CRT 2 Exam Questions & Answers
2024/2025
The Biotronik CRT feature, AV Delay & Negative Hysteresis, is designed to: (choose the best answer)
Provide a lower rate when the intrinsic rate is faster than the lower rate
This is not a Biotronik feature
Optimize A-V
Reduce RV pacing - ANSWERSOptimize A-V
What additional steps are required when conducting a CRT follow-up (3-leads) compared to an ICD
follow-up (2-leads)? (select all that apply)
A. Evaluate Cardiac Compass/trend information
b. Assess CRT pacing: if less than 90% investigate more
c. Evaluate patients AV conduction to determine if MVP would be appropriate
d. Evaluate Wavelet template since Auto-Collection is inactive
e. Evaluate LV lead performance for impedance and threshold - ANSWERSB
D
E
, AdaptivCRT is a dynamic, physiologic pacing algorithm which enhances CRT by adjusting CRT parameters
automatically to changes in the patient's activity and conduction. It can be programmed to provide
pacing by 1 of 3 different options: (choose all that apply)
Adaptive BiV
CardioSync
Adaptive BiV & LV
Non-Adaptive CRT
QuickOpt - ANSWERSAdaptive BiV
Adaptive BiV & LV
Non-Adaptive CRT
Which of these LV pace polarity options would maximize device longevity without Phrenic Nerve
stimulation:(LV Pace Polarity; Threshold; Phrenic Nerve Stimulation (PNS); Impedance)
A. LV Tip to LV Ring; 1.5V @
B. 0.4ms; No PNS; 825 ohms
c.LV Ring to LV Tip; 2.0V @ 0.4ms; Yes PNS; 1000 ohms
d LV Tip to RV Coil; 1. - ANSWERSLV Tip to LV Ring; 1.5V @ 0.4ms; No PNS; 825 ohms
A night heart rate of >85 bpm is suggestive of:
HF decompensation is impending
Too much stress and needs an anti-anxiety medication
Poor physical conditioning and needs exercise
A "My Pillow" prescription is needed - ANSWERSHF decompensation is impending
The percentage of pacing for a heart failure patient with a CRTD device should be at least:
2024/2025
The Biotronik CRT feature, AV Delay & Negative Hysteresis, is designed to: (choose the best answer)
Provide a lower rate when the intrinsic rate is faster than the lower rate
This is not a Biotronik feature
Optimize A-V
Reduce RV pacing - ANSWERSOptimize A-V
What additional steps are required when conducting a CRT follow-up (3-leads) compared to an ICD
follow-up (2-leads)? (select all that apply)
A. Evaluate Cardiac Compass/trend information
b. Assess CRT pacing: if less than 90% investigate more
c. Evaluate patients AV conduction to determine if MVP would be appropriate
d. Evaluate Wavelet template since Auto-Collection is inactive
e. Evaluate LV lead performance for impedance and threshold - ANSWERSB
D
E
, AdaptivCRT is a dynamic, physiologic pacing algorithm which enhances CRT by adjusting CRT parameters
automatically to changes in the patient's activity and conduction. It can be programmed to provide
pacing by 1 of 3 different options: (choose all that apply)
Adaptive BiV
CardioSync
Adaptive BiV & LV
Non-Adaptive CRT
QuickOpt - ANSWERSAdaptive BiV
Adaptive BiV & LV
Non-Adaptive CRT
Which of these LV pace polarity options would maximize device longevity without Phrenic Nerve
stimulation:(LV Pace Polarity; Threshold; Phrenic Nerve Stimulation (PNS); Impedance)
A. LV Tip to LV Ring; 1.5V @
B. 0.4ms; No PNS; 825 ohms
c.LV Ring to LV Tip; 2.0V @ 0.4ms; Yes PNS; 1000 ohms
d LV Tip to RV Coil; 1. - ANSWERSLV Tip to LV Ring; 1.5V @ 0.4ms; No PNS; 825 ohms
A night heart rate of >85 bpm is suggestive of:
HF decompensation is impending
Too much stress and needs an anti-anxiety medication
Poor physical conditioning and needs exercise
A "My Pillow" prescription is needed - ANSWERSHF decompensation is impending
The percentage of pacing for a heart failure patient with a CRTD device should be at least:
