Cardiac rhythm management system with maximum tracking rate (MTR) hysteresis
First Claim
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1. A method, including:
- sensing a first cardiac signal from an atrial location;
detecting atrial depolarizations from the first cardiac signal;
determining an atrial rate based on the atrial depolarizations;
comparing the atrial rate to a predetermined threshold and a second predetermined value;
setting a maximum ventricular pacing rate in a cardiac rhythm management device using a result of the comparing, the setting including;
setting the maximum ventricular pacing rate to a first predetermined value when the atrial rate exceeds the second predetermined value, the second predetermined value larger than the first predetermined value; and
setting the maximum ventricular pacing rate to the second predetermined value when the atrial rate falls below the predetermined threshold.
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Abstract
A cardiac rhythm management system provides both a safe maximum pacing rate limit and a physiological maximum pacing rate limit. In one embodiment, a normal maximum tracking rate (MTR) and a hysteresis MTR are provided. The hysteresis MTR is set higher than the normal MTR and functions as a maximum pacing rate. When an atrial rate exceeds the hysteresis MTR limit, the maximum pacing rate limit is set to the normal MTR. Once the atrial rate falls below a predetermined threshold, the maximum pacing rate limit is set to the hysteresis MTR. This provides for a more rapid and natural maximum pacing rate limit for a patient, while still protecting the patient from being paced at abnormally high rates.
40 Citations
22 Claims
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1. A method, including:
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sensing a first cardiac signal from an atrial location; detecting atrial depolarizations from the first cardiac signal; determining an atrial rate based on the atrial depolarizations; comparing the atrial rate to a predetermined threshold and a second predetermined value; setting a maximum ventricular pacing rate in a cardiac rhythm management device using a result of the comparing, the setting including; setting the maximum ventricular pacing rate to a first predetermined value when the atrial rate exceeds the second predetermined value, the second predetermined value larger than the first predetermined value; and setting the maximum ventricular pacing rate to the second predetermined value when the atrial rate falls below the predetermined threshold. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16)
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17. A method, including:
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sensing a first cardiac signal from a ventricular location; detecting ventricular depolarizations from the first cardiac signal; determining a heart rate based on the ventricular depolarizations; comparing the heart rate to a first predetermined value and a second predetermined value, the second value larger than the first value; setting a maximum atrial pacing rate in a cardiac rhythm management device to the first predetermined value when the heart rate exceeds the second predetermined value; and setting the maximum atrial pacing rate in a cardiac rhythm management device to the second predetermined value when the heart rate falls below a predetermined threshold. - View Dependent Claims (18, 19)
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20. A method, including:
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sensing a first cardiac signal from an atrial location; detecting atrial depolarizations from the first cardiac signal; determining a heart rate based on the atrial depolarizations; comparing the heart rate to a first predetermined value and a second predetermined value, the second value larger than the first value; setting a maximum atrial pacing rate in a cardiac rhythm management device to the first predetermined value when the heart rate exceeds the second predetermined value; and setting the maximum atrial pacing rate in a cardiac rhythm management device to the second predetermined value when the heart rate falls below a predetermined threshold. - View Dependent Claims (21, 22)
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Specification