System for detecting pacer mediated tachycardia
US4569350A · kind A · utility
Assignee
Inventors
Key dates
| Filing date | Dec 5, 1984 |
| Grant date | Feb 11, 1986 |
| Priority date | — |
| Expiry date | Dec 5, 2004 |
Classification
- Technology area (CPC A)Human Necessities
- CPC primaryA61N1/3622
- WIPO fieldMedical technology
- WIPO sectorInstruments
Abstract
A system is provided for detecting pacer mediated tachycardia. Atrial electrical signals (P waves) are sensed and ventricular electrical signals (R waves) are sensed. When a P wave is sensed, after a predetermined AV delay, a stimulating pulse is provided to the ventricle if no R wave is sensed during the AV delay. A threshold rate is selected for the sensed PP interval. If the ventrical has been stimulated and the threshold rate is exceeded for a selected number of PP intervals, the AV delay is increased by a predetermined time (delta). A determination is made whether the next sensed PP interval has increased by delta. If the next sensed PP interval has increased by delta, then pacer mediated tachycardia has occurred. In another embodiment, if the threshold rate is exceeded for a selected number of PP intervals, and the ventricle has been stimulated, then the sensed PP interval is measured and the AV delay is increased to a desired minimum PP interval minus the actual measured PP interval. If the rate continues to be greater than the threshold on the next heartbeat, then pacer mediated tachycardia is not present, and the initial AV delay is reestablished.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.