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| | Bidirectional pacemaker - Patent 4452248 |
 | | The impulses which are generated in the sinus (SA) node pass through the atrial muscle to the AV node on its way to the ventricular muscle. |
 | | If the sinus rate exceeds a given value of, for example, 95 heartbeats per minute, the pacemaker generates ventricular pulses S.sub.v which appear in synchronism with the atrial signal from the heart itself but at a given shortened AV delay interval, as shown in FIG. |
 | | On the assumption that the sinus rate is higher than a given maximum value, for example, 160 beats per minute, a ventricular pulse S.sub.v is emitted in synchronism with the atrium, with shortened AV delay, and at a ratio of one for every two beats. |
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