Pacemaker having adaptive arrhythmia detection windows

The present invention relates generally to cardiac pacemakers. More particularly, the present invention relates to cardiac pacemakers having improved methods for detecting arrhythmias. Methods for improving detection of arrhythmias by adaptively increasing arrhythmia detection intervals. One method...

Ausführliche Beschreibung

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Bibliographische Detailangaben
Hauptverfasser: Ericksen, James H, Rossing, Martin A, Assad, Fareed
Format: Patent
Sprache:eng
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Beschreibung
Zusammenfassung:The present invention relates generally to cardiac pacemakers. More particularly, the present invention relates to cardiac pacemakers having improved methods for detecting arrhythmias. Methods for improving detection of arrhythmias by adaptively increasing arrhythmia detection intervals. One method includes increasing the V2V, the overall cardiac cycle length, thereby decreasing the pacing rate in the presence of ventricular safety paces (VSPs). Another method includes shortening the trigger interval following the atrial pace event, during which time the pacemaker will detect V-sense events, while leaving the A2V VSP interval unchanged, at the end of which any required VSP will be generated. In yet another method, the interval from A-pace to V-pace, the PAV interval, is shortened, while leaving the overall V2V cycle interval unchanged. This increases the ventricular to artial V2A interval, increasing the detection window for arthythmias. The PAV interval can be shortened in response to a recent history of VSP events.