Pacemaker with automatic PVARP adjustment during automatic mode

Details Pacemaker with automatic PVARP adjustment during automatic mode Pacemaker with automatic PVARP adjustment during automatic mode

1999-03-22

2000-10-03

Kamm, William E.

Surgery: light, thermal, and electrical application

Light, thermal, and electrical application

Electrical therapeutic systems

A61N 1362

Patent

active

061285331

ABSTRACT:
An implantable dual-chamber pacemaker programmed to operate primarily in an atrial tracking mode includes an atrial rate smoothing filter for producing a filtered atrial rate (FAR) from an intrinsic atrial rate. The pacemaker automatically switches its mode of operation from an atrial tracking mode (i.e., DDD, DDDR, VDD, VDDR, DDT or DDTR) to a non-atrial tracking mode (i.e., DDI, DDIR, VDI, VDIR, DDT or DDTR), in the event the filtered atrial rate exceeds a prescribed upper rate limit. Synchronously with this mode switch, the pacemaker automatically shortens a post ventricular atrial refractory period (PVARP) to a minimum, predefined or programmable value. In one embodiment, the shortened PVARP is set equal to a post ventricular atrial blanking period (PVAB) that ranges between approximately 50 msec and 200 msec. While in the alternate mode of operation, the pacemaker maintains the shortened PVARB refractory period, and continues to monitor the FAR. As soon as FAR drops to a preset value or below, the pacemaker automatically switches back to its primary atrial tracking mode.

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