Telectronics Pty. Limited

Alan J Camm

Tibor A Nappholz

Stephen J Swift

Roworth A Spurrell

David E Ward

An improved pacer for controlling tachycardia. Following tachycardia confirmation, a burst of at least three stimulating pulses is generated. The time intervals between successive pulses decrease by a fixed decrement; thus the rate of the pulses increases during each cycle of operation, the burst being more accurately characterized as a 'chirp'. The first pulse is generated following the last heartbeat which is used to confirm tachycardia at a time which is actually dependent on the rate of the heartbeats in the tachycardia episode; the time delay between the last heartbeat and the first pulse in the chirp is equal to the time interval between the last two heartbeats, less the fixed decrement which characterizes successive time intervals between stimulating pulses. Because successive pulses are generated at an increasing rate, and because the first pulse is generated at a time which is actually dependent upon the tachycardia rate, there is a greater likelihood that tachycardia termination will be achieved.

Rate related tachycardia control pacer

There is disclosed an improved pacer for controlling tachycardia. Following each tachycardia confirmation, a burst of stimulating pulses is generated. The rates of the bursts increase from cycle to cycle; thus following each tachycardia confirmation, a pulse burst at a different rate is generated. The number of pulses in a burst is similarly scanned, a complete rate scan taking place for each pulse number in a scan. The rate of a burst and the number of pulses in it which are successful in terminating tachycardia are stored, and following the next tachycardia confirmation the stored rate and pulse number are used for the first burst which is generated. In this manner, there is a greater likelihood that tachycardia will be terminated following the first burst since a previously successful rate and pulse number are used. Only if success is not achieved does scanning of the burst rate and pulse number ensue, starting with the previously successful rate and pulse number.

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Alan J Camm