Operator's Manual Part 2

11-20 ApexPro Telemetry System Revision D
2001989-134
ECG Monitoring: ECG Tab Sheet
For successful monitoring of pacemaker patients follow these
suggestions:
 Use recommended electrode placement.
 Brady, Pause, and Low Heart Rate are additional alarms available
for use when monitoring pacemaker patients.
 Problems you may experience are:
 heart rate double counting;
 inaccurate alarms for low heart rate or asystole;
 pacemaker spikes not recognized by the software.
 Possible solutions to above problems are:
 relearn arrhythmia;
 try an alternate electrode placement;
 try single-lead analysis;
 try switching to the other pace detection mode.
 Pacemaker mode:
In most cases, Pace 2 mode will effectively monitor a pacemaker
patient. However, if you are experiencing problems, select the Pace 1
mode as an option, and observe all cautions as described for the
Pace 1 mode of operation.
Multi-Vector Pace Detection (ApexPro CH only)
NOTE
The ApexPro CH transmitter is not for sale outside of the U.S. and
Canada.
The ApexPro CH transmitter uses multi-vector pace detection. Here are
some additional guidelines for successful monitoring pacemaker patients
when using the ApexPro CH transmitter.
 When using the 5 or 6-leadwire patient cable with all the electrodes
attached, pace detection occurs on two ECG leads simultaneously.
 The default leads used for detection are II and V. If these leads are
not available, multi-vector pace detection switches to available leads.
 Pace detection switches to single-lead when using a 3-leadwire
patient cable.
For more information, refer to the Pacemaker Troubleshooting section in
this chapter.