All Ceylon Cardiographers Union

ජන රජයට ජන බලයක් අනුරාධපුර මැයි රැලියේ හදිසි ප්‍රථමාධාර කණ්ඩායම නියෝජනය

அனுராதபுர மே தினப் பேரணியில், அவசரகால முதலுதவி மருத்துவக் குழுவின் சார்பாக, மக்கள் சக்தியால் மக்கள் அரசாங்கம்.

ACCU

"Saluting the hands that heal and the hearts that care. Wishing you a happy and peaceful May Day!"

ACCU

📢📢📢 Attention 🚫🚫🚫

PPM Reprogramming කිරීමේදී Cardiac Technician ගේ කාර්ය භාරය ❤️‍🩹

PPM (Permanent Pacemaker) Reprogramming යනු රෝගියාගේ තත්ත්වය අනුව Pacemaker settings වෙනස් කිරීම සඳහා සිදු කරන වැදගත් ක්‍රියාවලියකි. මෙම ක්‍රියාවලියේදී Cardiac Technician කෙනෙකුගේ කාර්යභාරය ඉතා වැදගත් වේ.

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1. රෝගියා සූදානම් කිරීම 👨‍⚕️

රෝගියා හඳුනා ගැනීම

ක්‍රියාවලිය පිළිබඳ පැහැදිලි කිරීම

Reprogramming අවශ්‍යතාව පරීක්ෂා කිරීම

රෝගියා පහසු ලෙස තබා ගැනීම (Supine position)

Vital signs පරීක්ෂා කිරීම

Blood Pressure

Pulse

SpO₂

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2. Pacemaker Device Interrogation 🔍

Pacemaker programmer භාවිතා කර device data ලබා ගැනීම

භාවිතා වන Programmer brands:

Medtronic

Abbott

Boston Scientific

Biotronik

පරීක්ෂා කරන දත්ත:

Battery status 🔋

Lead impedance

Sensing values

Pacing threshold

Percentage of pacing

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3. Reprogramming කිරීමේදී සහාය දීම ⚙️

Consultant Cardiac Electro Physiologist supervision යටතේ:

Pacing mode වෙනස් කිරීම

VVI

DDD

AAI

Heart rate adjustment

Sensitivity adjustment

Output voltage adjustment

AV delay adjustment

Rate response ON / OFF කිරීම

Mode switch ON / OFF කිරීම

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4. Procedure අතරතුර රෝගියා නිරීක්ෂණය කිරීම 📊

Continuous ECG monitoring

Symptoms නිරීක්ෂණය කිරීම:

Dizziness

Palpitations

Chest pain

Syncope

Hemodynamic stability පරීක්ෂා කිරීම

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5. Reprogramming පසු පරීක්ෂා කිරීම ✅

New settings හොඳින් වැඩ කරනවාද පරීක්ෂා කිරීම

Capture test කිරීම

Sensing test කිරීම

Patient monitoring (minutes කිහිපයක්)

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6. Documentation 📝

ලියා තබා ගැනීම:

Old settings

New settings

Battery status

Lead parameters

Patient symptoms

Follow-up details

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7. රෝගියාට උපදෙස් දීම 🎓

Follow-up clinic date

Warning symptoms

Pacemaker precautions

Medical ID card ගැන උපදෙස්

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PPM Reprogramming අවශ්‍ය වන අවස්ථා

Battery depletion

Syncope / dizziness

Lead malfunction

Routine follow-up

After implantation

Before surgery

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Cardiac Technician කෙනෙකුට අවශ්‍ය දක්ෂතා

ECG interpretation 📈

Pacemaker knowledge ❤️

Device handling skills

Emergency management knowledge

Communication skills

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PPM Reprogramming කියන්නේ Advanced skill එකක් සහ Career development එකට වැදගත් skill එකක් වන අතර Cardiac Technician යනු PPM Reprogramming වලදී Cardiac Electro Physiologist Consultant වරයාට අත්‍යාවශ්‍ය මානව සම්පතකි.

ACCU Media Unit

Fuel Allocation For Health Staff Data Collection

What is Exercise ECG (Treadmill Stress Test – TMT)? 🫀🏃‍♂️

Exercise ECG is a cardiac diagnostic test used to evaluate how the heart works during physical stress (exercise). The patient usually walks on a treadmill while the electrical activity of the heart (ECG), heart rate, and blood pressure are continuously monitored.

Consultant commonly request this test to detect coronary artery disease, exercise-induced arrhythmias, and exercise tolerance.

Purpose of Exercise ECG

To detect reduced blood flow to the heart muscles (ischemia)

Diagnose coronary localization of reduced blood flow to heart muscle

Evaluate exercise capacity and fitness level

Identify exercise-induced arrhythmias

To Evaluate the treatment effectiveness (medication)

Post myocardial infarction(heart attack )evaluation

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Job Role of a Cardiac Technician in Exercise ECG 🩺

Cardiac Technician is a trained person to perform several diagnostic test to identify the heart disorders, performing TMT is one of the important responsibilities.

1. Patient Preparation

Explain the procedure clearly to the patient

Obtain informed consent

Check patient history and contraindications

Prepare skin and attach ECG electrodes correctly

Trace baseline ECG, calculate heart rate, and measure blood pressure on resting stage

2. Equipment Preparation

Prepare and calibrate treadmill and TMT work station.

Ensure proper lead placement and signal quality

Select appropriate exercise protocol (e.g., Bruce or Modified Bruce protocol)

3. Monitoring parameters and ECG during the Test

Continuously monitor ECG rhythm and ST- T changes

Record blood pressure at each stage

Observe patient symptoms such as chest pain, dizziness, or shortness of breath

Identify arrhythmias or abnormal ECG changes

4. Patient Safety

Terminate the test if there are identical ECG changes, severe symptoms, or abnormal blood pressure responses

Be prepared for emergency management if required

5. Post-Test Responsibilities

Continue recovery ECG monitoring

Record post-exercise vital signs

Document findings and provide proper documentation to cardiologist for interpretation

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✅ In simple terms:
The cardiac technician performs the test, monitors the patient’s heart response for exercise during the test, ensures safety, and record accurate data and provide proper documentation to cardiologist for diagnose.

ACCU

ඛන්තු රේඛන ශිල්පයේ තිඹිරිගෙය වූ ඛන්තු රේඛනශිල්පි පුහුණු පාසල වෙනුවෙන් අප සංගමය විසින් ඉටුවිය යුතු කාර්යභාරය හදුනාගැනීම සදහා සමස්ත ලංකා ඛන්තුරේඛන ශිල්පීන්ගේ සංගමයේ ප්‍රථම සාකච්ඡාව ඛන්තු රේඛන ශිල්පි පුහුණු පාසලේ විදුහල්පතිතුමිය සහ ආචාර්‍ය මණ්ඩලය සමග මෙසේ පවත්වන ලදි

அகில இலங்கை இருதயரேகை வரைஞர் சங்கத்தின் முதல் கலந்துரையாடல், இருதயரேகை வரைஞர்களின் பிறப்பிடமான பயிற்சிப் பாடசாலைக்கு நமது சங்கம் ஆற்ற வேண்டிய பங்கை அடையாளம் காண, பயிற்சிப் பாடசாலையின் அதிபர் மற்றும் போதனாசிரியர்களுடன் கலந்துரையாடல் இன்று நடைபெற்றது.

A constructive discussion held with the Principal and academic staff of the School of Cardiography today to identify the role which can be played by our union along with the training school to uplift our service training and productivity.

ACCU Media Unit

2026 අයවැය අග්‍රහාර රක්ෂණ ක්‍රමය