A case of undetected ventricular tachycardia due to the rate smoothing algorithm

ratings measuring the effectiveness of training conducted: Working with Proctor Physician during procedure (hands-on) 8.6, Observing Proctor Physician during procedure (observational) 8.45, Lecture/Expert 7.32, Animal Lab 6.85, Simulated Patient (Gen I) 6.2, Heart Model 5.65, Video Tape 5.64. Survey results also indicated that 71% of physicians who attended one or more training programs increased their rate in performing CRT implants. Conclusion: While physician satisfaction is greatest with live hands-on training; simulated hands-on training has the potential to reduce implant complications of live learning and is emerging as a potential surrogate to in-vivo training.