Troubleshooting - Focused troubleshooting - ICD troubleshooting
7 important questions on Troubleshooting - Focused troubleshooting - ICD troubleshooting
Wat te doen tegen T wave oversensing
SJM heeft een decay delay en een drempelstart ook hebben ze speciale filters tegen T wave oversensing
Morfologie On zetten en SVT-VT discriminator om andere EGM's te classificeren als sinusritme en daardoor therapie tegenhoudt.
MDT geeft de mogelijkheid om te sensen tussen true bipolair or integrated bipolair(als het kan met de lead) dan zou je de twave met integrated bipolar eruit kunnen filteren. Zeker als de R waves bij true bipolair kleiner zijn dan bij integrated bipolar.
MDT Protecta heeft een algoritme om T waves te herkennen
Waardoor ontstaat meestal dubbel counting van de R wave in ICD´s
Meestal is het geen groot probleem, men zou de blanking periode kunnen aanpassen, sensitivity voorzichtig mee zijn ivm undersensing van VF
Wat is het beste om SVT van Vt te onderscheiden in een 1 kamer ICD
De FF coilcan EGM bij MDT, BSX en SJM hebben de coil negatief en de can positief. Bij conducted SVT is het FF EGM bijna altijd positief, VT negatief. Maar als het negatief is wilt niet zeggen dat het geen SVT is. Post shock wordt morfologie niet gebruikt omdat er leadpolarisatie kan ontstaan en dus ook het signaal kan veranderen.
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Het verschil tussen near ield eb far field EGM voor wat betreft SVT/VT
Wat zie je bij ICD implantatie als de High voltage connectors zijn verwisseld.
Verschillende diagnoses van lead fracture
EGM Noise - impedantie hoog- fracture, connector probleem
EGM normaal -impedantie hoog - fracture, connector probleem, niets aan de hand.
Wat doet het LV protection window bij BSX
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