Arzbaecher R, Bump T, Jenkins J, Glick K, Munkenbeck F, Brown J, Nandhakumar N
Pacing Clin Electrophysiol. 1984 May;7(3 Pt 2):541-7. doi: 10.1111/j.1540-8159.1984.tb04948.x.
A microcomputer algorithm for tachycardia identification, suitable for use in an implanted antitachycardia pacemaker, is described. The system employs an atrial and ventricular electrogram, detects a sustained fast rate in either chamber, and awakens the main program to perform detailed analysis of the tachycardia and its immediately preceding beats. The algorithm distinguishes atrial, ventricular, and AV nodal and re-entrant tachycardia from high rates due to sinus tachycardia. For testing of the program, we used a data base of twenty-two tape-recorded and documented arrhythmias provoked during electrophysiologic studies in which atrial and ventricular bipolar electrodes were in place; twenty-one were successfully detected. These included atrial fibrillation, atrial flutter, atrial tachycardia, AV nodal re-entrant tachycardia, AV re-entrant tachycardia using an accessory pathway, and ventricular tachycardia with and without ventriculo-atrial conduction.
本文描述了一种适用于植入式抗心动过速起搏器的用于心动过速识别的微型计算机算法。该系统采用心房和心室电图，检测任一腔室中的持续快速心率，并唤醒主程序以对心动过速及其紧接的前序搏动进行详细分析。该算法可将房性、室性、房室结性和折返性心动过速与窦性心动过速引起的高心率区分开来。为了测试该程序，我们使用了一个数据库，其中包含在电生理研究期间诱发的22例有磁带记录和记录的心律失常，这些研究中放置了心房和心室双极电极；成功检测到21例。这些包括心房颤动、心房扑动、房性心动过速、房室结折返性心动过速、使用附加途径的房室折返性心动过速以及伴有和不伴有室房传导的室性心动过速。
