6 ECG, Arrhythmia, ST and QT Monitoring
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Arrhythmia Status Messages
The monitor displays two types of status messages:
• Rhythm Status Messages -- to indicate the patient's rhythm.
• Ectopic Status Messages -- to indicate the presence of ectopic beats.
These status messages are shown on the right hand side of the primary ECG wave. They are updated
every second, with the exception of the Sinus and Supraventricular (SV) rhythm messages.
The Sinus and SV rhythm messages are updated based on the current heart rate, taking into account
the patient category (adult, pediatric, or neonatal). For the message to change from one rhythm status
to another, the HR must be in the new range for five beats.
If you have basic arrhythmia capability, you will get only messages for the alarms provided with this
level.
Rhythm Status Messages
The label B or E indicates basic (B) or enhanced (E) arrhythmia capability.
' Pacer Spike '
"
Biventricular Pacer Spike "
L
Learning patient's ECG L
A
Artifact (noisy episode) A
?
Insufficient information to classify beats ?
I
Inoperative condition (e.g., Leads Off) I
M
Pause or missed beat Not applicable
Beat Label
Arrhythmia On
Beat Classification Beat Label
Cardiotach Mode
Rhythm Status Message Description B or E
Asystole No beat detected for a period > the asystole threshold
(2.5 - 4.0 seconds)
B, E
Vent Fib/Tach Fibrillatory wave (sinusoidal wave between 2 - 10 Hz) for
4 consecutive seconds
B, E
VTach A run of consecutive beats labeled as V with run length ≥
the V-Tach Run limit and ventricular HR > V-Tach HR
limit
B, E
Sustained VT Ventricular tachycardia rhythm for more than 15 seconds E
Vent Rhythm A run of consecutive beats labeled as V with run length >
the Vent rhythm limit and ventricular HR ≤ the V-Tach
HR limit
E
Vent Bigeminy A dominant rhythm of beats labeled as N, V, N, V, N E
Vent Trigeminy A dominant rhythm of beats labeled as N, N, V, N, N, V, N,
N
E
Paced Rhythm A dominant rhythm of beats labeled as P B, E
Irregular HR Consistently irregular rhythm E