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HealthGuidant Pacemaker Selector
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A SelectSmart.com Health Selector by Bill Crawford, created March 2006. Note: This is under contruction and not accurate at this time. This is a quick guide that is advisory in nature only to help Qualified/Authorized clinicians decide what type of Guidant pacemaker diagnostic tools and Therapy are available based on patients'clinical needs and Hospital economics. All factors being equal the least expensive devices are ranked highest.
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 Your first question is below. 

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1. Single chamber pacemaker?
Prioritize your choice above:
High
Medium
Low

2. Dual Chamber pacemaker?
Prioritize your choice above:
High
Medium
Low

3. Do you want it to record arrythmias (EGM Storage)?
Prioritize your choice above:
High
Medium
Low

4. Do you require rate response for Chronotropic incompetence?
Prioritize your choice above:
High
Medium
Low

5. If you require Rate response, do you want Blended Sensors (Accelerometer and Minute Ventilation) click YES / or just Accelerometer only, click NO?
Prioritize your choice above:
High
Medium
Low

6. Does the patient have or may they develop A-Flutter? (A-Flutter response will prevent pacing in the Atrial vulverability window)
Prioritize your choice above:
High
Medium
Low

7. Do you want AV search hyteresis? (Promotes intrinsic rythms while maintaining AV synchrony and reducing upper-rate behavior)
Prioritize your choice above:
High
Medium
Low

8. Do you want Dynamic PVARP? (Manages upper-rate behavior in Pediatric and active patients by allowing higher tracking)
Prioritize your choice above:
High
Medium
Low

9. Does the patient have or are they at risk for developing A-Fib? (VRR- Ventricular Rate Regulation will help normalize conducted A-fib V-V intervals to minimize symptoms)
Prioritize your choice above:
High
Medium
Low

10. Do you want their activity (exercise intensity and frequency) recorded and logged?
Prioritize your choice above:
High
Medium
Low

11. Do you require the smallest can possible? (small patient or thin skin)
Prioritize your choice above:
High
Medium
Low

12. Do you require a battery lasting 6-10+ yrs? YES/ Or 5-7 yrs? NO. (longevity is determined by amount of pacing required).
Prioritize your choice above:
High
Medium
Low

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