Continuous Atrial Electrograms on ICU Monitor

 
 
 
 

  • “The AtriAmp is so simple and useful because it provides immediate diagnostic information to the bedside team that significantly impacts the clinical care.”

    -Aditya Badheka, MBBS MS University of Iowa Stead Family Children's Hospital

  • “The AtriAmp saves time while freeing up our busy colleagues who had to drop everything to do an ECG or atrial electrogram. By greatly magnifying the heart’s electrical signals, we can catch problems much earlier and treat them accordingly.”

    -Margaret Greco, M.D. American Family Children's Hospital

  • “I really think [it reduces] the time from arrhythmia to arrhythmia diagnosis… the time from diagnosis to the treatment… and the time to determine if you need to change treatment.”

    -Pediatric Cardiologist

  • “when we used to do atrial electrograms, by the time the EKG tech got up here, the patient may have been out of the rhythm and so we missed our opportunity to see what was going on”

    -PICU RN

  • "it has really facilitated early recognition of atrial arrhythmias"

    -Pediatric Cardiac Intensivist

  • "use of the AtriAmp [has] allowed for more accurate diagnosis of postoperative arrhythmias."

    -Pediatric Cardiac Intensivist

  • "I always compare it to continuous pulse oximetry...It's non-invasive and it gives you a ton of information."

    -Pediatric Cardiologist

  • “I think without the AtriAmp, patients would get treated for things that they didn't need because we didn't have an [AEG] available…. [I think] you would make assumptions and treat for the worst-case scenario”

    -PICU NP

  • “it is by far the highest fidelity and most clear way to interpret the rhythm”

    -Pediatric Cardiac Intensivist

  • "I am definitely more confident in the heart rhythm when I have the AtriAmp in place"

    -Pediatric Cardiac Intensivist

  • "the use of the AtriAmp should be the new standard of care"

    -Pediatric Cardiac Intensivist

  • "it’s allowed easier teaching of EP to residents, fellows, nurses…and it really has changed the ability for people to understand arrhythmias.”

    -Pediatric Cardiac Intensivist

  • "it really makes the atrial signals so much more readable."

    -Pediatric Cardiologist

  • "it’s really neat because it teaches people the value of having an [AEG]."

    -Pediatric Cardiac Intensivist

Clinical Need for Continuous Atrial EKGs

A Challenging Experience - No P-Waves

Poor p-wave identification may increase time to diagnosis

Incorrect diagnosis may lead to adverse outcomes from inappropriate treatment

Delays in rhythm diagnosis can lead to cardiac arrest with increases in costs for life-saving support and length of stay

AtriAmp connects to atrial pacing wires, providing a continuous atrial EKG for accurate and confident diagnosis

The AtriAmp

Standard Connections

Increased Accuracy and Confidence

“Use of the AtriAmp increased provider accuracy and confidence in post-operative rhythm diagnosis when compared to diagnosis using the surface electrograms only.”

Brown DH, Zhang X, Al-Subu AM, Von Bergen NH. Improvements in Accuracy and Confidence in Rhythm Identification After Cardiac Surgery Using the AtriAmp Signals. Journal of Intensive Care Medicine. 2023;0(0).

“The AtriAmp demonstrates potential to improve time to treatment.”*

94% Agree

“The AtriAmp improves the ability to identify abnormal rhythms.”*

92% Agree

*Results from clinical survey following AtriAmp evaluation.

About the AtriAmp

Post-operative arrhythmias are common and associated with significant morbidity and mortality.  Additionally, rhythm can be difficult to diagnose using surface leads on the bedside monitor. The best practice for diagnosing post-operative arrhythmias is using atrial electrograms [AHA Practice Standards]. Prior to the AtriAmp, this required time and resources to obtain a temporary atrial ECG, potentially resulting in delayed or missed diagnosis.

The AtriAmp now provides continuous atrial electrograms by connecting temporary atrial pacing wires, the bedside monitor, and a temporary pacemaker (if needed). This allows continuous access to the AHA recommended signal while also allowing simultaneous pacing.

AtriAmp Presentation

Doctor Nick Von Bergen, PedirhythmX Conference

 
 

Frequently Asked Questions

  • This is the first product that allows physicians to view continuous intracardiac atrial electrocardiograms in real-time on the patient monitor. This also allows for retrospective analysis through historical monitor signal review. Currently, atrial electrocardiograms are acquired primarily through an adaptation of a 12- lead EKG, which allows for only a short term (10 seconds) record of the atrial electrocardiogram or by making a momentary connection of the atrial epicardial wires to one of the adhesive surface electrodes. Since both existing methods only provide a temporary view of the atrial electrogram, they lack the ability to display arrhythmias at the earliest onset and to allow for early pacing treatment. In addition to the advancements in atrial signal diagnosis, the AtriAmp improves many of the workflow hurdles of atrial electrogram acquisition, saving time for ICU cardiologists, electrophysiologists, and nurses

  • Yes, the AtriAmp is FDA cleared for both pediatric and adult patients.

  • The AtriAmp was designed to be widely accepted across the United States - it is flexible to be used with a wide variety of equipment types:

    Patient Monitor ECG Module: Must have the industry standard CF, defibrillation proof rating.

    • External Temporary Pacemaker:
    Medtronic: 5348, 5388, 53401, or 5392
    Oscor/Osypka: PACE 101H and 203H
    St. Jude Medical: 3077 and 3085
    Cardiotronic: PACE 101 / PACE 101H and PACE 203 / PACE 203H

    • Epicardial Wires: Wires must have terminal sizes ranging from [0.84 mm to 2.125 mm] in diameter and [15.375 mm to 23.125 mm] in length.

Learn more about the AtriAmp: