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■ Guidelines for Successful
Pacemaker Monitoring:
• Multi-vector pace detection is
determined by simultaneous
analysis of the displayed ECG
Lead and the Vector Lead.
• Adequate pacemaker
detection is directly
dependant on the quality of
the ECG waveform. Proper
skin preparation and
electrode placement are
essential.
• Ensure that the pace detection
mode is activated.
• All detected pacemaker spikes
will appear upright, uniform
and white on the display
screen.
• If the monitor is not
adequately detecting
pacemaker spikes —
as evidenced by heart rate
double counting, pacemaker
spikes not detected, alarms for
low heart rate or asystole —
it is recommended that you
change the electrode
placement to a recommended
configuration.
• After changing electrode
placement, always RELEARN
the ECG waveform.
If adjusting the electrode
placement does not resolve
the detection issue, change
the pace detection mode to
Pace 1 and RELEARN.
Recommended Alternative Lead Placements
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