"Chronotropically incompetent patients have good chance in having an improvement in quality of life with the ALTRUA™ pacemaker that utilizes minute ventilation."
Dr. Botti (Cleveland, US)
Chronotropic incompetence is real and can be treated by using the right sensor in the pacemaker.
Before starting the treatment it is important to have a scanning protocol to improve the quality of life of the right patients.
In my practice I use an Assess-Investigate–Confirm protocol to scan for chronotropic incompetence.
With this protocol I am able to help more patients and they are very grateful that we have given them back their lives and made them feel young again.
To learn more about this protocol; click on the 'how to identify patients with chronotropic incompetence video' on this website.
RightRate™; Boston Scientific’s clinically proven sensor technology to restore chronotropic competence
Not all pacemakers can restore chronotropic competence, it requires a specific sensor. Boston Scientific has developed a unique MV sensor, which is the only sensor today that is clinically proven to restore chronotropic competence10.
As defined by the Wilkoff model, the MV sensor restores chronotropic incompetence by 97%. Where common accelerometer sensors only act to movement of the upper body, the MV sensor also uses the increase in breathing to provide the appropriate heart rate. This is specifically effective to provide the appropriate heart rate for daily activities, like climbing stairs, carrying shopping bags or riding a bicycle.
Learn more about BSC pacemakersCompare different sensors in the market.
* Ela Sorin, no clinical data available.
Sensor replay in RightRate™ technology.
RightRate™ provides instant trending replay, a unique feature to help physicians and technicians to determine if a patient is chronotropically incompetent. With instant trending replay you are able to see what patients’ heart rate for specific daily activities would look like, compared to different settings. This trend is even available when the pacemaker is not programmed to a rate responsive mode.
Want to learn more about Boston Scientific and trending? Register at the MedScape Education website and listen to what Dr K. Ellenbogen and Dr K. Kaszala have to say.
Improving Clinical Outcomes in Chronotropic Incompetence: Case Studies CMESwitch on MV sensor and see the difference
Sensor Replay:RightRate™ - MV Sensor Sensor Replay: Accelerometer Only
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DINCRM0719EA. Copyright 2011 by Boston Scientific Corporation or its affiliates. All rights reserved. Sources