Medtronic.Kappa700Series频率骤降反应MedtronicInternalUseOnly频率骤降反应•临床问题:VVSorCSS病人因为频率突然下降而有晕厥•Kappa解决方法:高频率起搏防止或减少晕厥的发生•优势:减少因晕厥引起的摔倒或受伤MedtronicInternalUseOnly两种RDR治疗1,骤降检测:检测心室率的骤降满足不同的程控参数–频率骤降已定义2,低频率检测:检测与程控的低频率相比心率的骤降–频率骤降未定义且难以确定MedtronicInternalUseOnly频率骤降反应-骤降检测治疗•1,检测窗口(10secondsto2.5minutes)•2,检测范围DropSize(10-50bpm)•3,骤降频率DropRate(30-100bpm)•4,检测次数(non-programmable2)•5,干预频率(60-180ppm)•6,干预间期(1-15minutes)MedtronicInternalUseOnly频率骤降反应-骤降检测治疗MedtronicInternalUseOnly频率骤降反应-低频率检测•1,检测次数(1,2,or3)•2,干预频率(60-180ppm)•3,干预间期(1-15minutes)(当频率达到程控的较低频率及次数时干预发生可与骤降反应同时发生)MedtronicInternalUseOnly频率骤降反应-低频率检测MedtronicInternalUseOnlyRDR事件诊断–自动MedtronicInternalUseOnlyRDR详细诊断MedtronicInternalUseOnlyRDR详细诊断MedtronicInternalUseOnlyRateDropResponseRateDropResponseClinicianSelecteddiagnostics33DetectionBeats(IfLowRateDetectorBoth)45bpm40-45bpmLowerRate2min1minInterventionDuration100ppm100ppmInterventionRate1min30secDetectionWindow60bpm50bpmDropRate25bpm30bpmDropSizeDropDetectDropDetectDetectionTypeVVSCSSProgrammingGuidelinesRDR程控建议
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