
Troubleshooting Implanted Cardioverter Defibrillator Sensing Problems I
2014年12月1日 · Normal ventricular sensing is inferred from the correspondence of the shock EGMs with the ventricular markers in the ventricular tachycardia (VT) zone (TS). The atrial EGM shows intermittent, high-amplitude pectoral myopotentials, which should not be recorded from an intact closely spaced, intracardiac bipole.
What is ventricular fibrillation undersensing? - ScienceDirect
2018年11月1日 · Ventricular fibrillation (VF), uninterrupted, is fatal within minutes. Implantable cardioverter defibrillators (ICDs) sense ventricular electrograms (EGMs) during VF and detect the VF rhythm (a sequence of VF sensed events) to deliver a shock to …
Design and Preliminary Results of Sensing and Detection for an ...
To address the potentials for oversensing noncardiac or unwanted cardiac signals and for undersensing sinus rhythm or ventricular fibrillation (VF) due to low-amplitude cardiac EGMs, the basic sensing method was changed, 4 new features were added, and 3 existing features were modified. Details are provided in Supplemental Table 1.
Tachycardia detection in modern implantable cardioverter–defibrillators
VF is detected (Det. VF) when 18 out 24 intervals are found to be 300 ms or less (vertical dotted line). A horizontal bar below the “Det. VF” marker indicates that the capacitors are beginning to be charged for VF treatment
What is ventricular fibrillation undersensing? - PubMed
Ventricular fibrillation (VF), uninterrupted, is fatal within minutes. Implantable cardioverter defibrillators (ICDs) sense ventricular electrograms (EGMs) during VF and detect the VF rhythm (a sequence of VF sensed events) to deliver a shock to terminate VF and save lives.
Medtronic Discrimination - Cardiocases
The discriminating criteria offered by single chamber ICD include sudden onset, stability of the tachycardia cycle length and morphology of the ventricular EGM. The « sudden onset » criterion withholds therapies for tachycardia of gradual onset, and is typically used to prevent inappropriate therapies for sinus tachycardia.
Atrial Fibrillation Degenerates Into Ventricular Fibrillation | JACC
Interrogation of his ICD demonstrated AF (*) on the atrial electrogram (A Egm) with an irregular ventricular response (**) that spontaneously degenerated to VF (***), as observed on the ventricular electrogram (V Egm). AS and VS on the marker channel refer to atrial- …
Detection of ventricular fibrillation and successful treatment by …
the EGM shows an extremely rapid and polymorphic ventricular arrhythmia corresponding to a VF episode correctly detected by the device; after 30 intervals classified as FS (programmed initial detection 30/40), initial detection of a VF episode; the charging of the capacitors begins only in the presence of VS markers;
Significance of the morphological patterns of electrograms …
Mapping techniques are used to study the significance of the morphological patterns of the electrograms (EGMs) obtained during VF in an experimental model. In 24 isolated rabbit heart preparations recordings were made of activation during VF using a multiple electrode (121 unipolar electrodes) posit …
Predicting lethal ventricular arrhythmias in hypertrophic ...
2023年6月28日 · In multivariable Cox analysis, QRSp predicted VT/VF such that each peak increased VT/VF risk by 40%, while non-ECG-based risk factors and scores were not predictive. Among all patients with QRSp < 4, the annual event rate for VT/VF was <1% (Figure Figure1B 1B). These findings further support the importance of evaluating ventricular substrate ...