User Manual

Lumax Technical Manual 69
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
BIOTRONIK at the address listed in this manual.)
1.9 Evaluating Prospective CRT-D/ICD
Patients
The prospective ICD/CRT-D 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
CRT-D/ICD is implanted, additional EP testing may be required to
determine if detection or therapy parameter settings are relevant
and appropriate.
Empirical changes to the detection or therapy parameters should
be assessed based on patient safety. Some changes may
necessitate a re-assessment of sensing, pacing, or arrhythmia
conversion treatment. Thorough technical knowledge of
BIOTRONIK CRT-D/ICDs, additional CRT-D/ICD experience, and
individual medical judgment will aid in determining the need for
additional testing and follow-up.