title: [Hemodynamic and exercise capacity in a 72 years old patient under a ventricular and bifocal pacemaker (author's transl)].
abstract: The results of haemodynamic, echocardiographic and bicycle exercise investigations in a 72-year-old man with a permanent complete atrioventricular block and heart failure following infarction are presented. Comparative measurements were obtained under the conditions of a ventricular and an av-sequential pacemaker (PM). The ventricular demand pacemaker (VVI) was implanted three years ago and because of further impairment of cardiac performance an av-sequential pacemaker (DDD) was used to restore atrio-ventricular synchronisation. The treatment with bifocal PM improved dramatically cardiac output and exercise capacity. The echocardiographic findings demonstrate the significance of Frank-Starling mechanism in this case due to better filling of the ventricles. As noninvasive methods, echocardiography and bicycle-exercise test allow long-term analysis of cardiac function.
mesh_terms: D000368:Aged; D004452:Echocardiography; D006327:Heart Block / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D009200:Myocardial Contraction; D009203:Myocardial Infarction / Q000150:complications; D010138:Pacemaker, Artificial / Q000295:instrumentation*; D005082:Physical Exertion
vernacular_title: Hämodynamik und körperliche Belastbarkeit bei ventrikelgesteuertem (VVI) and AV-sequentiellem Schrittmacher (DDD) (Falldemonstration).