发明授权
- 专利标题: Maximum atrial tracking rate for cardiac rhythm management system
- 专利标题(中): 心律管理系统最大心房跟踪率
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申请号: US10040287申请日: 2001-10-19
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公开(公告)号: US07062323B2公开(公告)日: 2006-06-13
- 发明人: Gerrard M. Carlson , Julio C. Spinelli , Qingsheng Zhu
- 申请人: Gerrard M. Carlson , Julio C. Spinelli , Qingsheng Zhu
- 申请人地址: US MN Saint Paul
- 专利权人: Cardiac Pacemakers, Inc.
- 当前专利权人: Cardiac Pacemakers, Inc.
- 当前专利权人地址: US MN Saint Paul
- 代理机构: Schwegman, Lundberg, Woessner & Kluth, P.A.
- 主分类号: A61N1/18
- IPC分类号: A61N1/18
摘要:
A cardiac rhythm management system includes an operational mode in which ventricular pacing pulses are delivered at a rate that tracks a sinoatrial rate up to an appropriate maximum atrial tracking rate (MATR) value determined by the system. In one example, the MATR value is based on a patient activity level and a hemodynamic maximum rate (HMR) determined from a QRS-to-S2 interval, where S2 is an accelerometer-generated fiducial correlative to aortic valve closure (AVC). In a further example, a correlation between the QRS-to-S2 interval and heart rate is established, and the MATR is based on the patient activity level and heart rate. In a further example, a lower rate threshold for providing antitachyarrhythmia therapy is modified based on the MATR. For example, when the MATR exceeds a default value of the antitachyarrhythmia therapy lower rate threshold, the threshold tracks the MATR. In another example, the MATR is based on an active time between a QRS complex and a heart impedance signal maximum slope during the same cardiac cycle.
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