A13-美敦力ICD产品介绍幻灯片.ppt

* The ability of 3 different physician groups to determine whether or not a patient is “wet” using JVD at a physical examination. The red group is GP’s, the orange group is cardiologists, the group farthest to the right is Heart failure physicians. * Although congestion is the main reason for heart failure hospitalizations, the ADHERE Registry data showed that close to 50% of patients have minimal or no weight loss during their hospital stay. December 2002 Medtronic, Inc. * The measurements are made across the thorax from noon until 5pm, during the study, this time period gave the best correlation between measured impedance and patient fluid status. Measurements are enabled after VF detection is enabled for the first time and cannot be reset. Between noon and 5 pm, an impedance is measured every 20 minutes, all of these measurements are averaged together to arrive at one Daily impedance value. By averaging many impedances together to arrive at one Daily value, the effect of respiration and position are minimized on the Daily impedance measurement. Also, by averaging many values together the resolution of the system is approximately 1 ohm. * 从第34天开始当天阻抗和前3天阻抗除以4，每天根据当日阻抗和昨天的参考阻抗值相比较，通过一个常数计算。 测量每日阻抗，与参考阻抗相比较，计算差值。每日差值相加称为液体指数，当液体超过程控的值，机器报警。 December 2002 Medtronic, Inc. * The OptiVol Fluid Trends track intrathoracic fluid and Thoracic impedance changes over time. Fluid status can be monitored for 14 months of rolling trend information, allowing the clinician to better understand how the patient’s fluid status compares with changes in medications, clinical events and outcomes, and overall patient status. December 2002 Medtronic, Inc. * * Note that the alert notification has changed, previously just the last date was shown. Now you will see the entire date range that this fluid accumulation alert has exceeded the physician programmed Threshold. * This slide presentation is intended to be used by physicians and nurses to educate their peers about the MIDHeF