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...
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
•••
::: 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
•••
::: 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
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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
•••
::: 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