User's Manual

Cardiac Airbag Technical Manual 21
Persons administering CPR may experience the presence of
voltage on the patient’s body surface (tingling) when the patient’s
ICD system delivers a shock.
A patient manual is available for the patient, patient’s relatives,
and other interested people. Discuss the information in the
manual with concerned individuals both before and after pulse
generator implantation so they are fully familiar with operation of
the device. (For additional copies of the patient manual, contact
the BIOTRONIK at the address listed in this manual.)
1.9 Evaluating Prospective ICD Patients
The prospective ICD implant candidate should undergo a
cardiac evaluation to classify any and all tachyarrhythmias. In
addition, other patient specific cardiac information will help in
selecting the optimal device settings. This evaluation may
include, but is not limited to:
• an evaluation of the specific tachycardia rate(s)
• the confirmation and/or evaluation of any
supraventricular arrhythmias or bradyarrhythmias
• the evaluation of various ATP and cardioversion
therapies
• the presence of any post-shock arrhythmias, and
• an evaluation of the maximum sinus rate during exercise
If a patient’s drug regimen is changed or adjusted while the ICD
is implanted, additional EP testing may be required to determine
if detection or therapy parameter settings are relevant and
appropriate.