Read My Interrogation (Decipher)

Thought I would post my interrogation for some input on what all this means. I know there are alot of people on this site who understand what it all means. I would also like to know what it all means so the next interrgation I may have some idea on what it going on.

Lead Measurements A V
Impedance ohms 699 817
Voltage 3.64 3.68
Current mA 5.21 4.50
Polarity Bipolar Bipolar

Parameters First Interrog Modify
Mode AAIsafeR AAIsafeR
RR/Slope RR auto/9 *RR auto/8
Sensor Twin Trace *G

Basic Rate 60 *50
Rest Rate 60 *
Max Rate 130 *155
Hysteresis 0 0
AVD Rest/Exerc 250/80 250/80
AVD Extension 65 65

Smoothing Off Off
Mode Switch On On

Atrial Pacing 3.5/0.35/Bipolar *2.5/0 35/Bipolar
Vent Pacing 3.5/0.35/Bipolar *2.5/0.35/Bipolar
Atrial Sensing 0.6/Bipolar 0.6/Bipolar
Vent Sens 1.5/Bipolar 1.5/Bipolar
PVAB 150 150
AVB I commutation Exercise Exercise
Max PR/Pmax 250/3 250/3
Auto-sensing A/V Monitor/Monitor Monitor/Monitor

Number of Cardiac Cycles 4064184

Atrial events
Atrial Sensing 492334
No. of PAC's 138
Atrial Pacing 1068213
Atrial pacing with sensor 2501486
No. of cycles in A noise 0

Ventricular events
Ventricular Sensing 4061696
No. of PVCs 356
Ventricular Pacing 1968
Ventricular pacing with sensor 53
No. of cycles in V noise 0

Algorithms
Committed AV 43
Accerlation (DDD/AMC) 0
No. of PMT per fallback 0

MV Sensor
Total number of respiratory cycles 818739
Number of disturbed respiratory cycles 1445
Number of Resp cycles >10 seconds 10921

AAIsafeR
No AAI->DDDon AVB III 11
No. AAI->DDD on AVB II 7
No. AAI->DDD on long AVD 0
No. AAI->DDD on max pause 0
No. AAI->DDD on commited period 1
% of time spent in AAI (AAI safeR mode) 100%
Number of AV lock episodes 18
No. of DDD episodes 19

There is also a graph with other percentage numbers on it as well such has PR, Pace Sens Pac in A and V

Hope you can help me decipher all this info

Thanks Perry












5 Comments

Columns joined

by PC - 2009-02-16 05:02:30

Just to make it clear, I put spaces between the columns and when I posted the message the spaces disappeared so everything is all bunched together.

Sorry!

Re Electric Frank

by PC - 2009-02-17 09:02:01

When typing all this information in I had put spaces between the columns, but when it got transfered to the website the columns disappeared and everything was grouped together so my letter looks quite unorganized.Such has the Max rate should read like this the first interogation the setting was at 130 for max rate and they changed it to 150. When you see the asterik in front of a number it means that it was changed from my visit there. I had told them that I was a runner and they moved the max and the rest rate from 60 to 50.

I hope that you can give me a little more info on my report.
Thanks Perry

Lots of information

by ElectricFrank - 2009-02-17 12:02:16

I'm not as helpful as I would like to be. The information is a lot different than my Medtronic 701. You probably have a much newer model than mine with a lot of addtional features also. Here is what I am putting together though:

Number of Cardiac Cycles 4064184 is the total number of heart beats since the counter was reset.

The number of Atrial pacing is a very large percent of the total cycles so it looks like your problem is a need for atrial support (SSS).

The number of ventricular pacing is very small so it does not seem to be a problem

The lead impedances look well in range which means they are well seated in the heart wall.

I'm not sure on the Max Rate 130 *155. There is usually a maximum limit for your natural HR and another upper limit for rate response. Since these don't have separate labels on the report it is hard to tell.

frank

Great

by ElectricFrank - 2009-02-18 01:02:19

Thanks for the update. I was wondering what the * meant. On mine they use a > as in 130>150 to show the change.

So that looks like what you needed. Lowering the resting rate and increasing the max should give you some room to handle the kind of activity you are used to.

Parameters First Interrog Modify
Mode AAIsafeR AAIsafeR
RR/Slope RR auto/9 *RR auto/8
Sensor Twin Trace *G

These settings have to do with telling the Rate Response how to deal with your activity level. They may need to be fine tuned if you find your HR increasing too quickly or too slowly for you.

Do the new settings seem to have improved things for you?

frank

New Settinngs

by PC - 2009-02-18 11:02:38

I had read from this site that the resting rate on the first PM install are very generalized and usually set to high as well as the max rate are typically set to low for a person that does alot of running. So I had asked them on my first interogation if the rest rate could be lowered and the max rate raised which they have done for me. Part of my concern I guess with that was having the PM kicking on maybe when it didn't need to. When I was intially diagnosed with the problem I was up walking around and my HR was in the mid 30's and I felt fine so figured why have my heart working if it didn't need to?? I have since learned that it is not the best to have to low of HR because it makes the heart work harder??
Another of my concerns is if the PM is set so that when I am running it can be causing a negative effect on me. I do feel ok heart wise I think when I am running, however I don't seem to have the same energy level which may be from the time off I took while recovery from this. I am presently on pain killer for a frozen shoulder and some nerve damage in the shoulder area??
Do you know what my PM does if i exceed the 150 max rate?
Thanks Frank

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