Quizz - The 1st World Championship of device EGMs interpretation

Onglets principaux

Question 1

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P wave oversensing
T wave oversensing
VT
Sélectionné
RV lead fracture/insulation breach 
AF
Question 2

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P wave oversensing
T wave oversensing
EMI (electromagnetic interference)
Lead fracture
Sélectionné
VF/VT
Question 3

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AF
Sélectionné
T wave oversensing
RV Lead Dislodgement
Lead fracture
VF
Question 4

Votre réponseChoix
RV Lead Dislodgement/ P wave oversensing
AF
EMI (electromagnetic interference)
Sélectionné
Lead fracture
VF
Question 5

Votre réponseChoix
Ventricular tachycardia
Dual tachycardia (VT+ SVT)
SVT
SVT + aberrant atrioventricular conduction
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Dual tachycardia (sinus tachycardia + VT)
Question 6

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Sinus tachycardia
Slow VT
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R-wave double counting
P-wave oversensing
T-wave oversensing
Question 7

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Polymorphic VT
Ventricular undersensing
R-wave double counting
P-wave oversensing
Sélectionné
T-wave oversensing
Question 8

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This is a burst during the charge  
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This is a burst before the charge
The burst is inefficient in reducing the VT
The parameter « return to sinus » is programmed to 3
After the ATP the first ventricular signal (-) is undersensed
Question 9

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Sélectionné
The programmed pacing mode is DDI
The programmed minimal pacing rate is 45 bpm
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The programmed minimal pacing rate is 60 bpm
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The maximal duration for a ventricular pause is 1.5 second
The maximal duration for an atrial pause is 1 second
Question 10

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Marker 1: Wenckebach behaviour and blocked P-wave
Sélectionné
Marker 1: inappropriate intervention of the anti-PMT algorithm and blocked P-wave
Marker 2: Wenckebach behavior and blocked P-waves
Marker 2:intervention of the anti-PMT algorithm and blocked P-waves
Sélectionné
Intervention Rythmiq algorithm (Search AV +) and blocked P-waves
Question 11

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Sélectionné
Biotronik: 8
Sélectionné
Boston Scientific: 16
Medtronic: 12
Sélectionné
SJM: 8
Sorin: 6
Question 12

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Appropriate Rythmiq commutation with second degree AV block
Appropriate Rythmiq commutation with third degree AV block
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Ventricular undersensing
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Inappropriate Rythmiq-commutation to DDD (no AV block)
Far-field P-wave oversensing
Question 13

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LV pacing threshold: 2.5 V
Sélectionné
LV pacing threshold: 2.75 V
Inefficient LV pacing
Sélectionné
Atrial capture with the LV pacing lead
Right ventricular capture with the LV pacing lead
Question 14

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Atrial tachycardia
Sélectionné
Oversensing of the post BIV pacing signal with the atrial lead
Ventricular tachycardia
Conducted atrial tachycardia
Oversensing of the atrial activation with the RV lead
Question 15

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Sélectionné
For the device, this is an episode of Ventricular Tachycardia
For the device, this is an episode of SVT
The diagnosis of VT is based on a discrimination based on the PR Logic
The diagnosis of SVT is based on a discrimination based on the PR Logic
Sélectionné
The discrimination of this episode is only based on the analysis of the onset parameter
Question 16

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Cross-talk VA
Cross-talk AV
T-wave oversensing
In Biotronik pacemakers, the duration of the post-atrial pacing ventricular safety window is 110 ms
Sélectionné
In Biotronik pacemakers, the duration of the post-atrial pacing ventricular safety window is 100 ms
Question 17

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There is a p wave oversensing
Sélectionné
The atrial sensitivity is programmed (value) too high
Sélectionné
There is a R wave double counting
RV Blanking after atrial sensing must be increased
Sélectionné
There is a VT
Question 18

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Pacing mode is DDDR
Sélectionné
The 7th marker As (red star) is sensed in the PVARP, which has been extended to 500ms by the anti-PMT algorithm
In Boston ICDs, there is a post A pacing ventricular safety window
In this tracing, V-Epsd (blue star) indicates that the VF detection window is satisfied (8/10)
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In this tracing, V-Epsd (blue star) indicates that the VT detection window is satisfied (8/10)
Question 19

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Sélectionné
The pacing mode is VDI during the duration
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V-Dur indicates the end of the VT duration
a VF episode is detected because V>A
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Quick Convert™ is engaged after V-Detect
The ICD begins the charge during the Quick Convert™ delivery
Question 20

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Sélectionné
Secure Sense is triggered by 2 out of 3 fast ventricular events
There is a T wave oversensing
The A pacing configuration is probably Unipolar
There is a ventricular bigeminy
The ventricular safety window of 64ms can be extended
Question 21

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BV and VS intervals reset the VT counter
Sélectionné
Turning on the T wave discrimination algorithm will eliminate this oversensing phenomenon
CRT is effective every 3 beats
To prevent this oversensing in this ICD, one can increase the decay delay
Change from true bipolar to integrated bipolar sensing may solve the problem
Question 22

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Sélectionné
Pacing mode is possibly DDI
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The tracing is compatible with a normal functioning of the Saint Jude Medical Ventricular Intrinsic Preference (VIP™) algorithm
If the device would have been a LivaNova pacemaker programed with AAISafeR ™: the pacing mode would probably have switched to DDD
If the device would have been a Medtronic pacemaker programed with MVP ™: the pacing mode would probably have switched to DDD
The maximal Ventricular sensitivity is 2mV when programmed to “AUTO”, in this Biotronik PM
Question 23

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There is a intermitent ventricular loss of capture
Sélectionné
You propose to increase the max tracking rate
You propose to increase the A-tachy response (ATR) trigger rate
You propose to increase the entry count of the ATR 
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You propose to lower the value of the maximal V sensitivity
Question 24

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Pacing mode is VP-suppression
You propose to switch ON the Enhanced T-Wave Suppression algorithm
You propose to increase the atrial sensitivity (lower value)
Sélectionné
The device has potentially self induced the arrhythmia
ATP one shot is not delivered because the VF is unstable
Question 25

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The most likely diagnosis is a RV lead fracture
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DDI is the « episode » pacing mode
Sélectionné
Return of sinus rhythm counter is programmed to 5 (nominal)
ATP during charge is not delivered because the VF is unstable
There is a rupture of the coil conductor
Question 26

Votre réponseChoix
ODO 
Sélectionné
AAI/VVI Rythmiq 75bpm
AAI 75bpm
DDI 75 bpm
DDD 75 bpm
Question 27

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The ICD uses the combined counter to diagnose a VF episode (page 1)
The Fast VT zone is programmed via VF
Sélectionné
First shock is not delivered because the device failed to reconfirm the arrhytmia after the end of the charge
Sélectionné
In this case after VF redetection, the shock is commited
The def shock is synchronized on a p wave