Troubleshooting: Interpreting Diagnostic Information to Ensure Appropriate Function

Charles D. Swerdlow, Paul A. Friedman, Samuel J. Asirvatham, David L. Hayes

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Pacemakers, defibrillators, and resynchronization devices have become increasingly complex. At times, either due to component malfunction or parameter settings that do not properly match the clinical situation, cardiac electronic devices do not deliver (or withhold) therapy appropriately. The systematic approach to the patient with a potentially malfunctioning device, the acquisition and interpretation of diagnostic information, and the strategies used to correct the malfunction are reviewed in this chapter. Troubleshooting may at times be the most challenging aspect of device management, yet is often the most rewarding, due to the significant clinical impact it offers.

Original languageEnglish (US)
Title of host publicationCardiac Pacing, Defibrillation and Resynchronization
Subtitle of host publicationA Clinical Approach
PublisherWiley-Blackwell
Pages427-552
Number of pages126
ISBN (Print)9780470658338
DOIs
StatePublished - Dec 17 2012

Keywords

  • Analysis of intracardiac electrograms
  • Failure to capture
  • Failure to sense
  • Failure to shock
  • Inappropriate shock
  • Lead failure
  • Oversensing
  • Proarrhythmia
  • Resynchronization nonresponder
  • SVT-VT discriminators
  • T-wave oversensing
  • Troubleshooting
  • Undersensing
  • VT storm

ASJC Scopus subject areas

  • General Medicine

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