ICD交流课件资料：5 TWOS_CHN.pptVIP

Say: The concept is: Completely different approach to T-wave oversensing: frequency analysis vs. sensitivity adjustment Identifies T-wave oversensing and withholds detection/therapy without compromising VT/VF detection sensitivity Benefits: Fully automatic: No manual adjustment needed over the life of the patient No compromise on VF detection sensitivity New approach to TWOS Say: This discrimination algorithm analyzes differences in amplitude, rate and pattern to differentiate R-waves from T-waves. It uses the right ventricular (RV) sensing signal (RV tip to RV ring or RV tip to RV coil) to preliminarily identify T-waves by filtering the EGM to differentiate and highlight differences in frequency content between R and T waves. The algorithm is designed to work with both large and small R-waves. 这个识别算法分析振幅，频率和模式的不同区分R波和T波，应用右心室感知信号(RV tip to RV ring or RV tip to RV coil)通过滤波的EGM区分和强调R和T波不同频率初步识别T波。算法的设计适用于大的和小的R波 The operating principles of the feature are discussed in detail below. Discrimination of R-waves and T-waves through differential filtering of the sensing signal First, the sensing signal is differential filtered for 6 consecutive sensed ventricular events. Because T-waves are low frequency components, they are usually diminished in amplitude by the differential filtering process. R-waves and T-waves are then preliminarily distinguished by the size of their amplitude after the differential filtering. 通过感知信号的差分滤波器识别R波和T波 首先，6个连续的感知心室事件的感知信号进行差分滤波，因为T波是低频率成分，在差分滤波的过程中他们的振幅通常减小。在差分滤波后根据他们的振幅R波和T波被初步区分。 2. Setting the R-wave and T-wave discrimination threshold The maximum value of the differential signal of 2 adjacent events is measured for the 6 differential filtered ventricular events. The 3 maximum values are averaged, and the average is used as the threshold for discrimination of R-waves and T-wave 2. 设定R波和T波识别的阈值 在6个差分滤波的心室事件中临近2个事件不同信号的最大值被测量，平均3个最大值，应用这个平均值作为识别R波和T波的阈值。 Say: 3. Re-evaluation of R-waves and T-waves The 6 events are provisionally