Method and apparatus for determining atrial lead dislocation
    1.
    发明授权
    Method and apparatus for determining atrial lead dislocation 有权
    用于确定心房铅脱位的方法和装置

    公开(公告)号:US06195584B1

    公开(公告)日:2001-02-27

    申请号:US09303279

    申请日:1999-04-30

    CPC classification number: A61N1/371 A61N2001/083

    Abstract: A method and apparatus for determining the occurrence of a mis-location of an atrial electrode in a cardiac stimulation device having an atrial pulse generator coupled with the atrial electrode and a ventricular sense amplifier coupled to a ventricular electrode. The device paces the atrium in a first pacing mode employing atrial pacing pulses at a first energy level and in a test mode employs higher energy atrial pacing pulses. In the test mode the device measures PR intervals between atrial pacing pulses following sensed ventricular depolarizations and determines that the atrial electrode is mis-located responsive to occurrence of a threshold number of short PR intervals or that the atrial electrode is appropriately located responsive to occurrence of a threshold number of long PR intervals. Operation of the device in the test mode may be pre-conditioned on an absence of atrial tachyarrhythmia.

    Abstract translation: 一种用于确定在具有与心房电极耦合的心房脉冲发生器和耦合到心室电极的心室感应放大器的心脏刺激装置中心房电极错位的发生的方法和装置。 该装置以第一起搏模式采用心房起搏脉冲在第一能级进行起搏,并且在测试模式中采用更高能量的心房起搏脉冲。 在测试模式中,该装置测量感测到的心室去极化之后的心房起搏脉冲之间的PR间隔,并且确定心房电极响应于出现阈值数量的短PR间期而错位,或者心房电极适当地位于响应于 长PR间隔的阈值数。 在测试模式下的装置的操作可以在没有心房快速性心律失常的情况下进行预处理。

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