An implantable cardioverter/defibrillator includes a tachycardia detection
system that detects one-to-one (1:1) tachycardia, which is a tachycardia
with a one-to-one relationship between atrial and ventricular
contractions. When the 1:1 tachycardia is detected, the system
discriminates ventricular tachycardia (VT) from supraventricular
tachycardia (SVT) based on analysis of a cardiac time interval. Examples
of the cardiac time interval include an atrioventricular interval (AVI)
and a ventriculoatrial interval (VAI). A template time interval is
created during a known normal sinus rhythm. The system measures a
tachycardia time interval after detecting the 1:1 tachycardia, and
indicates a VT detection if the tachycardia time interval differs from
the template time interval by at least a predetermined percentage of the
template time interval.