1 1 1 1 1 1 1 · 5 fs 1 fs1 f 1 f 1 15 s 16 s SVT 8 5 86 91 87 90 84 1 1 1 1 T T T T T T X X 1 X ,J...

7
••• ::: ST. JUDE MEDICA Episode: (21 O bpm / 285 ms) 19 Aug 2016 7:40 Duration Detection Criteria 00 22 (MS) 171 - 221 bpm Results No Ales Therapy 1)ATP 1) Below Rate Detection (CL 635 ms) ATP Therapy Details VT ATP Therapy Successful BCL 244 ms Therapy 1 Burst 1 244, 244, 244, 244, 244, 244, 244 ms Diagnosis Summary 14 Sep 2016 19:03 Archive VTNF Episode 19 of 20 Page 1 of 3 �----- l _ ni _ ti _ al _ D _ i _ a _ g _ no _ s _ is _____ I I ______ D _ i _ ag _ n _ o _ s _ is ______ SVT VT 17,00 sec Time to Diagnosis Rate (CL) 214 bpm (280 ms) VT 210 bpm (285 ms) Zone Morphology Min Match Score Max Non-Match Score No. Template Matches Sudden Onset Max Delta On, � 90% is a match, � 3 matches indicate SVT 91% nia 10 of 10 (SVT lndicated) Passive, < 20 % indicates SVT 53 % (Passive: VT lndicated) 91% 89% 2 of 10 53% (VT lndicated) (Passive: VT lndicated) lnterval Stability Stability Delta SIH Count Passive, � 40 ms indicates SVT (SIH Passive, � 2 intervals indicates SVT) 5ms (Passive: VT lndicated) 5ms (Passive: VT lndicated) O (Passive: VT lndicated) O (Passive: VT lndicated) SVT Criteria Statistics SVT Diagnoses during this episode 5 Measured SVT Discriminator values through initial VTNF Diagnosis Min Match Score 90 % Min/Max Stability Delta Max Non-Match Score 89 % Min/Max SIH Count Template Used 19 Aug 2016 4:58 Max Onset Delta DeFT Response'" Settings (Shock Waveform) Waveform Biphasic Waveform Mode Tilt Shock Configuration RV Polarity Defib Max Sensitivity RV to Can Anode(+) 0.5mV VF Shocks (Defib) VT Shocks (CVRT) 1st Phase 65% Same as Defib 5ms /10 ms 0/0 53% 2nd Phase 65% Same as Defib VTNF Episode 19 of 20 Page 1 of 3 14 Sep 2016 19:03

Transcript of 1 1 1 1 1 1 1 · 5 fs 1 fs1 f 1 f 1 15 s 16 s SVT 8 5 86 91 87 90 84 1 1 1 1 T T T T T T X X 1 X ,J...

•••

::: ST. JUDE MEDICAL"

Episode: VT (21 O bpm / 285 ms) 19 Aug 2016 7:40

Du ration

Detection Criteria

00 22 (MS)

171 - 221 bpm

Results

No Alerts

Therapy 1)ATP 1) Below Rate Detection

(CL 635 ms)

ATP Therapy Details

VT ATP Therapy

Successful BCL 244 ms

Therapy 1

Burst 1 244, 244, 244, 244, 244, 244, 244 ms

Diagnosis Summary

14 Sep 2016

19:03 Archive

VTNF Episode 19 of 20

Page 1 of 3

�-----l _ni _ti _al _D_ i _a _g _no_s _is _____ �I �I ______ D_i _ag_n_o _s _is ______ �

SVT VT 17,00 sec Time to Diagnosis

Rate (CL) 214 bpm (280 ms)

VT

210 bpm (285 ms)

Zone

Morphology

Min Match Score

Max Non-Match Score

No. Template Matches

Sudden Onset

Max Delta

On, � 90% is a match, � 3 matches indicate SVT

91%

nia

10 of 10 (SVT lndicated)

Passive, < 20 % indicates SVT

53 % (Passive: VT lndicated)

91%

89%

2 of 10

53%

(VT lndicated)

(Passive: VT lndicated)

lnterval Stability

Stability Delta

SIH Count

Passive, � 40 ms indicates SVT (SIH Passive, � 2 intervals indicates SVT)

5 ms (Passive: VT lndicated) 5 ms (Passive: VT lndicated)

O (Passive: VT lndicated) O (Passive: VT lndicated)

SVT Criteria Statistics

SVT Diagnoses during this episode 5

Measured SVT Discriminator values through initial VTNF Diagnosis

Min Match Score 90 % Min/Max Stability Delta

Max Non-Match Score 89 % Min/Max SIH Cou nt Template Used 19 Aug 2016 4:58 Max Onset Delta

DeFT Response'" Settings (Shock Waveform) Waveform Biphasic

Waveform Mode Tilt

Shock Configuration

RV Polarity

Defib Max Sensitivity

RV to Can

Anode(+)

0.5mV

VF Shocks (Defib)

VT Shocks (CVRT)

1st Phase 65%

Same as Defib

5 ms /10 ms

0/0

53%

2nd Phase 65%

Same as Defib

VTNF Episode 19 of 20 Page 1 of 3

14 Sep 2016 19:03

•••

::: ST. JUDE MEDICAL"

Episode: VT (21 O bpm / 285 ms) 19 Aug 2016 7:40

1: V Sense Amp AutoGain (0,4 mm/mV)

2: Discrimination AutoGain (0,9 mm/mV)

V Sense Amp 1 mv

Discriminatio 1mV

Markers s vs

3: Markers

vs vs vs vs vs vs

14 Sep 2016

19:03 Archive

VTNF Episode 19 of 20

Page 2 of 3

92 91 1 1

T T F ,J ,J

T

l 5

70 l 570 1

570 l 574 l 574 1469 1 578 1309 1320 fs4 r9 f7 fa 1309

0 s 1 s 2 s 3 s 4s 5 s

91 m 91 m m m m 91 m m m m m m m m 91 91 m w w w m 91 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

6 s

TT TTTTTTT TTTTTTTTTTTTTTTT -J -J -J -J -J -J -J -J -J -J -J -J -J -J -J -J -J -J -J -J -J -J -J -J

92 9 1 1

T

r9

92 93 92 91 1 1

T T T T ,J 1 ,J ,J

281 f 7 r 1 r 1 fs1 14 s

91 89 91 92 89 90 1 1 1 1 1 1

T T T T T T ,J X ,J v X ,J

f85 f85 fs1 fs1 f 1 f 1

15 s 16 s

SVT

85 86 91 87 90 84 1 1 1 1

T T T T T T X X 1 X ,J X

f81 j285 fs5 f 1 fs5 f 1 17 s 18 s

SVT

87 90 87 91 91 87 1 1 1 1

T T T T T T T X ,J X v v X

f5 f

5 f5 fs5 f5 fs5 /

19 s 20 s

VTNF Episode 19 of 20 Page 2 of 3 14 Sep 2016 19:03

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•••

::: ST. JUDE MEDICAL" 14 Sep 2016

19:03 Archive

Episode: VT (210 bpm / 285 ms) (Continued)

19 Aug 2016 7:40

1: V Sense Amp AutoGain (0,4 mm/mV)

2: Discrimination AutoGain (0,9 mm/mV)

3: Markers

Tri

SVT VT(A TP---·-····----------------)

86 88 88 86 81 83 1 1 1 1 1 1

T T T T T T X X X

21 s

X X X

Return To Sinus

97 98 98 1 1

vs vs vs -1 -1

22 s

1605

1 594 1594

28 s 29 s

STIM STIM STIM STIM

1 1 1 1 1 1 1 23 s 24 s

98 1

vs -1

1 30 s 31 s

T F T

25 s

32 s

VTNF Episode 19 of 20

Page 3 of 3

Sweep Speed: 25 mm/s

vs vs

1047 l 629

26 s 27 s

33 s 34 s

VTNF Episode 19 of 20 Page 3 of 3

14 Sep 2016 19:03

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•••

::: ST. JUDE MEDICAL"

Episode: SVT (190 bpm / 315 ms) 19 Aug 2016 8:50

Du ration

Detection Criteria

Therapy

No therapies were delivered

Diagnosis Summary

Time to Diagnosis

Rate (CL)

Zone

Morphology Min Match Score

Max Non-Match Score

No. Template Matches

Sudden Onset

Max Delta

23 38 (MS)

171 - 221 bpm

Results

SVT

9,00 sec

Alerts

Diagnosis

190 bpm (315 ms)

VT

Duration over 1 minute

On, � 90% is a match, � 3 matches indicate SVT

92%

nia

10 of 10 (SVT lndicated)

Passive, < 20 % indicates SVT

53 % (Passive: VT lndicated)

14 Sep 2016

19:03 Archive

VTNF Episode 20 of 20

Page 1 of 4

lnterval Stability

Stability Delta

Passive, � 40 ms indicates SVT (SIH Passive, � 2 intervals indicates SVT)

SIH Count

SVT Criteria Statistics

20 ms (Passive: VT lndicated) O (Passive: VT lndicated)

SVT Diagnoses during this episode 25 5

Measured SVT Discriminator values for Episode

Min Match Score 90 %

Max Non-Match Score

Template Used

89%

19 Aug 2016 4:58

Min/Max Stability Delta

Min/Max SIH Cou nt

Max Onset Delta

DeFT Response'" Settings (Shock Waveform)

Waveform

Waveform Mode

Shock Configuration

RV Polarity

Defib Max Sensitivity

Biphasic

Tilt

RV to Can

Anode(+)

0.5mV

VF Shocks (Defib)

VT Shocks (CVRT)

1st Phase

65%

Same as Defib

0 ms /20 ms

0/ 0

53%

2nd Phase

65%

Same as Defib

VTNF Episode 20 of 20 Page 1 of 4

14 Sep 2016 19:03

••• ::: ST. JUDE MEDICAL"

Episode: SVT (190 bpm / 315 ms) 19 Aug 2016 8:50

1: V Sense Amp AutoGain (0,4 mm/mV)

2: Discrimination AutoGain (0,7 mm/mV)

Discriminatio 1mV

Markers vs

3: Markers

vs vs vs vs vs vs

14 Sep 2016

19:03 Archive

VTNF Episode 20 of 20

Page 2 of 4

94 1

T T -1

T

1 605

1 602

1 605

1 602

1551

1551 1320 1320 r6 1309 r9 1309

0 s 1 s 2 s 3 s 4s 5 s 6 s

1 1 1 1 1 1 1 1 1 1

T T T T T T ,J ,J ,J ..J ..J ..J

92 93 93 9 93 94 1 1 1 1 1

T T T T T ,J v v ..J

T ..J

95

T ..J

T T T ..J ..J ..J

94 94 1

T T ,J ..J

T T

..J ,J

SVT

93 93 1

T T ..J ..J

1332 1309 1320 313 f 05 1320 1309 1316 1309 1309 1316

14 s 15 s 16 s

94

T ..J

T ,J

94

T ..J

T ..J

94 1

T ,J

T T

..J ..J

93 1

T ..J

T 1

SVT

92 1

T ..J

94 1

T ..J

T ,J

94 1

T ..J

T T

..J ..J

93

T ..J

94

T ..J

T ..J

92

T ..J

T T

,J

SV

1320

1313 r 6 1309 1313 1320

1320

1313 r 6

1313

1 17 s 18 s 19 s 20 s

VTNF Episode 20 of 20 Page 2 of 4 14 Sep 2016 19:03

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•••

::: ST. JUDE MEDICAL"

Episode: SVT (190 bpm / 315 ms) (Continued)

19 Aug 2016 8:50

1: V Sense Amp AutoGain (0,4 mm/mV) 2: Discrimination AutoGain (0,7 mm/mV)

SVT

94 94 9

3

92 92 93 94 1 1 1 1 1 1

T T T T T T T ,J ../ ../ ../ ../ ,J

93 1

T ../

3: Markers

SVT

93 91 9

3

93 93 94 94 1 1 1 1 1 1 1

T T T T T T T ../ ,J ,J ,J ,J ,J ,J

9

3 1

T ,J

1316 1320 1316 131

3

1320 1320 1316 13

16 r 3 13

16 13

20 1316 fa 1316 1313 1316

21 s 22 s 23 s 24 s 25 s

SVT SVT •••

94 93 9

3

93 91 94 92 93 92 95 94 92 90 90 1 1 1 1 1 1

T T T T T T T T T T T T T T ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ,J

93 1

T ../

14 Sep 2016 19:03 Archive

VTNF Episode 20 of 20

Page 3 of 4

SVT

9

3

93 93 92 92 1 1 1 1 1

T T T T T ../ ../ ../ ../ ,J

1320

r3

1320 1316 1313 1 26 s 27 s

SVT

95 95 87 93 91 1 1 1

T T T T T ../ ../ X ../ ../

1320 1316 1316 1313 1313 1320 1316 I r

32 1336 1332

r36

1336 r32

r36

r36

1332

r36 1

28 s 29 s 30 s 31 s 32 s 33 s 34 s

SVT SVT SVT

92 95 95 93 90 95 94 88 95 95 94 94 92 95 94 94 94 0 50 88 1 1 1 1 1 1 1 1 1

T T T T T T T T T T T T T T T T T vs F vs

,J ../ ../ ../ ../ ../ X ../ ../ ../ ../ ../ ../ ../ ../ ../ X X X

r32

1336 r36

r32

1332 r36

r32

1332 r32

1332

r32 r32 13

32 r32

1332

f01 l 53

1 f50 l402 1 35 s 36 s 37 s 38 s 39 s 40 s 41 s

VTNF Episode 20 of 20 Page 3 of 4 14 Sep 2016 19:03

•••

::: ST. JUDE MEDICAL"

Episode: SVT (190 bpm / 315 ms) (Continued)

19 Aug 2016 8:50

1: V Sense Amp AutoGain (0,4 mm/mV)

2: Discrimination AutoGain (0,7 mm/mV)

3: Markers

Return To Sinus

4 87 95 87 1 1 1

vs vs

X ,J X

13591

773 1

1027 1 660

42 s 43 s

98 1

vs

,J

1 645

44 s

98 1

vs -1

1 45 s 46 s

14 Sep 2016

19:03 Archive

VTNF Episode 20 of 20

Page 4 of 4

Sweep Speed: 25 mm/s

47 s 48 s

VTNF Episode 20 of 20 Page 4 of 4

14 Sep 2016 19:03

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