CRF procedure PROCEDURE FLOW. PATIENT ASSESSMENT Symptoms and indication. Pacemaker & ICD registration. Procedures. Procedure ICD.

Size: px
Start display at page:

Download "CRF procedure PROCEDURE FLOW. PATIENT ASSESSMENT Symptoms and indication. Pacemaker & ICD registration. Procedures. Procedure ICD."

Transcription

1 Pacemaker & ICD registration Procedures CRF procedure PROCEDURE FLOW Procedure ICD ICD PM ICM lead only PATIENT ASSESSMENT Symptoms and indication Symptoms and events (multiple possibilities) Asymptomatic no Fatigue no Palpitations no Dyspnoe no Chest pain no near / pre syncope / dizziness no Syncope no Chronic heart failure no Systemic embolic event no Cardiac arrest / aborted sudden death no Other no If symptom, specify ICD indication prophylactic therapeutic PM indication? no PM indication (multiple possibilities) Bradycardia no AV block no Heart failure no Afib no

2 Acute MI no Severe electrolyte disturbance no Other no If indication, specify If bradycardia, indicate sinus node dysfunction AV conduction disturbance binodal disease drug induced bradycardia If AV block, indicate first degree AVB second degree AVB Mobitz type I (Wenckebach) second degree AVB Mobitz type II (Infranodal) complete AV block Pre implantation Ejection Fraction assessed? no LV EF (%) Method MRI Nuclear LV angio Echo CT PROCEDURE AND HOSPITAL ADMISSION Procedure and hospital admission Date of procedure Second stage procedure? no Hospital in which this procedure was performed PatientID in implanting hospital

3 Implanted by Antibiotic no Antibiotics (multiple possibilities) pre/perioperative no postoperative no Device Type of device procedure implantation explantation replacement reposition upgrade with device change upgrade without device change activation deactivation pocket revision attempt to procedure If upgrade, type of upgrade upgrade from PM to ICD upgrade from PM to CRT D upgrade from CRT P to CRT D upgrade from ICD to CRT D upgrade from VVI ICD to DDD ICD Brand name device Other If brand name, specify Model device Other Other CRT: NO If model, specify Serial number device Leadless device? no

4 Device (inactive) Reason for replacement / explantation / reposition device not applicable normal End Of Service premature End Of Service sensing / pacing failure failure to defibrillate software (algorithm) failure connector failure recall skin erosion / infection systemic infection / endocarditis elective (patient request) pocket hematoma pain damage from extrinsic energy elective system change electrode problem system change hemodynamic If reason, specify Therapy ATP therapy? TESTING Testing Activated (Defibrillation Test) no no Succesful tested shock (DF Test Success) no

5 Lead form Lead type Extra lead RA lead RV lead Subcutaneous array LV lead Extra lead Unknown Type extra lead RA lead RV lead LV lead defib lead VDD CS lead If type, specify Type of procedure implantation explantation replacement reposition repair activation deactivation reposition tip attempt to procedure new adapater adapter removal new extension extension removal Brand name Other If brand name, specify Model name Other If model, specify Serial number

6 Reason lead replacement / reposition / explantation not applicable normal End Of Service premature End Of Service upgrade to dual chamber upgrade to biventricular / CRT upgrade atrial therapy sensing / pacing failure failure to defibrillate software (algorithm) failure connector failure recall skin erosion / infection systemic infection / endocarditis intravascular constriction macro or micro lead dislodgement pain damage from extrinsic energy fibrosis at electrode myocordial interface lead failure retention with fracture chronic perforation oversensing T wave oversensing R wave in atrial channel diaphragm stimulation If reason, specify Method of making lead inactive capping cutting and capping removal Submit NCDR All rights reserved.

EHRA Accreditation Exam - Sample MCQs Cardiac Pacing and ICDs

EHRA Accreditation Exam - Sample MCQs Cardiac Pacing and ICDs EHRA Accreditation Exam - Sample MCQs Cardiac Pacing and ICDs Dear EHRA Member, Dear Colleague, As you know, the EHRA Accreditation Process is becoming increasingly recognised as an important step for

More information

Pacing and Device Jargon Made Simple. Dr Jonathan Timperley MB ChB MD FRCP Consultant Cardiologist Northampton General Hospital

Pacing and Device Jargon Made Simple. Dr Jonathan Timperley MB ChB MD FRCP Consultant Cardiologist Northampton General Hospital Pacing and Device Jargon Made Simple Dr Jonathan Timperley MB ChB MD FRCP Consultant Cardiologist Northampton General Hospital Disclosure Dr Jonathan Timperley Honorarium from Bayer Arne Larson (1915

More information

Leadless Pacing. Osama Diab Assistant Prof. of Cardiology Ain Shams University Egypt

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

More information

Ambulatory Monitors, Pacers, and Defibrillators

Ambulatory Monitors, Pacers, and Defibrillators Ambulatory Monitors, Pacers, and Defibrillators Vermont Cardiac Network 2018 Mark L. Greenberg MD Clinical Associate Professor of Medicine Geisel School of Medicine, Dartmouth Mark.L.Greenberg@Dartmouth.edu

More information

Cardiac Implanted Electronic Devices Pacemakers, Defibrillators, Cardiac Resynchronization Devices, Loop Recorders, etc.

Cardiac Implanted Electronic Devices Pacemakers, Defibrillators, Cardiac Resynchronization Devices, Loop Recorders, etc. Cardiac Implanted Electronic Devices Pacemakers, Defibrillators, Cardiac Resynchronization Devices, Loop Recorders, etc. The Miracle of Living February 21, 2018 Matthew Ostrom MD,FACC,FHRS Division of

More information

INNOVATIONS IN DEVICE THERAPY:

INNOVATIONS IN DEVICE THERAPY: INNOVATIONS IN DEVICE THERAPY: Subcutaneous ICDs, Leadless Pacemakers, CRT Indications David J Wilber MD Loyola University Medical Center Disclosures: ACC Foundation: Consultant; Biosense / Webster: Consultant,

More information

Clinical Results with the Dual-Chamber Cardioverter Defibrillator Phylax AV - Efficacy of the SMART I Discrimination Algorithm

Clinical Results with the Dual-Chamber Cardioverter Defibrillator Phylax AV - Efficacy of the SMART I Discrimination Algorithm April 2000 107 Clinical Results with the Dual-Chamber Cardioverter Defibrillator Phylax AV - Efficacy of the SMART I Discrimination Algorithm B. MERKELY Semmelweis University, Dept. of Cardiovascular Surgery,

More information

Icd 10 for pacemaker pocket infection

Icd 10 for pacemaker pocket infection Search Search pages & people Search Search Search pages & people Search Icd 10 for pacemaker pocket infection Oct 29, 2014. 9.1.2 In generator pocket infection, ICED-LI and ICED-IE? 9.1.3 What is the.

More information

New generations pacemakers and ICDs: an update

New generations pacemakers and ICDs: an update Advances in Cardiac Arrhythmias and Great Innovations in Cardiology XXVII Giornate Cardiologiche Torinesi New generations pacemakers and ICDs: an update Prof. Fiorenzo Gaita, MD Division of Cardiology

More information

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 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

More information

Pediatric pacemakers & ICDs:

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

More information

ICD: Basics, Programming and Trouble-shooting

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

More information

Cardiac Rhythm Management Coder 2017

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

More information

Pacing Codes and Modes Concepts

Pacing Codes and Modes Concepts Pacing Codes and Modes Concepts Pacing codes and modes concepts Objectives Upon completion of this program the participant will be able to: State what the first four positions of the NBG code represent.

More information

Danish Pacemaker and ICD Register Annual report 2015

Danish Pacemaker and ICD Register Annual report 2015 Danish Pacemaker and ICD Register Annual report 2015 Preface The Danish Pacemaker Register was founded in 1982 by physicians from all Danish hospitals where pacemakers were implanted. When the first implantable

More information

PERFORMANCE MEASURE TECHNICAL SPECIFICATIONS. HRS-3: Implantable Cardioverter-Defibrillator (ICD) Complications Rate

PERFORMANCE MEASURE TECHNICAL SPECIFICATIONS. HRS-3: Implantable Cardioverter-Defibrillator (ICD) Complications Rate PERFORMANCE MEASURE TECHNICAL SPECIFICATIONS HRS-3: Implantable Cardioverter-Defibrillator (ICD) Complications Rate Measure Title Description Measure Type Data Source Level of Analysis Numerator HRS-3:

More information

Newer pacemakers also can monitor your blood temperature, breathing, and other factors and adjust your heart rate to changes in your activity.

Newer pacemakers also can monitor your blood temperature, breathing, and other factors and adjust your heart rate to changes in your activity. Pacemakers & Defibrillators A pacemaker system consists of a battery, a computerized generator and wires with sensors called electrodes on one end. The battery powers the generator, and both are surrounded

More information

Tachycardia Devices Indications and Basic Trouble Shooting

Tachycardia Devices Indications and Basic Trouble Shooting Tachycardia Devices Indications and Basic Trouble Shooting Peter A. Brady, MD., FRCP Cardiology Review Course London, March 6 th, 2014 2011 MFMER 3134946-1 Tachycardia Devices ICD Indications Primary and

More information

Cardiac Pacemakers» 2013 HOSPITAL REIMBURSEMENT GUIDE

Cardiac Pacemakers» 2013 HOSPITAL REIMBURSEMENT GUIDE Cardiac Pacemakers» 2013 HOSPITAL REIMBURSEMENT GUIDE 2 Contents Page Introduction Medicare Coding and Payment Overview Hospital Inpatient Hospital Outpatient HCPCS Device Category C-Codes Coverage for

More information

Essentials of Pacemakers and ICD s. Rajesh Banker, MD, MPH

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

More information

PATIENT WITH ARRHYTHMIA IN DENTIST S OFFICE. Małgorzata Kurpesa, MD., PhD. Chair&Department of Cardiology

PATIENT WITH ARRHYTHMIA IN DENTIST S OFFICE. Małgorzata Kurpesa, MD., PhD. Chair&Department of Cardiology PATIENT WITH ARRHYTHMIA IN DENTIST S OFFICE Małgorzata Kurpesa, MD., PhD. Chair&Department of Cardiology Medical University of Łódź The heart is made up of four chambers Left Atrium Right Atrium Left Ventricle

More information

Call Medtronic at 1 (800) to verify the patient s current implanted system

Call Medtronic at 1 (800) to verify the patient s current implanted system MRI SURESCAN SYSTEMS Patient Scanning Process Transvenous Implantable Cardiac Systems PATIENT PRESCREENING SureScan Pacing, Defibrillation, and CRT (CRT-D and CRT-P) Systems Verification Verify that patient

More information

Danish Pacemaker and ICD Register Annual Report 2016

Danish Pacemaker and ICD Register Annual Report 2016 Danish Pacemaker and ICD Register Annual Report 2016 Preface The Danish Pacemaker Register was founded in 1982 by physicians from all Danish hospitals where pacemakers were implanted. When the first implantable

More information

PERIOPERATIVE MANAGEMENT: CARDIAC PACEMAKERS AND DEFIBRILLATORS

PERIOPERATIVE MANAGEMENT: CARDIAC PACEMAKERS AND DEFIBRILLATORS PERIOPERATIVE MANAGEMENT: CARDIAC PACEMAKERS AND DEFIBRILLATORS DR SUSAN CORCORAN CARDIOLOGIST ONCE UPON A TIME.. Single chamber pacemakers Programmed at 70/min VVI 70 UNIPOLAR SYSTEMS A Unipolar Pacing

More information

11/21/18. EKG Pop Quiz. Michael Giocondo, MD Cardiac Electrophysiology Saint Luke s Cardiovascular Consultants

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

More information

Cardiac implantable electronic devices (CIEDs) in children include pacemakers and implantable cardioverter defibrillators (ICDs).

Cardiac implantable electronic devices (CIEDs) in children include pacemakers and implantable cardioverter defibrillators (ICDs). Management of Children with Cardiac Devices Guideline originally developed by Leann Miles, APRN; Lindsey Pumphrey, RN; Srikant Das, MD, and the ANGELS Team. Last reviewed by Lindsey Pumphrey, RN, Srikant

More information

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 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

More information

PACEMAKER INTERPRETATION AND DEVICE MANAGEMENT PART II

PACEMAKER INTERPRETATION AND DEVICE MANAGEMENT PART II 1 PACEMAKER INTERPRETATION AND DEVICE MANAGEMENT PART II 2012 Cynthia Webner DNP, RN, CCNS, CCRN-CMC Karen Marzlin DNP, RN, CCNS, CCRN-CMC 2 ADDITIVES IN DEVICE THERAPY Key Choice / CNEA 1 Adaptive Rate

More information

Supplemental Material

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

More information

Review of Pacemakers and ICD Therapy: Overview and Patient Management

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

More information

ECG S: A CASE-BASED APPROACH December 6,

ECG S: A CASE-BASED APPROACH December 6, ECG S: A CASE-BASED APPROACH December 6, 2018 1 Faculty Disclosure Faculty: Lorne Gula MD, FRCPC Professor, Western University Cardiologist, Hearth Rhythm Specialist Director, Electrophysiology Laboratory,

More information

Unknown ECGs for the Clinician

Unknown ECGs for the Clinician Unknown ECGs for the Clinician 2016 Bryan Heart Fall Cardiology Conference Andrew Merliss, MD, FACC, CDRS, FHRS Director of Cardiac Arrhythmia Service Bryan Heart Disclaimer Advisory Board for Medtronic

More information

La strategia diagnostica: il monitoraggio ecg prolungato. Michele Brignole

La strategia diagnostica: il monitoraggio ecg prolungato. Michele Brignole La strategia diagnostica: il monitoraggio ecg prolungato Michele Brignole ECG monitoring and syncope In-hospital monitoring Holter Monitoring External loop recorder Remote (at home) telemetry Implantable

More information

Dipartimento di Scienze Cardiovascolari Università Campus Bio-Medico di Roma Dott. Vito Calabrese

Dipartimento di Scienze Cardiovascolari Università Campus Bio-Medico di Roma Dott. Vito Calabrese Dipartimento di Scienze Cardiovascolari Università Campus Bio-Medico di Roma Dott. Vito Calabrese Because the primary objective was cure symptomatic bradicardya due to syncope Because this is the common

More information

Inappropriate electrical shocks: Tackling the beast

Inappropriate electrical shocks: Tackling the beast ESC Paris 2011 Inappropriate electrical shocks: Tackling the beast Gerhard Hindricks University of Leipzig Heart Center Dept. of Electrophysiology ESC Paris 2011 Inappropriate electrical shocks: Tackling

More information

Leadless pacing. P.E. Vardas Professor of Cardiology University of Crete, Greece

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

More information

BHRS Prep course Pub style Quiz NOT A

BHRS Prep course Pub style Quiz NOT A BHRS Prep course Pub style Quiz NOT A Round 1 Quiz questions Common ECG s in CRM Colin Cunnington Over the past 3 months, a 24-yearold man who works as a truck driver has had frequent episodes of pre-syncope

More information

NEIL CISPER TECHNICAL FIELD ENGINEER ICD/CRTD BASICS

NEIL CISPER TECHNICAL FIELD ENGINEER ICD/CRTD BASICS NEIL CISPER TECHNICAL FIELD ENGINEER ICD/CRTD BASICS OBJECTIVES Discuss history of ICDs Review the indications for ICD and CRT therapy Describe basic lead and device technology Discuss different therapies

More information

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 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

More information

UnitedHealthcare Medicare Advantage Cardiology Prior Authorization Program

UnitedHealthcare Medicare Advantage Cardiology Prior Authorization Program Electrophysiology Implant Classification Table The table below contains the codes that apply to our UnitedHealthcare Medicare Advantage cardiology prior Description Includes Generator Placement Includes

More information

Cardiac Rhythm Management Coder 2018

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,

More information

PACEMAKER INTERPRETATION AND DEVICE MANAGEMENT PART I

PACEMAKER INTERPRETATION AND DEVICE MANAGEMENT PART I 1 PACEMAKER INTERPRETATION AND DEVICE MANAGEMENT PART I Cynthia Webner DNP, RN, CCNS, CCRN-CMC Karen Marzlin DNP, RN, CCNS, CCRN-CMC 2 PROFESSIONAL NURSING PRACTICE CAN ONLY ADVANCE AS MUCH AS INDIVIDUAL

More information

Transvenous Pacemaker Procedures

Transvenous Pacemaker Procedures Cardiology: Pacemaker and Defibrillator Coding Presented By: Moderate Sedation 2017 99151 : under age 5, initial 15 minutes by MD performing intervention 99152: age 5 or older, initial 15 minutes by MD

More information

HRC Carole Joyce. Bradford Royal Infirmary. Senior Chief Cardiac Physiologist. Pacing & Invasive Services.

HRC Carole Joyce. Bradford Royal Infirmary. Senior Chief Cardiac Physiologist. Pacing & Invasive Services. HRC 2010 Carole Joyce Carole.joyce@bradfordhospitals.nhs.uk Pacing & Invasive Services Carole Joyce Introduction Basic Protocol Troubleshooting Case Studies Questions & Answer Carole Joyce ICD Troubleshooting

More information

CARDIAC DEVICE MR-CONDITIONAL PRODUCT SUMMARY CHART

CARDIAC DEVICE MR-CONDITIONAL PRODUCT SUMMARY CHART CARDIAC DEVICE MR-CONDITIONAL PRODUCT SUMMARY CHART December 2015 This chart encompasses all Medtronic cardiac devices FDA-Approved as MR Conditional and included in the MRI SureScan portfolio. If a device

More information

ESC Stockholm Arrhythmias & pacing

ESC Stockholm Arrhythmias & pacing ESC Stockholm 2010 Take Home Messages for Practitioners Arrhythmias & pacing Prof. Panos E. Vardas Professor of Cardiology Heraklion University Hospital Crete, Greece Disclosures Small teaching fees from

More information

Finally, a pacemaker may be either permanent or temporary, which will also factor into your code selections.

Finally, a pacemaker may be either permanent or temporary, which will also factor into your code selections. 2015 Cardiology Survival Guide Chapter 15: Pacemakers With more than 30 codes and many variables to choose from, you must weigh your options carefully when reporting insertion, revision, or removal of

More information

PERMANENT PACEMAKERS AND IMPLANTABLE DEFIBRILLATORS Considerations for intensivists

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

More information

Supplementary Online Content

Supplementary Online Content Supplementary Online Content Tseng ZH, Hayward RM, Clark NM, et al. Sudden death in patients with cardiac implantable electronic devices. JAMA Intern Med. Published online June 22, 2015. doi:10.1001/jamainternmed.2015.2641.

More information

Troubleshooting ICD. NASPE Training Lancashire & South Cumbria Cardiac Network

Troubleshooting ICD. NASPE Training Lancashire & South Cumbria Cardiac Network Troubleshooting ICD NASPE Training Lancashire & South Cumbria Cardiac Network Bradycardia Pacing by ICD Isolated ICD discharge Multiple discharges Appropriate Inappropriate No ICD Therapy or delay in ICD

More information

Puzzling Pacemakers Cheryl Herrmann, APN, CCRN, CCNS-CSC-CMC

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

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE

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

More information

Subcutaneous implantable cardioverter defibrillator insertion for preventing sudden cardiac death

Subcutaneous implantable cardioverter defibrillator insertion for preventing sudden cardiac death NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Interventional procedure consultation document Subcutaneous implantable cardioverter defibrillator insertion for preventing sudden cardiac death A subcutaneous

More information

(auto) à If Yes, Most Recent LVEF Date 4155 : à If Yes, Most Recent LVEF 4160 :

(auto) à If Yes, Most Recent LVEF Date 4155 : à If Yes, Most Recent LVEF 4160 : A. DEMOGRAPHICS Last Name 2000 : First Name 2010 : Middle Name 2020 : SSN 2030 : - - SSN N/A 2031 Patient ID 2040 : (auto) Other ID 2045 : Birth Date 2050 : Sex 2060 : O Male O Female Patient Zip Code

More information

Practice Questions.

Practice Questions. IBHRE Prep Practice Questions Question 1 The relative refractory yperiod of the ventricular myocardium corresponds to which of the following phases of the action potential? A. (0) B. (1) C. (2) D. (3)

More information

ICD-9-CM Expert. for Payers Volumes 1, 2 & 3. International Classification of Diseases 9th Revision Clinical Modification.

ICD-9-CM Expert. for Payers Volumes 1, 2 & 3. International Classification of Diseases 9th Revision Clinical Modification. ICD-9-CM Expert for Payers Volumes 1, 2 & 3 International Classification of Diseases 9th Revision Clinical Modification Sixth Edition Edited by: Anita C. Hart, RHIA, S, S-P Catherine A. Hopkins Beth Ford,

More information

His Bundle Pacing: Where is it going? Kenneth A. Ellenbogen, M.D. Kontos Professor, VCU School of Medicine November 17, 2017

His Bundle Pacing: Where is it going? Kenneth A. Ellenbogen, M.D. Kontos Professor, VCU School of Medicine November 17, 2017 His Bundle Pacing: Where is it going? Kenneth A. Ellenbogen, M.D. Kontos Professor, VCU School of Medicine November 17, 2017 Conflicts Medtronic: Research, Honoraria, Consulting Boston Scientific: Research,

More information

2017 HRS Expert Consensus Statement on Cardiovascular Implantable Electronic Device Lead Management and Extraction

2017 HRS Expert Consensus Statement on Cardiovascular Implantable Electronic Device Lead Management and Extraction Summary of Expert Consensus Statement for CLINICIANS 2017 HRS Expert Consensus Statement on Cardiovascular Implantable Electronic Device Lead Management and Extraction This is a summary of the Heart Rhythm

More information

Cardiac Resynchronisation Therapy Patient Information

Cardiac Resynchronisation Therapy Patient Information Melbourne Heart Rhythm Cardiac Resynchronisation Therapy Patient Information Normal Heart Function The heart is a pump responsible for maintaining blood supply to the body. It has four chambers. The two

More information

Q & A: How to Safely Scan Patients with a SureScan MRI Pacemaker

Q & A: How to Safely Scan Patients with a SureScan MRI Pacemaker Q & A: How to Safely Scan Patients with a SureScan MRI Pacemaker Patient Scheduling and Screening Q: Is there any special (other than regular MRI consent) consent form that should be signed by the patient?

More information

Need to Know: Implantable Devices. Carolyn Brown RN, MN, CCRN Education Coordinator Emory Healthcare Atlanta, Georgia

Need to Know: Implantable Devices. Carolyn Brown RN, MN, CCRN Education Coordinator Emory Healthcare Atlanta, Georgia Need to Know: Implantable Devices Carolyn Brown RN, MN, CCRN Education Coordinator Emory Healthcare Atlanta, Georgia Disclosure Statement I have no relationships to disclose. Objectives Discuss the most

More information

Do All Patients With An ICD Indication Need A BiV Pacing Device?

Do All Patients With An ICD Indication Need A BiV Pacing Device? Do All Patients With An ICD Indication Need A BiV Pacing Device? Muhammad A. Hammouda, MD Electrophysiology Laboratory Department of Critical Care Medicine Cairo University Etiology and Pathophysiology

More information

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. 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

More information

Vasovagal Syncope and Bradyarrhythmias Mechanisms, distinguishing cause and effect

Vasovagal Syncope and Bradyarrhythmias Mechanisms, distinguishing cause and effect Vasovagal Syncope and Bradyarrhythmias Mechanisms, distinguishing cause and effect Walid Saliba, MD, FHRS, FACC Director EP lab Director Atrial Fibrillation Center Department of Cardiovascular Medicine

More information

Device Update Implantable Cardioverter Defibrillator (ICD) 박상원

Device Update Implantable Cardioverter Defibrillator (ICD) 박상원 2012 년춘계학술대회 Device Update Implantable Cardioverter Defibrillator (ICD) 박상원 Arrhythmia Center, KUMC www.korea-heartrhythm.com Korea University Medical Center Seoul, Korea The Development of ICD by a team

More information

The Therapeutic Role of the Implantable Cardioverter Defibrillator in Arrhythmogenic Right Ventricular Dysplasia

The Therapeutic Role of the Implantable Cardioverter Defibrillator in Arrhythmogenic Right Ventricular Dysplasia The Therapeutic Role of the Implantable Cardioverter Defibrillator in Arrhythmogenic Right Ventricular Dysplasia By Sandeep Joshi, MD and Jonathan S. Steinberg, MD Arrhythmia Service, Division of Cardiology

More information

Chapter 80 Implantable Cardiac Devices

Chapter 80 Implantable Cardiac Devices Chapter 80 Implantable Cardiac Devices Episode Overview: 1. List 5 Indications for permanent pacing 2. Pacemaker nomenclature - what do the 5 letters mean a. What are common Pacemaker types? 3. List the

More information

3/17/2014. NCDR-14 ICD Registry WS # 24 Case Scenarios Including Syndromes w/ Risk of Sudden Death. Objectives

3/17/2014. NCDR-14 ICD Registry WS # 24 Case Scenarios Including Syndromes w/ Risk of Sudden Death. Objectives NCDR-14 ICD Registry WS # 24 Case Scenarios Including Syndromes w/ Risk of Sudden Death Denise Pond BSN, RN The following relationships exist related to this presentation: No Disclosures Objectives Discuss

More information

Is This Thing Working?

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

More information

Advanced ICD Concepts

Advanced ICD Concepts 1 4 2 5 7 3 6 8 Advanced ICD Concepts This presentation is provided with the understanding that the slide content must not be altered in any manner as the content is subject to FDA regulations. This presentation

More information

Pediatrics. Arrhythmias in Children: Bradycardia and Tachycardia Diagnosis and Treatment. Overview

Pediatrics. Arrhythmias in Children: Bradycardia and Tachycardia Diagnosis and Treatment. Overview Pediatrics Arrhythmias in Children: Bradycardia and Tachycardia Diagnosis and Treatment See online here The most common form of cardiac arrhythmia in children is sinus tachycardia which can be caused by

More information

The Nuts and Bolts of ICD Therapy

The Nuts and Bolts of ICD Therapy Electrical Management of Cardiac Rhythm Disorders For Cardiology Fellows December 5-8 Austin, Texas The Nuts and Bolts of ICD Therapy 1 2 Action Potential Localized Differences in Conduction Conduction

More information

IHCP bulletin INDIANA HEALTH COVERAGE PROGRAMS BT JANUARY 24, 2012

IHCP bulletin INDIANA HEALTH COVERAGE PROGRAMS BT JANUARY 24, 2012 IHCP bulletin INDIANA HEALTH COVERAGE PROGRAMS BT201203 JANUARY 24, 2012 The IHCP to reimburse implantable cardioverter defibrillators separately from outpatient implantation Effective March 1, 2012, the

More information

Everyone Needs a Device Christopher L. Fellows, MD, FACC, FHRS Virginia Mason Medical Center Seattle, Wa.

Everyone Needs a Device Christopher L. Fellows, MD, FACC, FHRS Virginia Mason Medical Center Seattle, Wa. Everyone Needs a Device 2018 Christopher L. Fellows, MD, FACC, FHRS Virginia Mason Medical Center Seattle, Wa. CIED therapy The heart as an electrical organ History of pacing and defibrillation What is

More information

REtrive. REpeat. RElearn Design by. Test-Enhanced Learning based ECG practice E-book

REtrive. REpeat. RElearn Design by. Test-Enhanced Learning based ECG practice E-book Test-Enhanced Learning Test-Enhanced Learning Test-Enhanced Learning Test-Enhanced Learning based ECG practice E-book REtrive REpeat RElearn Design by S I T T I N U N T H A N G J U I P E E R I Y A W A

More information

8/8/2011. CARDIAC RESYCHRONIZATION THERAPY for Heart Failure. Case Presentation. Case Presentation

8/8/2011. CARDIAC RESYCHRONIZATION THERAPY for Heart Failure. Case Presentation. Case Presentation CARDIAC RESYCHRONIZATION THERAPY for Heart Failure James Taylor, DO, FACOS Cardiothoracic and Vascular surgery San Angelo Community Medical Center San Angelo, TX Case Presentation 64 year old female with

More information

Cardiac rhythm detailed monitoring by an implanted pacemaker: The iecg solution

Cardiac rhythm detailed monitoring by an implanted pacemaker: The iecg solution Cardiac rhythm detailed monitoring by an implanted pacemaker: The iecg solution Francesco Zanon, MD, FESC, FHRS Arrhythmia and Electrophysiology Unit, Cardiology Dept. Santa Maria della Misericordia General

More information

NOVEL DEVICE TECHNOLOGIES

NOVEL DEVICE TECHNOLOGIES NOVEL DEVICE TECHNOLOGIES Leadless Pacemakers and Subcutaneous ICDs Do the Benefits Outweigh MRI Incompatibility? Disclosures None Background PPMs and ICDs are very effective therapy for treating bradyarrhythmias

More information

EXAMPLE PROTOCOL FOR PATIENT SCANNING PROCESS

EXAMPLE PROTOCOL FOR PATIENT SCANNING PROCESS EXAMPLE PROTOCOL FOR PATIENT SCANNING PROCESS MRI SureScan Pacing, ICD, and CRT (CRT-D and CRT-P) Transvenous Implantable Cardiac Systems Timothy S. E. Albert, M.D. President CVMR Solutions, Inc. Carmel

More information

Heart Rhythm Society. Welcome to San Francisco! 2/26/2013. WS #5 ICD Introduction 1. Workshop # 9. ICD Registry Program

Heart Rhythm Society. Welcome to San Francisco! 2/26/2013. WS #5 ICD Introduction 1. Workshop # 9. ICD Registry Program Welcome to San Francisco! Workshop # 9 ICD Registry Program Thursday March 7, 2013 4:00pm 5:30pm Heart Rhythm Society Presenter Disclosure Information Chairman, ICD Registry Steering Committee The following

More information

Temporary pacemaker 삼성서울병원 심장혈관센터심장검사실 박정왜 RN, CCDS

Temporary pacemaker 삼성서울병원 심장혈관센터심장검사실 박정왜 RN, CCDS Temporary pacemaker 삼성서울병원 심장혈관센터심장검사실 박정왜 RN, CCDS NBG Codes 1st Letter 2nd Letter 3rd Letter A V D Chamber(s) Paced = atrium = ventricle = dual (both atrium and ventricle) Chamber(s) Sensed A = atrium

More information

Technical option of surgical approach for trouble-shooting

Technical option of surgical approach for trouble-shooting JHRS Corner Device and lead trouble-shooting - standard strategy and technical option - Technical option of surgical approach for trouble-shooting Katsuhiko IMAI Department of Cardiovascular surgery, Hiroshima

More information

CONSULTA CRT-P Model C4TR01

CONSULTA CRT-P Model C4TR01 CONSULTA CRT-P Model C4TR01 Physical characteristics Volume a 15 cm 3 Mass H x W x D Surface area of titanium device can Surface area of each titanium nitride LECG electrode Radiopaque ID Materials in

More information

Cardiac Devices Past, Present, and Future. Outline

Cardiac Devices Past, Present, and Future. Outline Cardiac Devices Past, Present, and Future Charles Henrikson, MD Director, Electrophysiology Service 11 September 2016 Outline Introduction Native conduction system Indications for PPMs Indications for

More information

UnitedHealthcare, UnitedHealthcare of the River Valley and Neighborhood Health Partnership Cardiology Notification and Prior Authorization Program:

UnitedHealthcare, UnitedHealthcare of the River Valley and Neighborhood Health Partnership Cardiology Notification and Prior Authorization Program: Notification and Prior Authorization Program: Electrophysiology Implant Classification Table The following chart contains the codes that require notification or prior authorization as part of UnitedHealthcare

More information

Cardiac resynchronisation therapy (biventricular pacing) for the treatment of heart failure

Cardiac resynchronisation therapy (biventricular pacing) for the treatment of heart failure NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Health Technology Appraisal for the treatment of heart failure Final scope Appraisal objective To appraise the clinical and cost effectiveness of cardiac

More information

ESC/EHRA. Guidelines on Cardiac Pacing. Panos E. Vardas Professor of Cardiology Heraklion University Hospital Crete, Greece

ESC/EHRA. Guidelines on Cardiac Pacing. Panos E. Vardas Professor of Cardiology Heraklion University Hospital Crete, Greece ESC/EHRA Guidelines on Cardiac Pacing Panos E. Vardas Professor of Cardiology Heraklion University Hospital Crete, Greece Reasons for European Guidelines? Scientific reasons Cultural and political reasons

More information

His Bundle Pacing in Bundle Branch Block May 11, 2017

His Bundle Pacing in Bundle Branch Block May 11, 2017 His Bundle Pacing in Bundle Branch Block May 11, 2017 Gopi Dandamudi, MD FHRS System Medical Director, IUH Cardiac EP Program Director, IUH Atrial Fibrillation Center Assistant Professor of Clinical Medicine

More information

Different indications for pacemaker implantation are the following:

Different indications for pacemaker implantation are the following: Patient Resources: ICD/Pacemaker Overview ICD/Pacemaker Overview What is a pacemaker? A pacemaker is a device that uses low energy electrical pulses to prompt the heart to beat whenever a pause in the

More information

Update on Device Innovation (S-ICD, Wearable, Leadless)

Update on Device Innovation (S-ICD, Wearable, Leadless) Update on Device Innovation (S-ICD, Wearable, Leadless) C. W. Israel Dept. of Medicine - Cardiology Evangelical Hospital Bielefeld J. W. Goethe University Frankfurt Carsten.Israel@em.uni-frankfurt.de Conflicts

More information

Leadless pacemakers and subcutaneous ICD s: will we use them for most of our patients? K.-H. Kuck Asklepios Klinik St. Georg Hamburg, Germany

Leadless pacemakers and subcutaneous ICD s: will we use them for most of our patients? K.-H. Kuck Asklepios Klinik St. Georg Hamburg, Germany Leadless pacemakers and subcutaneous ICD s: will we use them for most of our patients? K.-H. Kuck Asklepios Klinik St. Georg Hamburg, Germany Disclosure Statement Research Grants Consultant / Advisory

More information

ESC Guidelines. ESC Guidelines Update For internal training purpose. European Heart Journal, doi: /eurheart/ehn309

ESC Guidelines. ESC Guidelines Update For internal training purpose. European Heart Journal, doi: /eurheart/ehn309 ESC Guidelines Update 2008 ESC Guidelines Heart failure update 2008 For internal training purpose. 0 Agenda Introduction Classes of recommendations Level of evidence Treatment algorithm Changes to ESC

More information

The ECG Course. Boone County Fire Protection District EMS Education

The ECG Course. Boone County Fire Protection District EMS Education The ECG Course Level I G rated material AV Blocks What Causes AV Block? Long list of bad things that includes ischemia and.. Old age / disease Medications or drugs Electrolyte imbalances Physiologic Blocks

More information

National Coverage Determination (NCD) for Cardiac Pacemakers (20.8)

National Coverage Determination (NCD) for Cardiac Pacemakers (20.8) Page 1 of 12 Centers for Medicare & Medicaid Services National Coverage Determination (NCD) for Cardiac Pacemakers (20.8) Tracking Information Publication Number 100-3 Manual Section Number 20.8 Manual

More information

MEET MICRA. Micra TM ACTUAL SIZE. Transcatheter Pacing System

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,

More information

Lead Selection and Subcutaneous ICD Considerations. The Future of CIEDs

Lead Selection and Subcutaneous ICD Considerations. The Future of CIEDs Lead Selection and Subcutaneous ICD Considerations The Future of CIEDs February, 2013 Steven P. Kutalek, MD Director, Cardiac Electrophysiology Drexel University College of Medicine New Technologies 2012

More information

Effect of Ventricular Pacing on Myocardial Function. Inha University Hospital Sung-Hee Shin

Effect of Ventricular Pacing on Myocardial Function. Inha University Hospital Sung-Hee Shin Effect of Ventricular Pacing on Myocardial Function Inha University Hospital Sung-Hee Shin Contents 1. The effect of right ventricular apical pacing 2. Strategies for physiologically optimal ventricular

More information

MEET MICRA. Micra TM ACTUAL SIZE. Transcatheter Pacing System

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,

More information

Sudden Cardiac Death What an electrophysiologist thinks a cardiologist should know

Sudden Cardiac Death What an electrophysiologist thinks a cardiologist should know Sudden Cardiac Death What an electrophysiologist thinks a cardiologist should know Steven J. Kalbfleisch, M.D. Medical Director Electrophysiology Laboratory Ross Heart Hospital Wexner Medical Center Sudden

More information

Implantation of a Cardiac Resynchronisation Therapy-Defibrillator (CRT-D)

Implantation of a Cardiac Resynchronisation Therapy-Defibrillator (CRT-D) PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient Implantation of a Cardiac Resynchronisation Therapy-Defibrillator (CRT-D) affix patient label What is

More information