Elecve Replacement Indicator (ERI)
▪
At ERI, the nominal life of the device is six months. When the device exhibits signs of ERI it should be
▪
replaced expediously.
▪ Paent follow‑up visits should be scheduled at an appropriate frequency so that ERI can be detected well▪
before end‑of‑life (EOL).
Noninvasive Programmed Smulaon (NIPS)
▪
Life‑threatening ventricular tachycardia or brillaon may occur during noninvasive programmed
▪
smulaon (NIPS). During NIPS tesng, (1) closely monitor the paent and (2) have debrillaon and
resuscitaon equipment, and trained personnel, available during tesng. Only physicians trained in
tachycardia inducon and reversion protocols should use NIPS. For more informaon on NIPS, refer to the
programmer's on‑screen help.
Ventricular Support Pacing during NIPS tesng
▪
Dual‑chamber pulse generators and CRT‑Ps: Ventricular support pacing during NIPS tesng is delivered in
▪
the VOO mode. The specic indicaons and contraindicaons for VOO mode can be found on the
programmer's on‑screen help.
Precauons
Rate‑Adapve Pacing may be inappropriate for paents who experience angina or other symptoms of
myocardial dysfuncon at higher sensor‑driven rates. An appropriate Maximum Sensor Rate should be
selected based on assessment of the highest smulaon rate tolerated by the paent.
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