Abstract

A completely on-line cardiac pacemaker surveillance system has been developed operating on an 8K PDP-12 minicomputer with disk. Personnel with no computer experience can supervise the automatic collection and analysis of pacer function data during patient clinic visits. Parameters analyzed include waveform analysis and adequacy of rate, sensing, and stimulus relative to the patient's spontaneously generated electrocardiogram. All data for a given pacemaker are stored for instant recall, and a comparative function report is generated immediately to aid staff evaluation of patients. The system is rapid, has added accuracy to pacemaker evaluation, and both facilitates and improves patient care. It is applicable to settings where sophisticated electronic equipment and large computer installations are not available, and could augment development of regional pacemaker data networks. Capabilities for full on-line analysis of telephonically transmitted pacer waveforms and electrocardiograms are currently being implemented.

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