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R D Gold

Publications and source records attributed to R D Gold.

4 recordsLinked to original sources

The NASPE/BPEG generic pacemaker code for antibradyarrhythmia and adaptive-rate pacing and antitachyarrhythmia devices.

A new generic pacemaker code, derived from and compatible with the Revised ICHD Code, was proposed jointly by the North American Society of Pacing and Electrophysiology (NASPE) Mode Code Committee and the British Pacing and Electrophysiology Group (BPEG), and has been adopted by the NASPE Board of Trustees. It is abbreviated as the NBG (for "NASPE/BPEG Generic") Code, and was developed to permit extension of the generic-code concept to pacemakers whose escape rate is continuously controlled by monitoring some physiologic variable, rather than determined by fixed escape intervals measured from stimuli or sensed depolarizations, and to antitachyarrhythmia devices including cardioverters and defibrillators. The NASPE/BPEG Code incorporates an "R" in the fourth position to signify rate modulation (adaptive-rate pacing), and one of four letters in the fifth position to indicate the presence of antitachyarrhythmia-pacing capability or of cardioversion or defibrillation functions.

Bradycardia

Report of the NASPE Mode Code Committee.

The NASPE Mode Code Committee was formed in response to the growing need for efficient means of describing the function of increasingly complex single- and dual-chamber cardiac pacemakers. After considering numeric, alphabetic, and pictorial codes, the Committee recommended the adoption of two codes: a generic code which is similar to the Revised ICHD Code and is suitable for conversational use, and a specific code, based on one developed by Brownlee and others, that permits more detailed specification of both antibradycardia and antitachycardia functions. The specific code described in this report was adopted by the NASPE Executive Advisory Committee as the NASPE Specific Code in March, 1983. The generic code was not adopted but is described herein for future reference in the light of experience to be gained in the use of the recently published Revised ICHD Code.

Pacemaker, Artificial

Cardiac pacing--from then to now.

Progress in both the health sciences and engineering sciences has been necessary for the development of the cardiac pacemaker. From the invention of the vacuum tube triode amplifier in 1906 to that of the oscillator just a few years later; from the early electrocardiograph in 1906 and the first stimulation of a dog's heart in 1927 to the application of electricity to the heart of a stillborn infant only 2 years later, engineering and medicine have progressed together to solve problems in pacemakers. The semiconductor transistor emerged in 1948, and in 1950 work was published on the open heart resuscitation of dogs with voltage pulses to the heart, work whose principle was applied soon after in a human patient with complete heart block. The development of the modern pacemaker has run an exciting course, including such phenomena as one engineer helping to design his own pacemaker. In the past 20 years, science has change the package, the power source, pacing mode, electrodes, and leads of pacemakers; it has improved their reliability and longevity, their programming, telemetry, and instrumentation.

Biomedical Engineering