发明授权
- 专利标题: Retrograde atrial sensing for identifying sub-threshold atrial pacing
- 专利标题(中): 逆行心房感应识别亚阈值心房起搏
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申请号: US11136988申请日: 2005-05-25
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公开(公告)号: US07457666B2公开(公告)日: 2008-11-25
- 发明人: Derek D. Bohn , Rajesh K. Gandhi
- 申请人: Derek D. Bohn , Rajesh K. Gandhi
- 申请人地址: US MN St. 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 St. Paul
- 代理机构: Hollingsworth & Funk, LLC
- 主分类号: A61N1/37
- IPC分类号: A61N1/37 ; A61N1/18
摘要:
Methods and systems for delivering a pacing pulse to an atrium during a cardiac cycle. A retrograde P-wave may be identified during the cardiac cycle, indicative of sub-threshold atrial pacing. Delivery of the pacing pulse to the atrium may be adjusted in a subsequent cardiac cycle in response to identifying the retrograde P-wave. Adjusting delivery of the pacing pulse may involve initiating an atrial capture threshold test, temporarily increasing one or both of the pacing pulse amplitude and pulse width, and/or re-evaluating one or both of the pacing pulse amplitude and pulse width. Adjusting delivery of the pacing pulse may also involve altering the timing of a scheduled atrial capture threshold test. During an atrial capture threshold test, a retrograde P-wave template may be generated in response to atrial non-capture sensed during the atrial capture threshold test, and used to identify subsequent retrograde P-waves.
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