2.2 ECG Monitoring
89
Message
Conditions of formation
Level/
alarm
signal
MULTIFORM
VPC
At least two types of VPCs with a total number of VPCs of at least 3 - in
the last minute. The types of VPCs differ in shape, mainly in polarity.
Medium
MISSED
BEATS
At least 2 of RR-intervals, 2.5 times higher than normal RR-interval - in
the last minute
Low
BRADYCARDIA HR < accepted bottom threshold
– for the last 6 contractions
Low
TACHYCARDIA
HR > accepted top threshold
– for the last 6 contractions
Low
IRREGULAR
RHYTHM
Considerable variation of RR-intervals. Determined by a large number of
bands in the rhythmogram - for the last minute
Low
FREQ SVPC
6 or more supraventricular extrasystoles - in the last minute
Low
The heart rate thresholds for triggering messages "BRADICARDIA" and
"TACHYCARDIA" are respectively 60 and 100 for adults, 80 and 160 for chil-
dren, 90 and 180 for neonatal patients.
Types of rhythm sources determined by the device:
Abbreviation
Definition
SR
Sinus rhythm.
At least 5 of the last 8 QRS complexes are preceded by P waves.
SVR
Supraventricular rhythm. At least 5 of the last 8 QRS complexes are not associated
with P waves.
VR
Ventricular rhythm. When situations of ventricular rhythm, ventricular tachycardia or
ventricular fibrillation (flutter) occur.
PM
Pacemaker. At least 5 pulses in the last 30 seconds.
???
An indeterminate source of rhythm. There is no dominant rhythm or not enough in-
formation for a reliable determination.
The display of most of the messages listed in the Table can be disabled through the control
window of the heart rhythm deviation messages (it. 1.3.11). If the message is disabled, the
alarm will not be generated either,
and the arrhythmia message control symbol
Осторожно!
!
will be displayed in yellow.
Messages with the highest priority - "ASYSTOLIA", "VENTRICULAR FIBRIL-
LATION" and "VENTRICULAR TACHYCARDIA" cannot be disabled.
You can turn off all messages at once by setting in the arrhythmia message control window:
"
Arrh. analysis:
" (it. 1.3.11). The arrhythmia message control symbol
Осторожно!
!
will be displayed in
red.
If any message is disabled, the device can display another message with a
lower priority.
For example, a patient has paired polymorphic VPCs with a frequency of more than 6 1/min.
The device displays the message "COUPLET". If you disable this message, then another one
appears - "FREQ VPC". If you disable the message "FREQ VPC", the device forms "MULTI-
FORM VPC".
Summary of Contents for MPR6-03
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