System and method for determining intrinsic AV interval timing

    公开(公告)号:US07869872B2

    公开(公告)日:2011-01-11

    申请号:US11424395

    申请日:2006-06-15

    IPC分类号: A61N1/00

    CPC分类号: A61N1/368 A61N1/3682

    摘要: An atrial based pacing protocol promotes intrinsic conduction. An entire cardiac cycle is monitored for ventricular activity and permitted to lapse with ventricular activity. Ventricular pacing is available in a cardiac cycle immediately subsequent to such a skipped beat. When monitoring for intrinsic ventricular events, an event is expected within a given window. If no such event is detected, the cardiac cycle is truncated, leading to a shorter cycle that is devoid of ventricular activity. The subsequent cycle has a high likelihood of a ventricular sensed event and a greater than normal AV interval is provided prior to pacing.

    SYSTEM AND METHOD FOR CONDITIONAL BIVENTRICULAR PACING
    2.
    发明申请
    SYSTEM AND METHOD FOR CONDITIONAL BIVENTRICULAR PACING 有权
    用于条件双歧杆菌的系统和方法

    公开(公告)号:US20100222838A1

    公开(公告)日:2010-09-02

    申请号:US12713480

    申请日:2010-02-26

    IPC分类号: A61N1/368

    CPC分类号: A61N1/3622 A61N1/3682

    摘要: An implantable pacing system with single, double and triple chamber pacing capabilities, provided individually or in concert on a conditional or continuous basis depending upon ongoing analyses of atrial rhythm status, atrioventricular conduction status and ventricular rate. A mode is selected to reduce the occurrence of any ventricular pacing in favor of intrinsic atrioventricular and ventricular conduction. If excessively long PR intervals are occurring too frequently or atrioventricular conduction is unreliable or absent, the implantable pulse generator is operated in a conditional triple chamber pacing mode that provides atrial-synchronous biventricular pacing in every cardiac cycle for a period of time as necessary to restore and maintain AV synchrony, while minimizing ventricular asynchrony otherwise associated with monochamber RV pacing as in conventional dual chamber pacing systems. Similarly, biventricular pacing is provided in every cardiac cycle when ventricular rates are undesirably slow during atrial fibrillation, where AV synchronization is excluded.

    摘要翻译: 具有单室,双室和三室起搏功能的可植入起搏系统,根据对心房节律状态,房室传导状态和心室率的持续分析,在有条件或连续的基础上单独或协调提供。 选择一种模式以减少有利于内在房室传导和心室传导的任何心室起搏的发生。 如果发生过长的PR间期太频繁或房室传导不可靠或不存在,则可植入脉冲发生器以条件三室起搏模式操作,其在每个心动周期中提供心房同步双心室起搏一段时间以恢复 并保持AV同步,同时最小化与常规双室起搏系统中的单室RV起搏相关的心室不同步。 类似地,在每个心动周期中提供双心室起搏,当心房颤动期间的心室率不合需要地缓慢时,排除AV同步。

    SYSTEM AND METHOD FOR CONDITIONAL BIVENTRICULAR PACING

    公开(公告)号:US20100222834A1

    公开(公告)日:2010-09-02

    申请号:US12713499

    申请日:2010-02-26

    IPC分类号: A61N1/368

    摘要: An implantable pacing system with single, double and triple chamber pacing capabilities, provided individually or in concert on a conditional or continuous basis depending upon ongoing analyses of atrial rhythm status, atrioventricular conduction status and ventricular rate. A mode is selected to reduce the occurrence of any ventricular pacing in favor of intrinsic atrioventricular and ventricular conduction. If excessively long PR intervals are occurring too frequently or atrioventricular conduction is unreliable or absent, the implantable pulse generator is operated in a conditional triple chamber pacing mode that provides atrial-synchronous biventricular pacing in every cardiac cycle for a period of time as necessary to restore and maintain AV synchrony, while minimizing ventricular asynchrony otherwise associated with monochamber RV pacing as in conventional dual chamber pacing systems. Similarly, biventricular pacing is provided in every cardiac cycle when ventricular rates are undesirably slow during atrial fibrillation, where AV synchronization is excluded.

    System and method for promoting intrinsic conduction through atrial timing modification and calculation of timing parameters
    10.
    发明授权
    System and method for promoting intrinsic conduction through atrial timing modification and calculation of timing parameters 有权
    通过心房定时修改和定时参数计算促进内在传导的系统和方法

    公开(公告)号:US07783350B2

    公开(公告)日:2010-08-24

    申请号:US11424383

    申请日:2006-06-15

    IPC分类号: A61N1/36

    CPC分类号: A61N1/368 A61N1/3682

    摘要: An atrial based pacing protocol promotes intrinsic conduction. An entire cardiac cycle is monitored for ventricular activity and permitted to lapse with ventricular activity. Ventricular pacing is available in a cardiac cycle immediately subsequent to such a skipped beat. When monitoring for intrinsic ventricular events, an event is expected within a given window. If no such event is detected, the cardiac cycle in truncated, leading to a shorter cycle that is devoid of ventricular activity. The subsequent cycle has a high likelihood of a ventricular sensed event and a greater than normal AV interval is provided prior to pacing.

    摘要翻译: 基于心房的起搏方案促进内在传导。 监测整个心动周期的心室活动,并允许心室活动失效。 在这种跳过的搏动之后,心室起搏可以在心脏周期中使用。 在监测内部心室事件时,预期在给定的窗口内会发生事件。 如果没有检测到这样的事件,心脏周期被截断,导致没有心室活动的更短的周期。 随后的周期具有心室感测事件的高可能性,并且在起搏之前提供大于正常的AV间隔。