Evia巅峰之作课件.pptVIP

* * Headline * … Source: … Document Identifier * Headline * … Source: … Document Identifier  Evia 巅峰之作 南京大学医学院附属鼓楼医院 徐伟 长寿命 集最先进起搏器功能于一体 先进的患者管理 Evia 高端技术结晶 全新的技术平台 全新的技术平台，采用与ICD相同的技术平台 Lhigh-end technology High-endtechnology High-end technology 高效的整合电路 Cylos Evia 重新设计的电子部件，生成更高效的整合电路 设备的一些功能特性，如闭环刺激，整合到硬件当中 减少了33%的电子元件，导致： 更低的故障率 体积明显缩小 The world’s smallest wireless remote monitoring pacemaker system. Lhigh-end technology High-endtechnology High-end technology 长寿命 A V pacing amplitude Longevity Evia DR-T calculated for different pacing amplitudes* 1.5 V 13.9 years 2.5 V 11.5 years 3.0 V 9.8 years 采用先进的电路和电池技术，降低了自身功耗 心房+心室夺获控制，双腔频率应答+家庭监护 13年 * Pacing 100 % at 0.4 ms, 60 ppm, 1000 Ω and Home Monitoring and IEGM ON Longevity Longevity Longevity Even routine device replacements pose significant risks to patients. REPLACE Registry showed a 10.8% complication rate with replacement-only procedures Increased device longevity could mean fewer device-related procedures for the patient 1 Gleva MJ, et. al. Complication Rates Associated with Pacemaker and Implantable Defibrillator Generator Replacement: Results from the REPLACE Registry. Presented at Heart Rhythm Society Scientific Sessions 2009. Heart Journal. 2009;6(5 Suppl):A9-A19. 1 Longevity Longevity Longevity 长寿命的临床益处 长寿命 集最先进起搏器功能于一体 先进的患者管理 Evia 高端技术结晶 Therapy Therapy Therapy Closed Loop Stimulation - CLS 闭环刺激 Therapy Therapy Therapy 传统的频率调节只在体力活动时有效 实际上传统算法在一些情况下是无效的，包括增加外周充盈时的新陈代谢的需求 因此，起搏调节需要一个天然机制的 自动控制系统 … 生理性频率调节 Therapy Therapy Therapy Moderate changes between reference curve and load curve result in a moderate increase in heart rate Large changes between reference curve and load curve result in heart rate adaptation up to the maximum CLS rate Slight changes between reference curve and load curve result in a minimum change in rate adaptation 生理性频率调节 Therapy Therapy Therapy CLS