Ventricular blanking period after atrially sensed beats
Systems and methods are disclosed to determine, in response to a detected atrial sense event in a first cardiac cycle, a ventricular blanking period for the first cardiac cycle and to detect a ventricular sense event in the first cardiac cycle using the received electrical information following the determined ventricular blanking period.
1. An implantable medical device, comprising:
a signal receiver circuit comprising:
a first channel configured to receive electrical information from an atrium of a heart of a patient for a first cardiac cycle; and
a second channel configured to receive electrical information from a His bundle location of a ventricle of the heart of the patient for the first cardiac cycle; and
an assessment circuit configured to:
detect an atrial sense event in the first cardiac cycle using the received electrical information from the first channel;
determine, in response to the detected atrial sense event in the first cardiac cycle, a ventricular blanking period for the first cardiac cycle; and
detect a ventricular sense event in the first cardiac cycle using the received electrical information from the second channel following the determined ventricular blanking period.
2. The implantable medical device of claim 1 , wherein the assessment circuit is configured to detect, in response to the detected atrial sense event in the first cardiac cycle, the ventricular sense event in the first cardiac cycle following the detected atrial sense event and the determined ventricular blanking period.
3. The implantable medical device of claim 1 , comprising:
a therapy circuit configured to generate a His bundle pacing pulse for delivery at or near a His bundle of the heart,
wherein the assessment circuit is configured to control delivery of the His bundle pacing pulse, including to initiate delivery of the His bundle pacing pulse in the first cardiac cycle after the detected atrial sense event by a timing parameter.
4. The implantable medical device of claim 1 , wherein the first channel comprises an atrial lead port,
wherein the second channel comprises a ventricular lead port,
wherein the assessment circuit is configured to determine the ventricular blanking period after a detected atrial sensed event while the implantable medical device is in a His bundle pacing mode to improve detection of ventricular events from the ventricular lead port, and
wherein the assessment circuit is configured to apply the determined ventricular blanking period to the second channel for the first cardiac cycle after the detected atrial sense event to avoid sensing a P-wave from the His bundle location of a right ventricle of the heart.
5. The implantable medical device of claim 1 , wherein the ventricular blanking period is a selectable time period, between 45 and 105 ms, after a detected atrial sense event.
6. The implantable medical device of claim 1 , wherein the assessment circuit is configured to detect the ventricular sense event in the first cardiac cycle after the detected atrial sense event and the determined ventricular blanking period to avoid sensing a P-wave from the His bundle location of a right ventricle of the heart.
7. A method comprising:
receiving electrical information from an atrium of a heart of a patient for a first cardiac cycle using a first channel of a signal receiver circuit;
receiving electrical information from a His bundle location of a ventricle of the heart of the patient for the first cardiac cycle using a second channel of the signal receiver circuit;
detecting, using an assessment circuit, an atrial sense event in the first cardiac cycle using the received electrical information from the first channel;
determining, using the assessment circuit, in response to the detected atrial sense event in the first cardiac cycle, a ventricular blanking period for the first cardiac cycle; and
detecting, using the assessment circuit, a ventricular sense event in the first cardiac cycle using the received electrical information from the second channel following the determined ventricular blanking period.
8. The method of claim 7 , wherein detecting the ventricular sense event comprises detecting, in response to the detected atrial sense event in the first cardiac cycle, the ventricular sense event in the first cardiac cycle following the detected atrial sense event and the determined ventricular blanking period.
9. The method of claim 7 , comprising:
generating, using a therapy circuit, a His bundle pacing pulse for delivery at or near a His bundle of the heart; and
controlling, using the assessment circuit, delivery of the His bundle pacing pulse, including initiating delivery of the His bundle pacing pulse in the first cardiac cycle after the detected atrial sense event by a timing parameter.
10. The method of claim 7 , wherein the first channel comprises an atrial lead port,
wherein the second channel comprises a ventricular lead port, and
wherein determining the ventricular blanking period includes determining the ventricular blanking period after a detected atrial sensed event while the assessment circuit is in a His bundle pacing mode to improve detection of ventricular events from the ventricular lead port.
11. The method of claim 7 , wherein the ventricular blanking period is a selectable time period, between 45 and 105 ms, after a detected atrial sense event.
12. The method of claim 7 , wherein detecting the ventricular sense event in the first cardiac cycle comprises detecting the ventricular sense event in the first cardiac cycle after the detected atrial sense event and the determined ventricular blanking period to avoid sensing a P-wave from the His bundle location of a right ventricle of the heart.
13. An implantable medical device, comprising:
a signal receiver circuit comprising:
a first channel configured to receive electrical information from an atrium of a heart of a patient for a first cardiac cycle; and
a second channel configured to receive electrical information from a His bundle location of a ventricle of the heart of the patient for the first cardiac cycle; and
an assessment circuit configured to:
detect an atrial sense event in the first cardiac cycle using the received electrical information from the first channel;
apply, in response to the detected atrial sense event in the first cardiac cycle, a ventricular blanking period to the second channel for the first cardiac cycle; and
detect a ventricular sense event in the first cardiac cycle using the received electrical information from the second channel following the applied ventricular blanking period.
14. The implantable medical device of claim 1 , wherein the atrial sense event is different than an atrial pace event.
15. The implantable medical device of claim 1 , wherein to determine the ventricular blanking period for the first cardiac cycle comprises to determine to apply the ventricular blanking period to the second channel responsive to the detected atrial sense event in the first cardiac cycle.
16. The implantable medical device of claim 15 , wherein the determination to apply the ventricular blanking period is determined using information only from the first cardiac cycle.
17. The implantable medical device of claim 15 , wherein to determine to apply the ventricular blanking period to the second channel is further responsive to an indication that the implantable medical device is in a His bundle pacing mode for the first cardiac cycle.
18. The method of claim 7 , wherein the atrial sense event is different than an atrial pace event.
19. The method of claim 7 , wherein determining the ventricular blanking period for the first cardiac cycle comprises determining to apply the ventricular blanking period to the second channel responsive to the detected atrial sense event in the first cardiac cycle.
20. The method of claim 19 , wherein determining to apply the ventricular blanking period comprises using information only from the first cardiac cycle.