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SYSTEMS AND METHODS FOR SELECTING PACING VECTORS BASED ON SITE OF LATEST ACTIVATION FOR USE WITH IMPLANTABLE CARDIAC RHYTHM MANAGEMENT DEVICES
专利权人:
Cecilia Qin Xi
发明人:
Cecilia Qin Xi,Diana Gavales,Andrew Miller,Andrew W. McGarvey,Zachary Briggs,David Bishop,Sharon Standage,Anil Keni,Richard Block,Heidi Hellman,Taryn Smith
申请号:
US13436578
公开号:
US20130261687A1
申请日:
2012.03.30
申请国别(地区):
US
年份:
2013
代理人:
摘要:
Techniques are provided for use with an implantable cardiac stimulation device equipped with a multi-pole left ventricular (LV) lead and a right ventricular (RV) lead for identifying suitable pacing vectors. In one example, RV-LV delay times are measured while using different electrodes of the LV lead as cathodes for sensing. The LV electrode having the longest RV-LV delay time is identified and LV capture thresholds and diaphragmatic stimulation thresholds are measured for pacing vectors that employ that LV electrode as a cathode. Assuming at least one vector employing the selected LV electrode is found to have acceptable thresholds, the vector is selected for use in delivering pacing therapy with the selected LV electrode. If none of the pacing vectors employing the selected LV electrode has acceptable thresholds, another LV electrode is selected and the procedure is repeated. Examples with a multi-pole RV lead are also described.
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