版權(quán)說明:本文檔由用戶提供并上傳,收益歸屬內(nèi)容提供方,若內(nèi)容存在侵權(quán),請(qǐng)進(jìn)行舉報(bào)或認(rèn)領(lǐng)
文檔簡介
1、Interactive Stored IEGMSJM internal use ONLY ECG and Stored IEGM WorkshopCross ChannelDual ChannelSJM internal use ONLY Dual ChannelCross ChannelSJM internal use ONLY EGM 1How would you analyze EGM? mendations?SJM internal use ONLY EGM 2How would you analyze EGM? mendations?SJM internal use ONLY EGM
2、 3 How would you analyze EGM? mendations?SJM internal use ONLY EGM 4How would you analyze EGM? mendations?SJM internal use ONLY EGM 5How would you analyze EGM? mendations?SJM internal use ONLY EGM 6How would you analyze EGM? mendations?SJM internal use ONLY EGM 7How would you analyze EGM? mendations
3、?SJM internal use ONLY EGM 8How would you analyze EGM? mendations?SJM internal use ONLY EGM 9How would you analyze EGM? mendations?SJM internal use ONLY EGM 10How would you analyze EGM? mendations?SJM internal use ONLY EGM 11How would you analyze EGM? mendations?SJM internal use ONLY EGM 12How would
4、 you analyze EGM? mendations?SJM internal use ONLY EGM 13How would you analyze EGM? mendations?SJM internal use ONLY EGM 14How would you analyze EGM? mendations?SJM internal use ONLY EGM 15How would you analyze EGM? mendations?Case StudySJM internal use ONLY Post-op Check- Initial InterrogationSJM i
5、nternal use ONLY Freeze Capture 2SJM internal use ONLY Freeze Capture 3SJM internal use ONLY Patient DataSJM internal use ONLY Auto P Wave MeasurementSJM internal use ONLY Auto R Wave MeasurementSJM internal use ONLY A Sense Test Real TimeSJM internal use ONLY A Capture TestSJM internal use ONLY A C
6、apture Scroll BackSJM internal use ONLY V Capture TestSJM internal use ONLY Final SettingsSJM internal use ONLY What Is Your Analysis?A lead dislodgement in to the VentricleNo Auto P/R Wave Measurement EGM recording due to NOT utilizing the Automatic Implant Date featurePatient scheduled for A-lead
7、repositioningSJM internal use ONLY Initial InterrogationSJM internal use ONLY A Sense TestSJM internal use ONLY V Sense TestSJM internal use ONLY A Capture TestSJM internal use ONLY V Capture TestSJM internal use ONLY Stored EGM 1SJM internal use ONLY Stored EGM 2SJM internal use ONLY SJM internal u
8、se ONLY Final Analysis of Case StudyAutomatic features are only as good as the reps that utilize the proper proceduresAuto Implant DateInput lead informationAlways perform a post-op checkBe thorough in troubleshooting techniquesSJM internal use ONLY NO MORE EGMSSJM internal use ONLY EGM AnswersPVC;
9、Junctional or Idioventricular rhythm (cannot tell without surface ECG) that begins on the second event. How often does this happen, any patient symptoms? Treat arrhythmia. Notice on the 3rd event, the PVC occurs during the crosstalk detection window and the device safety paces.AMS entry trigger: App
10、ropriate AMS entry. Patients intrinsic ventricular response is appropriate. Not all atrial events prior to the AMS trigger are sensed likely due to falling in PVAB.High V-rate: This is a single chamber device. The patient is probably in AF w/ RVR and not VT-notice V-V cycle lengthSJM internal use ON
11、LY EGM AnswersFreeze during follow up; Lots of stuff going on but the bottom line is, Loss of A-capture! The patients intrinsic ventricular event happens to fall after a non-capture AP event except for events 3 and 7. Underlying rhythm is junctional in origin. Assess A-capture thresholds and over pr
12、ogram safety margins.PVC; on second event, device A-paces but a PVC occurs prior to the AVD timing out. There is about a 6 beat run of a ventricular rhythm. Must compare morphology of QRS to determine if junctional or ventricular in origin but most likely to be ventricular.High V Rate; Patient goes
13、in to a PAT. The patient seems to have varying degrees of 1st AVB.SJM internal use ONLY EGM AnswersMagnet Placement; Pt in AF; how often does this occur? any symptoms? Patient on appropriate medical therapyNot listed but probably High V-rate; Noise on V-lead; What was the patient doing? Attempt prov
14、ocative measure to recreate noise, check impedances during manipulation. How often did you get this EGM? Reprogram to Uni if necessary. Replace lead if impedances are out of range. Have patient stay away from source if caused by EMI.AMS entry due noise on A lead leading to inappropriate AMS; find ca
15、use of noise!SJM internal use ONLY EGM AnswersFreeze capture; Is this QRS or T-wave oversensing? QRS oversensing but event is in VREF. How do we know it is Ventricular oversensing vs. Atrial oversensing? Check out the tick marks. Not much to worry about since the event occurs in the refractory perio
16、d but we may consider decreasing V-sensitivityPVC; 4th and 6th beats are PVC with the same morphology. The interceding event (5th beat) is a normally conducted V-event maybe evoked by a retrograde P-wave although, the P-wave may be an antegrade P-wave and the patient has a high grade 1st AVB. After
17、the second PVC, the patient again has that same A/V intrinsic event but the conducted R wave occurs coincidentally in the crosstalk detection window. Check out how often this occurs. Not much to reprogramSJM internal use ONLY EGM AnswersAMS episode but Retrograde conduction is occurring. Once we exit AM
溫馨提示
- 1. 本站所有資源如無特殊說明,都需要本地電腦安裝OFFICE2007和PDF閱讀器。圖紙軟件為CAD,CAXA,PROE,UG,SolidWorks等.壓縮文件請(qǐng)下載最新的WinRAR軟件解壓。
- 2. 本站的文檔不包含任何第三方提供的附件圖紙等,如果需要附件,請(qǐng)聯(lián)系上傳者。文件的所有權(quán)益歸上傳用戶所有。
- 3. 本站RAR壓縮包中若帶圖紙,網(wǎng)頁內(nèi)容里面會(huì)有圖紙預(yù)覽,若沒有圖紙預(yù)覽就沒有圖紙。
- 4. 未經(jīng)權(quán)益所有人同意不得將文件中的內(nèi)容挪作商業(yè)或盈利用途。
- 5. 人人文庫網(wǎng)僅提供信息存儲(chǔ)空間,僅對(duì)用戶上傳內(nèi)容的表現(xiàn)方式做保護(hù)處理,對(duì)用戶上傳分享的文檔內(nèi)容本身不做任何修改或編輯,并不能對(duì)任何下載內(nèi)容負(fù)責(zé)。
- 6. 下載文件中如有侵權(quán)或不適當(dāng)內(nèi)容,請(qǐng)與我們聯(lián)系,我們立即糾正。
- 7. 本站不保證下載資源的準(zhǔn)確性、安全性和完整性, 同時(shí)也不承擔(dān)用戶因使用這些下載資源對(duì)自己和他人造成任何形式的傷害或損失。
最新文檔
- 貢獻(xiàn)率與拉動(dòng)增長率
- 新蘇教版三年級(jí)上冊(cè)數(shù)學(xué)教案
- 領(lǐng)導(dǎo)學(xué)邱霈恩考試重點(diǎn)
- 蘇教版二年級(jí)數(shù)學(xué)上冊(cè)《第六單元》單元教案
- 《汽車發(fā)動(dòng)機(jī)構(gòu)造與維修》 課件 項(xiàng)目四 任務(wù)1 潤滑系的認(rèn)識(shí)
- 《團(tuán)結(jié)的力量》合作精神教案
- 《開國大典》國家慶典教案
- 初中+語文++第13課《湖心亭看雪》課件+統(tǒng)編版語文九年級(jí)上冊(cè)
- 人教版初中八年級(jí)語文上冊(cè)學(xué)案 全冊(cè)
- 粵教版小學(xué)四年級(jí)上冊(cè)品德與社會(huì)教案 全冊(cè)
- 人工肝治療指南
- 水運(yùn)碼頭泊位質(zhì)量檢測交工檢測報(bào)告模板
- 小學(xué)語文人教五年級(jí)上冊(cè)(統(tǒng)編)第四單元-詩中離別情-群文閱讀教學(xué)設(shè)計(jì)
- 珠算教程(第五版)第二單元珠算基礎(chǔ)知識(shí)
- 生產(chǎn)指揮中心崗位責(zé)任清單
- 藍(lán)色可愛卡通競選班長通用PPT模板
- 周界防范及自動(dòng)跟蹤系統(tǒng)應(yīng)用方案設(shè)計(jì)V1.0(???
- 《第一節(jié) 地球的宇宙環(huán)境》獲獎(jiǎng)?wù)f課課件ppt
- 中國郵政儲(chǔ)蓄銀行財(cái)務(wù)核算基礎(chǔ)規(guī)范試行
- 新版神經(jīng)系統(tǒng)疾病的病史采集和體格檢查ppt
- 大班音樂《捏面人》原版動(dòng)態(tài)PPT課件
評(píng)論
0/150
提交評(píng)論