File PACEMAKER_SURVEILLANCE(698.3) Data List
| DATE/TIME |
MEDICAL PATIENT |
ORIFN |
GMRCO |
PULSE WIDTH (ATRIAL-MSEC) |
MEASURED A-LEAD AMPLITUDE (MV) |
RATIO (T/L) (ATRIAL) |
THRESHOLD WIDTH (ATRIAL) |
THRESHOLD AMPLITUDE (ATRIAL) |
CAPTURE (ATRIAL) |
SENSE (ATRIAL) |
A-V DELAY WO MAG (MSEC) |
A-V DELAY W MAG (MSEC) |
REPR.PULSE WIDTH (ATRIAL-MSEC) |
REPROG. A-AMPLITUDE (VOLTS) |
REPR.SENSITIVITY(ATRIAL-VOLTS) |
REPR.ATRIAL REFRACTORY PERIOD |
BATTERY VOLTAGE |
RESISTANCE |
BASIC RHYTHM |
PERCENT OF PACED BEATS |
CALLER |
PULSE WIDTH (VENTRICLE-MSEC) |
MEASURED V-LEAD AMPLITUDE (MV) |
RATIO (T/L) (VENTRICLE) |
THRESHOLD WIDTH (VENTRICLE) |
THRESHOLD AMPLITUDE (VENT.) |
CAPTURE (VENTRICULAR) |
SENSE (VENTRICULAR) |
REPR.PULSE WIDTH (VENT-MSEC) |
REPROGR. V-AMPLITUDE (VOLTS) |
REPR.SENSITIVITY (VENTR.-MV) |
REPR. VENT. REFRACTORY PERIOD |
DATA GATHERING MODE |
ATTENDING PHYSICIAN |
FELLOW |
PULSE INTERVAL (MSEC) WO MAG |
FOLLOWUP COMMENT |
FAST OR SLOW CHECK |
NEXT FOLLOW-UP DATE |
RATE WO MAG |
REPROGRAMMED RATE |
COMMENTS |
REPROG. UPPER RATE LIMIT |
REPROGRAMMED A-V DELAY (MSECS) |
REPROGRAMMED HYSTERESIS |
REPROGRAMMED PACING MODE |
REASON FOR REPROGRAMMING |
PULSE INTERVAL (MSEC) W MAG |
PROCEDURE SUMMARY |
SUMMARY |
RATE W MAG |
ICD DIAGNOSIS |
PRIMARY PROVIDER |
PCC POINTER |