Stratos
CAUTION
Pulse Amplitude – Programming of pulse amplitudes, higher than 4.8 V, in combination with long pulse widths and/or high pacing rates can lead to premature activation of the replacement indicator. If a pulse amplitude of 7.2 V or higher is programmed and high pacing rates are reached, output amplitudes may differ from programmed values.
Programming Modifications – Extreme programming changes should only be made after careful clinical assessment. Clinical judgment should be used when programming permanent pacing rates below 40 ppm or above 100 ppm.
2.4.2 Sensitivity
The parameter “sensitivity” is used to set the pulse generator’s threshold for detecting intracardiac signals. The lower the programmed sensitivity values the higher the device’s sensitivity.
If intracardiac signals are of low amplitude, a change to a higher sensitivity (lower value) may be indicated. Conversely, if the sensing amplifier is responding to extraneous signals, such as artifacts or interference, a change to a lower sensitivity (higher value) may resolve the difficulty. In dual chamber sensing modes, the sensitivity values for the atrial and ventricular channels are independently programmable. With Unipolar programming, the highest possible sensitivity setting is 1.0 mV.
2.4.3 Lead Polarity
The programmed lead polarity determines whether the
CAUTION
Atrial Sensitivity – In dual chamber systems, the atrial sensitivity of 0.1 mV should only be programmed in conjunction with a bipolar lead configuration.