发明授权
US06519493B1 Methods and apparatus for overdrive pacing heart tissue using an implantable cardiac stimulation device
有权
使用可植入心脏刺激装置的超速起搏心脏组织的方法和装置
- 专利标题: Methods and apparatus for overdrive pacing heart tissue using an implantable cardiac stimulation device
- 专利标题(中): 使用可植入心脏刺激装置的超速起搏心脏组织的方法和装置
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申请号: US09471788申请日: 1999-12-23
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公开(公告)号: US06519493B1公开(公告)日: 2003-02-11
- 发明人: Joseph J. Florio , Gene A. Bornzin , John W. Poore , Douglas T. Kurschinski
- 申请人: Joseph J. Florio , Gene A. Bornzin , John W. Poore , Douglas T. Kurschinski
- 主分类号: A61N136
- IPC分类号: A61N136
摘要:
Techniques are described for overdrive pacing the heart using a pacemaker wherein the overdrive pacing rate only increases when at least two intrinsic beats are detected within a determined search period. In one specific technique, an increase in the pacing rate occurs only if two P-waves are detected within X cardiac cycles. In another specific technique, the overdrive pacing rate is increased only if at least two P-waves are detected within a block of N cardiac cycles. In both techniques, the overdrive pacing rate is decreased if no increase has occurred in the last Z cardiac cycles. By increasing the overdrive pacing rate only in response to detection of at least two P-waves within a determined number of cardiac cycles, an excessively high overdrive pacing rate is avoided. Other techniques are described for adaptively adjusting overdrive pacing parameters so as to achieve a determined target degree of pacing of, for example, 95% paced beats. By adaptively adjusting overdrive parameters to maintain a target degree of pacing, the average overdrive pacing rate is minimized while still maintaining a high number of paced beats, thereby reducing the risk of a tachyarrhythmia occurring within the patient.
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