Abstract: An improved atrial synchronous heart pacer includes means for generating an atrio-ventricular (A-V) interval control signal of automatically variable duration, which duration is a function of the sensed atrial heart rate (i.e. P-wave rate). A timing circuit establishes a basic timing interval for the generation of ventricular stimulation pulses, which interval may be modified by the control of the A-V interval signal. The A-V interval control signal preferably comprises the output of a P-wave triggered monostable multivibrator. The time constants of the multivibrator's timing circuits are scaled such that operation within the heart-rate range of 55-150 beats per minute prevents full recovery of the multivibrator following each sensed atrial beat and generation of an A-V output pulse, resulting in an A-V output pulse whose duration is a function of the time since the preceding trigger (i.e. rate).

Abstract: In an implanted heart stimulating device of the demand type, test mode circuitry is arranged to cause the temporary generation of stimulation impulses at the demand-rate in the presence of naturally occurring heartbeats. The test mode circuitry may cause dependence of the heart-stimulation rate upon the level of the power source within the test mode or at least a portion of the test mode, but is arranged to provide a heart-stimulation rate independent of the level of the power source in the ordinary demand mode. The test mode circuitry is operative, through a relatively simple bias-modifying circuit, to force the pacer to generate at least several stimulating impulses at the demand-rate immediately following cessation of that portion of the test mode in which stimulation impulses are generated at a rate dependent upon the level of the power source. Subsequently, the pacer reverts to the ordinary (i.e., non-forced) demand mode.