title: [Optimalization of rate adaptation using Holter functions in DDD/R pacemakers].
abstract: Introduction of the pacing rate adaptation according to the momentary metabolic needs added other programmable parametres which demand physician's attention during the initial postimplantation programmation and also in follow-up of pacemaker patients. The parametres setting is strictly individual with a need of feedback control. In some devices it is enabled by Holter functions as a part of pacemaker software. These methods were used to set the rate adaptive parametres in the group of 23 patients with implanted DDD/R pacemaker. The walking stress test was used. Model follow-up situations are presented in 3 case reports. Using Holter functions enables the physician to put patient's subjective complains in relation with actual heart rate--this is used to optimize the parametres of rate adaptation. The authors consider the Holter functions a necessary part of rate adaptive pacemaker software.
authors.affiliation: I. interní klinika FNsP Bohunice, Brno.
authors.forename: T
authors.initials: T
authors.lastname: Novotný
authors.forename: R
authors.initials: R
authors.lastname: Dvorák
authors.forename: M
authors.initials: M
authors.lastname: Kozák
authors.forename: J
authors.initials: J
authors.lastname: Vlasínová
mesh_terms: D000368:Aged; D015716:Electrocardiography, Ambulatory; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D012984:Software
vernacular_title: Vyuzití holterovských funkcí DDD/R kardiostimulátorů k optimalizaci parametrů frekvencní adaptace.