Standardized Informal Exercise Testing For Programming Rate Adaptive Pacemakers

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY(1991)

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Abstract
It is essential that patients with pacemakers capable of rate modulation undergo some form of exercise testing to assure appropriate rate modulation. Informal exercise testing is a reasonable and less expensive alternative to formal treadmill testing. Empiric adjustment of the rate response parameters by assessing the patient's rate response while walking at a self-determined casual and brisk pace has been used. However, no normals exist to determine the appropriate rate response for a "casual" and "brisk" walk. Volunteers were tested with metronome-guided casual and brisk walks in an effort to standardize the informal exercise and determine expected heart rate response for these levels of activity. Results of the metronome-guided rate response in normal volunteers may be useful in determining the appropriate rate response for pacemaker patients when tested in such an informal manner.
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Key words
RATE ADAPTIVE PACEMAKER, PACEMAKER PROGRAMMING, EXERCISE TESTING
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