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Leadless Pacemaker Interrogation Report Guide

Leadless Pacemaker Interrogation Report Guide

Sample Leadless Pacemaker Interrogation Report (Simplified)

Parameter Value Normal Range Notes
Pacing Threshold (at 0.4 ms) 1.3 V 0.5–2.0 V Good capture.
Lead Impedance 620 Ohms 400–800 Ohms Normal.
R-Wave Sensing 11.5 mV >5 mV Excellent heart signal detection.
Battery Voltage 3.05 V ~2.8–3.2 V Normal battery health.
Projected Longevity 10.8 years Based on current settings.

Where Impedance Appears

Example Display:
Lead Impedance: 620 Ohms
Previous Impedance (6 months ago): 580 Ohms
Trend: Stable

How Doctors Quickly Read It

What They See What They Think
Impedance 400–800 Ohms, stable Normal tissue contact.
Impedance rising slowly (e.g., 580 → 620 Ohms in 6 months) Maybe minor fibrosis forming, but acceptable.
Impedance >1000 Ohms or rapid rise Worry about significant fibrosis or electrode encapsulation.
Impedance drops a lot Possible device micro-dislodgement (rare in leadless).

Extra Tip: How Trends Look on Reports

Many device programmers show a graph for impedance over time, like:

700 Ohms
650 Ohms
600 Ohms
550 Ohms
500 Ohms
Implant 6 mo 1 yr 1.5 yr

Summary

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