Multifocal pvcs, Pvcs: 6, 12, or 24 per minute – Fluke Biomedical MPS450 User Manual

Page 48

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MPS450

Operators Manual

2-16

Table 2-10. Numeric Codes for PVC-Waveform Settings

PVC-Waveform Setting

Numeric Code

PVC1 LEFT VENT

037

PVC1 LV EARLY

038

PVC1 LV R ON T

039

RIGHT VENT

040

PVC2 RV EARLY

041

PVC2 RV R ON T

042

Multifocal PVCS

A sequence that includes a left-focus PVC, followed by two normal beats, followed by a

right-focus PVC, followed by a normal rhythm at 80 BPM
Multifocal PVCs are premature ventricular contractions that originate in different

ectopic-pacemaker sites throughout the ventricles. These PVCs, which exhibit different

size and shape elements, are characterized by the absence of a P wave (due to the lack of

any atrial-pacemaker activity).
To simulate a multifocal-PVC condition, the MPS450 alternates the PVCs between type

1 (left focus) and type 2 (right focus), with a sequence occurring as a one-time event: a

left-focus PVC, followed by two normal beats, followed by a right-focus PVC, followed

by normal rhythm at 80 BPM.

Action in the Menu-Control Mode

1. Press the top-menu key labeled ARRHY.
2. Select PREM.
3. Scroll to the LCD screen MULTIFOCAL PVCS.
4. Select RUN. On the LCD screen, RUN flashes to indicate that the sequence for a

multifocal-PVC simulation is running as a one-time event. When the simulation

completes, the command INSRT displays on the screen.

5. To repeat the sequence, select INSRT.
Alternatively, in the Numeric-Control Mode, press the number keys 043, and select

RUN. (To repeat the sequence, select RUN again.)

PVCS: 6, 12, or 24 Per Minute

PVCs scattered among normal beats AT 80 BPM, so that PVCs take place 6, 12, or 24

times every minute.
Premature ventricular contractions may occur independently (even in healthy

individuals), as well as in groups and/or for a number of times every minute.
The MPS450 sets the number of PVCs that occur per minute during an otherwise-normal

sinus rhythm (80 BPM), to simulate conditions of six PVCs per minute, twelve PVCs per

minute, or twenty-four PVCs per minute. In this category the MPS450 simulates all

PVCs as type 1, left-ventricular focus, within a normal sinus QRS.

Action in the Menu-Control Mode

1. Press the top-menu key labeled ARRHY.
2. Select VENT to display the following LCD screen:

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