Techniques are provided for allowing Automatic Mode Switching (AMS) to be
exploited within dual unipolar systems employing Combipolar sensing.
Relative refractory windows are opened within both the atrial and
ventricular refractory periods for the purposes of determining the atrial
rate using Combipolar sensing logic. In this manner, T-waves occurring
during the relative refractory windows are excluded from the atrial rate
calculation, whereas any P-waves occurring during the relative refractory
windows are counted, thereby achieving a more accurate atrial rate
calculation, particularly at high atrial rates, and thus permitting AMS
to be enabled along with Combipolar sensing in the dual unipolar lead
system. An alternative technique is provided for use in dual unipolar
systems not initially set to a Combipolar Sensing mode, which also
achieves more accurate atrial rate calculation at high atrial rates.
Additional techniques are provided for use in dual bipolar systems. An
improved Combipolar sensing logic is also provided.