A method for identifying and classifying various types of oversensing in
implantable medical devices (IMDs), such as implantable cardioverter
defibrillators (ICDs), to assist a physician in choosing corrective
action to reduce the likelihood of oversensing and inappropriate therapy
delivery. Far-field electrogram (EGM) signals are analyzed to detect the
occurrence of R-waves, and the result is compared to the number and
pattern of R-waves sensed by the IMD and indicated on the marker channel.
A marker channel with more sensed R-waves than indicated by analysis of
the far-field EGM indicates the presence of oversensing, including
double-counting of R-waves, T-wave oversensing, lead malfunction or
failure, poor lead connections, noise associated with electromagnetic
interference, non-cardiac myopotentials, etc. Identification of the type
of oversensing may be determined by analysis of the number and pattern of
marker channel sensed R-waves with respect to the timing of the R-waves
detected from the far-field EGM.