Page 724 - Cardiac Nursing

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700 PA R T I V / Pathophysiology and Management Disease
Patient ICD and Lead Information
Physician: Phone:
ICD Medtronic Gem III DR 7275 PJM202 May 02, 2001
Atrial Medtronic 5076 Capsur… PJN050 May 02, 2001
RV/SVC Medtronic 6947 Sprint… TDA110 May 02, 2001
ICD Status
Battery Voltage (ERI=2.55 V, EOl=2.40 V) 2.56 V ERI Oct 22, 2007
Last Full Energy Charge 11.20 sec Sep 20, 2007
Last Capacitor Formation (Interval=2 month) Sep 20, 2007
Lead Performance Atrial Ventricular
Pacing Impedance 661 ohms 410 ohms Oct 22, 2007
Defibrillation (HVB) Impedance 22 ohms Oct 22, 2007
Parameter Summary
Type Detection Rx1 Rx2 Rx3 Rx4 Rx5 Rx6
VF On 188–500 bpm 20 J 30 J 30 J 30 J 30 J 30 J
FVT Off
VT Off
SVT Criteria On; None
Modes Rates A-V Intervals
Mode DDI Lower 40 ppm Paced AV 180 ms
Lead Parameters Atrial Ventricular
Amplitude 3 V 3 V
Pulse Width 0.4 ms 0.4 ms
Sensitivity 0.3 mV 0.3 mV
Clinical Status: Since Sep 20, 2007
Episodes % Pacing
VF 0 AS-VS 100%
FVT 0 AS-VP 0%
VT 0 AP-VS 0%
SVT 0 AP-VP 0%
NST and others 1
Mode Switch 0
Observations (1)
- Battery Voltage is 2.55 V, ERI. Replacement of the ICD is recommended.
■ Figure 28-43 ICD. Quick Look Report from a Medtronic Gem III DR. Report shows battery voltage
at 2.55, which is the elective replacement indicator (ERI). The patient came in for follow-up because Patient
Alert Alarm was triggered when battery dipped to 2.55. The alarm was programmed off, and the patient was
scheduled for elective replacement of the ICD. Other information gleaned from Quick Look report: no
episodes of VT, VF, one nonsustained event since last interrogated; 0% paced since last interrogated.

DISPLAY 28-11 What’s New With Follow-up?

All major ICD companies now provide the ICD patients with equipment to call in their ICD interrogation over the phone.
The patients following physician or nurse can then access follow-up data by logging onto a secure website. The data ob-
tained is similar to the information that is obtained at the doctor’s office. The system is ideal for patients who live in re-
mote locations, need closer follow-up due to ICD or lead alerts, or have just received a shock. The stored electrograms
can be reviewed promptly and without the patient having to go to the emergency room. Data retrieval can be made at
any computer with Internet access.
The remote monitors are easy to use and the entire process only takes a few minutes. At this time all monitors are read-only
system; no programming can be performed over the telephone. The monitors provide audible tones, indicator lights, or
prompted commands to confirm that the transmission was successful.
Heart Rhythm Society encourages utilization of remote monitoring to provide earlier information regarding abnormal device
behavior. Accurate information regarding specific device product performance would also be available for manufactures
to review and report. 109