A system and method for discriminating cardiac rhythms occurring in an
antegrade direction from cardiac rhythms occurring in a retrograde
direction. Atrial and ventricular contractions are sensed, from which
atrial and ventricular cycle lengths are determined. Ventricular
contractions are also analyzed to determine the occurrence of a
tachycardia episode that has a one-to-one association of atrial
contractions to ventricular contractions. During a tachycardia episode
having a one-to-one association of atrial contractions to ventricular
contractions, the atrial cycle lengths are paired with the ventricular
cycle lengths, where for each of the atrial cycle lengths the atrial
cycle length is paired with at least one ventricular cycle length started
before the first atrial contraction of each of the atrial cycle lengths
and paired with at least one ventricular cycle length started after the
first atrial contraction of each of the atrial cycle lengths. A
retrograde correlation coefficient is then determined for the atrial
cycle lengths paired with the ventricular cycle lengths started before
the first atrial contraction, and an antegrade correlation coefficient is
determined for the atrial cycle lengths paired with the ventricular cycle
lengths started after the first atrial contraction. The tachycardiac
episode is then classified based on a comparison of the antegrade
correlation coefficient and the retrograde correlation coefficient.