Apparatus for detecting atrial arrhythmias in the treatment of disorders
of the heartbeat rate in active implantable medical devices of the
pacemaker, cardioverter, defribillator and/or multisite type. This device
includes conventional systems, circuits and control algorithm for
detecting spontaneous and stimulated ventricular events (R, V) and atrial
events (P, A), indicating the delivery of a ventricular and/or atrial
event, and inhibiting the detection of atrial events after detection of a
ventricular event throughout a post-ventricular atrial absolute
refractory period (PVAARP). Detecting atrial events includes protecting
against the detection of atrial signals that do not correspond to an
atrial event that has actually occurred, in particular protecting against
atrial detection of far-field signals caused by a ventricular event. The
protection operates by a dynamic adjustment of the sensitivity of
detection by temporarily raising (t.sub.1, t.sub.2) a detection threshold
(.DELTA.S.sub.1, .DELTA.S.sub.2) after detection of a ventricular event
without detection of a preceding (spontaneous or stimulated) atrial event
during the same cardiac cycle.