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Human behavior is intricately shaped by social influences that arise from interactions with others in diverse contexts. These influences not only mold beliefs and attitudes but also drive the regulation of behaviors through both direct communication and observational learning. The study of these processes falls within the domain of social psychology, which seeks to understand how individuals are affected by and affect those around them.Mechanisms of Social InfluenceDirect social influence...
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Individual programming of current multiprogrammable pacemakers : Still unsatisfactory?

T Tischer1, A Bebersdorf2, C Albrecht2

  • 1Department of Cardiology, University Hospital Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Germany. tina.tischer1@gmx.de.

Herz
|September 27, 2018
PubMed
Summary
This summary is machine-generated.

Pacemaker programming has advanced, but many devices retain default settings. Further improvements are needed for personalized pacemaker programming and patient data entry.

Keywords:
Automatic featuresCardiac resynchronization therapy devicesIndividual programmingManufacturer settingsPacemaker, artificial

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Area of Science:

  • Cardiology
  • Biomedical Engineering
  • Medical Device Technology

Background:

  • Pacemaker (PM) technology has seen significant advancements in recent decades.
  • Assessing the extent of individual programming in contemporary pacemakers is crucial.

Purpose of the Study:

  • To evaluate the degree of individual programming in currently used pacemakers.
  • To identify areas for improvement in pacemaker customization and patient data integration.

Main Methods:

  • Prospective screening of deceased individuals for cardiac implantable electronic devices (CIEDs) at a crematorium.
  • In situ interrogation of pacemakers to analyze programmed patient data, leads, and study parameters.
  • Comparison of programmed settings with original delivery settings, evaluating changes in capture, sensing, and output.

Main Results:

  • Out of 2297 subjects, 154 (6.7%) had CIEDs, with 125 being pacemakers.
  • 72 pacemakers were analyzed, showing a mean operation time of 31 months.
  • While 88% of adjustable parameters were manually programmable, 49.3% remained at default settings. Lead output, upper tracking rate, lower rate, and mode were frequently altered.

Conclusions:

  • Pacemaker programming capabilities have greatly improved.
  • Despite advancements, there is a need for enhanced individual pacemaker programming, including the consistent entry of patient-specific data and avoidance of default manufacturer settings.