起搏器培训课件：双腔起搏器时间间期基础 (2).pptVIP

VSP由AP开启，VSP解决AP后的起搏后电位对于心室感知的影响；VSP避免在PAV间期内感知到干扰信号导致心室漏搏 * 肯定是，AP后正好有了一个早搏，所以110VSP感知床感知 发放VSP * Sigma是S，P，kappa Vp 如果有VSP 起搏心电图上的标记 心房导线靠近三尖瓣 * 英文标识解释 AS VS AP VP * 在心电图上，我们可以看到，四种起搏模式出现的时间不一样，为什么会有这种现象，这是是时间间期在起作用 * * Single chamber timing has three components: Lower rate interval Refractory period Blanking period Single chamber devices that are programmed to a rate responsive mode add a fourth component, the upper rate interval. * * * AS-AP 低限频率间期 In order to provide optimal hemodynamic benefit to the patient, dual-chamber pacemakers strive to mimic the normal heart rhythm. In dual-chamber pacemakers, the lower rate is the rate at which the pacemaker will pace the atrium in the absence of intrinsic atrial activity. Similar to single-chamber timing, the lower rate can be converted to a lower rate interval (A-A interval), or the longest period of time allowed between atrial events. * abbreviated * Atrial Escape Interval(AEI) A-A计时情况下，AP-VS会使心室率低于低限频率 起搏器定义的室早：两个心室事件之间没有心房事件，则第二个心室事件被定义为室早。所以在室早的情况下，会出现心房频率直方图出现了比低限频率更低的事件。 In order to provide optimal hemodynamic benefit to the patient, dual-chamber pacemakers strive to mimic the normal heart rhythm. In dual-chamber pacemakers, the lower rate is the rate at which the pacemaker will pace the atrium in the absence of intrinsic atrial activity. Similar to single-chamber timing, the lower rate can be converted to a lower rate interval (A-A interval), or the longest period of time allowed between atrial events. 延长心房的不应期 The Post-Ventricular Atrial Refractory Period (PVARP) is the period of time after a ventricular pace or sense when the atrial channel is in refractory. In other words, atrial senses outside of blanking that occur during this period are seen (and marked 揂R) on the marker channel), but do not initiate an AV interval. The purpose of PVARP is to avoid allowing retrograde P waves, far-field R waves, or premature atrial contractions to start an AV interval which would cause the pacemaker t