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Ecg monitoring and pacemakers, Ecg system messages – ZOLL X Series Monitor Defibrillator Rev H User Manual

Page 95

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ECG Monitoring and Pacemakers

9650-001355-01 Rev. H

X Series Operator’s Guide

6-9

ECG Monitoring and Pacemakers

When the unit performs ECG monitoring on a patient with an implantable pacemaker, the unit’s
Pacer indicator feature can indicate the occurrence of pacemaker signals.

If the Pacer Indicator setting is

ON

, the X Series performs the following actions:

detects the implantable pacemaker pulses

blanks the pacemaker pulses from the waveform—preventing them from disturbing the
ECG waveform and allowing for an accurate QRS detection

displays and prints vertical dashed lines to indicate the detected pacemaker signals

If the Pacer Indicator setting is

OFF

, the X Series does not perform the following actions:

detect the implantable pacemaker pulses

blank the pacemaker pulses from the waveform

display or print the vertical dashed line pacer markers

You can turn the Pacer Indicator

ON/OFF

from the Setup>ECG menu.

There are situations where ECG artifact could simulate pacemaker signals which could cause
false pacemaker detection and blanking. These situations may cause inaccurate QRS detection
and it may be desirable to turn the Pacer Indicator

off

. Inversely, when the Pacer Indicator

setting is

OFF

, implantable pacemaker signals may cause inaccurate QRS detection and it may

be desirable to turn the Pacer Indicator on.

ECG System Messages

When monitoring ECG, the X Series unit may display the following messages:

System Message

Cause

LEAD FAULT

The current ECG source lead is defective (check
lead and replace, if necessary).

-- OR --

An unavailable waveform source has been specified
for the trace display (check specified waveform
source and correct, if necessary).

PADDLE FAULT or CABLE FAULT Check the pad, paddle or cable and replace if

necessary.