Mintek Pacemaker LV-T ユーザーズマニュアル

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Stratos LV/LV-T Technical Manual  91 
Confirmation 
When the suspicion criterion has been met, the Stratos CRT-Ps 
slightly modify the AV delay interval (+ or - 50 ms) for one 
cardiac cycle.  If the Vp-As interval remains stable, a PMT is 
confirmed.  Otherwise, a PMT is not confirmed and the algorithm 
restarts.  Once the PMT algorithm has confirmed a PMT, the 
cycle is terminated. 
The upper interval limit range must be shorter than the limit of 
the VA delay (350 ms, for example).  The test method is based 
on the length of the pacing interval or the AV delay (refer to 
Table 22
). 
Table 22. PMT Test Method 
Interval Length 
AV Delay 
Test Method 
> UTI (upper 
tracking interval) 
≤ 200 ms 
Increasing the AV 
delay by 50 ms 
> UTI + 50 ms 
> 200 ms 
Reducing the AV 
delay by 50 ms 
≤ UTI 
≤ 200 ms 
Increasing the UTI 
by 50 ms 
≤ UTI 
> 200 ms 
Increasing the UTI 
by 50 ms 
> UTI and ≤ UTI + 
50 ms 
> 200 ms 
Length of UTI = TA 
+ 50 ms 
 
Termination 
Stratos CRT-Ps extend TARP (Total Atrial Refractory Period) for 
one cycle to equal the V-V interval + 50 ms. 
2.10  Adjustment of the PMT Protection 
Window 
The PMT protection window can be automatically adjusted.  This 
automatic adjustment functions in the following manner: