Pacing the Heart. Ayo Ositelu ECE 5030 Final Presentation Tuesday, 15 December 1:00pm
|
|
|
- Rebecca Maxwell
- 6 years ago
- Views:
Transcription
1 Pacing the Heart Ayo Ositelu ECE 5030 Final Presentation Tuesday, 15 December 1:00pm
2 Outline Background Main Features New Features
3 The Cardiac Action Potential Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 7.
4 Natural Pacemakers of the Heart Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 8.
5 Two Schools of Thought Current density theory The critical factor required to induce a regenerative wave front of depolarization is the magnitude of current flowing through a given mass of myocardium Electric Field Theory The critical factor affecting myocardial depolarization is the magnitude of the electric field that is induced in the myocardium
6 History Hyman s Pacemaker of 1932 Accompanying Flow Diagram
7 Components Pacemaker Leads Pulse Generator Power Source (not discussed)
8 Pacemaker Leads The leads are the only link between the sophisticated electronics in the pulse generator and the heart. Relevant Issues: Polarization, electrode porosity, electrode composition, the electrode-tissue interface, etc. Clinical Cardiac Pacing, pg 70.
9 Pacemaker Leads Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 74, 75.
10 Pacemaker Leads Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 86.
11 Pulse Generator Pacing therapy controller Output amplifiers Sense amplifiers Diagnostic subsystem
12 Pulse Generator Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 113, 114.
13 New Features Sensing Telemetry Improved SNR
14 Rate-Adaptive Sensors Activity-Sensing Rate-Adaptive Sensors Rate-Modulated Pacing Controlled by Mixed Venous Oxygen Saturation Temperature-Controlled Rate-Adaptive Pacing Rate-Adaptive Pacing Controlled by Dynamic Right Ventricular Pressure (dp/dtmax) Rate-Adaptive Pacing Based on Impedance- Derived Minute Ventilation, etc.
15 Rate-Adaptive Sensors Kristensson, et al.
16 Activity-Sensing Sensors Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 168, 169.
17 Activity-Sensing Sensors Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 171.
18 Activity-Sensing Sensors Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 171.
19 Activity-Sensing Sensors Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 171.
20 Rate-Adaptive Venous Oxygen Sensor Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 188.
21 Rate-Adaptive Venous Oxygen Sensor Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 192.
22 Rate-Adaptive Venous Oxygen Sensor Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 192.
23 Temperature-Controlled Sensor Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 202.
24 Temperature-Controlled Sensor Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 203.
25 Temperature-Controlled Sensor Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 203.
26 Temperature-Controlled Sensor Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 206.
27 Temperature-Controlled Sensor Fearnot, et al.
28 Manufacturer Overview Biotec, S.P.A., Bologna, Italy Biotronik, GmbH & Co., Berlin, Germany Cardiac Pacemakers Inc., St. Paul, MN Cook Pacemakers Corporation, Leechburg, PA Ela Medical, Rougermont, France Intermedics Inc., Angleton, TX Medtronic Inc., Minneapolis, MN
29 Manufacturer Overview Siemens Ltd., Solna, Sweden Sorin Biomedica, Saluggia, Italy St. Jude Medical, Inc, St. Paul, MN Telectronics Pacing Systems, Englewwod, CO Vitatron Medical B.V., Dieren, The Netherlands.
30 Manufacturer Overview Ellenbogen, Kay, and Wilkoff. Clinical Cardiac Pacing, pg 144.
31 Telemetry Telemetry involves the transmission of information from the pulse generator to an external programmer. Battery voltage and impedance, stimulus Battery voltage and impedance, stimulus current, voltage, and energy, lead resistance, intracardiac electrograms, and stored histograms of pace and sensed data retrievable from telemetry
32 Telemetry Biotronik Home Monitoring Medtronic CareLink Network Monitoring Device
33 Improving SNR Federica Censi, et al. studying the effects of electromagnetic interference on pacemakers. RF feedthrough filters
34 References Ellenbogen KA, Kay GN, Wilkoff BL. Clincial Cardiac Pacing. W.B. Saunders Company. Philadelphia pg Fearnot, NE et al. Heart Rate Correlation, response time, and effect of previous exercise using advanced pacing rate algorithm for temperature-based rate modulation. PACE (11): , Kristensson B, et al. Holter-monitored heart rhythm during atrioventricular synchronous and fixed-rate Ventricular pacing. PACE (9): 511, Censi, F, et al. Interference between mobile phones and pacemakers: a look inside. Ann Ist Super Sanita, Vol. 43, 3: Hayes, DL and Vliestra RE. Pacemaker Malfunction. Ann Internal Medicine. 1993; 119:
Electromagnetic Interference between External Defibrillator and Cardiac Resynchronization Therapy-Pacemaker (CRT-P) Devices
Electromagnetic Interference between External Defibrillator and Cardiac Resynchronization Therapy-Pacemaker (CRT-P) Devices HAMID GHANBARI, M.D.,* HAZIM AL-AMERI, M.D., JESSICA OTTINO, R.N., B.S.N., CORDELL
Automatic Identification of Implantable Cardioverter-Defibrillator Lead Problems Using Intracardiac Electrograms
Automatic Identification of Implantable Cardioverter-Defibrillator Lead Problems Using Intracardiac Electrograms BD Gunderson, AS Patel, CA Bounds Medtronic, Inc., Minneapolis, USA Abstract Implantable
INTERPRETING THE ECG IN PATIENTS WITH PACEMAKERS
INTERPRETING THE ECG IN PATIENTS WITH PACEMAKERS BEFORE INTERPRETING THE ECG: Nora Goldschlager, M.D. MACP, FACC, FAHA, FHRS. Cardiology San Francisco General Hospital UCSF Disclosures: None 1 2 QUESTIONS
MEDTRONIC CARELINK NETWORK FOR PACEMAKERS. Comparison between the Medtronic CareLink Network for Pacemakers and Transtelephonic Monitoring
MEDTRONIC CARELINK NETWORK FOR PACEMAKERS Comparison between the Medtronic CareLink Network for Pacemakers and Transtelephonic Monitoring Transtelephonic Monitoring Transmission What can you determine
that physicians image Riata and Riata ST leads implanted in patients to assess for externalization or other visible insulation abnormalities.
St. Jude Medical Cardiac Rhythm Management Division 15900 Valley View Court Sylmar, CA 91342-3577 USA Tel 818 362 6822 800 423 5611 www.sjm.com Mark Carlson, MD, MA Chief Medical Officer and Sr. VP Clinical
MEDICAL POLICY Cardiac Event Monitors/ Cardiac Event Detection
POLICY: PG0039 ORIGINAL EFFECTIVE: 10/01/11 LAST REVIEW: 12/12/17 MEDICAL POLICY Cardiac Event Monitors/ Cardiac Event Detection GUIDELINES This policy does not certify benefits or authorization of benefits,
OLBI Stimulation in Biatrial Pacing? A Comparison of Acute Pacing and Sensing Conditions for Split Bipolar and Dual Cathodal Unipolar Configurations
236 June 1999 OLBI Stimulation in Biatrial Pacing? A Comparison of Acute Pacing and Sensing Conditions for Split Bipolar and Dual Cathodal Unipolar Configurations A. KUTARSKI, M. SCHALDACH*, M. WÓJCIK,
SARASOTA MEMORIAL HOSPITAL
SARASOTA MEMORIAL HOSPITAL TITLE: NURSING PROCEDURE PACEMAKERS AND DETERMINING PACEMAKER DATE: REVIEWED: PAGES: 10/99 11/18 1 of 7 PS1094 ISSUED FOR: Nursing RESPONSIBILITY: *Qualified RN PURPOSE: To establish
Essentials of Pacemakers and ICD s. Rajesh Banker, MD, MPH
Essentials of Pacemakers and ICD s Rajesh Banker, MD, MPH Pacemakers have 4 basic functions: Stimulate cardiac depolarization Sense intrinsic cardiac function Respond to increased metabolic demand by providing
Patient Safety: the optimal lead body design
Patient Safety: the optimal lead body design E. Soldati U.O. Malattie Cardiovascolari II Azienda Ospedaliero Universitaria Pisana Advances in Cardiac Arrhythmias Torino, 25-27 Ottobre 2012 Lead Malfunction
Intermittent episodes of paced tachycardia: what is the cause?
Intermittent episodes of paced tachycardia: what is the cause? Lindsey Parkinson and Lucy Broadhurst, Rotherham NHS Foundation Trust Contact: Lindsey.Parkinson@rothgen.nhs.uk Introduction A hospital in-patient
Pacing Lead Implant Testing. Document Identifier
Pacing Lead Implant Testing 1 Objectives Upon completion of this presentation, the participant should be able to: Name the two primary surgical options for implanting pacing leads Describe three significant
Electronic System for Measuring and Optimization of Pacemaker Pulses
Electronic System for Measuring and Optimization of Pacemaker Pulses MILAN STORK 1, VLASTIMIL VANCURA 2 1 Department of Applied Electronics and Telecommunications, RICE University of West Bohemia, Czech
Contents. Example: Pacemaker in DDD Mode. I. Introduction II. Website and Relevant Documents III. Background Information IV.
Contents I. Introduction II. Website and Relevant Documents III. Background Information IV. Pacemaker System V. i. Components ii. Operating Modes iii. Parameters Example: Pacemaker in DDD Mode Pacemaker
Wide QRS Tachycardia in a Dual Chamber Pacemaker Patient: What is the Mechanism?
CASE REPORTS Arrhythmia 2015;16(3):173-177 doi: http://dx.doi.org/10.18501/arrhythmia.2015.029 Wide QRS Tachycardia in a Dual Chamber Pacemaker Patient: What is the Mechanism? Eun-Sun Jin, MD, PhD Cardiovascular
Clinical Data Summary: Avoid FFS Study
Atrial Pacing Lead with 1.1 mm Tip-to-Ring Spacing Clinical Data Summary: Avoid FFS Study A Multi-center, Randomized, Prospective Clinical Study Designed to Evaluate the 1699T Lead Clinical Data Summary:
Biomedical Instrumentation
Biomedical Instrumentation Prof. Dr. Nizamettin AYDIN naydin@yildiz.edu.tr naydin@ieee.org http://www.yildiz.edu.tr/~naydin Therapeutic and Prosthetic Devices 1 Figure 13.1 Block diagram of an asynchronous
The heart's "natural" pacemaker is called the sinoatrial (SA) node or sinus node.
PACEMAKER Natural pacemaker: The heart's "natural" pacemaker is called the sinoatrial (SA) node or sinus node. Artificial pacemaker: It is a small, battery-operated device that helps the heart beat in
Sinus rhythm with premature atrial beats 2 and 6 (see Lead II).
Cardiac Pacemaker Premature Beats When one of ectopic foci becomes irritable, it may spontaneously fire, leading to one or more premature beats. Atrial and junctional foci may become irritable from excess
Leadless Pacing. Osama Diab Assistant Prof. of Cardiology Ain Shams University Egypt
Leadless Pacing Osama Diab Assistant Prof. of Cardiology Ain Shams University Egypt The weakest link in Pacemaker system the lead. The more the leads the more the complications Dislodgement Fracture Insulation
Long Term Monitoring of the Intrinsic Ventricular Monophasic Action Potential with an Implantable DDD Pacemaker
May 1998 79 Long Term Monitoring of the Intrinsic Ventricular Monophasic Action Potential with an Implantable DDD Pacemaker T. LAWO, J. BARMEYER Abteilung für Kardiologie, Universitätsklinik Bergmannsheil,
Does Changing the Pacing Configuration Affect Phrenic Stimulation? - A substudy of the DETECT PS Trial -
Does Changing the Pacing Configuration Affect Phrenic Stimulation? - A substudy of the DETECT PS Trial - Michael Glikson, MD 1, Vladmir Khalameizer, MD 2, Dominique Babuty, MD 3, Sunipa Saha 4, Holly Rockweiler
Is This Thing Working?
Is This *#@!* Thing Working? Pacemaker (and ICD) ECG and Telemetry Pitfalls Wayne O. Adkisson, MD adki0004@umn.edu Disclosures I currently receive research support from Medtronic, Inc. I have been compensated
OHTAC Recommendation: Internet- Based Device-Assisted Remote Monitoring of Cardiovascular Implantable Electronic Devices
OHTAC Recommendation: Internet- Based Device-Assisted Remote Monitoring of Cardiovascular Implantable Electronic Devices Ontario Health Technology Advisory Committee January 2012 Issue Background The Ontario
Implantable cardioverter defibrillator, Inappropriate shock, Lead failure
Inappropriate Discharges of Intravenous Implantable Cardioverter Defibrillators Owing to Lead Failure Takashi WASHIZUKA, 1 MD, Masaomi CHINUSHI, 1 MD, Ryu KAZAMA, 1 MD, Takashi HIRONO, 1 MD, Hiroshi WATANABE,
Supplemental Material
Supplemental Material 1 Table S1. Codes for Patient Selection Cohort Codes Primary PM CPT: 33206 or 33207 or 33208 (without 33225) ICD-9 proc: 37.81, 37.82, 37.83 Primary ICD Replacement PM Replacement
Therapeutic/Prosthetic Devices Pacemakers & Defibrillators. Biomedical Instrumentation JHU Applied Physics Lab. Dr. Nitish V. Thakor.
Lecture 8 Therapeutic/Prosthetic Devices Pacemakers & Defibrillators Dr. Nitish V. Thakor Biomedical Instrumentation JHU Applied Physics Lab Introduction Major use of medical electronics is as a diagnostic
VALLIAMMAI ENGINEERING COLLEGE
VALLIAMMAI ENGINEERING COLLEGE SRM Nagar, Kattankulathur 603 203 DEPARTMENT OF ELECTRONICS AND COMMUNICATION ENGINEERING QUESTION BANK VI SEMESTER EC6001 MEDICAL ELECTRONICS Regulation 2013 Academic Year
DEFIBRILLATORS ATRIAL AND VENTRICULAR FIBRILLATION
1 DEFIBRILLATORS The two atria contract together and pump blood through the valves into the two ventricles, when the action potentials spread rapidly across the atria surface. After a critical time delay,
Electrocardiography for Healthcare Professionals
Electrocardiography for Healthcare Professionals Kathryn A. Booth Thomas O Brien Chapter 10: Pacemaker Rhythms and Bundle Branch Block Learning Outcomes 10.1 Describe the various pacemaker rhythms. 10.2
Pediatric pacemakers & ICDs:
Pediatric pacemakers & ICDs: perioperative management Manchula Navaratnam Clinical Assistant Professor LPCH, Stanford SPA 2016 Conflict of interest: none Objectives Indications in pediatrics Components
Syllabus and Program of the Diploma in Cardiac Pacing
Syllabus and Program of the Diploma in Cardiac Pacing 1. The conductive system of the heart(1 hour): Study the anatomical and functional properties of the different componenets of the conductive system
December D. EL ALLAF Centre Hospitalier Hutois, Huy, Belgium. P. ATTUEL Centre Chirurgical Val d'or, Saint Cloud, France
December 2000 449 European Multicenter Study on the Prevention of Paroxysmal Atrial Fibrillation by Permanent Overdrive Pacing: Atrial Rate Behavior and Patient Tolerance D. EL ALLAF Centre Hospitalier
LATITUDE Patient Management System
LATITUDE Patient Management System Boston Scientific Corporation Overview Key Benefits Benefits in HF-Management The future of RPM 2 Boston Scientific Corporation LATITUDE Patient Management Overview Patient
Interactive Simulator for Evaluating the Detection Algorithms of Implantable Defibrillators
22 March 2002 Interactive Simulator for Evaluating the Detection Algorithms of Implantable Defibrillators F. HINTRINGER, O. PACHINGER Division of Cardiology, Department for Internal Medicine, University
Cardiac Rhythm Device Management. PBL STOP Your acronym for a standardized follow-up
Cardiac Rhythm Device Management PBL STOP Your acronym for a standardized follow-up What s in it for you? What do you need to feel comfortable with a pacemaker/icd follow-up? 2 CORE OBJECTIVE Provide a
Cardiac Rhythm Management Coder 2018
Cardiac Rhythm Management Coder 2018 An easy-to-use tool for coding and reimbursement compliance Prepared and Published By: MedLearn Publishing, A Division of MedLearn Media, Inc. 445 Minnesota Street,
Ventricular Capture Control and the Increase of Pacemaker Lifetime
May 1998 91 Ventricular Capture Control and the Increase of Pacemaker Lifetime A.S. MENEZES JR. Heart Stimulation Department, Hospital Santa Helena, Goiânia, Goiás, Brazil C.F.M. QUEIROZ, F.P CARZOLA,
Friedman, Rott, Wokhlu, Asirvatham, Hayes 201. Figure 65.7 Shortening of the AV interval during pacing.
Friedman, Rott, Wokhlu, Asirvatham, Hayes 201 Figure.7 Shortening of the AV interval during pacing. 202 A Case-Based Approach to Pacemakers, ICDs, and Cardiac Resynchronization Figure.8 is obtained from
856 Unintentional Deactivation of ICDs Mayo Clin Proc, August 2002, Vol 77 Figure 1. Case 3. Printout from Guidant programmer (Guidant Corp, St Paul,
Mayo Clin Proc, August 2002, Vol 77 Unintentional Deactivation of ICDs 855 Case Report Unintentional Deactivation of Implantable Cardioverter-Defibrillators in Health Care Settings MARY JANE RASMUSSEN,
Puzzling Pacemakers Cheryl Herrmann, APN, CCRN, CCNS-CSC-CMC
Puzzling Pacemakers Cheryl Herrmann, APN, CCRN, CCNS-CSC-CMC Pacemaker: An electric device implanted in the body to regulate the heart beat. Delivers electrical stimuli over leads with electrodes in contact
BRITISH HEART RHYTHM SOCIETY GUIDELINES FOR THE MANAGEMENT OF PATIENTS WITH CARDIAC IMPLANTABLE ELECTRONIC DEVICES (CIEDs) AROUND THE TIME OF SURGERY
BRITISH HEART RHYTHM SOCIETY GUIDELINES FOR THE MANAGEMENT OF PATIENTS WITH CARDIAC IMPLANTABLE ELECTRONIC DEVICES (CIEDs) AROUND THE TIME OF SURGERY Honey Thomas, Andy Turley and Chris Plummer on behalf
A Mechanism for "False" Inhibition of Demand Pacemakers
A Mechanism for "False" Inhibition of Demand Pacemakers By KENNETH C. LASSETER, M.D., JACK W. BUCHANAN, JR., M.S.E.E., AND KARL F. YOSHONIS, M.D. SUMMARY Certain variations in discharge rate of demand
EC6001 MEDICAL ELECTRONICS
EC6001 MEDICAL ELECTRONICS UNIT I ELECTRO-PHYSIOLOGY AND BIO-POTENTIAL RECORDING The origin of Bio-potentials; bio-potential electrodes, biological amplifiers, ECG, EEG, EMG, PCG, lead systems and recording
Relation between QT interval and heart rate
Br Heart J 1981; 45: 56-61 Relation between QT interval and heart rate New design of physiologically adaptive cardiac pacemaker A F RICKARDS, J NORMAN From The National Heart Hospital, London The relation
Manual Defibrillators, Automatic External Defibrillators, Cardioversion, and External Pacing. D. J. McMahon cewood rev
Manual Defibrillators, Automatic External Defibrillators, Cardioversion, and External Pacing D. J. McMahon 141001 cewood rev 2017-10-04 Key Points Defibrillators: - know the definition & electrical value
PRODUCT PERFORMANCE REPORT
PRODUCT PERFORMANCE REPORT MAY 215 Contents Contents 1 Sorin CRM commitment to Quality 6 2 Definitions and methods 7 2.1 General definitions......................................... 7 2.2 Malfunctions.............................................
ISO INTERNATIONAL STANDARD. Implants for surgery Active implantable medical devices Part 2: Cardiac pacemakers
INTERNATIONAL STANDARD ISO 14708-2 Second edition 2012-08-15 Implants for surgery Active implantable medical devices Part 2: Cardiac pacemakers Implants chirurgicaux Dispositifs médicaux implantables actifs
Leadless pacing: Technical challenges and concerns. Panos Vardas President Elect of the ESC, Prof. of Cardiology, Heraklion University Hospital
Leadless pacing: Technical challenges and concerns Panos Vardas President Elect of the ESC, Prof. of Cardiology, Heraklion University Hospital Modest consultancy fees/honoraria from Bayer Boehringer Ingelheim
Model 5392 EPG Temporary Pacer
Model 5392 EPG Temporary Pacer Compatible Components Reference Card 5392 Surgical Cables 5487 Disposable, short 5487L Disposable, long 5832S Reusable, small clip 5833S 5833SL Disposable, small clip, short
ICD: Basics, Programming and Trouble-shooting
ICD: Basics, Programming and Trouble-shooting Amir AbdelWahab, MD Electrophysiology and Pacing Service Cardiology Department Cairo University Feb 2013 Evolution of ICD Technology ICD Evolution Indications
Advances in Arrhythmia and Electrophysiology
Advances in Arrhythmia and Electrophysiology Troubleshooting Implanted Cardioverter Defibrillator Sensing Problems I Charles D. Swerdlow, MD; Samuel J. Asirvatham, MD; Kenneth A. Ellenbogen, MD; Paul A.
Review of Pacemakers and ICD Therapy: Overview and Patient Management
Review of Pacemakers and ICD Therapy: Overview and Patient Management Pacing Systems Charles J. Love, MD FACC FAHA FHRS CCDS Professor of Medicine Director, Cardiac Rhythm Device Services OSU Division
Implantable Defibrillators Market by Product Type [Transvenous Implantable Cardioverter-Defibrillator (T-ICDs), Subcutaneous Implantable Cardioverter
Implantable Defibrillators Market by Product Type [Transvenous Implantable Cardioverter-Defibrillator (T-ICDs), Subcutaneous Implantable Cardioverter Defibrillators (S-ICDS), and Cardiac Resynchronization
Concurrent Failure of Active and Redundant Ventricular Epicardial Electrodes in Children
Concurrent Failure of Active and Redundant Ventricular Epicardial Electrodes in Children ERALD A. SERWER, M.D., MACDONALD DICK 11, M.D., KAREN UZARK, R.N., Ph.D., WILLIAM A. SCOTT, M.D., and EDWARD L.
Programming of Bradycardic Parameters. C. W. Israel, M.D. Dept. of Cardiology Evangelical Hospital Bielefeld Germany
Programming of Bradycardic Parameters C. W. Israel, M.D. Dept. of Cardiology Evangelical Hospital Bielefeld Germany Carsten.Israel@evkb.de Programming of ICD Brady Parameters Conflict of Interest Biotronik
Riata lead extraction- a single centre experience
Riata lead extraction- a single centre experience Rebecca L Noad, Keith W Morrice, Vivek N Kodoth, Carol M Wilson, Michael JD Roberts. Royal Victoria Hospital, Belfast, United Kingdom Background of previous
Diagnostic capabilities of the implantable therapeutic systems
Cardiac pacing 2012 and beyound Monday August 27, 2012 Diagnostic capabilities of the implantable therapeutic systems Pekka Raatikainen Heart Center Co. Tampere University Hospital and University of Tampere
Manual Defibrillators, Automatic External Defibrillators, Cardioversion, and External Pacing
Manual Defibrillators, Automatic External Defibrillators, Cardioversion, and External Pacing Key Points Defibrillators: - know the definition & electrical value of a joule - monophasic vs biphasic types:
11/21/18. EKG Pop Quiz. Michael Giocondo, MD Cardiac Electrophysiology Saint Luke s Cardiovascular Consultants
EKG Pop Quiz Michael Giocondo, MD Cardiac Electrophysiology Saint Luke s Cardiovascular Consultants 1 Disclosures No financial relationships to disclose. EKG #1 75 y/o woman with a dual-chamber pacemaker
PERMANENT PACEMAKERS AND IMPLANTABLE DEFIBRILLATORS Considerations for intensivists
PERMANENT PACEMAKERS AND IMPLANTABLE DEFIBRILLATORS Considerations for intensivists Craig A. McPherson, MD, FACC Associate Professor of Medicine Constantine Manthous, MD, FACP, FCCP Associate Clinical
SJM MRI ACTIVATOR HANDHELD DEVICE WORKFLOW Model: EX4000. SJM-EDTR Item approved for U.S. use only.
SJM MRI ACTIVATOR HANDHELD DEVICE WORKFLOW Model: EX4000 1 APPROVED MRI SCAN CONDITIONS 1.5 TESLA FULL BODY 2 SETUP SJM MRI ACTIVATOR HANDHELD DEVICE The SJM MRI Activator handheld device must be enabled
Implant manual. Dual-chamber pacemaker
Implant manual Dual-chamber pacemaker TABLE OF CONTENTS 1. General description...6 2. Indications...6 3. Contraindications...7 3.1. Generalities...7 3.2. Potential complications...7 4. Warnings to patient...8
MRI conditional devices. A luxury or a real clinical need? Sophie Mavrogeni, MD, FESC Onassis Cardiac Surgery Center, Athens, Greece
MRI conditional devices. A luxury or a real clinical need? Sophie Mavrogeni, MD, FESC Onassis Cardiac Surgery Center, Athens, Greece Increase of MRI scans in recent decades In the USA, the number of procedures
Closed Loop Stimulation vs. Conventional DDDR Pacing: Benefits of Hemodynamic Pacing
292 June 2000 Closed Loop Stimulation vs. Conventional DDDR Pacing: Benefits of Hemodynamic Pacing P. ZECCHI, F. BELLOCCI, T. SANNA, G. DI MARTINO Catholic University, Policlinico Gemelli, Institute of
Closed Loop Stimulation: A New Philosophy of Pacing
April 2000 126 Closed Loop Stimulation: A New Philosophy of Pacing P. ZECCHI, F. BELLOCCI Università Cattolica, Policlinico Gemelli, Division of Cardiology, Rome, Italy A.P. RAVAZZI, P. DIOTALLEVI S. Antonio
STUDY REPORT ON THE EFFECT OF RADIO WAVES ON MEDICAL DEVICES
STUDY REPORT ON THE EFFECT OF RADIO WAVES ON MEDICAL DEVICES March, 2007 Ministry of Internal Affairs and Communications (MIC) Introduction We are moving toward the creation of a ubiquitous network society
Implantable Cardioverter-Defibril. Defibrillators. Ratko Magjarević
Implantable Cardioverter-Defibril Defibrillators Ratko Magjarević University of Zagreb Faculty of Electrical Engineering and Computing Croatia ratko.magjarevic@fer.hr Ventricular Fibrillation Ventricular
Safety of Bioelectrical Impedance Analysis in Patients Equipped With Implantable Cardioverter Defibrillators
Safety of Bioelectrical Impedance Analysis in Patients Equipped With Implantable Cardioverter Defibrillators Philippe Meyer, Anne-Marie Makhlouf, Louis P. Mondouagne Engkolo, Florence Trentaz, Ronan Thibault,
Defibrillator. BiomedGuy
Defibrillator BiomedGuy Medtronic Physiocontrol LifePak 10 Introduction This life-support system is used by paramedic, hospital staff, and other trained authorized healthcare providers. Provides, ECG,
WHAT CAN I DO ABOUT ATRIAL FIBRILLATION? Finding answers about atrial fibrillation
WHAT CAN I DO ABOUT ATRIAL FIBRILLATION? Finding answers about atrial fibrillation DEBBIE S STORY With a full schedule of entertaining friends, dancing, working as a nurse and babysitting her granddog,
Cardiac Rhythm Management Coder 2017
Cardiac Rhythm Management Coder 2017 An easy-to-use tool for coding and reimbursement compliance Prepared and Published By: MedLearn Publishing, A Division of Panacea Healthcare Solutions, Inc. 287 East
Device Interrogation- Pacemakers, ICD and Loop Recorders. Dulce Obias-Manno, RN, MHSA, CCDS,CEPS, FHRS Device Clinic Coordinator, MHVI
Device Interrogation- Pacemakers, ICD and Loop Recorders Dulce Obias-Manno, RN, MHSA, CCDS,CEPS, FHRS Device Clinic Coordinator, MHVI Disclosures Consultant: Medtronic Speaker s Bureau: St. Jude Medical
2009 CPT Codes for Cardiac Device Monitoring
2009 CPT Codes for Cardiac Device Monitoring December 2008 Notices Current Procedural Terminology (CPT ) is copyright 2008 American Medical Association. All Rights reserved. No fee schedules, basic units,
Timing cycles. Objectives Upon completion of this program the participant will be able to:
Timing Cycles Timing cycles Objectives Upon completion of this program the participant will be able to: Identify the basic timing cycles of a single and dual chamber pacemaker. Describe the characteristics
MRI and CIEDs. Disclosures
Date Clinical Title MRI and CIEDs C. p. Lao Raul Weiss MD, FAHA, FACC, FHRS and CCDS Director, Electrophysiology Fellowship Program Professor of Medicine The Ohio State University Wexner Medical Center
EnTrust D154VRC Single Chamber ICD 35J delivered 8 seconds BOL, 11.8 seconds ERI 10.7 years**** 35cc, 68g Programmable Active Can
EnTrust D154ATG Dual Chamber ICD 35J delivered 8 seconds BOL, 11 seconds ERI 7.7 years** 35cc***, 68g Programmable Active Can EnTrust D154VRC Single Chamber ICD 35J delivered 8 seconds BOL, 11.8 seconds
Leadless pacing. P.E. Vardas Professor of Cardiology University of Crete, Greece
Leadless pacing P.E. Vardas Professor of Cardiology University of Crete, Greece DISCLOSURES Small teaching fees from: Bayer/J&J, Boeringer, Menarini Small consulting fees from: Medtronic 1957: First External
Performance of a Miniaturized Transcatheter Pacing System: First-in-human experience
Performance of a Miniaturized Transcatheter Pacing System: First-in-human experience Philippe Ritter, MD Gabor Z Duray, MD, PhD, FESC; Clemens Steinwender, MD, FESC; Kyoko Soejima, MD; Razali Omar, MD;
MEDICAL POLICY Cardioverter Defibrillators
POLICY........ PG-0224 EFFECTIVE......06/01/09 LAST REVIEW... 01/27/17 MEDICAL POLICY Cardioverter Defibrillators GUIDELINES This policy does not certify benefits or authorization of benefits, which is
ELEC ENG 4BD4 Lecture 1. Biomedical Instrumentation Instructor: Dr. Hubert de Bruin
ELEC ENG 4BD4 Lecture 1 Biomedical Instrumentation Instructor: Dr. Hubert de Bruin 1 Cochlear Implant 2 Advances in Vision (Retinal Stimulation) 3 Argus II Implant 4 Mini Gastric Imaging 5 Taser 6 Shock
Influence of Postural Position, Respiratory Maneuvers and Exercise on Atrial Electrograms
224 December 1998 Influence of Postural Position, Respiratory Maneuvers and Exercise on Atrial Electrograms A. LE HELLOCO Department of Cardiology, Rennes, France Summary To evaluate the variations of
Clinically Relevant Basics of Pacing and Defibrillation
1 CHAPTER 1 Clinically Relevant Basics of Pacing and Defibrillation T. Jared Bunch, David L. Hayes, Paul A. Friedman Anatomy and physiology of the cardiac conduction system The cardiac conduction system
Principles and Applications of Electrical Circuits and Signal Theories in EP
Principles and Applications of Electrical Circuits and Signal Theories in EP Graydon Beatty, VP Therapy Development Atrial Fibrillation Division, St. Jude Medical, Inc. CardioRhythm 2009 Background Biophysics
Management of RT patients with implanted cardiac devices: From recommendation to implementation
Management of RT patients with implanted cardiac devices: From recommendation to implementation Coen Hurkmans Clinical Physicist Catharina Hospital Eindhoven The Netherlands 1/22 Outline CIED relocation.
Full file at
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) What electrical event must occur for atrial kick to occur? 1) A) Atrial repolarization B) Ventricular
Device based CRT optimization: is there a future? Lessons learned from published trials
Device based CRT optimization: is there a future? Lessons learned from published trials C. Leclercq Department of Cardiology Centre Cardio-Pneumologique Rennes, France Presenter Disclosure Information
The Evolution of Pacemakers: An Electronics Perspective
Chapter 2 The Evolution of Pacemakers: An Electronics Perspective Since the first artificial pacemaker was introduced in 1932, much has changed and will continue to change in the future [1], [2], [3].
Implantable Cardioverter Defibrillator with Wireless Charging and IOT Applications
Implantable Cardioverter Defibrillator with Wireless Charging and IOT Applications YadhuKrishnan P Department of Biomedical Engineering Dhanalakshmi srinivasan Engineering college Perambalore, Tamil Nadu
A System for Pacemaker Treatment Advice 1
A System for Pacemaker Treatment Advice 1 Peter Lucas 2 and Ruud Kuipers and Frederick Feith 3 Abstract. Previously it has been shown that the process of programming a cardiac pacemaker can be described
BIO 360: Vertebrate Physiology Performing and analyzing an EKG Lab 11: Performing and analyzing an EKG Lab report due April 17 th
BIO 60: Vertebrate Physiology Lab : Lab report due April 7 th All muscles produce an electrical current when they contract. The heart is no exception. An electrocardiogram (ECG or EKG) is a graphical recording
Teaching Rounds in Cardiac Electrophysiology
Teaching Rounds in Cardiac Electrophysiology Sustained Multiple Railroad Tracks on Implantable Cardiac Defibrillator Interval Plots Mechanisms and Management Alex Y. Tan, MD; Kenneth A. Ellenbogen, MD;
Remote monotoring of cardiac rhythm devices: present and future Pacemaker and ICD
Remote monotoring of cardiac rhythm devices: present and future Pacemaker and ICD Philippe Mabo University Hospital, Rennes, France ESC congress, Paris 30 August 2011 U642 Disclosures Biotronik: research
MEET MICRA. Micra TM ACTUAL SIZE. Transcatheter Pacing System
MEET MICRA ACTUAL SIZE Micra TM Transcatheter Pacing System MEET MICRA The world s smallest pacemaker 1 MINIATURIZED. 93% smaller than modern-day pacemakers 6 Completely self contained within the heart,
WHY AM I FAINTING? Finding answers about unexplained fainting
WHY AM I FAINTING? Finding answers about unexplained fainting PERSONAL STORIES For about 15 years, Lloyd s friends and family thought he was clumsy. Each spring, he seemed to have an unusual accident.
MEET MICRA. Micra TM ACTUAL SIZE. Transcatheter Pacing System
MEET MICRA ACTUAL SIZE Micra TM Transcatheter Pacing System MEET MICRA The world s smallest pacemaker 1 MINIATURIZED. 93% smaller than modern-day pacemakers 7 Completely self contained within the heart,
How to Record & Send Information
Patient Handbook How to Record & Send Information with your SJM Confirm Implantable Cardiac Monitor The Patient Activator is part of the SJM Confirm Implantable Cardiac Monitor (ICM). It is, in essence,
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Implantable cardioverter defibrillators for the treatment of arrhythmias and cardiac resynchronisation therapy for the treatment of heart failure (review
Presented By: Barbara Furry, RN-BC, MS, CCRN, FAHA Director The Center of Excellence in Education Director of HERO
Presented By: Barbara Furry, RN-BC, MS, CCRN, FAHA Director The Center of Excellence in Education Director of HERO Follow me on Twitter! CEE Med Updates@BarbaraFurryRN Like me on Facebook! What is a
Acute Evaluation of the Post Atrial Stimulation Evoked Response at Various Sites
June 2000 311 Acute Evaluation of the Post Atrial Stimulation Evoked Response at Various Sites Y. GUYOMAR, P. GRAUX, R. CARLIOZ, C. MOULIN, A. DUTOIT Catholic University of Lille, St-Philibert Hospital,