Pacing & Defibrillation

Une formation unique en rythmologie, + de 800 cas cliniques répertoriés, du basique à l’expert.

Quizz - The 1st World Championship of device EGMs interpretation

Onglets principaux

Question

Votre réponse	Choix
	P wave oversensing
	T wave oversensing
	VT
	RV lead fracture/insulation breach
	AF

Question

Votre réponse	Choix
	P wave oversensing
	T wave oversensing
	EMI (electromagnetic interference)
	Lead fracture
	VF/VT

Question

Votre réponse	Choix
	AF
	T wave oversensing
	RV Lead Dislodgement
	Lead fracture
	VF

Question

Votre réponse	Choix
	RV Lead Dislodgement/ P wave oversensing
	AF
	EMI (electromagnetic interference)
	Lead fracture
	VF

Question

Votre réponse	Choix
	Ventricular tachycardia
	Dual tachycardia (VT+ SVT)
	SVT
	SVT + aberrant atrioventricular conduction
	Dual tachycardia (sinus tachycardia + VT)

Question

Votre réponse	Choix
	Sinus tachycardia
	Slow VT
	R-wave double counting
	P-wave oversensing
	T-wave oversensing

Question

Votre réponse	Choix
	Polymorphic VT
	Ventricular undersensing
	R-wave double counting
	P-wave oversensing
	T-wave oversensing

Question

Votre réponse	Choix
	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

Votre réponse	Choix
	The programmed pacing mode is DDI
	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

Votre réponse	Choix
	Marker 1: Wenckebach behaviour and blocked P-wave
	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
	Intervention Rythmiq algorithm (Search AV +) and blocked P-waves

Question

Votre réponse	Choix
	Biotronik: 8
	Boston Scientific: 16
	Medtronic: 12
	SJM: 8
	Sorin: 6

Question

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

Question

Votre réponse	Choix
	LV pacing threshold: 2.5 V
	LV pacing threshold: 2.75 V
	Inefficient LV pacing
	Atrial capture with the LV pacing lead
	Right ventricular capture with the LV pacing lead

Question

Votre réponse	Choix
	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

Votre réponse	Choix
	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
	The discrimination of this episode is only based on the analysis of the onset parameter

Question

Votre réponse	Choix
	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
	In Biotronik pacemakers, the duration of the post-atrial pacing ventricular safety window is 100 ms

Question

Votre réponse	Choix
	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
	There is a VT

Question

Votre réponse	Choix
	Pacing mode is DDDR
	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)
	In this tracing, V-Epsd (blue star) indicates that the VT detection window is satisfied (8/10)

Question

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

Question

Votre réponse	Choix
	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

Votre réponse	Choix
	BV and VS intervals reset the VT counter
	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

Votre réponse	Choix
	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

Votre réponse	Choix
	There is a intermitent ventricular loss of capture
	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
	You propose to lower the value of the maximal V sensitivity

Question

Votre réponse	Choix
	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)
	The device has potentially self induced the arrhythmia
	ATP one shot is not delivered because the VF is unstable

Question

Votre réponse	Choix
	The most likely diagnosis is a RV lead fracture
	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

Question

Votre réponse	Choix
	ODO
	AAI/VVI Rythmiq 75bpm
	AAI 75bpm
	DDI 75 bpm
	DDD 75 bpm

Question

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