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pacemaker 1. <apparatus, physiology> An object or substance that influences the rate at which a certain phenomenon occurs, often used alone to indicate the natural cardiac pacemaker or an artificial cardiac pacemaker.
2. <biochemistry> A substance whose rate of reaction sets the pace for a series of interrelated reactions.
(24 Mar 1998)
pacemaker, artificial A device designed to stimulate, by electric impulses, contraction of the heart muscles. It may be temporary (external) or permanent (internal or internal-external).
(12 Dec 1998)
pacemaker failure Failure of an artificial pacemaker to generate or deliver effective stimuli to the myocardium.
(05 Mar 2000)
pacemaker output Electrical energy delivered into a standard load (500 ohms resistance).
(05 Mar 2000)
pacemaker potential The voltage inscribed by impulses from an artificial electronic pacemaker.
(05 Mar 2000)
pacemaker sensitivity The minimum cardiac activity required to consistently trigger a pulse generator.
(05 Mar 2000)
pacemaker syndrome <syndrome> The occurrence of symptoms relating to the loss of atrial-ventricular synchrony in ventricularly paced patients, or symptoms caused by inadequate timing of atrial and ventricular contractions in paced patients.
(05 Mar 2000)
refractory period of electronic pacemaker The time required to restore full sensitivity after detecting cardiac activity or delivering a pacing impulse.
(05 Mar 2000)
pervenous pacemaker An artificial pacemaker passed through the venous circulation into the right side of the heart.
(05 Mar 2000)
runaway pacemaker Rapid heart rates over 140/min caused by electronic circuit instability in an implanted pulse generator.
(05 Mar 2000)
wandering pacemaker A disturbance of the normal cardiac rhythm in which the site of the controlling pacemaker shifts from beat to beat, usually between the sinus and A-V nodes, often with gradual sequential changes in P waves between upright and inverted in a given ECG lead.
Synonym: shifting pacemaker.
(05 Mar 2000)
shifting pacemaker A disturbance of the normal cardiac rhythm in which the site of the controlling pacemaker shifts from beat to beat, usually between the sinus and A-V nodes, often with gradual sequential changes in P waves between upright and inverted in a given ECG lead.
Synonym: shifting pacemaker.
(05 Mar 2000)
subsidiary atrial pacemaker Secondary source for rhythmic control of the heart, available for controlling cardiac activity if the sinoatrial pacemaker fails; located within the crista terminalis and atrial free wall near the inferior vena cava.
(05 Mar 2000)
nuclear pacemaker A nuclear-powered unit used to generate the electrical current for artificially pacing the heart; replaced by units using long-life nickel-cadmium and other power sources.
(05 Mar 2000)
demand pacemaker A form of artificial pacemaker usually implanted into cardiac tissue because its output of electrical stimuli can be inhibited by endogenous cardiac electrical activity.
(05 Mar 2000)
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