Method for elimination of ventricular pro-arrhythmic effect...

A - Human Necessities – 61 – N

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A61N 1/36 (2006.01) A61N 1/362 (2006.01)

Patent

CA 2524183

A system and method are provided for controlling atrial anti-tachycardia pacing (ATP) delivery based on detection of ventricular pro-arrhythmia during or immediately after atrial ATP. Ventricular pro-arrhythmia is detected based on one or more criteria relating to pro-arrhythmic changes including, but not limited to, ventricular rate changes, R-wave morphology changes, and/or 1:1 or nearly 1:1 atrial-ventricular conduction patterns persisting at high ventricular rates. Upon detecting ventricular pro-arrhythmia, a current atrial ATP sequence is aborted. Atrial ATP therapies may subsequently be temporarily or permanently disabled.

L'invention concerne un système et une méthode de régulation de l'administration d'une stimulation auriculaire anti-tachycardique (ATP) sur la base de la détection d'une pro-arythmie ventriculaire pendant ou immédiatement après une ATP auriculaire. Une pro-arythmie ventriculaire est détectée sur la base d'un ou de plusieurs critères relatifs à des changements pro-arythmiques notamment, de façon non exhaustive, des changements du rythme ventriculaire, des changements de morphologie d'onde R et/ou des types de conduction auriculaire/ventriculaire de 1 :1 ou presque 1 :1 persistant à des rythmes ventriculaires élevés. Lors de la détection d'une pro-arythmie ventriculaire, une séquence ATP auriculaire courante est abandonnée. Des thérapies ATP auriculaires peuvent par conséquent être stoppées temporairement ou de façon permanente.

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