System and method for atrial autocapture in single-chamber pacem

Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems

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607 9, 600509, A61N 1368

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active

061014168

ABSTRACT:
An implantable pacemaker automatically verifies atrial capture and performs atrial stimulation energy assessment when atrial capture is absent. The pacemaker delivers a stimulation pulse in the atrial chamber of the heart and samples the resulting far-field signal from the ventricular chamber during a predetermined far-field interval window. The pacemaker then compares the far-field signal sample to a predetermined far-field signal recognition template. If the far-field signal sample is approximately equal to the far-field signal recognition template, then atrial capture is deemed verified; otherwise, the pacemaker performs an atrial stimulation energy determination. Optionally, the pacemaker automatically determines the timing of the far-field interval window and defines the far-field signal recognition template.

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Levine, et al; Assessment of Atrial Capture in Committed Atrioventricular Sequential (DVI) Pacing Systems; pp 616-623; Pace vol. 6, May-Jun. 19983, Part 1.
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Brandt, et al; Far-Field ORS Complex Sensing Via the Atrail Pacemaker Lead. I. Mechanism, Consequences, Differential Diagnoisis and Countermeasures in AAI and VVD/DDD Pacing; pp 1432-14738; Pace vol. 11. Oct. 1988.
Levine; Guidelines to the Routine Evaluation and Follow-Up of the Implanted Pacing System; pp 19; Siemens Pacesetter; Jan. 1993.

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