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Erschienen in: Herzschrittmachertherapie + Elektrophysiologie 3/2017

28.06.2017 | Review

A review of the atrial upper rate algorithms of St. Jude Medical (Abbott) cardiac implantable electronic devices

Incidence of repetitive nonreentrant ventriculoatrial synchrony (RNRVAS)

verfasst von: S. S. Barold, MD

Erschienen in: Herzschrittmachertherapie + Elektrophysiologie | Ausgabe 3/2017

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Abstract

This review focuses on the manifestations of the three triggered atrial upper rate functions of St Jude Medical cardiac implantable electronic devices. The occurrence of repetitive nonreentrant ventriculoatrial synchrony (RNRVAS) is also evaluated as a basis for the development of automatic mode switching (AMS) and as a trigger for atrial tachycardia/atrial fibrillation (AT/AF) event recordings. RNRVAS is a common trigger for AMS because all the atrial events or intervals are used to calculate the filtered atrial rate interval (FARI). Once AMS is initiated, it will also effectively stop RNRVAS because entry into AMS also shortens the postventricular atrial refractory period (PVARP). Recent design developments to eliminate or minimize unusual upper rare responses include the following: (1) P waves in the PVARP are no longer counted towards the FARI if they are followed by an atrial paced event. (2) In new devices the AT/AF detection algorithm substitutes the Moving Average Interval (a relatively complex calculation) with the new FARI average. (3) Improved design of the rate-responsive PVARP with a far more aggressive response than in the past (enhanced atrial protection interval).
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Metadaten
Titel
A review of the atrial upper rate algorithms of St. Jude Medical (Abbott) cardiac implantable electronic devices
Incidence of repetitive nonreentrant ventriculoatrial synchrony (RNRVAS)
verfasst von
S. S. Barold, MD
Publikationsdatum
28.06.2017
Verlag
Springer Medizin
Erschienen in
Herzschrittmachertherapie + Elektrophysiologie / Ausgabe 3/2017
Print ISSN: 0938-7412
Elektronische ISSN: 1435-1544
DOI
https://doi.org/10.1007/s00399-017-0517-z

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