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Device Clinic Webinar Series

Learn more about how to troubleshoot and manage sensing issues in CIEDs. Oversensing and undersensing can lead to inappropriate pacing or shock therapy and can be due to things such as lead fractures and the underlying patient condition. Troubleshooting these problems can sometimes be straightforward but is often not and includes adjustment of the programmed sensitivity, polarity, or sensing scheme. 

Loss of capture can be a critical problem in CIED patients. We will discuss how to identify loss of capture and how to manage these issues in clinic and remotely, to include auto-capture, adjustment of pulse width, and reprogramming of pacing vectors in CRTs. 

Building upon our previous CRT webinar, we will be discussing the challenge of CRT non-responders. Topics include clinical trial data, optimization of AV and VV timing, pacing from multiple sites on the LV lead, and how to assess patients to better understand the need for reprogramming. 

Timing cycles can be intimidating. We hope to demystify some of the more advanced timing cycles topics in this webinar, such as atrial and modified atrial based timing, episodal pacing, LV protection period, and LV only pacing. 

This session will focus on the troubleshooting and management of non-transvenous CIEDs, such as subcutaneous and extra-vascular ICDs, and leadless pacemakers. These devices have different parameters and therapy capabilities, and the in-person and remote evaluation varies compared to transvenous devices. 

Mode switching for atrial fibrillation is a commonly utilized algorithm to prevent tracking of fast atrial rates. This webinar will focus on troubleshooting inappropriate mode switches for things like FFRWOS and RNRVAS, as well as advanced algorithms designed to mode switch in the presence of atrial flutter. Finally, we will discuss the updated guidelines for device detected atrial fibrillation and oral anticoagulation. 

Conduction system pacing offers an alternative to traditional RV pacing and can provide many benefits to your patients, but also comes with unique challenges. In this webinar we will be reviewing His Bundle and Left Bundle Branch pacing, including selective and non-selective capture, and how to troubleshoot high thresholds, oversensing, undersensing, and interactions with other algorithms.

Implantable loop recorders are a great tool to help correlate patient symptoms with rhythm disturbances, as well as to monitor arrhythmias such as atrial fibrillation. This webinar will discuss how to classify rhythms detected by ILRs and how to manage false positives.

PMT, or pacemaker mediated tachycardia, is a common phenomenon that can happen in dual chamber devices and lead to patient symptoms. This episode will cover what PMT is, how to stop it, and the different algorithms designed to prevent it from occurring.

The primary purpose of an ICD is to appropriately treat and terminate life threatening arrythmias such as VT or VF. However, the device needs to be specific enough to inhibit therapy for SVTs with rapid ventricular conduction. In this webinar, we will discuss a systematic approach for analyzing ICD episodes, including how to differentiate VT from SVT.

CRT, or cardiac resynchronization therapy, is a therapy that has the potential to significantly improve a patient’s quality of life, but it is not without challenges. We will discuss how to troubleshoot problems such as high LV thresholds, diaphragmatic stimulation, and non-response to CRT.

Heart failure is a condition that impacts tens of millions of people worldwide. Heart failure patients can decompensate quickly, often requiring a costly and intensive stay in the hospital to recover. Some implantable devices can improve heart failure symptoms, but also can identify an impending heart failure decompensation. This webinar will discuss some of these algorithms and best practices for how to interpret the data.