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Symphony® DR 2550, with its AAISafeR mode, provides comprehensive support for optimal physiologic pacing in all types of AV conduction disorders, including fixed first degree AV block. AAISafeR ensures critical dual-chamber pacing in case of AV block. As in AAI, it enables AV conduction, while constantly monitoring ventricular activity. In addition to suppressing unnecessary ventricular pacing, Symphony® DR 2550 has advanced diagnostic functions, including 7 minutes of EGM recordings, and expeditious follow-up tools, such as AIDA+.
Automatic storage of EGMs for each kind of AV block ,
Symphony DR automatically stores EGMs during up to 7 episodes of AV block or ventricular pauses, including at least 1 episode for each type of AV block. In this example the device is managing 1st degree AV block by switching from AAI to DDD after 7 consecutive PR intervals >350 ms.
Monitor changes in AV conduction over time
Histogram of AAIsafeR activity The upper histogram shows the daily number of blocked P-waves synchronized to DDD pacing. The lower histogram shows a progressive increase in the number of mode switches that occurred in the 6 months preceding this interrogation.
Automatic All the way
-Atrial and ventricular arrhythmias -Pacemaker function -AV conduction
When interrogating this pacemaker, the stored EGMs revealed the occurrence of 7 episodes of AV block. This episode shows pacing switch from AAI to DDD mode, using the 2nd degree AV block criterion (i.e. 3 blocked P waves within 12 atrial cycles).
Intended uses, warnings and precautions
1. Davy JM et al; Determining the optimal pacing mode to prevent ventricular pacing: SAVE R study results. Heart Rhythm; 2006;3 (Supp 5):S169, P2 94. Abstract. 2. Mabo P., et al. Impact of ventricular pacing on AF prevention. Pacing Clin Electrophysiol 2002;25 (Pt.II): 621. Abstract 39. |
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