KORPAS, David. Advanced Implantable Cardiac Devices Settings and Patient Troubleshooting. In World Congress on Medical Physics and Biomedical Engineering 2018. 2018.
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Basic information
Original name Advanced Implantable Cardiac Devices Settings and Patient Troubleshooting
Authors KORPAS, David.
Edition World Congress on Medical Physics and Biomedical Engineering 2018, 2018.
Other information
Original language English
Type of outcome Presentations at conferences
Field of Study 20600 2.6 Medical engineering
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW World Congress on Medical Physics and Biomedical Engineering 2018
Organization Fakulta veřejných politik v Opavě – Slezská univerzita v Opavě – Repository
Keywords in English Implantable Cardiac Devices; Troubleshooting
Tags International impact, Reviewed
Changed by Changed by: Bc. Nikol Maďová, učo 1144. Changed: 11/4/2019 11:43.
Abstract
To the implantable cardiac devices belong now the pacemakers, implantable defibrillators and subcutaneous defibrillators. The aim of this tutorial is to show the possibilities of the recent programmable features within these devices and their using in practice. The trouble-shooting part of the tutorial provides the overview of most common issues to solve in the clinical practice, like supporting/elimination of own patient rhythm, individual need of pac-ing, environment and electromagnetic disturbance. The technical standardization require-ment will also be covered. For dual chamber pacemakers, the timing of ventricular pacing, realized by AV delay parameter, is fundamental. It can be either fix or dynamic, incorporated the specific algo-rithms for AV delay extension. As the ventricular filling phase influences the patient hemo-dynamics, and an abundance of ventricular paced beats should be avoided, this parameter is critical. For implantable defibrillators, the optimization of tachycardia detection process is of primary importance. False-positive shocks are quite often in the praxis. Therefore the trends of patient rhythm should be evaluated during ambulatory follow-ups and detection settings adjusted appropriately. Detection zones, sensing threshold, duration, morphological algo-rithms – all these parameters will be discussed in details. The similar situation is for subcu-taneous defibrillators, where however the settings have no so many options. All implantable cardiac devices settings should be individualized. This educational course helps to better understanding of advanced settings.
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