
filter chesina esophagial edama gunde electrogram

filter cheyabadina esophagial edama gunde electrogram anedi semee-invasive electrocardiography paddhati. eee saanketikata edama karnika mariyu edama jatarika karyakalapala gurinchi adanapu samacharanni andinchagaladu.
bipolar esophagial electrode yokka application.
esophagial edama gunde electrogramla recordingku bipolar esophagial electrode avasaram. udaaharanaku, toslim electrode (osipka ag, reinfelden, germany) nuu upayoginchavacchu. dheenini telikapati upasamanamtho ledhaa lekunda peroralliga ledhaa transnalliga aplai cheyali. madhya taraha peddavaarilo edama karnika electrograamulanu namodu cheyadaaniki, electrodelu dantaala eguva varusa nundi koliche 38-centimeters sthithilo unchabadataayi. eee ettulo, edama karnika vikshepam yokka garishta vaisaalyam aasinchavachchu, idhi pradhana sthaanaanni jagrattagaa diddubaatu cheyadam dwara saadhinchabadutundi. appudu electrodenu roogi gaddam vadda plaastartho amarchali.
filter cheyabadina bipolar esophagial electrogram.
annanaala edama karnika electrogram looni kalakhandalanu tolaginchadaaniki mariyu ventricular complexes nundi edama karnika vikshepam yokka vyatyaasaanni meruguparachadaaniki, butter worth hypasto filtering sifaarsu cheyabadindi. udaaharanaku, eee prayojanam kosam electrocardiograph kosam pratyeka electronic supplementga upayoginchavacchu. (biotronic gmbhech berlin, germany) upayoginchinatlayithe filter chesina esophagial electrograamnu record cheyadaaniki vividha parikaraalanu anusandhaaninchaalsina avasaram ledhu. ii. sii. ess. 3000 yokka annanaala electrogram recording lakshanam filter cheyabadina butter worth hye-paas annanaala edama atrial electrograamnu andistundi. uparitala eeji thoo kalipi, filter chesina bipolar esophagial edama karnika electrogram (laa) recording anedi karnika karyakalapalanu nissandehamgaa gurtinchaalsina anni paristhitulalo prayojanakaramgaa untundi.
garishta edama jatarika vikshaepana garishta edama jatarika vikshaepana kante 3 nundi 5 centimeters lothugaa untundi. garishta edama karnika ledhaa edama jatarika vikshaepanhalanu namodu cheyadaaniki pradhana sthaanaanni jagrattagaa sardubaatu cheyali. annanaala edama karnika electrogram looni kalakhandalanu tolaginchadaaniki mariyu ventricular complexes nundi edama karnika vikshepam yokka vyatyaasaanni meruguparachadaaniki, hye-paas filtering sifaarsu cheyabadindi. butter worth 15 heartz hye-paas filtering upayoginchi manchi phalitaalanu pondavacchu. garishta edama karnika vikshaepana sthithilo, qrs vyaapti yokka garishta anachivetanu saadhinchadaaniki, takkuva hye-paas filter frequencini 40 hertzku marchali.
viniyogam.
laya vislaeshanha kosam filter cheyabadina bipolar esophagial edama karnika electrogram.
uparitala eeji thoo kalipi, filter chesina bipolar esophagial edama karnika electrogram (laa) recording anedi karnika karyakalapalanu nissandehamgaa gurtinchaalsina anni paristhitulalo prayojanakaramgaa untundi. garishta edama karnika vikshaepana yokka annanaala sthithilo bipolar electrodenu vartimpajeyadam mariyu butterworth hye-paas filteringnu upayoginchadam, lae adanapu "edama karnika marker chhaanel" nuu andistundi. eee vidhamgaa, karnika karyakalapalu qr sanklishtatache adhirohinchabadinappatiki sulabhamgaa gurtinchabadataayi. anduvalla, laa recordingnu upayoginchavacchu, udaaharanaku, tachicardias mariyu extracistolylanu twaragaa vaeru cheyadaaniki.
ics3000 programmer (biotronic gmbhech, berlin, germany) nuu upayoginchi supraventricular takikardiasnu gurtinchadaaniki esophagial atrial electrogram recordingnu vadilivestundi.
vdd pacing kosam vyaktigatamgaa saraina vishraanti samayam alasyam yokka anchanaa.
karnika niyantrita jatarika vegaanni saadhinchadaaniki takkuva tracking raetu sinus raetu kante takkuva viluvaku programme cheyabadindi. appudu avv alasyam ekapaksha viluvaku mundugaa nirnayinchabadutundi, conny, aacharanaatmaka kaaranaala valla, praamaanika viluvanu upayoginchadam (udhaa. zii. 150 mii. s) anni sandarbhaallo mariyu rendu reetulaloonuu sifaarsu cheyabadindi. aveh alasyam yokka raetu anusarananu nilipiveyaali.
ippudu saraina yea. vii. alasyam yokka anchanaa rendu dasallo saadhinchabadutundih
1. mundugaa nirnayinchina evi aalasyamtho, filter cheyabadina esophagial edama atrial electrogram (laa) loe edama atrial deflection (laa) mariyu ventricular stimulus (vipi) madhya viramam kolustaaru.
2. appudu mundugaa nirnayinchina evi alasyam (eee sandarbhamlo 150 ms) lakshya viluva nundi kolichina laa-vipi viramam (evi blacklo 70 ms mariyu gunde vaiphalyam rogulalo 50 ms) nundi maarutunna mottam dwara saricheyabadutundi.
phalitamgaa vachhe aveh alasyam (laa-vipi takkuvagaa unte, laa-vipi lakshya viluva kante ekkuva unte kudinchabadutundi) karnika samvedanaku sumaruga saraina aveh viramam. eee optimal aveh alasyanni prograaming chesina taruvaata, lakshya viluvaku laa-vipi viramam yokka uttamamaina ujjaayimpunu laa loe tanikhi cheyavachu.
eee optimal aveh alasyanni prograaming chesina taruvaata, lakshya viluvaku laa-vipi viramam yokka uttamamaina ujjaayimpunu laa loe tanikhi cheyavachu.
dii. dii. dii. pays kosam vyaktigatamgaa saraina vishraanti samayam alasyam yokka anchanaa.
takkuva tracking raetu anedi avesential pacing saadhinchadaaniki sinus raetu kante 10 bpm viluvaku programme cheyabadindi. appudu karnika vegam kosam aveh alasyam 150 ms yokka enchukunna ekapaksha viluvaku programme cheyabadi untundi mariyu aveh alasyam yokka raetu anusarana nilipiveyabadutundi.
ippudu saraina aveh delay yokka anchanaa ddd pacing loe jarugutundihi
1. mundugaa nirnayinchina evi aalasyamtho filter cheyabadina esophagial edama atrial electrogram (laa) loe edama atrial deflection (laa) madhya viramam mariyu ventricular uddeepana (vipi) kolustaaru.
2. appudu mundugaa nirnayinchina evi alasyam (eee sandarbhamlo 150 ms) lakshya viluva nundi kolichina laa-vipi viramam (evi blacklo 70 ms mariyu gunde vaiphalyam rogulalo 50 ms) nundi maarutunna mottam dwara saricheyabadutundi.
phalitamgaa vachhe aveh alasyam (laa-vipi takkuvagaa unte ekkuva kaalam, laa-vipi lakshya viluva kante ekkuva unte takkuva) karnika samvedanaku sumaruga saraina aveh viramam. eee optimal aveh alasyanni prograaming chesina taruvaata, lakshya viluvaku laa-vipi viramam yokka uttamamaina ujjaayimpunu laa loe tanikhi cheyavachu.
biotronic ics3000 prograamarlu edama gunde electrogram lakshanaanni upayoginchi medtronic crt vyavasthatho rogilo vididi operationlo-18 ms yokka "pratikuula" laa-vipi viramam koliche kolata. eee sandarbhamlo, 100 ms factory saav anedi edama ventricular fillingku karnika sahakaranni minahayinchi ledhaa kattirinchadamlo "saareerakamgaa takkuva" aev delaynu andistundi.
munupati sankhya yokka adhe crt rogilo optimal sensed evi delay yokka anchanaa. 100 ms factory settingku badulugaa 170 ms prograaming save 52 ms yokka laa-vipiga maarutundi, idhi sumaruga crt roogi cohort yokka sagatu viluvanu suuchistumdi. eee sandarbhamlo edama karnika vikshepam mugisina ventane ventricular uddeepana praarambhamavutundi.
vyaktigatamgaa optimize cheyabadina electromechanical viramam.
idhi vyaktigatamgaa optimize cheyagala yea. vii. alasyam bhaagam. diastolic optimisation samayamlo, pratidhvani dwara kolavagala rendu samaya vyavadhula vyatyaasam nundi dheenini nirnayinchavacchu. ivi eee krindi vidhamgaa unnaih
1. edama karnika electromechanical charya (laa-eeklang) vyavadhini saareerakamgaa kaani podavu (laa kante 200 mii. s. ekkuva) gaa programme cheyabadina oka avee viramam samayamlo kolustaaru. idhi annanaala electrogramloni edama karnika vikshepam (laa) prarambham nundi edama jatarika nimpadam (eeklang) kuu edama karnika sahakaram yokka addamkulu laeni mugimpu varaku kolustaaru, idhi mitral pravaaha chitramlo kanugonabadutundi.
2. edama ventricular latensey vyavadhi (vipi-eekshaart) vyavadhini ddd pacesing samayamlo kolustaaru, idhi saareerakamgaa takkuva vyavadhi (epi-laa kante 20 ms takkuva) gaa programme cheyabadindi. idhi ventricular uddeepana vp mariyu edama karnika sahakaram yokka akalamga kattirinchina mugimpu nundi, mitral pravaahamlo edama jatarika nimpadam (eeshart) varaku kolustaaru.
eee vivarana, evi delay yokka hemodynamic optimisation ellappuduu daani electromechanical share yokka vyaktigata optimisationlo matrame untundani nokki chebutundi. saraina yea. vii. alasyam yokka mottam vyavadhilo implant-sambandhita intertrial conduction samayala vyaktigata vataa gananeeyamgaa undavacchu, conny icchinatlugaa angeekarinchabadaali. kudi karnikalo pradhana sthaanam yokka empika dwara idhi intraoperativga prabhaavitamavutundi. optimal aveh delay yokka mottam vyavadhi, tadwara implant-sambandhita vyaktigata intertrial conduction time (iiact) yokka mottamgaa rendu modlaku phalitaalanu istundi, idhi sambandhita mode (vididi ledhaa ddd) mariyu vyaktigatamgaa optimal electromechanical viramam kosam chellutundi. eee adhunaatana suutram ritter mariyu itarula prakaram aev delay optimisation yokka anni parimitulu mariyu aapadalanu nivaaristundi..
intertrial conduction viraamaalaku viruddhamgaa, vyaktigatamgaa optimize cheyabadina electromechanical viramam laa-vipi laa-eeklang mariyu vipi-eekshaart viramalalo vyatyaasam, ellappuduu vididi mariyu ddd pays kosam oke vyavadhini kaligi untundi. evi block mariyu balaheenamaina edama ventricular function unna rogulalo eee vyavadhi sagatuna 70 ms anie chuupavachchu. congestive haart failure mariyu edama bundle branch block unna rogulalo, marovaipu, sagatu viluva sumaru 50 ms kanugonabadindi.

