Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
1994-12-1
pubmed:abstractText
Rate adaptive ventricular pacemakers using central venous oxygen saturation (O2Sat) to control the pacing rate have been implanted in 14 patients (mean age 71 years), with a mean follow-up period of 44 months (range 2-63 months). In eight patients the pacemakers were replaced due to signs of battery depletion after an implant duration of 39-58 months. During bicycle exercise testing the O2Sat decreased on average from 61% +/- 4% at rest to 36% +/- 4% (P < 0.0001) at peak exercise, and the maximum pacing rate was 122 +/- 5 beats/min. The time delay until the O2Sat had dropped 10%, 65%, and 90% of the total reduction during exercise was 4.8 +/- 0.9 seconds, 39.8 +/- 3.8 seconds, and 71.3 +/- 7.5 seconds, respectively. The O2Sat decreased 9.4% +/- 2% (P < 0.005) from resting supine to resting sitting. Oxygen breathing increased the telemetered O2Sat from the pacemaker by 8.4% +/- 1% (P < 0.001). During follow-up the O2Sats were relatively stable in 50% of the patients, but demonstrated significant fluctuations in the others. At 1-year invasive follow-up O2Sat measured by the pacemaker decreased 22% +/- 2%, and in blood samples from the right ventricle 22% +/- 2% from rest to 3 minutes exercise at 25 watts. There was a significant correlation between O2Sat measured by the pacemaker and in blood samples from right ventricle (n = 105; r = 0.73; P < 0.001). In two patients the O2Sat dropped significantly during pneumonia. In another patient episodes of angina pectoris was associated with low O2Sat and a concomitant fast pacing rate.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0147-8389
pubmed:author
pubmed:issnType
Print
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1355-72
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:7971397-Aged, pubmed-meshheading:7971397-Aged, 80 and over, pubmed-meshheading:7971397-Angina Pectoris, pubmed-meshheading:7971397-Cardiac Output, pubmed-meshheading:7971397-Cardiac Pacing, Artificial, pubmed-meshheading:7971397-Coronary Disease, pubmed-meshheading:7971397-Equipment Design, pubmed-meshheading:7971397-Equipment Failure, pubmed-meshheading:7971397-Exercise Test, pubmed-meshheading:7971397-Female, pubmed-meshheading:7971397-Follow-Up Studies, pubmed-meshheading:7971397-Heart Catheterization, pubmed-meshheading:7971397-Heart Rate, pubmed-meshheading:7971397-Humans, pubmed-meshheading:7971397-Male, pubmed-meshheading:7971397-Middle Aged, pubmed-meshheading:7971397-Oximetry, pubmed-meshheading:7971397-Oxygen, pubmed-meshheading:7971397-Oxygen Consumption, pubmed-meshheading:7971397-Pacemaker, Artificial, pubmed-meshheading:7971397-Posture, pubmed-meshheading:7971397-Rest, pubmed-meshheading:7971397-Telemetry
pubmed:year
1994
pubmed:articleTitle
Long-term clinical performance of a central venous oxygen saturation sensor for rate adaptive cardiac pacing.
pubmed:affiliation
Medical Department, University of Bergen, Haukeland Hospital, Norway.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't