A 82-year old patient with ischemic cardiomyopathy is implanted with a dual chamber defibrillator.
He comes for his six-monthly check-up with the following ECG.
You interrogate his ICD and arrive at the following screen:
Simulator Case: SafeR II
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Question 1 of 5
1. Question
Concerning his ECG, what is the most likely diagnosis?
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Question 2 of 5
2. Question
We observe that the programmed mode is indeed SafeR-R (AAI <=> DDD).
How much of the time is the RV paced?
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The RV is paced % of the time.
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Question 3 of 5
3. Question
Let’s first look at his intrinsic rhythm under “Tests EGM” and “Sensitivity”.
Is he pacemaker dependent?
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Question 4 of 5
4. Question
Now look at the AVB episodes (under AIDA, AV conduct).
What is you diagnosis?
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Question 5 of 5
5. Question
There is the notion that “90% of mode switches to DDD occurs after sensing a signal in the committed period. The R wave sensed in the committed period can be due to an A sensing error or a long PR.”
Evaluate the associated episodes.
What caused the mode switches?
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Click on the magnifying glass next to the message: “90% of …” in AIDA -> AV conduct