A cardiac rhythm management system including a highly sensitive technique
for discriminating AF from AFL. An electrode disposed in or about a heart
senses a cardiac signal. A controller through a sensing circuit receives
the sensed cardiac signal from the electrode and processes the sensed
cardiac signal to compute an average cycle length-to-cycle length
variation based on serial interval relationships from the sensed cardiac
signal, and then comparing the computed average cycle length-to-cycle
length variation to one or more pre-determined threshold values to
discriminate AF from AFL. As a result of substantial difference in cycle
length-to-cycle length variation between AF and AFL (despite similar
average cycle lengths), the sequence-based measure of cycle
length-to-cycle length variability proves to be a highly specific and
reliable discriminator of AF from AFL.