Logic Analysis of Arrhythmia Triggered by Pacemaker Special Functions – An Educational Presentation

Liu, Yi; Yuan, Xiaojing

doi:10.21470/1678-9741-2020-0630

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…Thus, there are numerous patients who may be affected by this programming. Although PVC response is nominally programmed Off, in our representative cohort this A‐Pace on PVC was used in half of the patients and the previous case reports from US, 5,6 Canada 12 , China 7 , and Japan 13 indicate that this programming has been used frequently around the world. Nevertheless, the clinical significance of our findings needs further evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…Although this algorithm is intended to be antiarrhythmic, some case reports indicate that it may provoke endless loop tachycardia 6 and atrial fibrillation 7,8 …”

Section: Introductionmentioning

confidence: 99%

“…Although this algorithm is intended to be antiarrhythmic, some case reports indicate that it may provoke endless loop tachycardia 6 and atrial fibrillation. 7,8 We recently encountered a young patient presenting with multiple atrial high-rate episodes (AHRE) trigged by the A pace on PVC. In this case, the AHRE episodes ended completely after programming the PVC response to off.…”

Section: Introductionmentioning

confidence: 99%

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Novel findings of an old algorithm: PVC response “Atrial Pace’’ initiates atrial arrhythmias in Abbott ICD and CRT‐D devices

Sane

Marjamaa

Kuusisto

et al. 2022

Pacing Clinical Electrophis

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Background Many algorithms have been developed to ensure the safety and accuracy of cardiac implantable electric devices (CIED). A specific algorithm designed to prevent pacemaker induced tachycardia (PMT) after a premature ventricular complex (PVC response) is available in all Abbott (former St. Jude Medical) CIED. However, a few case reports suggest that this algorithm may be proarrhythmic when programmed to Atrial Pace (A‐Pace on PVC). Methods We analyzed the data of all (n = 333) Abbot implantable cardioverter defibrillator (ICD) and cardiac resynchronization defibrillator (CRT‐D) devices followed remote using the Merlin.net Patient Care Network in our institute in 2020. Status of the PVC response algorithm A‐Pace on PVC or Off was collected, and all atrial mode switch (AMS) episodes longer than 30 s were thoroughly evaluated. Data on clinical characteristics of the patients was collect from the electronic patient records. Results A total of 173 patients had A‐Pace on PVC and twenty‐five of them (14%) had at least one atrial high rate episode (AHRE) >30 s (AHRE) triggered by the action of this algorithm. The median PVC count was higher in patients who had algorithm triggered AHRE than in those with no algorithm‐triggered AHRE (1.7% [IQR 0–3.2] vs. 0% [IQR 0–1.1], p < .0001). The major clinical characteristics were comparable in the two groups. Conclusion The A‐Pace on PVC setting was frequently used in our patients. Our study shows that a considerable number of patients had at least one AHRE triggered by the algorithm. The use of this algorithm should be carefully reconsidered.

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Section: Discussionmentioning

confidence: 99%

“…Although this algorithm is intended to be antiarrhythmic, some case reports indicate that it may provoke endless loop tachycardia 6 and atrial fibrillation 7,8 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Novel findings of an old algorithm: PVC response “Atrial Pace’’ initiates atrial arrhythmias in Abbott ICD and CRT‐D devices

Sane

Marjamaa

Kuusisto

et al. 2022

Pacing Clinical Electrophis

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“…The normal electrical activity of the heart is initiated by special pacemaker cells located in the sinoatrial node ( Liang et al, 2021 ). Dysfunction or loss of pacemaker cells can cause arrhythmia ( Liu and Yuan, 2021b ). The transplantation of stem cells is regarded as a kind of feasible treatment for arrhythmia ( Sattayaprasert et al, 2020 ).…”

Section: Pharmacological Activities Of Sfi On Cvdsmentioning

confidence: 99%

Shenfu injection: a review of pharmacological effects on cardiovascular diseases

Xu,

Xie,

et al. 2024

Front. Pharmacol.

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Shenfu injection (SFI), composed of ginseng and aconite, is a Chinese patent developed from the classic traditional prescription Shenfu Decoction created more than 700 years ago. SFI has been widely used in China for over 30 years for treating cardiovascular diseases. The main components in it include ginsenosides and aconitum alkaloids. In recent years, the role of SFI in the treatment of cardiovascular diseases has attracted much attention. The pharmacological effects and therapeutic applications of SFI in cardiovascular diseases are summarized here, highlighting pharmacological features and potential mechanisms developments, confirming that SFI can play a role in multiple ways and is a promising drug for treating cardiovascular diseases.

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“…Over the last few years, many researchers have developed various control techniques for the proper functioning of human heart by implanting pacemaker (Kumawat et al, 2014; Liu and Yuan, 2021). In a study, Wei Vivien Shi (2013) author had compared fuzzy proportional–integral–derivative (PID) controller and fuzzy controller to control the pacing of pacemaker.…”

Section: Introductionmentioning

confidence: 99%

Artificial neural network–based modelling of pacemaker and its pace tracking using discrete wavelet transform–based finite dimension repetitive controller

Dey,

Dhar,

Mondal

2023

Transactions of the Institute of Measurement and Control

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Efficient control of cardiac pacing is a very important aspect as it provides lifesaving regulated cardiac rhythm in this dynamic hostile environment. The foremost control objective is set to design a highly reliable and advanced control strategy to ensure the utmost accuracy in the control effort. A modified artificial neural network (ANN)–based modelling and pace tracking using finite dimension repetitive controller (FDRC) design based on internal model principle (IMP) has been presented here. This controller will not only provide accurate tracking but also minimize the control action time due to less amount of data handling through the deployment of discrete wavelet transform (DWT) in the loop of repetitive controller (RC). Finally, a case study has been propounded considering ANN model using available data sets and software to validate the control strategy and justify the control objective for optimizing the pace tracking in a pacemaker. Result of the experiment showed good accuracy as well as very low error in terms of mean-squared error (MSE), integral absolute error (IAE), integral time absolute error (ITAE) and integral time square error (ITSE). Along with that, it is observed that DWT not only benefits the handling of very less memory but also acts as an additional filter while reconstructing the signal, which serves as an added advantage of this model.

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Logic Analysis of Arrhythmia Triggered by Pacemaker Special Functions – An Educational Presentation

Cited by 4 publications

References 6 publications

Novel findings of an old algorithm: PVC response “Atrial Pace’’ initiates atrial arrhythmias in Abbott ICD and CRT‐D devices

Novel findings of an old algorithm: PVC response “Atrial Pace’’ initiates atrial arrhythmias in Abbott ICD and CRT‐D devices

Shenfu injection: a review of pharmacological effects on cardiovascular diseases

Artificial neural network–based modelling of pacemaker and its pace tracking using discrete wavelet transform–based finite dimension repetitive controller

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