Mintek Pacemaker LV-T ユーザーズマニュアル

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80  Stratos LV/LV-T Technical Manual   
2.3.9.4   AV Scan Hysteresis 
With AV Scan Hysteresis enabled, after 180 consecutive pacing 
cycles, the AV delay is extended for the programmed number of 
pacing cycles (OFF; 1…(1)…10 cycles).  If an intrinsic rhythm is 
detected within the extended AV delay and the longer AV delay 
remains in effect.  If an intrinsic rhythm is not detected within the 
number of scan cycles, the original AV delay value resumes.  
2.3.10 VES Discrimination after Atrial Sensed 
Events 
Stratos CRT-Ps have a special timing interval (VES/As) – VES 
discrimination after atrial sense events to identify ventricular 
extrasystoles. 
With each As, a VES discrimination interval is started in the 
ventricle.  If a ventricular sensed event occurs within the 
discrimination interval, this event is interpreted as a Vs 
(ventricular sensed event), and no extended PMT protection 
interval is started. 
In the factory setting, the VES discrimination after As is set to 
350 ms (programmable: OFF, 250 …(5)… 450 ms).  The 
VES/As terminates with each ventricular event. 
If a ventricular event does not fall within the AV delay or the VES 
discrimination interval, it is classified as a VES.  A ventricular 
event that is sensed within the VES discrimination interval, but 
outside the AVE delay, starts a VA delay after which an atrial 
paced is delivered. 
2.3.11 Sense Compensation 
For hemodynamic reasons, it is desirable to keep constant time 
between an atrial and a ventricular contraction such that 
physiological conditions are attained.  To this end, the AV delay 
after atrial sensing can be shortened by sense compensation.  
For sense compensation, the values are programmable from 
OFF, -10…(-10)…-120 ms (standard valued -50 ms).  The AV 
delay after an atrial sensing event is shorter by the programmed 
value after pacing.  The AV delay after atrial pacing then 
corresponds to the programmed AV delay.