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Q: What is the difference between dual chamber pacemaker and bi-ventricular pacemaker?
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Whats the code for placement of a dual chamber pacemaker?

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What is dd pacemaker?

Pacemakers all get an initial code that describe the device's functional abilities. The code consists of at least three letters, sometimes four or even five. There is no such thing as a DD pacemaker, but there is a DDD and a DDI pacemaker (also a DDDR, and DDIR). Since DDD is the most commonly implanted pacemaker in the U.S., it is likely that DDD was meant. The first letter indicates where the pacemaker paces. It can pace in the upper chamber (atrium, in which the case the letter is A), the lower chamber (ventricle, in which case the letter is V), or both (in which case the letter is D for "dual"). The second letter indicates where the pacemaker senses. Sensing means "listen." Pacemakers are able to monitor the heart and detect or listen to the heart rhythm. Again, the letter codes here are A, V, D. The third letter is a bit trickier in that it indicates what the pacemaker does if the heart beats on time. If the letter is I it means "inhibit." That means if your heart beats on its own, it inhibits the pacemaker or forces it to stay on standby. If the letter is T it means trigger, that is, if the heart beats on its own, the pacemaker will be triggered to pace. This is appropriate when the upper chamber beats and the pacemaker gets ready to cause the lower chamber to beat in appropriate response. The third option is D for dual, meaning the pacemaker will inhibit (for the ventricle) but trigger for the atrium. If the fourth letter is an R, the pacemaker has a special sensor that allows it to increase its rate when you are physically active. These codes are widely used by clinicians and are understood around the world. Pacemakers are coded on the box to the highest performance they can achieve. For instance, a DDD pacemaker can pace or sense both chambers of the heart but a doctor can program it in such a way that it paces and senses only one chamber of the heart. Nevertheless, on the pacemaker labeling, it will state the highest level of function of which the device is capable.


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