Abstract: In general, the invention is directed to techniques for delivery of pacing in response to a premature atrial contraction (PAC) to prevent atrial arrhythmia, i.e., delivery of post-PAC pacing pulses. The techniques may involve monitoring the success rate of prior post-PAC pacing sequences, and adjusting the number of post-PAC pacing pulses delivered subsequent post-PAC pacing sequences based on a success rate. In addition, the techniques may involve adjusting the post-PAC pacing interval based on the success rate.

Abstract: A soothing program for anti-atrial tachyarrhymia therapy operates within a natural intrinsic atrial rate band for increased patient comport and improved therapy. The implantable pacemakers is configured with an atrial event detector, an anti-atrial tachyarrhymia progam that produces an anti-tachyarrhymia therapy, and a soothing program. The soothing program resides in memory and adjusts the anti-atrial tachyarrhymia program. The soothing program has an acceleration rate within a natural intrinsic atrial rate band upon detection of an atrial tachyarrhymia event and a deceleration rate also within the natural intrinsic atrial rate band to adjust the anti-atrial tachyarrhymia therapy. Some embodiments can adjust the anti-atrial tachyarrhymia therapy to maintain natural atrial activation and reduce patient discomfort such as palpitations.