A Clinical Evaluation of an Improved Holler Monitoring Technique for Artificial Pacemaker Function

Abstract

This paper discusses shortcomings of conventional Holter monitoring in paced patients and describes a new technique which permits reliable detection of intermittent pacemaker malfunction and counts pacemaker activity during the recording period. Evaluation of the system of 64 consecutive patients revealed 15 with unsuspected episodic pacemaker dysfunction.

Improved Detection and Analysis of Sensed and Paced Events in Dual Chamber Pacemakers with Extended Memory Function A Prospective Multicenter Trial in 626 Patients

“…In suspected malfunction or unexplained symptoms, additional extended Holter monitoring was necessary [10,13,16]. The expansion of RAM has enabled to store sensed and paced events [2,9,22].…”

Assessment of accessory pathway and atrial refractoriness by transoesophageal and intracardiac atrial stimulation

“…Kelen et al described a system that incorporated pacing spike detection circuitry on a separate channel from the ECG data [7] . This system facilitated better recognition of pacing artefacts that can be intermittently difficult to observe during long-term recordings.…”