Method to prevent pacemaker induced non-reentrant VA synchrony using adaptive atrial pacing output
US7130685B2 · kind B2 · utility
Assignee
Inventors
Key dates
| Filing date | Jun 10, 2003 |
| Grant date | Oct 31, 2006 |
| Priority date | — |
| Expiry date | Dec 16, 2024 |
Classification
- Technology area (CPC A)Human Necessities
- CPC primaryA61N1/3688
- WIPO fieldMedical technology
- WIPO sectorInstruments
Abstract
The present invention is directed to the problem of preventing episodes of “AV Desynchronization Arrhythmia” (AVDA), a dual-chamber pacing behavior that is initiated by a PVC or other ventricular event that is not closely preceded by an atrial depolarization event. If the initiating PVC creates retrograde conduction resulting in an atrial refractory-sensed event, and should the succeeding AP fail to capture due to pacing within the atrial refractory period (ARP) a repetitive AVDA sequence (APineffectual-VP-ARrefractory) can persist for an extended period of time and symptoms of pacemaker syndrome can occur. After AVDA detection, the following may occur: delivered atrial pacing (AP) energy may be (dynamically) increased, a atrial pacing (AP) delay interval may be implemented, a mode-switch may be executed, a patient notification process may begin, a histogram may be recorded or processed, and/or a combination thereof may be used in response the detected AVDA sequence.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.