起搏器基础理论导线单极双极欧姆定律起搏与感知.pptVIP

Atrium Ventricle 这是什么心律?___________ 室性心动过速 起搏器心房心室通道共同看到的节律，腔内图 心房腔内图 心室腔内图 我们要把导线放置到合适的位置： 让起搏器能够“眼疾手快” 谢谢！ * * Field Training I: Fundamentals Topic 1.8.0 Assessing Capture Thresholds 1.8.* To capture the myocardial tissue there must be a sufficient amplitude and pulse width. Field Training I: Fundamentals Topic 1.8.0 Assessing Capture Thresholds 1.8.* Stimulation thresholds will determine the amount of energy needed to pace and capture the heart tissue. If the threshold is too high it will require large amounts of energy to pace the heart – this may result in an inadequate safety margin or premature depletion of the pacemaker battery. The target threshold value is to obtain: an atrial threshold of 1.5V a ventricular threshold of 1.0V. Field Training I: Fundamentals Topic 1.8.0 Assessing Capture Thresholds 1.8.* Ventricular thresholds can be performed by overdrive pacing the ventricle in the VVI mode. The ventricle was paced at a rate of 90 ppm. The underlying rhythm was at a rate of 50 bpm. You can also assess if the patient has 1:1 V-A (Retrograde) conduction. This tracing shows a capture threshold of 3.0 volts and 1:1 V-A conduction of 200 ms. Slide has click-through animation First V Pace demonstrates capture – Blue Circle around “VP” Second V Pace demonstrates capture and voltage decrement to 0.3V – Blue Circle around “VP 0.3” Third V Pace demonstrates capture – Blue Circle around “VP” Fourth V Pace demonstrates capture – Blue Circle around “VP” Fifth V Pace demonstrates capture – Blue Circle around “VP” Sixth V Pace demonstrates capture – Blue Circle around “VP” Seventh V Pace demonstrates loss of capture – Red Oval Inside the Red oval “L.O.C.” in Red Arrow from “L.O.C.” to “0.2V” indicating the voltage where capture was lost “Capture Threshold” appears beneath “VP 0.3V” indicating the last voltage where capture was maintained. Field Training I: Fundamentals Topic 1.8.0 Assessing Capture Thresholds 1.8.* Loss of capture at “10” The capture t