Linda Kallinen, BS, RCDS

1
Kappa 900

• Linda Kallinen, BS, RCDS
• Technical Director
• Pacemaker/ICD Surveillance Clinic
• Minneapolis Heart Institute

2
Kappa 900

• J.F. - 68 year old male
• Brady-Tachy Syndrome
• Paroxysmal Atrial Fibrillation
• Tikosyn
• Kappa KDR 901 Pacemaker implanted January 2003
• DDDR, Rate 70-120, AV 150/120 ms, Mode Switch On
• Routine Pacemaker Follow-up March 5, 2003
• No arrhythmias detected by patient

3
Diagnostic Data
AV Paced without Atrial Arrhythmias
4
Kappa 900

• R.B. - 68 year old male
• Pacemaker implanted March 1988 due to
  neurocardiogenic syncope and sinus arrest
• Pulse generator replaced March 1993, June 2002 -
  ERI
• Cardiac history No CAD Normal EF
• Arrhythmia history No history of atrial or
  ventricular tachyarrhythmias

5
Kappa 900

• Routine 6 month follow-up February 2003
• No symptoms of arrhythmias detected by patient
• Rhythm - Sinus with intrinsic conduction
• Pacemaker functioning normally

6
Diagnostic Data
7
Atrial Arrhythmia Trend
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Atrial Arrhythmias
9
Atrial EGM
10
Kappa 900

• Recurrent, paroxysmal Atrial Fibrillation
• Not on anticoagulation
• Ventricular response - not well controlled with
  rates gt120
• Asymptomatic
• Data retrieved can be used to reliably make
  decisions regarding treatment
• Rhythm (EGM)
• Frequency
• Duration of episodes
• Ventricular response
• Response to therapy