BIOTRONIK Evia HF - Page 67

Chapter 5 Programmable Parameters
Evia HF / HF-T Technical Manual
PAGE 59
ProgramConsult is not an algorithm but uses preset settings based on the recommendations of the
ACC/AHA/HRS guidelines for device based therapy.
5
ProgramConsult only shows recommendations
for specic parameter settings to the user and clearly highlights them as modications to the active
permanent program prior to making any changes to device programming.
This feature is part of the programmer parameter section and is located on the main Evia CRT-P
programmer screen under the selection Program Sets. Upon selection of ProgramConsult, a sub-
window opens with multiple selections depending on the underlying disease. Upon selection of a
particular option, the parameter page displays the suggested parameter values in blue color. This
indicates the recommended setting changes to the user (from the current settings) so that they can
conrm them prior to activation. If desired, modications can be made prior to transmitting the new
program to the pulse generator as an updated permanent program. Table 17 compares the suggested
ProgramConsult and standard parameters for different patient conditions:
HF with normal
sinus function
HF with
permanent AF
HF with low
CLS response
HF with medium
CLS response
HF with high
CLS response
Mode DDD VVI-CLS DDD-CLS DDD-CLS DDD-CLS
Basic Rate 50 70 50 50 50
Night Rate OFF -- -- -- --
Rate Hysteresis (ppm) -10 -- -- -- --
Rate Hysteresis Rep/
Scan Cycles
5 -- -- -- --
Max Sensor Rate 130 120 90 120 120
CLS Response -- Medium Low Medium High
CLS – Resting Rate
Control
-- 20 20 20 20
Upper Tracking Rate 140 -- 130 130 130
Atrial Upper Rate 240 -- 240 240 240
Mode Switch ON -- ON ON ON
Intervention Rate 160 -- 160 160 160
Switch to DDIR -- DDIR DDIR DDIR
Onset Criterion 5 -- 5 5 5
Resolution Criterion 5 -- 5 5 5
Change of basic rate 10 -- 10 10 10
Rate Stabilization OFF -- OFF OFF OFF
2:1 Lock-in protection -- -- -- -- --
Ventricular pacing BiV BiV BiV BiV BiV
Triggering RVs RVs -- -- --
Max trigger rate Auto Auto Auto Auto Auto
Initially paced chamber LV LV -- -- --
VV Delay after Vp 20 -- -- -- --
5 ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities: Executive Summary: A Report of the
American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/
AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices) Developed in Collaboration
With the American Association for Thoracic Surgery and Society of Thoracic Surgeons. Andrew E. Epstein, John P. DiMarco, Kenneth A.
Ellenbogen, N.A. Mark Estes, III, Roger A. Freedman, Leonard S. Gettes, A. Marc Gillinov, Gabriel Gregoratos, Stephen C. Hammill, David
L. Hayes, Mark A. Hlatky, L. Kristin Newby, Richard Page, Mark H. Schoenfeld, Michael J. Silka, Lynne Warner Stevenson, and Michael
O. Sweeney