atrial tachyarrhythmias/atrial fibrillation (AT/AF). Methods: This observational, international, multicenter study follows 150 patients with suspected or documented atrial arrhythmias who received a dual‐chamber pacemaker (model Vitatron T‐70, Medtronic Inc., Minneapolis, MN, USA) incorporating the TA. The TA summarizes technical and clinical data stored in the pacemaker into key messages and may suggest programming changes. Twenty‐five cardiologists examined their patients per normal practice during two follow‐up visits. They reported the therapy changes they deemed necessary without initially reviewing the TA messages. Next, they rated their satisfaction with and the clinical relevance of the TA messages and recorded the final therapy changes. Results: The TA generated (mostly AT/AF‐related) main observations in 49% and programming advice in 33% of the patients. The experts rated 95% of the TA messages as satisfactory and deemed therapy changes necessary in roughly half the patients. Pacemaker changes in AT/AF therapy or general settings were prompted primarily by the diagnostic information stored in the device. Medication changes were mostly led by the symptoms reported by the patient. Conclusion: This study demonstrates that experienced cardiologists agree with 95% of the observations and programming suggestions that the TA automatically generates. (PACE 2010; 605–614)
Editor: Malden, USA: Blackwell Publishing Inc
Idioma: Inglês

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The Feasibility of Fully Automated Pacemaker Advise in Treating Atrial Tachyarrhythmias

RUITER, JACOB H. ; MULDER, ELLES ; SCHUCHERT, ANDREAS ; BURRI, HARAN ; STÜHLINGER, MARKUS C. ; HARTIKAINEN, JUHA ; SERMASI, SERGIO ; VLAŠÍNOVÁ, JITKA ; MAIRESSE, GEORGES H. ; BUB, EBERHARD ; LEWALTER, THORSTEN

Malden, USA: Blackwell Publishing Inc

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