Liverpool Hospital
Intensive Care: Learning Packages
Intensive Care Unit
Pacemaker Learning Package
LH_ICU2016_Learning_Package_Pacemaker_Learning_Package
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SENSITIVITY THRESHOLDS
The sensitivity threshold is the maximum
sensitivity at which the
pacemaker can sense intrinsic events.
The minimum atrial or ventricular intra
cardiac signal amplitude
required to inhibit
or trigger a demand pacemaker,
expressed in
millivolts
To find threshold:
*NB if patient has no intrinsic rate with an
adequate output this test
cannot be performed.
Reduce the pacemaker rate to just below the patient’s intrinsic rate.
Obtain a rhythm strip.
Decrease the output setting to the lowest number possible, thereby
avoiding potentially dangerous competition between the pacemaker
and the patient’s intrinsic heart rate.
Decrease the pacemaker’s sensitivity (i.e.
number)
Observe the pacemaker for the sensing light to stop flashing.
You then
the number on the pacemaker box until the sensing light
just start to flash. This is called the sensitivity
threshold.
You then set the sensitivity on the pacemaker
at half the sensitivity
threshold and minus one, as a safety margin.
Eg. Sensitivity 6mV
6
2 = 3
Minus one (for safety margin)
3 – 1 = 2
Liverpool Hospital
Intensive Care: Learning Packages Intensive Care Unit
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