(FIT)-Module 5 Workshop 8: Device Cases-Ellebogen Case 3 Question

Video Transcription

Video Summary

A 68-year-old male with a history of coronary artery disease and ventricular tachycardia, who had a dual chamber ICD implanted five years ago, was admitted with symptoms like nausea, palpitations, presyncope, and low blood pressure. Device interrogation showed specific parameters including pacing settings and dynamic AV delay. The symptoms were correlated with certain telemetry episodes. The question posed was to determine the correct adjustment to resolve the heart rhythm problem, with options being reprogramming PVARF, revising the atrial lead, lengthening the AV delay, or reprogramming the ventricular blanking period.

Keywords

coronary artery disease

ventricular tachycardia

dual chamber ICD

AV delay

PVARP reprogramming