 Sensitivity:

Kemampuan pacemaker membaca batas level/ besarnya

intrinsik listrik jantung (amplitudo) dimana generator
harus memberi impulse atau menunda/ menghambat
(1 -20 mV).

 Power on / off
Untuk mematikan dan menghidupkan generator.
  Threshold output (ambang pacu):
minimal energi yang diberikan dimana terjadi
depolarisasi jantung( mA)

3mA 2mA 1 mA 0.75mA

5 mA

Berapa Th/ Output..? 1mA

 Threshold sensing (ambang rangsang):
Batas maksimal besarnya intrinsik listrik jantung
(amplitude) yang dapat ditangkap
( sense) oleh generator (mV).

0.5mV 1mV 2 mV 3 mV 4 mV

Berapa Th/ sensing

4 mV
 Indikasi
•Sudden death dari VT, VT/VF atau VF
•Long QT
•Non Sustained VT, Low EF
•Resiko SCD ( cardiomyopathy dll)
Gambaran jantung normal  aritmia - cardiac arest( Cardiac
sudden death)
VENTAK PRIZM 2 - AICD
How does it Detect & Treat VT / VF?

1) Ventricular Rate
2) Detection Enhancement
 VENTAK PRIZM 2 - Ventricular Rate
Detection Duration Charge Reconfirm
Deliver Therapy
8 of 10 Duration = 10 sec 5 of 10 2 of 3
>190 ppm 6 of 10 >190 ppm > 190 ppm > 190

150 ppm 205 ppm

10 sec “window”

VT=? VT=Yes Duration = Yes Ready to Shock Pace –

Begin charging Shock If Necessary

Setup:
Detection Rate VT = 190 ppm (90 – 250 ppm)
Duration = 10 sec (1 to 60 sec)
Committed Shock = Yes/No (Reconfirm?)
VENTAK PRIZM 2 - Detection Enhancement
Detection Duration Charge Reconfirm
Deliver Therapy
8 of 10 Duration = 10 sec 5 of 10 2 of 3
>190 ppm 6 of 10 >190 ppm > 190 ppm > 190

Detection Enhancements
Onset Stability AFib Rate V rate > A rate

Setup (part 2): Detection Enhancements

1) V rate > A rate (On, Off)
2) AFib Rate (Off, 200 – 400 ppm)
3) Onset (9% – 50%, Off)
4) Stability (6 – 120 ms, Off)
Team workshop pacemaker
Cardiac Centre Harapan Kita