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Related Experiment Videos

Multiprogrammable pacemakers: are their advantages fully employed?

M Novák1, M Smola, J Tosovský

  • 12nd Medical Department, Faculty of General Medicine, Charles University, Prague, Czechoslovakia.

The International Journal of Artificial Organs
|October 1, 1989
PubMed
Summary
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Single-chamber pacemakers (SSI M mode) were evaluated for programming utility. Researchers found that while programming for energy saving is standard, half required reprogramming due to device or patient issues, justifying their use.

Area of Science:

  • Cardiology
  • Biomedical Engineering
  • Medical Device Technology

Background:

  • Single-chamber pacemakers (SSI M mode) represent a portion of cardiac implantable electronic devices.
  • The multiprogrammable nature of these devices offers potential for optimized patient care and device longevity.

Purpose of the Study:

  • To investigate the utilization and necessity of programming capabilities in multiprogrammable single-chamber pacemakers.
  • To assess the frequency of reprogramming for reasons beyond initial energy-saving optimization.

Main Methods:

  • Analysis of 50 Single-chamber pulse generators (SSI M mode) implanted between 1981 and 1987.
  • All devices were initially programmed to an energy-saving mode.
  • Tracking of subsequent reprogramming events for cardiological or technical reasons.

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Main Results:

  • 4.0% of 1265 implanted pacemakers were SSI M mode.
  • Half of the devices required reprogramming for cardiological or technical issues.
  • The other half did not necessitate further programming after initial energy-saving mode activation.

Conclusions:

  • The programmability of sophisticated single-chamber pacemakers is fully utilized.
  • Reprogramming is often necessary for managing patient-specific needs and technical considerations.
  • The wide application and justification of these advanced pacemaker units are supported by their functional adaptability.