By Aaron B. Hesselson
Written as a better half textual content to Dr Hesselson’s first booklet approximately pacing, Simplified Interpretation of ICD Electrograms specializes in instructing an knowing of the electrogram (EGM) sign for troubleshooting ICD rhythms. The booklet comprises a detailed evaluate of the final functionality of an ICD (defilbrillation electronics, arrthythmia detection/therapy), in addition to a longer precis of the widely encountered arrthythmia in an EGM and ECG structure. through the publication, Dr Hesselson emphasizes that the major for troubleshooting those units lies within the skill to make the transition from surfaceECG to EGM interpretation. additionally incorporated is an intensive bankruptcy on biventricular pacing, really because it pertains to its functionality in an ICD. The publication ends with 50 scientific case reviews designed to demonstrate the text’s key principles.
No one has tried formerly to give an explanation for the EGM sign in any such pedagogical sort, and no major quantity of fabric has been officially released detailing tools for troubleshooting biventricular ICD pacing systems.
- Expert assistance on realizing the EGM sign for troubleshooting ICD rthythms.
- Includes 50 medical case experiences.
- Covers all features of the overall functionality of ICDs.
- Contains an in depth bankruptcy on biventricular pacing.
Chapter 1 what's An ICD? (pages 3–6):
Chapter 2 ICD process and Cardiac Anatomy (pages 7–11):
Chapter three The (pages 13–30):
Chapter four ICD Electronics (pages 31–43):
Chapter five Sensing (pages 45–48):
Chapter 6 Detection (pages 49–58):
Chapter 7 The Tachycardias (pages 59–78):
Chapter eight The cures (pages 79–82):
Chapter nine ICD Pacing (pages 83–108):
Chapter 10 strange ICD events and trade functions (pages 109–121):
Chapter eleven Case reports half A (pages 125–139):
Chapter 12 Case experiences half B (pages 141–248):
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Additional resources for Simplified Interpretation of ICD Electrograms
24 Simpliﬁed Interpretation of ICD Electrograms The ICD Programmer Identical programmers are used for both pacemaker and ICD analysis. To facilitate this process, software particular to the ICD is loaded in the programmer in addition to the pacemaker software. Most programmers are smart and will automatically identify what type of device a patient has during interrogation, be it a pacemaker or ICD. It then downloads the appropriate software. This assumes, of course, that the programmer particular to the manufacturer of the ICD has been chosen.
As ICD technology progresses and improves, so too may these methodologies for ventricular sensing. Auto-Adjusting Sensitivity R waves Sensed threshold VF waves VEGM T wave 48 Simpliﬁed Interpretation of ICD Electrograms Automatic Gain Control Sensed threshold Sensing in the atria for dual chamber ICD models utilizes the same methodology as that in the ventricles in the current generation of devices. 3 Methods of sensing in an ICD include _____-_____ and automatic _____ control. 4 Contemporary ICD atrial sensing utilizes the _____ methodology as ventricular sensing.
2 The same principals relating voltage, current, and resistance/ impedance may be applied to a pacemaker and _____. * For simpliﬁcation, this will subsequently be referred to as the deﬁbrillation circuit throughout this chapter. ICD Electronics 33 The heart also acts as a voltage source that can cause current to ﬂow with each beat and register a signal in the ICD’s sensing circuitry. This information can then be used to inhibit pacing, and also provide input to the deﬁbrillator circuit. The initial voltage of the contemporary ICD battery is typically between about 3–6 volts (V).