自动模式转换专题课件.ppt

* * Trilogy forward * * Identity forward * * Stored EGM Directory with AMS Exit and Entry egm’s. * Next tab under Episodes demonstrates the EGM log of all triggered events. Only 4 EGM’s will be available for viewing but the log will tally all triggered events * True A-tach. Must always look at ALL EGM’s!! Don’t assume all are the same. * * * Trilogy - Idnetity * * 95% at Base rate; very little sensed events * Looks like Base Rate and AMS Base Rate pacing only! NO sensed activity * Lots of sensed behavior in the upper rates. There are probably AF episodes that did not meet AMS criteria therefore aren’t logged * * AS可能为逆传 * High V-rate; Pt in AF with fast V-response that meets High V-rate criteria; Is this new? How did the patient feel? How often does this happen. Needs medication for rate control and anticoagulation or ablation. * SJM internal use ONLY AMS直方图中的心室频率 Victory和Zephyr起搏器中新的直方图 当起搏器发生AMS时的起搏和感知心室频率 频率对时间的直方图 打开或关闭AMS将清除直方图 SJM internal use ONLY 描述AMS时的心室频率－发生了什么起搏行为？ SJM internal use ONLY 描述AMS时的心室频率－发生了什么起搏行为？ SJM internal use ONLY 描述AMS时的心室频率－发生了什么起搏行为？ SJM internal use ONLY 起搏器特定的诊断 AMS 直方图 AMS日志 AMS的SEGM AMS时的 心室率直方图 Zephyr X X X X Victory X X X X Identity ADx X X X Identity X X X Integrity X Affinity X SJM internal use ONLY 总结 自动模式转换 FARI不可程控，并一直在后台计算 当FARI比ATDR间期短时，起搏器AMS启动 当FARI比MTR或MSR间期长时，起搏器AMS终止 AMS EGM Workshop 请复习下列EGM 确定AMS发作是恰当还是不恰当，如果不恰当，为什么？ SJM internal use ONLY AMS EGM #1 回答: _____________________________________ SJM internal use ONLY AMS EGM #2 回答: _____________________________________ SJM internal use ONLY AMS EGM #3 回答: _____________________________________ SJM internal use ONLY AMS EGM #4 回答: _____________________________________ SJM internal use ONLY AMS EGM #5 回答: _____________________________________ SJM internal use ONLY AMS EGM #6 回答: _____________________________________ SJM internal use ONLY AMS EGM #7 回答: _____________________________________ * * * * * * AS, AP, Refractory AS followin