Abstract

Previously, Auto Mode Switch (AMS) algorithms have been used extensively to assess the frequency and pattern of atrial tachyarrhythmia (AT) or atrial fibrillation (AF) in dual-chamber pacemakers (PMs). Although these algorithms provide effective therapy in stabilizing ventricular rates during atrial arrhythmia (AA), AMS has limited diagnostic capabilities. St. Jude Medical (SJM) has introduced a new AT/AF detection algorithm in the ADx family of PMs, which is designed detect the presence of AT/AF episodes, as well as provide clinicians with enhanced long-term patient diagnostics. The AWARE trial evaluated the incidence of AT/AF and inappropriate detection of AT/AF events in patients with a history of AT or AF by analyzing AT/AF triggered electrograms (EGMs).

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