US 7,463,925 B2
Methods and systems for promoting ventricular pacing
Andrew P. Kramer, Minneapolis, Minn. (US)
Assigned to Cardiac Pacemakers, Inc., St. Paul, Minn. (US)
Filed on Mar. 05, 2004, as Appl. No. 10/794,151.
Application 10/794151 is a division of application No. 10/062048, filed on Jan. 31, 2002, granted, now 7,177,679.
Application 10/062048 is a division of application No. 09/420679, filed on Oct. 19, 1999, granted, now 6,415,180.
Application 09/420679 is a continuation in part of application No. 08/833281, filed on Apr. 04, 1997, granted, now 5,983,138.
Prior Publication US 2004/0210265 A1, Oct. 21, 2004
Int. Cl. A61N 1/362 (2006.01)
U.S. Cl. 607—15 36 Claims
OG exemplary drawing
 
1. A method of restoring or maintaining ventricular pacing of left and right-ventricles of a patient's heart, comprising:
providing a plurality of atrioventricular delays, the plurality of atriventricular delays comprising a sensed atrioventricular delay;
providing a post ventricular atrial refractory period (PVARP);
pacing the lift and right ventricles and initiating the PVARP during at least one cardiac cycle;
detecting disrupted ventricular pacing comprising sensing an intrinsic ventricular depolarization during the cardiac cycle;
responsive to detecting the disrupted ventricular pacing, implementing at least one modified timing interval including a decreased PVARP during at least one subsequent cardiac cycle;
pacing the ventricles and initiating the decreased PVARP during the at least one subsequent cardiac cycle;
sensing an intrinsic atrial depolarization occurring beyond the decreased PVARP;
initiating the sensed atrioventricular delay relative to the intrinsic atrial depolarization; and
pacing the ventricles following the sensed atrioventricular delay.