Physiologic Pacemaking Helps to Rehabilitate Stroke Patients with Chronotropic Incompetence and Orthostatic Hypotension

摘要

Case 1: A 65-year-old man implanted with a VVI-R pacemaker for AF and suffered from a cerebral embolism. Case 2: A 79-year-old woman suffered from a cerebral embolism and implanted with a DDD-R pacemaker for SSS. Both patients had flaccid hemiplegia, severe disuse syndrome and cardiovascular deconditioning with chronotropic incompetence and orthostatic hypotension, which arrested their rehabilitation. We utilized rate-responsive mode of the pacemakers and periodically programmed the parameters in variables to meet metabolic demand during rehabilitation exercise and finally to improve ADL. Physiologic pacing functions are briefly stated for the readers in general remarks,.