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    • 47. 发明授权
    • System and method for providing preventive overdrive pacing and antitachycardia pacing using an implantable cardiac stimulation device
    • 使用可植入心脏刺激装置提供预防性超速起搏和抗心动过速起搏的系统和方法
    • US07225020B1
    • 2007-05-29
    • US10657963
    • 2003-09-08
    • Mark W. KrollEric FalkenbergPaul A. Levine
    • Mark W. KrollEric FalkenbergPaul A. Levine
    • A61N1/05
    • A61N1/3622A61N1/3627A61N1/3682A61N1/3714A61N1/3956A61N2001/0585
    • Techniques for enabling both preventive overdrive pacing and antitachycardia pacing (ATP) within an implantable device are provided. The device gains the benefits of overdrive pacing for preventing the onset of a tachycardia and, if one nevertheless occurs, ATP is employed to terminate the tachycardia. In particular, a technique is provided for promptly detecting the onset of atrial tachycardia during preventive overdrive pacing based on loss of capture of atrial pacing pulses. A technique is also provided for using detection of loss of capture of atrial or ventricular pacing pulses to trigger automatic switching from overdrive pacing to ATP. A setup technique determines whether to enable the automatic switching from overdrive pacing to ATP within a particular patient. Also, techniques are provided for verifying loss of capture of atrial or ventricular backup pacing pulses and for detecting low amplitude ventricular fibrillation based on loss of capture of ventricular backup pacing pulses.
    • 提供了在植入式装置内实现预防性超速起搏和抗心动过速起搏(ATP)的技术。 该装置获得超速起搏的好处,以防止心动过速的发作,并且如果仍然发生,则使用ATP来终止心动过速。 特别地,提供了一种技术,用于基于心房起搏脉冲的捕获损失,在预防性超速起搏中及时检测心房心动过速的发生。 还提供了一种技术,用于检测心房或心室起搏脉冲的捕获损失,以触发从过速起搏到ATP的自动切换。 设置技术确定是否启用在特定患者内从过速起搏到ATP的自动切换。 此外,提供了用于验证心房或心室起搏脉冲的捕获损失的技术,并且用于基于心室起搏脉冲捕获的丧失来检测低振幅心室颤动。