A method of classifying arrhythmias using scatter plot analysis to define
a measure of variability of a cardiac rhythm parameter such as for
example, without limitation, R-R interval, A-A interval, and the slope of
a portion of a cardiac signal, is disclosed. The variability measurement
is derived from a scatter plot of a cardiac rhythm parameter, employing a
region counting technique that quantifies the variability of the cardiac
rhythm parameter while minimizing the computational complexity. The
method may be employed by an implantable medical device or system, such
as an implantable pacemaker or cardioverter defibrillator, or by an
external device or system, such as a programmer or computer. The
variability measurement may be correlated with other device or system
information to differentiate between atrial flutter and atrial
fibrillation, for example. The variability information may also be used
by the device or system to select an appropriate therapy for a patient.