| 摘要 |
A system and method for providing a 1:2 pacing therapy in response to a sensed ventricular tachycardia, which results in an improved hemodynamic response while limiting the potential for interrupting the tachycardia in a way that can cause a more dangerous tachycardia, or even VF. The pacing therapy involves obtaining a measure of the time interval between ventricular beats, and using this information to time out and deliver alternate stimulus pulses which occur just a short time interval ( DELTA ) before the next expected natural ventricular beat. By delivering the alternate cycle stimulus at a predetermined time interval before the expected ventricular beat, the advantage of increased arterial pressure on alternate spontaneous beats is obtained, while avoiding the danger of evoking a more dangerous arrhythmia. The system further monitors change in rate while therapy is being applied, and either adjusts the timing or exits the routine whenever significant rate change is detected.
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