A cardiac rhythm management system includes an operational mode in which
ventricular pacing pulses are delivered at a rate that tracks a
sinoatrial rate up to an appropriate maximum atrial tracking rate (MATR)
value determined by the system. In one example, the MATR value is based
on a patient activity level and a hemodynamic maximum rate (HMR)
determined from a QRS-to-S.sub.2 interval, where S.sub.2 is an
accelerometer-generated fiducial correlative to aortic valve closure
(AVC). In a further example, a correlation between the QRS-to-S.sub.2
interval and heart rate is established, and the MATR is based on the
patient activity level and heart rate. In a further example, a lower rate
threshold for providing antitachyarrhythmia therapy is modified based on
the MATR. For example, when the MATR exceeds a default value of the
antitachyarrhythmia therapy lower rate threshold, the threshold tracks
the MATR. In another example, the MATR is based on an active time between
a QRS complex and a heart impedance signal maximum slope during the same
cardiac cycle.