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  1. 060 工学部
  2. 10 学術雑誌論文
  3. 10 査読済論文
  1. 0 資料タイプ別
  2. 01 学術雑誌論文

心房心室同期デマンドペースメーカのR波検出に関する研究

http://hdl.handle.net/10191/25899
http://hdl.handle.net/10191/25899
c4664576-8cbe-4abf-b946-62fff229a552
名前 / ファイル ライセンス アクション
16_1_19-26.pdf 16_1_19-26.pdf (762.0 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2014-02-28
タイトル
タイトル 心房心室同期デマンドペースメーカのR波検出に関する研究
タイトル
言語 en
タイトル 心房心室同期デマンドペースメーカのR波検出に関する研究
言語
言語 jpn
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
その他のタイトル
その他のタイトル R-wave Sensing Problem and its Solution in A-V Sequential Demand Pacemaker
著者 斉藤, 義明

× 斉藤, 義明

WEKO 38867

斉藤, 義明

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牧野, 秀夫

× 牧野, 秀夫

WEKO 38868

牧野, 秀夫

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竹内, 誼

× 竹内, 誼

WEKO 38869

竹内, 誼

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江口, 昭治

× 江口, 昭治

WEKO 38870

江口, 昭治

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著者別名
識別子 38871
識別子Scheme WEKO
姓名 Saitoh, Yoshiaki
著者別名
識別子 38872
識別子Scheme WEKO
姓名 Makino, Hideo
著者別名
識別子 38873
識別子Scheme WEKO
姓名 Takeuchi, Yoshimi
著者別名
識別子 38874
識別子Scheme WEKO
姓名 Eguchi, Shoji
抄録
内容記述タイプ Abstract
内容記述 Ventricular pacing has recently become widely popular along with notable improvements made in the engineering aspects, and its application has gradually widened. In our experiments, permanent and temporary pacings have been used respectively on the patients suffering from complete A-V block and on those in postoperative slate with satisfactory results. However, in some patients, who had been in far advanced cardiac dysfunction, ventricular pacing itself has been found inadequate to improve deteriorated postoperative cardiac functions, although it has proved sufficient to control arrhythmias. The reason is based on the negation of atrial contraction which is known to boost cardiac function up to 20 to 30 per cent when it is synchronized with ventricular contraction. Subsequently, we have developed a new A-V sequential demand pacemaker to apply temporarily to patients immediately after open heart surgery and confirmed its electrical safety and reliability along with satisfactory hemodynamic response. In this paper, we report the results obtained from this device, putting special emphasis on its R-wave sensibility. To make clinical application easier, unipolar stimulation was used on the atrium and the ventricle. However, the problem which related to unipolar stimulation was the interference against ventricular demand mechanism by the atrial stimulation, resulting in malfunction of the demand system. After investigating the property of this interfering wave in detail, we found that the cause was in the indifferent electrode. Two methods of sensing R-wave are introduced. One employs a simulator which cancels the interfering wave for the ventricular electric potential, the other employs the direct current feedback circuit and two indifferent electrodes for the atrial stimulation and R-wave sensing. These methods have been proved to work perfectly with the ECG.
書誌情報 医用電子と生体工学
en : 医用電子と生体工学

巻 16, 号 1, p. 19-26, 発行日 1978-12
出版者
出版者 日本生体医工学会
ISSN
収録物識別子タイプ ISSN
収録物識別子 00213292
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AN00016981
著者版フラグ
値 publisher
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