更新CRT-D产品专题课件.ppt

December 2002 Medtronic, Inc. * 1、无法完成节律和稳定性检测。 2、可完成稳定性测试，以VVIR模式进行测试。 In the first case, the patients rate will not pass the rhythm and stability check and the system will reschedule the check for 30 minutes later and recheck. This will keep occurring around the clock until the patient passes the rhythm and stability check. Note: the system will not count a missed test as an abort (4 aborts and stop for day) until it passes the rhythm and stability checks. In the second case the patient will pass the rhythm and stability check and the system will run normally until it gets past the LVpace – RVsense test, then it will skip the Apace – RVsense test and go right to the threshold measurement because it is in a non-tracking mode. December 2002 Medtronic, Inc. * 测试将正常运作，如果通过测试前（DDD/DDDR)稳定性测试及LV-RS的测量，系统将执行AP-RS测试，PAV+80ms后如无RV感知，则确定无RV 下传,可以非跟踪模式测试。 The test will run normally, if a patient passes the rhythm and stability check and the LVpace to RVsense test (and the patient is in a tracking mode) then the system will perform the Apace – RVsense test at an AV delay of PAV + 80 msec and when that times out the system will pace and because there was no RV sense due to the atrial pace it will pass the 80 msec comparison and will then move on to taking the threshold. December 2002 Medtronic, Inc. * The primary objective for the study was LVCM accuracy. 307 paired LV threshold tests were available from 83 patients. The manual LV threshold and LVCM threshold were within one programmable voltage step in 306 of the 307 paired tests, with an exact match in 80% of the cases. The LVCM threshold was 2 voltage steps higher than the manual threshold result in one case (2V versus 1V). December 2002 Medtronic, Inc. * Most patients (~87%) had thresholds successfully determined within a few days prior to their follow-up visit Almost 96% had thresholds successfully determined within 3 weeks prior to their follow-up visit Key takeaway: The vast majority of patients will be abl