ICD 随访技术幻灯片.ppt

* 不固定还是固定（6H- VF） * Discuss the rational for a repeatable follow-up protocol This protocol helps you gather all the important information to be used in analysis and decision making. Notice the first few steps focus on gathering information prior to analyzing episodes. As you begin analyzing episodes this information will assist you drawing conclusions and making informed programming decisions. Having a plan ahead of time increases confidence and performance. Explain the suggested protocol provided above The first two points (Quick Look and Parameter Review) are intended to load you with as much knowledge about the patient and the ICD programming as possible. The can be helpful as you begin to analyze episodes. Testing – With every follow-up it is important to perform routine testing on pacing and sensing thresholds as well as impendence measurements. Quite often the center of ICD follow-up will be focused on episode interpretation. Several questions must be answered; What type of episodes occurred? Did the ICD correctly identify the episode? Did the ICD correctly response to the episode? What reprogramming if any is needed? The last step includes not only final programming but also generating reports. * Auto charge- 不要手动-重整时间改变 * 不是全伏充电 短间期计数器-超过300次-检查回路-绝缘破损， 干扰 * This slide is for reference. During the course of this presentation we will be walking through each of these steps. * Demonstrate pacing and sensing thresholds using a live device. If each student station has a live ICD, guide the students through threshold testing. Also demonstrate measuring lead impedance and show how to locate impedance trends. Refer back to the discussion about lead fractures and breaches. Q – What would happen to this trend if there were a fracture? Q – What will a lead with good integrity look like? Now that you have gathered a good amount of knowledge about the patient and their device it is time to move on to episode interpretation. * EGM1-改为CAN-HVX，单双都有Leadless，准确度比一导联高