@article{oai:niigata-u.repo.nii.ac.jp:00020204, author = {桜井, 淑史}, issue = {4}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Apr}, note = {Since the first implantable pacemaker (self-contained) was clinically used in U. S. A. in 1960, 31 years have passed, 29 years in Japan, and 26 years as far as my own clinical experience is concerned. During the course of history, pacemaker technology has advanced starting from VOO mode to VVI, AAI, VAT, VDD, DVI, DDI, DDD, VVIR, AAIR, DDDR(including DVIR, DDIR) mode in 1988. Over the past 26 years, many advancements and improvements have been made with the pacemaker. Pacemakers in the past were too large and heavy for Japanese patients. However, the size has been remarkably reduced and the smallest one has the size of a 500 yen coin. On the other hand, battery longevity for dual-chamber pacing and rate-responsive pacing seems to have decreased. The pacemaker system now has various additional functions such as telemetry, communication, and holter. These functions are very useful for the analysis of dual-chamber pacing and rate-responsive pacing. Physiologic pacing can be achieved through maintaining A-V synchrony and increasing the pacing rate. Rate-responsive pacing (AAIR, DDIR, DVIR, and DDDR) is designed to increase pacing rate with a dedicated sensor.}, pages = {311--316}, title = {3)ペースメーカー治療の進歩(シンポジウム 不整脈をめぐる諸問題, 第475回新潟医学会)}, volume = {107}, year = {1993} }