心脏起搏器培训资料：单腔ICD鉴别SVT与VT标准概况.pptVIP

ICD提供的是针对VT，VF的Detection，therapy的治疗。 当满足频率间期但不是VT，VF事件时避免发生的不恰当治疗。在单腔ICD中设置了四个鉴别标准： 用来鉴别SVT与VT 1、SVT与VT的区别： 2、ICD 是否需要鉴别SVT： 3 、如何鉴别： 常见的室上速：窦速（）；房颤；房性心动过速，other 1：1房室结折返型（AVNRT 180-220） 阵发性室上性心动过速：突然发作，突然终止。心电图特征：RR间期规则，伴1：1房室传导。 窦房结折返性，房性心动过速（触发，自律性增高，折返），经旁路的房室折返性，房室结折返性 If a VT, FVT, or VF episode is detected, the Onset criterion is disabled until the episode terminates. ■ Because the Onset criterion can suspend VT event counting, it affects both VT detection and FVT via VT detection. VF event counting is not affected. ■ If the Onset criterion disables VT event counting when the VT event count is greater than zero, the device resets the VT event count to zero. ■ To help ensure reliable VT detection, the Onset criterion Only The EGM Width Criterion is not applied during redetection. However, VT Stability criterion must be continually re-satisfied throughout redetection if it is enabled. JT: 流程表 The Wavelet Dynamic Discrimination criterion is designed to withhold detection of rapidly conducted SVT episodes. only in VR devices. 7274－7230 Wavelet collects EGM data from the EGM 2 channel. When it is available:NID The Wavelet Dynamic Discrimination criterion is applied to ventricular tachyarrhythmia detection if all of the following conditions are true: ? No detected VF, FVT, or VT episode is in progress. ? An Initial Beats to Detect criterion is met (VT Monitor, VT, VF, or Combined). ? The V-V median interval equals or exceeds the SVT Limit. 包括NID 应用 无法获得自身心室律Notes: ? ? Ventricular events that are paced or that have intervals less than 240 ms are automatically classified as “Not Measured.” Intrinsic rhythm events – To ensure that the template collection and maintenance operations use only intrinsic rhythm events, the device does not collect electrogram waveforms for the following events: ? paced events ? intrinsic rhythm events following a paced event ? events with an interval less than or equal to 600 ms, the VT Monitor Interval + 60 ms, or the VT Interva