<p>The disclosure provides methods and apparatus of left ventricular pacing including automated adjustment of a atrio-ventricular (AV) pacing delay interval and intrinsic AV nodal conduction testing. It includes - upon expiration or reset of a programmable AV Evaluation Interval (AVEI) - performing the following: temporarily increasing a paced AV interval and a sensed AV interval and testing for adequate AV conduction and measuring an intrinsic atrio-ventricular (PR) interval for a right ventricular (RV) chamber. Thus, in the event that the AV conduction test reveals a physiologically acceptable intrinsic PR interval then storing the physiologically acceptable PR interval in a memory structure (e.g., a median P-R from one or more cardiac cycles). In the event that the AV conduction test reveals an AV conduction block condition or if unacceptably long PR intervals are revealed then a pacing mode-switch to a bi-ventricular (Bi-V) pacing mode occurs and the magnitude of the AVEI is increased.</p>
申请公布号
WO2008097959(A1)
申请公布日期
2008.08.14
申请号
WO2008US53037
申请日期
2008.02.05
申请人
MEDTRONIC, INC.;BURNES, JOHN E.;KLECKNER, KARIN J.;MULLEN, THOMAS J.
发明人
BURNES, JOHN E.;KLECKNER, KARIN J.;MULLEN, THOMAS J.