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PACING THERAPY ADJUSTMENT BASED ON VENTRICULO-ATRIAL DELAY

机译:基于心室心房延迟的起搏治疗调整

摘要

Techniques for adjusting pacing therapy based on ventriculo-atrial delay are described herein. These techniques may be used to control ventricular filling times during the delivery of pacing therapy. In some examples, a device or system delivers pre-excitation fusion pacing therapy to a ventricular chamber, determines a ventriculo-atrial delay interval for the ventricular chamber for at least one cardiac cycle, and adjusts the pacing therapy delivered by the implantable medical device to compensate for decreased ventricular filling time when the ventriculo-atrial delay interval is less than a threshold. In some examples, the device or system may adjust the pacing therapy by decreasing a pacing rate of the implantable medical device, increasing a pre-excitation interval for pacing of the ventricular chamber, and/or switching from a fusion pacing mode to a biventricular pacing mode.
机译:本文描述了基于心房-房室延迟来调整起搏治疗的技术。这些技术可用于控制起搏治疗过程中的心室充盈时间。在一些示例中,设备或系统将兴奋前融合起搏治疗传递至心室,确定心室的心房延迟间隔至少一个心动周期,并将可植入医疗设备传递的起搏治疗调整为当心室-房室延迟间隔小于阈值时,补偿心室充盈时间的减少。在一些示例中,该设备或系统可以通过降低可植入医疗设备的起搏速率,增加用于心室腔起搏的预激励间隔和/或从融合起搏模式切换到双心室起搏来调整起搏治疗。模式。

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