Contraindications - BIOTRONIK ProMRI Eluna 8 SR-T Manuel Technique

Device types
For the following symptoms/expectations, the following device types are indicated:
Symptom/expectation
Disorientation due to bradycardia
Presyncope
Benefit from resynchronization of the right and 
left ventricles
Syncope
Pacing modes
For the following symptomatic, the following pacing modes are indicated:
Symptom/expectation
Sick sinus syndrome
Chronic, symptomatic second and third-degree AV block
Adams-Stokes syndrome
Symptomatic bilateral bundle branch block when tachy-
arrhythmia and other causes have been ruled out
• Chronotropic incompetence
• Benefit from increased pacing rate with physical
activity
Sinus node dysfunction in the presence of normal AV and
intraventricular conduction
Bradycardia in conjunction with the following:
• Normal sinus rhythms with only rare episodes of AV
block or sinus arrest
• Chronic atrial fibrillation
• Severe physical disability
MR conditional
®
ProMRI labeled MRI conditional pacemakers are safe for use in the MRI environment
when used in conjunction with a complete MRI conditional pacing system and according
to the instructions given in the ProMRI® manual.
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Contraindications

Guidelines
SR DR HF No contraindications are known for the implantation of multifunctional single-
chamber, dual-chamber or triple-chamber devices, provided differential diagnostics
x x x
precedes implantation according to the appropriate guidelines and no modes or
x x x
parameter combinations are configured that pose a risk to the patient.
x
Pacing modes and parameters
The compatibility and effectiveness of parameter combinations must be checked and,
x x x
as the case may be, adapted after programming.
Set of facts
Additionally implanted ICD
Pacing mode
Set of facts
Dual-chamber pacing
Chronic atrial tachycardia, chronic atrial
Dual-chamber pacing
fibrillation or flutter
Dual-chamber pacing
Poor tolerance of pacing rates above the
Dual-chamber pacing
basic rate, e.g., angina pectoris
AV conduction disorder
R mode or CLS
Failing AV conduction
Atrial pacing Set of facts
Slow retrograde conduction after ventric-
Ventricular pacing ular pacing: Risk of pacemaker-mediated
tachycardia
Poor tolerance of pacing rates above the
basic rate, e.g., angina pectoris
3
Contraindicated pacing mode
Unipolar pacing
Inappropriate pacing mode
Atrial-controlled modes (DDD, VDD, AAI)
Atrial single-chamber pacing
Adapt parameters
• Extend atrial refractory period (ARP)
and/or:
• Shorten AV delay
• Rarely:
Program to DDI, DVI or VVI
• Lower atrial upper rate
• Lower maximum sensor rate
• Deploy atrial overdrive pacing