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. 2020 May 15;16(5):817–820. doi: 10.5664/jcsm.8328

Table 1.

Automated features of the phrenic nerve pacemaker.

Automated Sensor Feature Condition (Based on Programmed Thresholds) Required for Therapy Delivery Used for Stimulation Amplitude Modulation
Pitch Recumbent X X
Activity Inactive X X
Time of day Time within typical sleep window X X
Lead impedance Impedance within an acceptable range X
Respiration Transthoracic impedance measurements within a preset range X
Body position Position tracked within quadrant angles (supine, left, right, prone) X
Week number Stimulation amplitude increased over several weeks allows for acclimatization X

Once required conditions are met, the device automatically increases or decreases stimulation current levels based on information about respiration, body pitch/position, activity, and/or time on therapy.