Quizz - The 1st World Championship of device EGMs interpretation

Question

Your answerChoice
P wave oversensing
T wave oversensing
VT
Selected
RV lead fracture/insulation breach 
AF
Question

Your answerChoice
P wave oversensing
T wave oversensing
EMI (electromagnetic interference)
Lead fracture
Selected
VF/VT
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Your answerChoice
AF
Selected
T wave oversensing
RV Lead Dislodgement
Lead fracture
VF
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Your answerChoice
Selected
RV Lead Dislodgement/ P wave oversensing
AF
EMI (electromagnetic interference)
Lead fracture
VF
Question

Your answerChoice
Ventricular tachycardia
Dual tachycardia (VT+ SVT)
SVT
Selected
SVT + aberrant atrioventricular conduction
Dual tachycardia (sinus tachycardia + VT)
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Your answerChoice
Sinus tachycardia
Selected
Slow VT
Selected
R-wave double counting
P-wave oversensing
T-wave oversensing
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Your answerChoice
Polymorphic VT
Ventricular undersensing
R-wave double counting
P-wave oversensing
Selected
T-wave oversensing
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Your answerChoice
Selected
This is a burst during the charge  
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

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

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

Your answerChoice
Selected
Biotronik: 8
Selected
Boston Scientific: 16
Selected
Medtronic: 12
Selected
SJM: 8
Selected
Sorin: 6
Question

Your answerChoice
Appropriate Rythmiq commutation with second degree AV block
Appropriate Rythmiq commutation with third degree AV block
Selected
Ventricular undersensing
Selected
Inappropriate Rythmiq-commutation to DDD (no AV block)
Far-field P-wave oversensing
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Your answerChoice
LV pacing threshold: 2.5 V
LV pacing threshold: 2.75 V
Selected
Inefficient LV pacing
Atrial capture with the LV pacing lead
Selected
Right ventricular capture with the LV pacing lead
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Your answerChoice
Atrial tachycardia
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

Your answerChoice
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
Selected
The discrimination of this episode is only based on the analysis of the onset parameter
Question

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

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

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

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

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

Your answerChoice
Selected
BV and VS intervals reset the VT counter
Selected
Turning on the T wave discrimination algorithm will eliminate this oversensing phenomenon
CRT is effective every 3 beats
Selected
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

Your answerChoice
Pacing mode is possibly DDI
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

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

Your answerChoice
Selected
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)
Selected
The device has potentially self induced the arrhythmia
ATP one shot is not delivered because the VF is unstable
Question

Your answerChoice
The most likely diagnosis is a RV lead fracture
Selected
DDI is the « episode » pacing mode
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
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Your answerChoice
ODO 
AAI/VVI Rythmiq 75bpm
Selected
AAI 75bpm
DDI 75 bpm
DDD 75 bpm
Question

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