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Biomedical subjects

S Furman

Publications and source records attributed to S Furman.

At least 289 records · Page 16Linked to original sources

Transtelephone pacemaker monitoring: five years later.

Six hundred nineteen patients have been followed by remote monitoring of pacemaker function using ECG and rate or rate alone; 278 of 280 have had battery exhaustion or electronic failure demonstrated. Ten percent of exhausted pacemakers failed prior to the average longevity of the particular model, and 32% (89 of 280) exceeded 36 months' longevity; of these, 13% (37 of 280) lasted more than 40 months and 4.6% (13 of 280) exceeded 50 months. The error rate is 0.7% (2 of 280). With pulse generator longevity increasing, monitoring is done less frequently during the first 2 years, then calls are made weekly after 24 months.

Electrocardiography↗

Pulse duration variation and electrode size as factors in pacemaker longevity.

For the past 4 years, we have used highly efficient Medtronic electrodes (Nos. 6901 and 6907), with small surface areas, for cardiac pacemakers. We have found that chronic thresholds average 1.6 Ma. at a 1 msec. pulse duration, compared to 4.9 Ma. for the conventional Medtronic No. 5816 electrodes. These electrodes have been used in association with Medtronic Models 5961 and 5931, ventricular-inhibited and asynchronous pulse generators in which output current and voltage are fixed and pulse duration is variable. Drain from the generator battery is directly related to impulse duration and is reduced at shorter durations. The strength-duration curve of cardiac stimulation suggests and actual long-term pacing has been achieved at an average of 0.2 to 0.3 msec., rather than the conventional 1.0 msec. Drain from the battery is one fourth that of pacemakers of 1970 and one half that of present day, conventional units. This fact suggests that a realistic average life of the pulse generator is 4 years or more.

Differential Threshold↗

Pacemaker function.

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Electrocardiography↗

Pacemaker longevity.

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Electrodes, Implanted↗