Chronotropic incompetence (CI) is generally defined as the inability to increase the heart rate (HR) adequately during exercise to match cardiac output to metabolic demands.
The Cardio rhythm specialist advice of chronotropic incompetence is based on symptoms of fatigue, tiredness, decreased exercise capacity and lightheadedness. If you have these symptoms and have no other reasons for these symptoms, you may benefit from the pacemaker implantation.
Chronotropic intolerance (CI) is defined by a range of different criteria, including; failure to achieve age-predicted maximal heart rate, delays in achieving age-predicted maximal heart rate, inadequate heart rates at submaximal workloads, slowed post-exertion recovery heart rate
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