7 ECG, Arrhythmia, ST and QT Monitoring
Ectopic Status Messages
The label B or E indicates basic (B) or enhanced (E) arrhythmia capability.
Ectopic Status Message Explanation
(No message displayed)
RUN PVCs
PAIR PVCs
PACER NOT CAPT
PACER NT PACING
PAUSE
R-ON-T PVCs
MULTIFORM PVCs
FREQUENT SVPBs
SVPBs
SV BEATS
PACED BEATS
Arrhythmia Relearning
During a learning phase:
• Alarm timeout periods are cleared
• Stored arrhythmia templates are cleared
•
Asystole, Vfib, and HR alarms (when there are enough beats to compute
alarms are active.
Initiating Arrhythmia Relearning Manually
1
To initiate relearning manually, in the Setup Arrhy menu, select Relearn Arrhy.
– While the monitor is learning, the delayed arrhythmia wave displays the beat label
rhythm status message Learning ECG.
– Next, the monitor determines the dominant rhythm. The beats are labeled
status message changes to Learning Rhythm.
2
After relearning is complete, you should check the delayed arrhythmia wave to ensure that the
algorithm is labeling the beats correctly.
If beats are still not classified correctly, check that the ECG is optimized for arrhythmia
3
monitoring. You may need to select a different lead or change the electrodes or electrode positions
if there is excessive noise, unstable voltage, low amplitude, or large P- or T-waves.
114
No ectopic activity within the last minute
More than 2 consecutive PVCs within the last minute
Pair PVCs within the last minute
Pause with pace pulse (paced patient only) within the last minute
Pause without pace pulse (paced patient only) within the last minute B, E
No beat detected for 1.75 x average R-R interval for HR <120, or
No beat for 1 second with HR >120 (non-paced patient only), or
No beat detected for more than the set pause threshold.
R-ON-T detected within the last minute
Multiform PVCs detected within the last minute
SVPB count within last minute is greater than 5
1-5 SVPBs in the last minute with a sinus rhythm and no Vs
SV count within last minute and rhythm status is PACED
Paced beat count within last minute and rhythm status is NOT
PACED
Arrhythmia Relearning
B or E
E
E
B, E
E
E
E
E
E
B, E
B, E
the HR) are active. No other
and the
L
, and the rhythm
N