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Understanding Pacemaker Codes and Functionality: A Comprehensive Overview

This article provides a detailed explanation of pacemaker codes, including NBG codes for antibradycardia and adaptive-rate pacing. It covers the types of sensing and stimulation (atrial, ventricular, dual), as well as multisite pacing and rate modulation. The document outlines the characteristics and programming complexities of single and double chamber pacemakers. Emphasis is placed on the advantages of each type, such as ease of lead positioning and longevity, while addressing critical concepts like AV synchrony and pacing intervals.

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Understanding Pacemaker Codes and Functionality: A Comprehensive Overview

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  1. NBG Pacemaker Code

  2. I II III V IV What is stimulated? What is sensed? Reaction to sensing MultisitePacing Rate Modulation 0=NoneR=Rate Modulation 0=None A=AtriumV=VentricleD=Dual (A+V) 0=None A=AtriumV=VentricleD=Dual (A+V) 0=NoneT=TriggeredI=InhibitedD=Dual (T+I) 0=None A=AtriumV=VentricleD=Dual (A+V) S=Single (A or V) S=Single (A or V) NASPE/BPEG Generic Pacemaker Code The Revised NASPE/BPEG Generic Code for Antibradycardia, Adaptive-Rate, and Multisite Pacing, PACE , Volume 25, No. 2, February 2002

  3. Single Chamber Pacemaker Modes

  4. Pacing Interval AP AP AP AP AAT

  5. AP AS AS AP AAI Escape Interval Pacing Interval

  6. Single Chamber Pacemaker Modes

  7. Pacing Interval VP VP VP VP VP VP VOO

  8. Pacing Interval VS VP VS VS VP VP VVI

  9. Double Chamber Pacemaker Modes

  10. AS AS AS AS AS AS VS VS VS VS VS VS AP AP AP VS VS VS DDD part 1

  11. AS AS AS AS VP VP VP VP AP AP AP AP VP VP VP VP DDD part 2

  12. Single Chamber Pacemaker Characteristics

  13. Single Chamber Pacemaker - VVI • Lead easy to position • Easy to program and to control • Excellent longevity • One stimulation / sensing threshold

  14. Double Chamber Pacemaker Characteristics

  15. Double Chamber Pacemaker • 2 leads to position • More complex programming • Excellent longevity • Two stimulation / sensing thresholds • AV-synchrony • No pacemaker syndrome

  16. Double Chamber Pacemaker Characteristics

  17. OOO – Oh Ooh Oooh Mode?

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