Pacemaker codes are short hand that describes the functioning and programmable features of a pacemaker. They are a series of up to five letters denoting function.
Using the chart below, for instance, a pacemaker described as DDDR would be a dual-chamber paced, dual-chamber sensed, dual response, rate modulated pacemaker
Chambers paced – 1st position | Chambers sensed-2nd position | Response modes-3rd position | Programmable functions -4th position | Anti-tachycardia function – 5th position |
V = ventricle | V = ventricle | T = triggered | R = rate modulated | P = paced |
A = atrium | A = atrium | I = inhibited | C = communicating | S = shocks |
D = dual | D = dual | D = dual (triggered/inhibited) | M = multiprogrammable | D = dual (paced and shocks) |
O = none | O = none | O = none | P = simple programmable | O = none |
———— | ———— | ———- | O = none | ————- |
The one exception to the above pacemaker nomenclature is the DVIC mode variation, which does not conform to the NBG identification code listed above.
When dealing with a patient with an implantable device, a notation in the chart should always be made regarding the pacemaker codes. If the pacemaker codes are not known, prompt consultation with a cardiologists is warranted.
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