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A programmable pulse generator with high output option.

N P Smyth, D Sager, J M Keshishian

    Pacing and Clinical Electrophysiology : PACE
    |September 1, 1981
    PubMed
    Summary
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    A novel pulse generator with a programmable high output feature effectively managed exit block in patients. This advanced option proved beneficial, even in complex cases, and is recommended for all multiprogrammable devices.

    Area of Science:

    • Cardiology
    • Biomedical Engineering

    Background:

    • Pulse generators are crucial for cardiac rhythm management.
    • Exit block can complicate pacemaker therapy.
    • Existing devices may have limitations in managing complications.

    Purpose of the Study:

    • To evaluate a new pulse generator with a programmable high output option.
    • To assess the efficacy of this feature in preventing and managing exit block.
    • To determine the safety and usability of the new device.

    Main Methods:

    • Implantation of a new pulse generator in fifteen patients.
    • Postoperative follow-up for eight to ten months.
    • Monitoring for exit block and muscle stimulation.

    Main Results:

    Related Experiment Videos

    • The programmable high output option was useful in managing exit block, particularly in a patient with silent myocardial infarction.
    • Muscle stimulation was infrequent despite the unipolar system.
    • The device demonstrated a favorable safety profile.

    Conclusions:

    • The programmable high output option is a valuable feature for pulse generators.
    • This feature should be standard in all multiprogrammable pulse generators to enhance patient care and manage complications like exit block.