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Practical Management of the Remote Device Clinic

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27 Yellow alerts Device • Recommended replacement • Magnetic resonance imaging (MRI) mode Lead • Right atrial (RA)/RV/left ventricular (LV) ▶ Pacing impedance out of range ▶ Pacing threshold out of range Therapy • Single shock delivered • ATP delivered Pacing • RV pacing > programmed value • CRT pacing < programmed value Arrhythmias • AF burden > programmed value • Ventricular rate in atrial arrhythmia > programmed value • Non-sustained ventricular tachycardia (NSVT) in select patients Yellow alerts Device • Recommended replacement • MRI mode • In non-PM-dependent patients: ▶ Low battery voltage ▶ Device reset or in safety mode Lead • RA/RV/LV ▶ Pacing impedance out of range ▶ Pacing threshold out of range • Noise episode (non-PM dependent) Arrhythmias • AF burden > programmed value • Ventricular rate in atrial arrhythmia > programmed value • NSVT in select patients Pacing • RV pacing > programmed value • CRT pacing < programmed value Yellow alerts Battery repletion or reset Bradycardia • ≤30 bpm (without complete heart block) • Asystole/pause ≥ 3 seconds Arrhythmias • AF > 6 min with indication other than cryptogenic stroke Tachycardia • 16 beats > 180 bpm Red alerts are defined as critical alerts requiring urgent review. Yellow alerts are those that, with early review, may lead to an action that impacts patient outcomes.

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