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Heart rate and body temperature sensitive diaphragm pacing

  • Biomedical Engineering
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Abstract

Two ways of rate control for diaphragm pacing are proposed. One is rate control using only the patients' body temperature (method I). The other is rate control by both the patients' heart rate and body temperature (method II). To test the effectiveness of these methods, a diaphragm pacemaker which can be controlled by both heart rate and body temperature has been developed. It was applied to nine mongrel dogs. The pacing rate is controlled by atrial blood temperature (method I) or by both heart rate and temperature (method II). The animal's metabolism was elevated by the administration of a pyrogenic drug. It was found that method I is not suited to rapid changes in metabolism; however, it is useful in extreme metabolic elevation. An animal's metabolism was supported by using method II in all ranges of metabolism. This method proved more effective than method I for rate-responsive diaphragm pacing.

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References

  • Alt, E., Hirgstetter, C., Heinz, M. andTheres, H. (1986) Measurement of right ventricular blood temperature during exercise as a means of rate control in physiological pacemakers.Pace,9, 970–977.

    Google Scholar 

  • Asmussen, E. andHemmingsen, I. (1958) Determination of maximum working capacity at different ages in work with legs or with the arms.Scand. J. Clin. Lab. Invest.,10, 67–71.

    Google Scholar 

  • Astrand, P. O., Guddy, T. E., Saltin, B. andStenberg, J. (1964) Cardiac output during submaximal and maximal work.J. Appl. Physiol.,19, 268–274.

    Google Scholar 

  • Bilgutay, A. M., Bilgutay, I. M., Garamella, J. J., Jensen, N. K., Schmidt, W. R., Lynch, M. F. andKelly, W. D. (1970) Augmented ventilation by synchronous phrenic nerve stimulation.Trans. Am. Soc. Artif. Int. Organs,16, 213–217.

    Google Scholar 

  • Fearnot, N. E., Jolgren, D. L., Tacker, W. A., Nelson, J. P. andGeddes, L. A. (1984) Increasing cardiac rate by measurement of right ventricular temperature.Pace,7, 1240–1245.

    Google Scholar 

  • Glenn, W. W. L., Hogan, J. F. andPhelps, M. L. (1980) Ventilatory support of the quadriplegic patient with respiratory paralysis by diaphragm pacing.Surg. Clin. North America,60, 1055–1078.

    Google Scholar 

  • Hogan, J. F., Koda, H. andGlenn, W. W. L. (1989) Electrical techniques for stimulation of the phrenic nerve to pace the diaphragm: inductive coupling and battery powered total implant in asynchronous and demand modes.Pace,12, 847–853.

    Google Scholar 

  • Hoshimiya, N., Takahashi, M., Handa, Y. andSato, G. (1976) Basic studies on electrophrenic respiration. Part 1—Electrophrenic respirator synchronised with phrenic nerve impulses.Med. & Biol. Eng.,14, 387–394.

    Google Scholar 

  • Judson, J. P. andGlenn, W. W. L. (1968) Radio-frequency electrophrenic respiration.JAMA,203, 1033–1037.

    Article  Google Scholar 

  • Kaneko, S., Jacobs, G., Matsushita, S. andNose, Y. (1985) A new approach to respiratory assist for phrenic nerve paralysis.Trans. Am. Soc. Artif. Int. Organs,31, 301–304.

    Google Scholar 

  • Kimura, M., Sugiura, T., Harada, Y., Hasegawa, T. andYoshimura, K. (1986) Addition to an RF-coupled phrenic nerve stimulator implant to provide outward transmission of body temperature.Med. & Biol. Eng. & Comput.,24, 659–661.

    Article  Google Scholar 

  • Kimura, M., Sugiura, T., Harada, Y., Hasegawa, T. andYoshimura, K. (1987) A heart-rate-responsive diaphragm pacemaker,25, 458–462.

    Article  Google Scholar 

  • Levassort, C. (1964) Action de quelques agents pharmacodynamiques hyperthermisants et hypothermisants sur le metabolisme de base du lapin.J. Physiol. Paris,56, 693–706.

    Google Scholar 

  • Rowell, L. B., Marx, H. J., Bruce, R. A., Conn, R. D. andKusumi, F. (1966) Reduction in cardiac output, central blood volume, and stroke volume with thermal stress in normal men during exercise.J. Clin. Invest.,45, 1801–1816.

    Article  Google Scholar 

  • Saltin, B. andHermansen, L. (1966) Esophageal, rectal, and muscle temperature during exercise.J. Appl. Physiol.,21, 1757–1762.

    Google Scholar 

  • Satoh, I., Hogan, J. F., Glenn, W. W. L. andFujii, Y. (1977) A demand diaphragm pacemaker.Trans. Am. Soc. Artif. Int Organs,23, 456–463.

    Google Scholar 

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Kimura, M., Sugiura, T., Fukui, Y. et al. Heart rate and body temperature sensitive diaphragm pacing. Med. Biol. Eng. Comput. 30, 155–161 (1992). https://doi.org/10.1007/BF02446125

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  • DOI: https://doi.org/10.1007/BF02446125

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