起搏患者的AT AF管理课件.ppt

Note: AT Intervention therapies are programmed from the Arrhythmia Intervention window available via the Parameters screen. All are nominally Off. Atrial Preference Pacing (APP) promotes a consistent activation sequence to address relative bradycardia and suppress the ectopic beats that can trigger atrial tachyarrhythmias. When APP is programmed On, the device adjusts the pacing escape interval to provide continuous atrial pacing slightly higher than the patient’s intrinsic rate. The device: Decreases the pacing escape interval (increases rate) by the programmed decrement (30 to 150 ms, 50 ms nominal) after each non-refractory atrial sense Sustains the higher APP rate for the programmed number of search beats (5 to 50, 10 nominal) Increases the pacing escape interval (slows rate) by 20 ms after the programmed number of search beats is delivered Atrial Rate Stabilization (ARS) eliminates long atrial pauses and smoothes the atrial rate after a premature atrial contraction (PAC). When ARS is programmed On, each sensed atrial event starts an ARS escape interval equal to the last A-A interval plus a programmed percentage. At the end of the ARS interval the device delivers an atrial pace and recalculates the ARS interval using the current interval. The ARS rate is limited by the programmed minimum pacing interval. ARS stabilizes the atrial rate after a PAC and gradually slows it to the intrinsic, lower, or sensor-indicated rate. It prevents the short-long-short atrial activation sequences that often precede arrhythmia onset. Programmable ARS parameters: ARS increment (%) = 12.5, 25 (nominal), or 50% Minimum pacing interval = 400 to 700 in 10 ms steps (500 nominal) PVARP is not programmable Post-Mode Switch Overdrive Pacing (PMOP) provides high rate atrial pacing after a Mode Switch episode. When Mode Switch and PMOP are programmed On and an atrial arrhythmia ends, the device: Decreases each pacing interval by 70 ms until it reaches the programmed