This document discusses, among other things, systems, devices, and methods
for detecting or classifying tachyarrhythmias or making a therapy
decision. In one example, a rate-dependent threshold is used for
comparing atrial and ventricular rates for classifying a tachyarrhythmia
as a ventricular tachyarrhythmia (VT) or a supraventricular
tachyarrhythmia (SVT). In another example, the classification uses an
atrial rate cutoff value, a ventricular rate cutoff value, or both. In
another example, a tachyarrhythmia detection is tested over a time window
with a duration that is automatically adjusted as a substantially
continuously monotonically decreasing function of duration vs. rate.
These techniques improve the specificity of arrhythmia detection or
classification, allow anti-tachyarrhythmia therapy to be better tailored
to the particular tachyarrhythmia, or provide more automatic operation
making it easier for a physician to use an implantable device.