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    • 18. 发明授权
    • Method for combined cardiac pacing and defibrillation
    • 心脏起搏和除颤联合的方法
    • US5048521A
    • 1991-09-17
    • US546261
    • 1990-06-29
    • Benjamin PlessMichael SweeneyRoger WinkleAnthony Nathan
    • Benjamin PlessMichael SweeneyRoger WinkleAnthony Nathan
    • A61N1/362A61N1/39A61N1/36
    • A61N1/3962A61N1/3622A61N1/3987
    • A method is disclosed for combined cardiac pacing and defibrillating with an implanted pacer/defibrillator having sensing and pacing leads connected to the atrium and the ventricle. P-waves and R-waves are sensed, and a V-V timer and a V-A timer are reset if an R-wave is sensed. If an R-wave is sensed during the V-V timer interval, a pacing stimulus to the ventricle is inhibited. If a P-wave is sensed during the V-A timer interval, a pacing stimulus to the atrium is inhibited. If an R-wave is sensed during the V-V timer interval, arrhythmia therapy is provided if an arrhythmia is determined to be present. If the sensed ventricular rate is greater than a selected tachycardia rate but is less than a selected fibrillation rate, than a determination is made whether the sensed atrial rate is greater than a selected fibrillation rate, and if so, the V-V and V-A timers are reset, but if the sensed atrial rate is not greater than a selected fibrillation rate, then arrhythmia therapy is provided. If an arrhythmia is present, the charging of a capacitor commences but if the arrhythmia ceases, the charging discontinues. If the capacitor is charged and the arrhythmia is still present, then a shock is delivered to the heart during a time period that is outside the vulnerable zones of the atrium and the ventricle.
    • 公开了一种用于组合的心脏起搏和除颤的方法,其中植入的起搏器/除颤器具有连接到心房和心室的感测和起搏引线。 检测到P波和R波,并且如果感测到R波,则V-V定时器和V-A定时器被复位。 如果在V-V定时器间隔期间感测到R波,则抑制对心室的起搏刺激。 如果在V-A定时器间隔期间检测到P波,则抑制对心房的起搏刺激。 如果在V-V定时器间隔期间感测到R波,则如果确定心律不齐,则提供心律失常治疗。 如果感测到的心室率大于所选择的心动过速速率但小于选择的原纤化速率,则比确定感测到的心房率是否大于选定的原纤化速率,如果是,则VV和VA定时器被复位 ,但是如果感测的心房率不大于选择的原纤化速率,则提供心律失常治疗。 如果存在心律不齐,电容器的充电开始,但如果停止心律失常,充电将停止。 如果电容器被充电并且心律不齐仍然存在,则在心房和心室的易失性区域之外的时间段内,心脏传递震动。