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Pacing Clin Electrophysiol. 1991 Nov;14(11):1772-6. doi: 10.1111/j.1540-8159.1991.tb02764.x.

Standardized informal exercise testing for programming rate adaptive pacemakers.

Pacing and clinical electrophysiology : PACE

D L Hayes, L Von Feldt, S T Higano

Affiliations

  1. Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905.

PMID: 1721173 DOI: 10.1111/j.1540-8159.1991.tb02764.x

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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