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editorial
. 2012 Dec;64:S12–S17. doi: 10.1016/j.ihj.2012.11.002

Table 2.

Patient and device assessment.

  • 1.
    Patient assessment
    • A.
      Items to determine in a cardiovascular history:
      • •
        Dizziness, syncope, palpitations, dyspnea, fatigue, angina
      • •
        Any significant clinical event (hospitalization etc.) since last visit
      • •
        Medication review
    • B.
      Items to determine in a focused physical examination:
      • •
        Heart rate and rhythm (ECG with and without magnet)
      • •
        Heart sounds, breath sounds, signs of cardiac failure
      • •
        Wound and site assessment
  • 2.
    Device assessment: items to determine in a device history:
      • •
        Time since implant of the lead/s and the pulse generator
      • •
        Previous hardware complications (e.g., advisory hardware, lead fracture, abandoned leads)
    • A.
      Data from available telemetry (varies with manufacturer and model)
      • •
        Programmed settings including last programmed date
      • •
        Battery status (cell impedance, voltage, energy, charge, current drain)
    • B.
      Check list of automatically available diagnostic data (varies with manufacturer and model)
      • •
        Percentage of pacing and sensing in each chamber
      • •
        Counter of ventricular arrhythmias and atrial tachycardia (using user – defined criteria for data collection)
      • •
        Lead impedance trends over time
      • •
        Capture and sensing thresholds over time
    • C.
      If not available automatically:
      • •
        capture and sensing threshold assessment