Lesson 1Safe parameter changes: programming outputs, sensitivity, rate limits, hysteresis, blanking and refractory periodsDetails safe programming of pacing outputs, sensing, and rate parameters. Reviews hysteresis, blanking, and refractory periods, emphasizing strategies to avoid loss of capture, oversensing, undersensing, and inappropriate inhibition or tracking. We go detail how to change outputs, sensitivity, rate limits safe, look at hysteresis, blanking, refractory times, ways to avoid missing beats, sensing too much or too little, wrong stopping or following.
Adjusting atrial and ventricular outputsProgramming sensing and sensitivity levelsLower and upper rate limit programmingUse of rate hysteresis and rate smoothingBlanking and refractory period settingsSafety checks before saving changesLesson 2Programmer hardware and software overview: interrogation, telemetry, event logs, electrograms (EGMs)Provides an overview of programmer hardware, software menus, and user interface. Covers interrogation functions, telemetry options, event log access, and EGM display tools needed for efficient and safe pacemaker follow-up. We go overview di hardware, software menus, interface, how to question, wireless options, event logs, EGM shows for good and safe device check.
Programmer components and connectionsPower, grounding, and startup checksNavigation of main software menusInitiating interrogation and data downloadViewing and configuring EGM displaysSoftware updates and data security basicsLesson 3Standard interrogation workflow: device ID, battery status, lead parameters, mode and programmed settingsOutlines a systematic interrogation workflow from patient identification to final review. Includes verifying device model, battery status, lead parameters, pacing mode, and programmed settings to ensure a complete and reproducible assessment. We go outline step by step questioning from patient ID to end review, check model, battery, lead params, mode, settings for full check dat can repeat.
Confirming patient and device identityRetrieving device and lead model dataAssessing battery status and longevityReviewing lead impedance and sensingChecking pacing mode and rate settingsEnd-of-visit verification checklistLesson 4Documentation and handoff: recording findings, generating reports, communicating concise technical recommendations to cardiologistDescribes best practices for documenting interrogation findings and programming changes. Emphasizes generating clear reports and communicating concise, technically accurate recommendations to the supervising cardiologist. We go describe good ways to record findings and changes, make clear reports, talk short and correct tech advice to di heart doctor in charge.
Essential elements of interrogation reportsRecording programmed changes and rationaleIncluding key EGMs and event summariesWriting clear technical impressionsCommunicating urgent findings promptlyStoring and transmitting reports securelyLesson 5Event logs and diagnostics: interpreting arrhythmia logs, mode switches, non-sustained events, and therapy countersFocuses on accessing and interpreting event logs and diagnostics. Teaches recognition of arrhythmia episodes, mode switches, non-sustained events, and therapy counters, and how to correlate them with symptoms and surface ECG findings. We go focus on getting and reading event logs and diagnostics, recognize irregular beat episodes, mode changes, short events, therapy counts, link dem to symptoms and ECG.
Accessing event logs and diagnosticsUnderstanding episode storage criteriaInterpreting atrial and ventricular arrhythmiasRecognizing mode switch behavior and triggersReviewing therapy and pacing countersCorrelating events with patient symptomsLesson 6Performing threshold testing: single-beat and stepwise output testing, capture confirmation, safety marginsExplains how to perform atrial and ventricular threshold testing using single-beat and stepwise methods. Details capture confirmation, safety margins, and documentation to ensure reliable pacing while minimizing battery drain and patient risk. We go explain how to test thresholds for top and bottom heart using one beat or step by step, confirm capture, safety margins, record to keep pacing sure wid less battery use and risk.
Indications for threshold testingSingle-beat output testing techniqueStepwise output decrement protocolCapture confirmation on ECG and EGMSelecting appropriate safety marginsDocumenting and trending thresholdsLesson 7Interpreting lead measurements: sensing amplitudes, pacing thresholds, impedance trends and acute vs chronic valuesCovers interpretation of sensing amplitudes, pacing thresholds, and impedance trends. Differentiates acute versus chronic values and highlights patterns suggesting lead dislodgement, insulation failure, conductor fracture, or exit block. We go cover reading sensing strength, pacing thresholds, resistance trends, new vs old values, patterns for wire move, cover fail, break, or block.
Normal sensing amplitude rangesEvaluating pacing thresholds over timeLead impedance normal ranges and alertsTrend analysis of lead measurementsAcute versus chronic lead value patternsIdentifying suspected lead malfunctionLesson 8Pre-check setup: infection control, electromagnetic safety, patient positioning, telemetry connection techniqueCovers preparing di environment and patient before interrogation. Focuses on infection control, electromagnetic safety checks, correct patient positioning, and reliable telemetry connection to ensure accurate data and safe device communication. We go cover setting up place and patient before check, focus on stopping infection, electro safety, right position, good wireless connect for true data and safe talk.
Hand hygiene and device cleaning protocolsScreening for infection or pocket complicationsElectromagnetic interference risk assessmentOptimal patient positioning for interrogationTelemetry wand placement and signal qualityTroubleshooting poor telemetry connection
