A CRM system enhances intracardiac electrogram-based arrhythmia detection
using a wireless electrocardiogram (ECG), which is a signal sensed with
implantable electrodes and approximating a surface ECG. In one
embodiment, an intracardiac electrogram allows for detection of an
arrhythmia, and the wireless ECG allows for classification of the
detected arrhythmia by locating its origin. In another embodiment, the
wireless ECG is sensed as a substitute signal for the intracardiac
electrogram when the sensing of the intracardiac electrogram becomes
unreliable. In another embodiment, a cardiac signal needed for a
particular purpose is selected from one or more intracardiac electrograms
and one or more wireless ECGs based on a desirable signal quality. In
another embodiment, intracardiac electrogram-based arrhythmia detection
and wireless ECG-based arrhythmia detection confirm with each other
before indicating a detection of arrhythmia of a certain type.