Introduction: In-vitro training in implantable defibrillator and pacemaker measurements and programming can be done using heart rhythm simulators. Unfortunately, commercial systems provide only limited sets of arrhythmias and electrode problems.
Objectives: To combine the features of two heart rhythm simulators, ARSI-4 and Intersim II, into a master-slave teaching system.
Methods: Special implant connection modules were developed to provide defibrillators, pacemakers and CRT systems with right atrial, right and left ventricular electrode electrograms simulated by either the commercial ARSI-4 or the Intersim II heart rhythm simulator. Explanted defibrillators and pacemakers were assembled into an isolating box and supplied with external power. After completing their power on reset procedure they were reused for training purposes. To enable remote patient monitoring, seven workstations were equipped with Carelink and Homemonitoring.
Results and Conclusions: Special implant connection modules are neccessary to combine full features of two commercial heart rhythm simulators into a teaching system with Carelink and Homemonitoring. Thus, interactive in-vitro training in antibradycardic, antitachycardic and cardiac resynchronization therapy can be performed by simulating problems and their solutions in a wide range of the clinical routine.