起搏器的程控随访20130913(1).pptVIP

高频事件 心室高频事件（EGM和Marker） 心房高频时的心室率直方图 心房高频事件趋势图 患者临床状况的Cardiac Compass 患者活动度 平均夜间心率 心率变异性 患者活动度 平均夜间心率 心率变异性 对随访医师的要求 熟练掌握起搏器理论 熟练分析起搏心电图 掌握不同品牌、不同种类起搏器基本工作原理 了解不同起搏器的特殊功能 熟悉各种程控仪特点及应用 * * * * All adaptive features turn on automatically either during or after the implant detection period and continue to adapt as needed. The benefits of adaptive features in Kappa 700 will be especially evident at follow-up. Adaptive threshold management will adjust parameters between clinic visits, and can potentially eliminate the need to conduct a ventricular threshold test as well as atrial and ventricular sensing tests in the office. Note: On the programmer screen you will see an adaptive symbol next to parameter values that the pacemaker can automatically change. The adaptive symbol is an up and down arrow. * * * * Oversensing will exhibit pauses in single chamber systems. In dual chamber systems, atrial oversensing may cause fast ventricular pacing without P waves preceding the paced ventricular events. * * Sensing Assurance continuously measures P-waves and R-waves and classifies them as Low, Adequate, or High. A measurement is considered “Adequate” when the sensed wave falls between two non-programmable multiples of the programmed setting. The above example shows multiples for atrial bipolar sensing. For atrial unipolar sensing and ventricular sensing the multiples are 2.8 and 4.0 times the programmed setting. Sensitivity values are not changed with only one measurement. Instead, continuous measurements are made and a running total of Low, Adequate, and High waves are used to calculate any changes. Sensing Assurance Ranges Atrial Bipolar: 0.18 mV to 0.5 mV VDD mode: 0.18 mV to 0.35 mV Unipolar: 0.5 mV to 1.4 mV Ventricular Bipolar and Unipolar 2.0 mV to 5.6 mV Manual Sensitivity Settings Atrial Bipolar (includes VDD mode): 0.18, 0.35, 0.5, 1.0, 1.4, 2.0, 2.5, 3.0, 3.5, 4.0 mV Atrial Unipolar: 0.5, 1.0, 1.4, 2.0, 2.5, 3.0, 3.5, 4.0 mV Ventricular: 1.0, 1.4, 2.0