Invention Grant
US06295471B1 System and method for automatic atrial capture detection and atrial pacing threshold determination
有权
用于自动心房捕获检测和心房起搏阈值测定的系统和方法
- Patent Title: System and method for automatic atrial capture detection and atrial pacing threshold determination
- Patent Title (中): 用于自动心房捕获检测和心房起搏阈值测定的系统和方法
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Application No.: US09481748Application Date: 2000-01-11
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Publication No.: US06295471B1Publication Date: 2001-09-25
- Inventor: Gene A. Bornzin , Paul A. Levine , Kenneth Valikai , Jason A. Sholder
- Applicant: Gene A. Bornzin , Paul A. Levine , Kenneth Valikai , Jason A. Sholder
- Main IPC: A61N137
- IPC: A61N137

Abstract:
An implantable dual chamber stimulation device provides a novel detection scheme for automatically detecting atrial capture and performing an atrial pacing threshold assessment. The stimulation device preferably waits until the patient is at or near rest and monitors the patient's P-wave activity to determine an detection window where a next P-wave is expected to occur. The stimulation device then delivers an atrial pulse prior to the next detection window, and monitors the window to determine whether a P-wave occurs therein. If a P-wave does not occur, then atrial capture is present, while occurrence of a P-wave indicates absence of atrial capture. If atrial capture is absent, the stimulation device automatically determines an appropriate atrial pacing threshold by monitoring the detection window while adjusting the stimulation pulse energy level. Advantageously, the present invention further employs a “bottom-up” adjusting scheme which starts at a low energy level, below the expected atrial pacing threshold, and increases the energy level until atrial capture is detected, thus saving energy and further avoiding corruption by large polarization signals. The latter feature is compatible with the present detection scheme and conventional evoked response detection schemes. The new atrial pacing threshold is then set at the atrial pulse level at which atrial capture was effectuated plus a predetermined safety margin.
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