ZOLL Practice Test
Secondary functions of Lifevest are:
symptomatic and arrhythmic event monitoring
Daily rate that a SNF pays/day for Lifevest?
$150
Maximum spend/year for physicians?
$300
Lifevest current price/month?
$3670
From the Cadillac risk factor study groups, it showed that Low EF + _______ variable put a patient into the high risk category.
1
In WEARIT-II, how many patients required an intervention due to an arrhythmia?
1 in 14
In WEARIT-II, explain what it means to have 5 events per 100 years?
100 patients over 1 year, 5 events occure
In Zishiri, what was the absolute risk reduction in post pci?
11%
The Cadillac study showed that the mortality rate in 1st 90 days is ________.
11%
What is the default setting for VT on a Lifevest?
150 bpm
In Epstein, what was the median time from MI to Lifevest shock and revascularized to shock, respectively?
16 and 14
In Valiant, which period of time showed the highest risk for mortality?
1st 30 days
In the Cadillac study, what percentage of patients fall into the high risk group
20% (1 in 5)
What is the default setting for VF on a Lifevest?
200 bpm
What is the time to shock for VF?
25 seconds
How many patients are wearing the Lifevest worldwide?
28,000
In Zishiri, what was the absolute risk reduction in CABG?
3%
How many PPM entries needed per segment?
40
In WEARIT-II, what percentage showed an EF improvement?
41%
In WEARIT-II, what percentage went on to have an ICD?
42%
The Cadillac study showed that the mortality in 1st 30 days is _____.
7%
In Epstein, how many survived 1 year later?
71%
In the Epstein study, of the patients treated, how many occurred in the 1st 30 days?
75%
In Valiant, what was the % of deaths post discharge due to SCA?
83%
In Epstein, what was the survival rate with the Lifevest?
91%
What is the type of shock given by the Lifevest?
Biphasic shock at 150 Joules
In Zishiri, what 2 sites comprised the registry?
Cleveland Clinic and WCD database
PSR must do this before being approved at Zoll?
Criminal background check
Cadillac found that ___________ group had the highest risk score.
EF of 40 or below
Name a polymorphic rhythm?
Torsades de Pointes
What does Lifevest treat?
VF and VT
What is charity care?
Zoll and hospital waive financial responsibility for patient
What is PAP?
Zoll works with patient to receive LV at a reduced charge
What are the components of customer centric selling?
interest generating openers, questions to engender thought, close
Hallmark characteristic that shows electrical conductivity starts in heart
narrow QRS
What is the Lifevest criteria in single lead mode to treat VF and VT?
rate, rate onset, and rate stability
What is the time to shock for VT?
60 seconds
Who invented the Lifevest?
Dr. Stephen Heilman
Name 2 chevrons from our consultative sales process
Establish risk and understand the opportunity
Which 2 things did Dr. Zoll do first?
External defibrillate and implanted pacemaker
Who were the 3 people that invented the first ICD?
Heilman, Murosky, and Mower
When does it become unsafe to wear a Lifevest with a pacemaker?
When the amplitude of the pacemaker is greater than or equal to .5mV and mimic a false QRS complex
In the Epstein study, what were the event rates for VT and VF?
1.6%
Utilizing the risk scoring system in Cadillac, what number constituted high risk?
6
The Cadillac study showed that SCA resulted in _______% of mortality.
60
What types of patients were included in WEARIT-II?
Ischemic, Non-ischemic, and congenital
In Valiant, what % EF in the 1st 30 days had highest incidence of cardiac arrest?
Less than 30
Do HF and low EF get a Lifevest approval?
NO
Is ICM and indication for Lifevest?
NO
Is Valiant a Zoll sponsored study?
NO
What is 2x2?
Order in by 2 pm, patient can be fit by 2 pm on the next business day.
What types of patients were study in Valiant?
Post MI, Low EF, and HF
In Zishiri, they study what types of patients?
Post PCI and post CABG
What types of patients were study in the Cadillac study?
Post PCI, Post MI, Low EF
What is a PVC and is it normal?
Premature Ventricular Contraction, yes
In Zishiri, since Cleveland Clinic receives the sickest patients, how do make sure patients are equally compared?
Propensity matched
Which department at a VA issues purchase orders?
Prosthetics
Can the Lifevest treat a patient in single lead mode?
Yes
Primary functions of Lifevest are:
defibrillate, detect VF/VT, and deliver consciousness test
Right side of the heart sends _______________
deoxygenated blood to lungs
Left side of the heart sends _________________
oxygenated blood to rest of the body
Six required components of a medical order
patient name, date, request for Lifevest, physician signature and date, NPI, Length of need
Which is more dangerous, poly or monomorphic?
polymorphic
What types of patients comprised the Epstein study?
post pci, post mi, post cabg
What is the Lifevest criteria to treat VF and VT?
rate, rate onset, and morphology
