Discriminating Between Types of Pacemaker Lead Failure
作者:
HepburnF.,
期刊:
Journal of Medical Engineering&Technology
(Taylor Available online 1978)
卷期:
Volume 2,
issue 3
页码: 130-135
ISSN:0309-1902
年代: 1978
DOI:10.3109/03091907809161778
出版商: Taylor&Francis
数据来源: Taylor
摘要:
Damage to electrode leads in implanted cardiac pacemakers is commonly deduced from diminished and distorted stimulus artefacts. These changes may not occur and do not discriminate between fractured wire and ruptured insulation. Moreover, amplitudes vary from other causes and diagnosis from shape changes requires experience and oscilloscope equipment. The two types of lead damage cause opposite changes in the loading of the stimulus generator. For a few generators the stimulus duration and rate are load-sensitive, although the circuit is otherwise very stable, and simple measurement of these two temporal features can indicate and classify a failure, often in a latent stage before pacing failure has occurred.
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