Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems
Patent
1995-07-11
1998-08-04
Kamm, William G.
Surgery: light, thermal, and electrical application
Light, thermal, and electrical application
Electrical therapeutic systems
128705, A61N 136, A61B 50464
Patent
active
057887179
ABSTRACT:
An implantable pacemaker accurately senses the regular atrial rhythm even though some portions of the atrial rhythm, e.g., every other P-wave, may potentially be masked or hidden within the ventricular absolute refractory period. Such sensing includes unmasking or uncovering any hidden P-waves, thereby allowing an accurate atrial rate to be determined. The hidden P-waves are uncovered by: changing the PV delay, not tracking a sensed P-wave, or comparing the incoming morphology of the atrial channel signal to a prior stored baseline morphology signal. The accurate atrial rate, once determined, allows the presence of an atrial tachycardia to be reliably confirmed, thereby enabling appropriate atrial anti-tachycardia pacing (ATP) procedures to be invoked, or mode switching from an atrial synchronous mode of operation, e.g., DDD, to a non-atrial synchronous mode, e.g., VVIR.
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Florio Joseph J.
Mann Brian M.
Sloman Laurence S.
Jastrzab Jeffrey R.
Kamm William G.
Pacesetter Inc.
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