起搏器基本功能医学培训课件.ppt

If an atrial pace falls within the atriums relative refractory period, an atrial tachycardia may be induced. This can happen if a P wave falls during the PVARP (which will not inhibit the scheduled atrial pace) and then the scheduled atrial pace occurs shortly after the refractory sensed P wave and induces an atrial arrhythmia. 14 120-90在平缓下降 模式转换时间为6-10秒 * 平均转换时间3.4s。 Search AV+最大偏移值250ms。PVAB过长心房没有感知。 前传支：起搏器介导；逆传支：自身房室结。 前传支：起搏器介导；逆传支：自身房室结。 “PVC后反应”是防止感知到室早后逆传P波的一个方法。 美敦力起搏器对室早进行了如下定义：连续两个心室事件，其间没有心房事件，则第二个心室事件就被定义为室早。, 室早后反应功能打开后，起搏器定义的室早将开启一个长度为400ms的延长的PVARP。如果程控的PVARP小于400ms，延长的PVARP就会使逆传的P波落在不应期中，从而无法触发SAV。美敦力起搏器的室早后反应功能是可程控的，并且默认为打开。 如果触发了PMT，PMT 干预功能可以终止PMT的折返环 。该功能打开后，起搏器将持续监测连续8个符合下列条件的VA间期： 间期小于400毫秒 心室起搏事件触发 心房感知事件结束 如果打开了PMT干预功能，并且满足上述所有条件，在第9个心房起搏事件后PVARP将延长至400ms。起搏器通过延长PVARP来打断循环从而终止PMT。（进行一次干预后，PMT干预功能在下一次监测前将在基础值上自动延长90ms。 [O] Display PMT Intervention Programming. [I] Walk through the programming steps PROGRAMMING Programmable parameters : On/Off Interactions with other features The PMT Intervention feature interacts with other pacemaker features in the following ways: ■ Non-Competitive Atrial Pacing (NCAP) is automatically enabled for one cycle after the ninth ventricular pace of a pacemaker-defined PMT episode. The NCAP feature may shorten the ensuing PAV to maintain a stable ventricular rate. ■ If Mode Switch is “On”, PMT Intervention is temporarily disabled if the pacemaker switches to the non-atrial tracking mode. It is re-enabled upon return to the atrial tracking mode. Note: NCAP will be enabled after a PMT Intervention even if it is programmed “Off” in the device (PAV can be as small as 30 ms). Automatic therapy suspension After therapy intervention, PMT Intervention is automatically suspended for 90 seconds. This prevents unnecessary intervention in the presence of fast intrinsic atrial rates. [O] Display PMT Intervention Programming. [I] Walk through the programming steps PROGRAMMING Programmable parameters : On/Off