Question

If patient is only pacing 25% of the time with CRT-D due to afib with RVR, what can you do?

Answer 1

To increase the percentage of pacing in a patient with CRT-D due to afib with RVR, options include adjusting the device's programming, adding medication to control heart rate, or considering other treatment options like ablation.

Step-by-step explanation:

If a patient is only pacing 25% of the time with CRT-D due to afib with RVR, there are a few options that can be considered.

1. First, the cardiologist could adjust the programming of the CRT-D device to increase the percentage of pacing. This can be done by changing the settings to provide more frequent electrical impulses to the heart muscle.
2. Second, the cardiologist may consider adding medication to help control the heart rate during episodes of afib with RVR. This could include medications like beta blockers or antiarrhythmic agents.
3. Lastly, if the current CRT-D device is not effectively managing the afib with RVR, the cardiologist may suggest exploring other treatment options such as ablation.