Invention Grant
US09242101B2 Method, device and program to differentiate pacemaker-mediated tachycardia (PMT) from tracking of sinus or atrial tachycardia (AT)
有权
方法,设备和程序来区分起搏器介导的心动过速(PMT)跟踪窦性心房性心动过速(AT)
- Patent Title: Method, device and program to differentiate pacemaker-mediated tachycardia (PMT) from tracking of sinus or atrial tachycardia (AT)
- Patent Title (中): 方法,设备和程序来区分起搏器介导的心动过速(PMT)跟踪窦性心房性心动过速(AT)
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Application No.: US13994525Application Date: 2011-12-14
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Publication No.: US09242101B2Publication Date: 2016-01-26
- Inventor: James E. Ip , Bruce B. Lerman
- Applicant: James E. Ip , Bruce B. Lerman
- Applicant Address: US NY Ithaca
- Assignee: CORNELL UNIVERSITY
- Current Assignee: CORNELL UNIVERSITY
- Current Assignee Address: US NY Ithaca
- Agency: Scully, Scott, Murphy & Presser, P.C.
- International Application: PCT/US2011/064970 WO 20111214
- International Announcement: WO2012/082937 WO 20120621
- Main IPC: A61N1/37
- IPC: A61N1/37 ; A61N1/375 ; A61N1/39 ; A61B5/0464 ; A61B5/00 ; A61N1/362 ; A61N1/368

Abstract:
Dual chamber pacemaker systems can lead to two forms of pacemaker-facilitated tachycardia—pacemaker-mediated tachycardia (PMT) and tracking of sinus or atrial tachycardia. Current pacemaker algorithms can not always differentiate between these two tachycardias. Various embodiments for differentiating these particular mechanisms of pacemaker-facilitated tachycardia, which is based on the specific termination response to PVARP extension are provided. The response to PVARP extension (V-A-A-V vs V-A-V) is a specific method for differentiation and can be used in conjunction with observations of atrial rate and electrogram morphology (or surface P wave morphology) for distinguishing between the two mechanisms of pacemaker-facilitated tachycardia.
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