起搏器常见故障与处理..pptVIP

* CorePace Module 4: Troubleshooting If atrial undersensing is occurring, ventricular safety pacing may be implemented. For example, if a P-wave is unsensed, the scheduled atrial pace is delivered shortly after the unsensed P-wave. The scheduled atrial pace initiates a PAV of which the first 110 msec is the ventricular safety pacing window. * CorePace Module 4: Troubleshooting Rate-adaptive AV delay is designed to mimic the intrinsic response to increasing heart rate. In a normal heart, PR intervals decrease as the heart rate increases. Conversely, as the heart rate decreases, PR intervals increase. The rate-adaptive AV delay can be programmed to mimic the normal physiologic response of the PR interval to increasing heart rates. * CorePace Module 4: Troubleshooting A pacemaker cannot distinguish a PVC from any other ventricular event. PVC response designates a PVC as a ventricular sensed event following a ventricular event with no intervening atrial event. When a PVC is detected, and PVC response is programmed on, the PVARP is extended in order to avoid sensing the retrograde P-wave that could occur as a result of the PVC. A pacemaker defined PVC will initiate a V-A interval. This extended PVARP (if PVC response is on) and subsequent resetting of the timing interval may appear anomalous on an ECG. * CorePace Module 4: Troubleshooting The Elective replacement indicator (ERI) is designed to alert the clinician at least three months before the battery voltage drops to a level at which noncapture or inconsistent pacing would result. The end of life (EOL) indication is designed to give the patient and physician adequate time to replace the device. Battery depletion may necessitate a mode switch prior to battery failure. For example, the mode may be switched from DDD to VVI or from DOO to VOO. * CorePace Module 4: Troubleshooting * CorePace Module 4: Troubleshooting Atrial fibrillation, atrial flutter, etc. can quickly drive the paced ventricular rate to the