Pacing therapy selection for heart failure treatment

A method for heart failure management comprising:

• monitoring one or more sensor-based parameters for a patient;
• determining whether the one or more monitored sensor-based parameters indicate atrial tachycardia or atrial fibrillation;
• delivering a first pacing therapy in response to the one or more sensor-based parameters indicating atrial tachycardia or atrial fibrillation;
• determining whether the one or more monitored sensor-based parameters indicate the patient is asleep in response to the one or more sensor-based parameters not indicating atrial tachycardia or atrial fibrillation;
• and
• delivering a second pacing therapy in response to the one or more sensor-based parameters indicating the patient is asleep.

A method for heart failure management comprising:

• monitoring one or more sensor-based parameters for a patient;
• determining whether the one or more monitored sensor-based parameters indicate atrial tachycardia or atrial fibrillation;
• delivering a first pacing therapy in response to the one or more sensor-based parameters indicating atrial tachycardia or atrial fibrillation;
• determining whether the one or more monitored sensor-based parameters indicate the patient's P-wave duration exceeds a P-wave duration threshold value in response to the one or more sensor-based parameters not indicating atrial tachycardia or atrial fibrillation;
• delivering a second pacing therapy in response to the one or more sensor-based parameters indicating the patient's P-wave duration exceeds a P-wave duration threshold value;
• and
• delivering a third pacing therapy in response to the one or more sensor-based parameters not indicating the patient's P-wave duration exceeds a P-wave duration threshold value.

A method for heart failure management comprising:

• monitoring one or more sensor-based parameters for a patient;
• determining whether the one or more monitored sensor-based parameters indicate the patient's P-wave duration exceeds a P-wave duration threshold value;
• delivering a first atrioventricular node stimulation therapy in response to the one or more sensor-based parameters indicating the patient's P-wave duration exceeds a P-wave duration threshold value;
• and
• delivering a second atrioventricular node stimulation therapy in response to the one or more sensor-based parameters not indicating the patient's P-wave duration exceeds a P-wave duration threshold value.

A heart failure management system comprising:

• one or more sensors to measure one or more sensor-based parameters;
• at least one storage component;
• and
• processing circuitry operably coupled to the one or more sensors and the at least one storage component, the processing circuitry configured to:
• determine whether the one or more monitored sensor-based parameters indicate atrial tachycardia or atrial fibrillation;
• deliver a first pacing therapy in response to the one or more sensor-based parameters indicating atrial tachycardia or atrial fibrillation;
• determine whether the one or more monitored sensor-based parameters indicate the patient is asleep in response to the one or more sensor-based parameters not indicating atrial tachycardia or atrial fibrillation;
• deliver a second pacing therapy in response to the one or more sensor-based parameters indicating the patient is asleep;
• determine whether the one or more monitored sensor-based parameters indicate the patient's P-wave duration exceeds a P-wave duration threshold value in response to the one or more sensor-based parameters not indicating the patient is asleep, atrial tachycardia, or atrial fibrillation;
• deliver a third pacing therapy in response to the one or more sensor-based parameters indicating the patient's P-wave duration exceeds a P-wave duration threshold value;
• and
• deliver a fourth pacing therapy in response to the one or more sensor-based parameters not indicating the patient's P-wave duration exceeds a P-wave duration threshold value.