Evidence map›Paper›PMID 36772467›Full record

ReviewSensors (Basel, Switzerland)2023

Rate-Responsive Cardiac Pacing: Technological Solutions and Their Applications.

Ewa Świerżyńska, Artur Oręziak, Renata Główczyńska, Antonio Rossillo, Marcin Grabowski, Łukasz Szumowski, Francesco Caprioglio, Maciej Sterliński

Abstract readReview
In one paragraph

Review in Sensors (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Closed-loop SCS and sensing: now and in the future.Pain medicine (Malden, Mass.) · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ewa ŚwierżyńskaDepartment of Arrhythmia, The Cardinal Stefan Wyszynski National Institute of Cardiology, 04-628 Warsaw, Poland.ORCID 0000-0002-7895-7975
Artur OręziakDepartment of Arrhythmia, The Cardinal Stefan Wyszynski National Institute of Cardiology, 04-628 Warsaw, Poland.
Renata Główczyńska1st Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Antonio RossilloDepartment of Cardiology, San Bortolo Hospital, 36100 Vicenza, Italy.
Marcin Grabowski1st Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Łukasz SzumowskiDepartment of Arrhythmia, The Cardinal Stefan Wyszynski National Institute of Cardiology, 04-628 Warsaw, Poland.
Francesco CaprioglioDepartment of Cardiology, San Bortolo Hospital, 36100 Vicenza, Italy.
Maciej SterlińskiDepartment of Arrhythmia, The Cardinal Stefan Wyszynski National Institute of Cardiology, 04-628 Warsaw, Poland.ORCID 0000-0001-5250-3679

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Modern cardiac pacemakers are equipped with a function that allows the heart rate to adapt to the current needs of the patient in situations of increased demand related to exercise and stress ("rate-response" function). This function may be based on a variety of mechanisms, such as a built-in accelerometer responding to increased chest movement or algorithms sensing metabolic demand for oxygen, analysis of intrathoracic impedance, and analysis of the heart rhythm (Q-T interval). The latest technologies in the field of rate-response functionality relate to the use of an accelerometer in leadless endocavitary pacemakers; in these devices, the accelerometer enables mapping of the mechanical wave of the heart's work cycle, enabling the pacemaker to correctly sense native impulses and stimulate the ventricles in synchrony with the cycles of atria and heart valves. Another modern system for synchronizing pacing rate with the patient's real-time needs requires a closed-loop system that continuously monitors changes in the dynamics of heart contractions. This article discusses the technical details of various solutions for detecting and responding to situations related to increased oxygen demand (e.g., exercise or stress) in implantable pacemakers, and reviews the results of clinical trials regarding the use of these algorithms.

Indexed as

Pacemaker, ArtificialHeart AtriaHeart RateHeart VentriclesHumansOxygenOxygencardiac pacemakerschronotropic incompetencephysical capacityphysical exerciserate response

Identifiers

PMID36772467
PMCPMC9920425

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.