RCES Exam Questions with Correct
Answers| Latest Update
40-50%
In patients with CHF and LBBB that are severely symptomatic, properly performed
CRT-P (without defib) reduces sudden death and mortality by:
Stimulate LV in area of lowest threshold, stimulate LV in area of greatest
asynchrony, prevent phrenic nerve stimulation by changing the LV pacing vector
Three reasons to use multipolar CS/LV leads in resynchronized therapy are:
Unipolar over the wire
Implanting the LV lead in small diameter coronary veins, which type of
resynchronization lv lead design generally has the smallest diameter?
LBBB
A minority of patients treated with bi-v pacing do not improve clinically. Most of
the following are characteristics of non responder patients. What characteristic
will also suggest the patient is more likely to be a good responder to CRT?
A. Ischemic heart disease
,B. LBBB (vs rbbb)
C. Transmural MI Scar
D. Enter your corner vein lead placement
Diaphragmatic stimulation
The most common problem associated with pacing from the LV from the coronary
vein is:
CS lead
The only significant difference between implanting an ICD and a CRT-D device is a
Implantable defibrillator
Most patients that receive a BIV pacemaker also get a
Adequate pacing threshold & an absence of diaphragmatic pacing
In resynchronization therapy, after the LV lead is placed, it should be tested for:
The guider sheath is sliced and removed.
, In resynchronization therapy, after the LV lead is properly placed and tested the
next thing to do is:
Reduced end diastolic size and LV mass
The main long-term benefit of CRT on the left ventricle is:
Pace 100% of the time
CRT pacemakers are usually programmed to:
CHF
BIV pacers/CRT devices are generally used to treat patients with:
Increased EF by 5-10%, reduced hospitalizations from CHF, improved quality of life.
What are the expected benefits of CRT implant in appropriately responding
patients?
CRT
What type of pacemaker is shown in this X-ray
Answers| Latest Update
40-50%
In patients with CHF and LBBB that are severely symptomatic, properly performed
CRT-P (without defib) reduces sudden death and mortality by:
Stimulate LV in area of lowest threshold, stimulate LV in area of greatest
asynchrony, prevent phrenic nerve stimulation by changing the LV pacing vector
Three reasons to use multipolar CS/LV leads in resynchronized therapy are:
Unipolar over the wire
Implanting the LV lead in small diameter coronary veins, which type of
resynchronization lv lead design generally has the smallest diameter?
LBBB
A minority of patients treated with bi-v pacing do not improve clinically. Most of
the following are characteristics of non responder patients. What characteristic
will also suggest the patient is more likely to be a good responder to CRT?
A. Ischemic heart disease
,B. LBBB (vs rbbb)
C. Transmural MI Scar
D. Enter your corner vein lead placement
Diaphragmatic stimulation
The most common problem associated with pacing from the LV from the coronary
vein is:
CS lead
The only significant difference between implanting an ICD and a CRT-D device is a
Implantable defibrillator
Most patients that receive a BIV pacemaker also get a
Adequate pacing threshold & an absence of diaphragmatic pacing
In resynchronization therapy, after the LV lead is placed, it should be tested for:
The guider sheath is sliced and removed.
, In resynchronization therapy, after the LV lead is properly placed and tested the
next thing to do is:
Reduced end diastolic size and LV mass
The main long-term benefit of CRT on the left ventricle is:
Pace 100% of the time
CRT pacemakers are usually programmed to:
CHF
BIV pacers/CRT devices are generally used to treat patients with:
Increased EF by 5-10%, reduced hospitalizations from CHF, improved quality of life.
What are the expected benefits of CRT implant in appropriately responding
patients?
CRT
What type of pacemaker is shown in this X-ray
