Main Triggers
of AF Onset
Post Mode
Overdriving Pacing
Atrial Preference
Pacing (APP)
Atrial Preference Pacing (APP) is designed to maximize atrial pacing percentage to reduce the incidence of atrial tachyarrhythmias. When enabled, it can be programmed to provide continuous pacing that slightly exceeds the intrinsic sinus rate whenever the patient is not in an atrial tachyarrhythmia.
Two main
componets of rATP
Sustained Duration
Programming
ARS Programming
ARS Graph
Sustained Duration
Histogram Review
AT/AF Evidence
Counter to record event
Atrial Rate
Stablization
Atrial ATP Therapies
50Hz
AT/AF
Termination
Atrial Burst +
Example
Atrial ATP Therapies
Ramp
Componets of
Minerva
- Atrial Rate Stablization (ARS)
- Post Mode Switch Overdrive Pacing (PMOP)
- Atrial Prefernce Pacing
- rATP
Reactive ATP
Programming
Minera Trial
Results
Atrial ATP Therapies
Programming
Minera Trial
Design
What triggers do
ARS, PMOP, APP
address
- ARS - PACs
- PMOP - Early Reoccurence of AF
- APP - Rhythm Control
AT /AF Evidence
Counter Criteria
3 consectutive V intervals with more than one As
Median of last 12 A-A is less than the
atrial detection interval
APP
Graph
Atrial ATP Therapies
Burst +
Atrial ATP Therapies
50Hz Details
What are the 4 Phases of Atrial Detection?
PMOP
Chart
rATP Rhtyhm
Change Summary
rATP Time
Interval Summary
Time Interval:
The Time Interval feature of Reactive ATP allows for treatment of atrial arrhythmias that may have changed throughout the course of an atrial episode. If a Reactive ATP Time Interval is programmed, the number of ATP sequences is reset for both the AT/AF zone and the Fast AT/AF zone. The reset occurs when the Sustained Duration value (time from initial detection) reaches a multiple of the programmed Time Interval. This reset function is available only within the first 48 hours of an atrial episode.
Atrial Preference Pacing (APP)