System and method for discriminating between atrial and ventricular arrhythmias and for applying cardiac therapy therefor

摘要

Improved methods and apparatus are provided for applying atrial and ventricular therapies to the heart of a patient using an implanted cardiac stimulating device. Atrial and ventricular heart rates are monitored and analyzed to determine whether the patient is suffering from an atrial or ventricular arrhythmia and to determine what type of therapy is appropriate to apply to the heart. Atrial and ventricular heart rates are compared to determine if the ventricular heart rate exceeds the atrial heart rate and to determine whether the ventricular heart Fate is stable. An early atrial stimulation pulse can also be applied to determine whether the ventricular heart rate follows the atrial heart rate. Atrial and ventricular therapies are applied to the heart based on these determinations.