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31 Cards in this Set
- Front
- Back
Pacemakers are most commonly used to treat bradycardia secondary to ________
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Sinus node dysfunction, heart block, or autonomic regulatory dysfunction
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Hypersensitive carotid sinus syndrome =
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Autonomic regulatory dysfunction
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All modern pacemakers are:
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Programmable
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I and II pacemaker codes:
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Chamber paced, chamber sensed
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III and IV pacemaker codes:
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Mode of response, programmable functions
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V pacemaker code
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Anti-tachycardia function
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O on the pacemaker code means:
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None
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T on the pacemaker code means:
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Triggered
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I on the pacemaker code means:
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Inhibited
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R on the pacemaker code means:
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Rate modulated
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C on the pacemaker code means:
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Communicating
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M on the pacemaker code means:
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Multi-programmable
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P on the pacemaker code, column IV, means:
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Simple programmable
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P on the pacemaker code, column V, means:
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Paced
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S on the pacemaker code means:
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Shocks
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AOO, VOO, DOO
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Asynchronous
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AAI, VVI, VAT, VDD
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Demand
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VAT, VDD
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Tracking
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DVI
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AV sequential
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DDD
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AV universal
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Pacing mode: no regard for intrinsic rhythm, rarely used for permanent pacers, commonly used for temp pacers
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Asynchronous (fixed)
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Asynchronous is rare used for permanent pacers d/t possibility of ______ rhythms, or pacemaker-induced _____
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Competing rhythms; atrial or ventricular dysrhythmias
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Pacing mode: sense and respond appropriately to intrinsic rhythm, pacer delivered beat is inhibited when intrinsic beat is sensed
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Noncompetitive (demand)
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Noncompetitive (demand) mode may be _______ for sinus node dysfunction with intact AV conduction or AV heart block
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Rate-adaptive
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With increased activity, the pacemaker increases the HR =
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Rate adaptive
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Preserves a more normal relationship between atria and ventricles
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Dual chamber pacing
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Atrial synchronous, AV sequential, AV universal
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3 types of dual chamber pacing
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Atrial synchronous has two modes:
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VAT, VDD
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Sensed atrial beat triggers a ventricular beat after a predetermined AV interval
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VAT
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There is sensing in both chambers to prevent competitive ventricular pacing, but has no atrial pacing capability. Used in pts with AV nodal dysfunction but intact sinus mode
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VDD
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Atrial synchronous pacing is used to continue the :
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Normal conduction pathway
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