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Abstract
Most of the pacemakers implanted in paediatrics have been developed for adults. Reduction of the physical dimensions has been the paediatric issue for years. Recent flexible microprocessor-based pacemaker technology permits the development of dedicated algorithms for small patient populations. In order to verify whether the existing adult mode switching (MS) pacemaker algorithm was capable of discriminating between physiological and pathological heart rates in children, an evaluation of the speed of change of sinus rhythm in children during exercise was performed. The maximum heart rate achieved was recorded as well.
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