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Workbook of Diagnostics for Cardiac Implantable Devices 1st Edition

To understand cardiac implantable electronic device (CIED) management, the clinician requires a foundation of information regarding CIED purpose, design and function, as well as experience in interpreting CIED output, i.e., electrical assessment of the system, programmed parameters, electrograms, and markers.

In addition, one must be able to correlate and interpret the accompanying electrocardiographic tracing with the patient s clinical presentation.

For students of CIED management, be they beginners in the field or more advanced, there is always an appreciation for case studies, i.e., real-world examples of managing a specific device-related issue.

To this end, this workbook of 61 device management case studies has been prepared by six talented RN Device Specialists and three physicians involved in the Heart Rhythm Service practice at the Mayo Clinic in Rochester, Minnesota. Included in the case studies are examples from pacemakers, ICDs and CRT devices, illustrating interpretation and management of a variety of device behaviors, some with abnormal function that requires diagnosis and management approach, and others that display appropriate behavior of a specific device algorithm that may be confusing for the CIED student. ~David L. Hayes, MD, and the contributors – adapted from the Preface.

– Perfect for exam prep, training across CIED devices, and as a reference to keep on hand in the lab.

– Real-world examples of managing a specific device-related issue.

– Includes straightforward clinical management issues to more complex issues that may be related to a specific device algorithm.

Contents

۱ Variation in Paced QRS Morphology
۲ Ventricular Undersensing in a Dual-Chamber Pacemaker
۳ Atrial Pacing with a Competing Junctional Rhythm
۴ Loss of AV Synchrony
۵ Postventricular Atrial Refractory Period (PVARP) Function
۶ Atrial Loss of Capture
۷ Loss of Capture and Pseudofusion
۸ Loss of RV and LV Capture
۹ Atrial Undersensing
۱۰ Functional Atrial Undersensing
۱۱ Undersensing of Atrial Arrhythmia
۱۲ Ventricular Safety Pacing
۱۳ DDI Pacing Mode
۱۴ Functional Ventricular Undersensing
۱۵ Atrial Sensed Events in Refractory Period
۱۶ Pseudo-Wenckebach Upper Rate Behavior
۱۷ Pseudo-Wenckebach Upper Rate Behavior
۱۸ Pseudo-Wenckebach Upper Rate Behavior
۱۹ His Pacing Threshold at Implant
۲۰ Crosstalk Oversensing on Ventricular Channelwith His Pace/Sense Lead in RV Port
۲۱ Pseudo Undersensing in Leadless Pacemaker
۲۲ Remote Alert Follow-Up
۲۳ Promoting Intrinsic Ventricular Conduction
۲۴ Atrial Preference Pacing
۲۵ Rate Drop Response
۲۶ Rate Smoothing
۲۷ Atrial Flutter Response
۲۸ Atrial Tachyarrhythmia with Atrial Intervention Pacing
۲۹ Mode Switch Termination with Failure to Establish AV Synchrony
۳۰ Inappropriate Mode Switch
۳۱ Loss of AV Synchrony Due to Inappropriate Mode Switch
۳۲ Auto-PVARP and Inappropriate Mode Switch
۳۳ Pacemaker-Mediated Tachycardia
۳۴ Pacemaker-Mediated Tachycardia Intervention
۳۵ Pacemaker-Mediated Tachycardia in CRT-P
۳۶ Respiratory Trends and Atrial Oversensing
۳۷ Signal Artifact Monitor
۳۸ Ventricular Noise Reversion
۳۹ Ventricular Oversensing with RV Lead Failure
۴۰ Atrial Oversensing
۴۱ Noise Oversensing
۴۲ Electromagnetic Interference in ICD
۴۳ RV Lead Failure
۴۴ RV Lead Fracture
۴۵ Atrial Oversensing with Inappropriate Mode Switchand Arrhythmia Induction
۴۶ Short-Long-Short-Induced Ventricular Tachycardia
۴۷ Managed Ventricular Pacing Modeand Ventricular Arrhythmias
۴۸ Ventricular Pacing in the Vulnerable Period Due to Blanking and Associated Arrhythmia
۴۹ Ventricular Pacing in the Vulnerable Period During Atrial Flutter
۵۰ T-Wave Oversensing
۵۱ RV Lead Integrity Warning and T-Wave Oversensing Discrimination
۵۲ Subcutaneous ICD Oversensing
۵۳ Mode Switch During VT Detection
۵۴ Single-Chamber ICD with Atrial Sensing
۵۵ Medtronic Detection Zones with Fast VT via VT versus Fast VT via VF
۵۶ Ventricular Tachycardia Detection and Therapy
۵۷ Ventricular Tachycardia Accelerating to Ventricular Fibrillation with Undersensing
۵۸ Defibrillator Therapy Following Episode Termination
۵۹ Effective CRT
۶۰ CRT Pacing Diagnostics
۶۱ CRT Pacing Diagnostics