Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Chronotropic incompetence: when should a pacemaker be considered? Which pacing system and which settings?].

X Copie1, G Lascault

  • 1Centre cardiologique du Nord, 32-36, rue des Moulins-Gémeaux, 93207 Saint-Denis, France.

Annales De Cardiologie Et D'Angeiologie
|January 31, 2003
PubMed
Summary

Chronotropic incompetence, the inability to adequately increase heart rate during exercise, causes exertional intolerance. Rate-adaptive pacing systems can effectively manage this condition by detecting sinus node function or utilizing sensors.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Relation between cavo-tricuspid isthmus anatomy studied by transesophageal echocardiography and the immediate outcome of radiofrequency ablation of common atrial flutter].

Annales de cardiologie et d'angeiologie·2010
Same author

[Atrial fibrillation: clinical end-points, morbidity and mortality, life expectancy].

Annales de cardiologie et d'angeiologie·2010
Same author

[Case report and review about radiofrequency catheter ablation in a patient with dilated cardiomyopathy and an implantable cardioverter defibrillator].

Annales de cardiologie et d'angeiologie·2008
Same author

[The choice of pacing sites: should we change our practice?].

Archives des maladies du coeur et des vaisseaux·2005
Same author

[Predictive criteria of early recurrence of atrial arrhythmia after reduction by electrical cardioversion].

Archives des maladies du coeur et des vaisseaux·2004
Same author

[External electrical cardioversion of atrial arrhythmia: predictive criteria of success].

Annales de cardiologie et d'angeiologie·2003

Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Context:

  • Chronotropic incompetence is a condition where the heart rate fails to increase sufficiently during physical activity.
  • This often leads to symptoms of exertional intolerance, significantly impacting quality of life.
  • Existing pacing systems may not adequately address the heart's inability to accelerate.

Purpose:

  • To explore the definition and clinical manifestations of chronotropic incompetence.
  • To review the development and efficacy of rate-modulating pacing systems for managing this condition.
  • To outline the indications for implementing rate-adaptive pacing strategies.

Summary:

  • Chronotropic incompetence is characterized by an inadequate heart rate response during exercise, leading to symptoms like fatigue and shortness of breath.

Related Experiment Videos

  • Rate-adaptive pacing, including sinus node detection and sensors (motion, respiration, QT, contractility), offers solutions.
  • Adding an atrial lead in VVI pacing for complete AV block can improve heart rate response in select patients.

    • Impact:

    • Improved management of exertional intolerance in patients with chronotropic incompetence.
    • Enhanced quality of life through optimized heart rate response during physical activity.
    • Guidance for clinicians on appropriate patient selection and pacing strategies for rate-adaptive systems.