起搏患者的ATAF管理.ppt

Clinical Situation A consistent activation sequence, which initiates from a single site, may suppress ectopic beats that can trigger atrial tachyarrhythmias. Atrial Preference Pacing (APP) maximizes atrial pacing percentage to promote a consistent activation site. When enabled, it can be programmed to provide continuous pacing that slightly exceeds the intrinsic rate whenever the patient is not in an atrial tachyarrhythmia. When APP is programmed On, the device adjusts the pacing escape interval in response to non-refractory atrial senses. 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 Programmable maximum pacing rate This algorithm results in a dynamic, controlled, stair-step increase/decrease in the pacing escape interval at, or near, the intrinsic rate. Note: AT Intervention therapies are programmed from the Arrhythmia Intervention window available via the Parameters screen. All are nominally Off. Clinical Situation A consistent activation sequence, which initiates from a single site, may suppress ectopic beats that can trigger atrial tachyarrhythmias. Atrial Preference Pacing (APP) maximizes atrial pacing percentage to promote a consistent activation site. When enabled, it can be programmed to provide continuous pacing that slightly exceeds the intrinsic rate whenever the patient is not in an atrial tachyarrhythmia. When APP is programmed On, the device adjusts the pacing escape interval in response to non-refractory atrial senses. 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 A