Method and apparatus for discriminating among normal and...

A - Human Necessities – 61 – B

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A61B 5/0402 (2006.01) A61N 1/362 (2006.01)

Patent

CA 2095014

2095014 9209331 PCTABS00013 Far-field ventricular and (optionally) atrial electrograms of a suspect tachyarrhythmia are compared against stored morphologies of one or more control rhythms to allow discrimination between normal and pathologic tachyarrhythmias. The existence of a run of tachycardia is determined by an algorithm which compares the near-field atrial and ventricular electrograms against tachyarrhythmia rate thresholds and (optionally) rate acceleration, rate stability and/or sustained high rate criteria. When elevated rates are detected employing the near-field electrograms, far-field atrial electrograms are obtained by sensing between one of the bipolar electrodes in the ventricle and a remote indifferent electrode, typically on the pulse generator or at a location along the lead catheter but outside of the atrium. Similarly, far-field ventricular electrograms are obtained by sensing between one of the bipolar atrial electrodes and a remote indifferent electrode.

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