Post atrial cardioversion atrial pacing and method

• US 5,645,569 A
• Filed: 06/04/1996
• Issued: 07/08/1997
• Est. Priority Date: 06/04/1996
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: InControl, Inc. (Daikin Industries Ltd)
• Inventors: Ayers, Gregory M.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US08/659,138
• Time in Patent Office: 399 Days
• Field of Search: 607/4, 607/5
• US Class Current: 607/4
• CPC Class Codes: A61N 1/395 for treating atrial fibrillation
• CPC Class Codes: A61N 1/39622 Pacing therapy

Abstract

An implantable atrial defibrillator includes a cardiovertor for applying cardioverting electrical energy to the atria of a heart when the atria are in need of cardioversion. The defibrillator further includes a pacer for pacing the atria of the heart immediately after each application of cardioverting electrical energy to the atria of the heart. The atria are paced in a demand mode and for a finite time period.

Claims

1. An implantable atrial defibrillator comprising:

cardioverting means for applying cardioverting electrical energy to atria of a heart when the atria are in need of cardioversion; and

pacing means for pacing the atria of the heart responsive to and immediately after each application of cardioverting electrical energy to the atria of the heart by the cardioverting means.

2. An atrial defibrillator as defined in claim 1 wherein the pacing means includes means for pacing the atria in a demand mode.

3. An atrial defibrillator as defined in claim 1 further including disable means for disabling the pacing means in response to an occurrence of a predetermined event.

4. An atrial defibrillator as defined in claim 3 wherein the disable means includes a timer for disabling the pacing means in response to the timer timing a predetermined pacing time period.

5. An atrial defibrillator as defined in claim 1 wherein the pacing means includes means for applying pacing electrical energy to only the right atrium of the heart.

6. An atrial defibrillator as defined in claim 1 wherein the pacing means includes means for applying pacing electrical energy between the right atrium and the left atrium.

7. An atrial defibrillator as defined in claim 1 wherein the pacing means further includes ventricular pacing means for pacing ventricles of the heart in concert with the pacing of the atria.

8. An atrial defibrillator as defined in claim 7 wherein the pacing means includes means for pacing the heart in a DDD mode.

9. An atrial defibrillator as defined in claim 8 further including disable means for disabling the pacing means in response to an occurrence of a predetermined event.

10. An atrial defibrillator as defined in claim 9 wherein the disable means includes a timer for disabling the pacing means in response to the timer timing a predetermined pacing time period.

11. A method of cardioverting atria of a heart, said method including the steps of:

applying cardioverting electrical energy to atria of a heart when the atria are in need of cardioversion; and

pacing the atria of the heart responsive to and immediately after applying the cardioverting electrical energy to the atria of the heart.

12. A method as defined in claim 11 wherein the pacing step includes pacing the atria in a demand mode.

13. A method as defined in claim 11 further including the step of terminating the pacing of the atria in response to an occurrence of a predetermined event.

14. A method as defined in claim 13 wherein the terminating step includes timing a predetermined pacing time period and disabling the pacing when the predetermined pacing time period is timed.

15. A method as defined in claim 11 wherein the pacing step includes applying pacing electrical energy to only the right atrium of the heart.

16. A method as defined in claim 11 wherein the pacing step includes applying pacing electrical energy between the right atrium and the left atrium.

17. A method as defined in claim 11 wherein the pacing step further includes pacing ventricles of the heart in concert with the pacing of the atria.

18. A method as defined in claim 17 wherein the pacing step includes pacing the heart in a DDD mode.

19. A method as defined in claim 18 further including the step of terminating the pacing of the atria in response to an occurrence of a predetermined event.

20. A method as defined in claim 19 wherein the terminating step includes timing a predetermined pacing time period and disabling the pacing when the predetermined pacing time period is timed.

21. A method as defined in claim 11 wherein the pacing step includes pacing the atria at a rate greater than a bradycardia rate.

22. An implantable atrial defibrillator comprising:

cardioverting means for applying cardioverting electrical energy to atria of a heart when the atria are in need of cardioversion; and

pacing means for pacing the atria of the heart responsive to and immediately after each application of cardioverting electrical energy to the atria of the heart by the cardioverting mean and at a rate greater than a bradycardia rate.