"I believe that we will use the MV blended sensor much more in future when a patient is chronotropically incompetent."
Dr. van Dijkman (The Netherlands)
In the current pacemaker population many patients do not receive the appropriate heart rates for their daily activities.
The main limitation is related to the fact that the accelerometer alone in a pacemaker cannot detect all the movements.
Walking up a flight of stairs or riding a bicycle are just a few examples illustrating the limitations of the accelerometer.
At the end it will leave the patient chronotropically incompetent.
Chronotropic incompetence is real and can be treated.
Physicians throughout Europe see the difference in daily practice when they use the ALTRUA™ MV blended sensor
to restore their patients’ chronotropic response to daily exercise.
In many cases these patients seem completely transformed and are able to do their daily activities they used to do.
Up to 42% of pacemaker patients and
around 20% of the non-paced population
are diagnosed with chronotropic incompetence.
In the following studies the prevalence of chronotropic incompetence in the general population and in pacemaker (PM) patients pre- and post-implant was:
The Lukl study further classifies chronotropic incompetence in following pacemaker indications:
Identify patients
with chronotropic incompetence.
It is important to monitor paced patients even if not previously diagnosed with CI. A protocol has been developed by Dr Botti to help to identify patients suffering from chronotropic incompetence.
These are just a few of the complaints you
might hear from a chronotropically
incompetent patient.
"I frequently feel fatigued"
"I cannot do the things I used to do"
"When I am active I feel lightheaded"
According to the Lukl study two out of every three pacemaker patients with atrial fibrillation and one out of every two pacemaker patients with SSS suffer from chronotropic incompetence. These patients can be helped by providing the appropriate heart rate with ALTRUA™ MV blended sensor pacemakers. Below patient cases provide some insight in how the ALTRUA™ MV blended sensor can restore chronotropic competence with your CI patient.
|
"The physician checked the ‘accelerometer only’ response with the trending simulation capability. He clearly realized the response difference between ‘accelerometer only’ and the ‘MV Blended sensor’." |
"The MV sensor measures transthoracic impedance to monitor changes in respiratory rate and tidal volume.This is a real need for my patient, she suffers of dyspnea during hard exercise. I am sure: the contributors of two sensors are better than only ACC sensor." |
"Since the patient is young (43-year-old female) and pacemaker dependent, the MV blended sensor supports the patient in reaching the right frequencies in her daily routine." |
| Download case report | Download case report | Download case report |
|
"This report illustrates a case where chronotropic response persisted inadequate after pacemaker implantation with single accelerometer sensor at nominal settings." |
"Patients with an active lifestyle suffering from CI induced by His ablation and ongoing AF require a pacemaker with optimal rate response." |
"Since the pacemaker was repro- |
| Download case report | Download case report | Download case report |
|
"After 6 weeks, I called my patient to evaluate the new sensor settings. |
"The report shows how important it is to choose the right sensor system for active patients and how it can improve outcomes." |
|
| Download case report | Download case report | |
Get the QR-Code reader for free
DINCRM0719EA. Copyright 2011 by Boston Scientific Corporation or its affiliates. All rights reserved. Sources
Design by BLEND - Development by Appstrakt
