Determining termination of an identified tachyarrhythmia episode may
involve analysis of a relative decrease in tachyarrhythmia rate, a
normalization of electrogram morphology criteria, or both. An implanted
medical device may obtain a tachyarrhythmia rate and a morphology of a
cardiac waveform. The device may compare the tachyarrhythmia rate to a
threshold tachyarrhythmia rate and the morphology to a template
morphology, and classify the heart beat as indicating termination of the
tachyarrhythmia episode when the tachyarrhythmia rate is less than the
threshold tachyarrhythmia rate, the morphology categorizes as normal, or
both. For arrhythmias with no therapy delivered, observation of
arrhythmia behavior at the point of termination may lead to improved
classification. In addition, observation of a relative decrease in
tachyarrhythmia rate immediately after therapy application can lead to
application of slower but more specific criteria for redetection. Also,
delivery of cardioversion shocks can be aborted upon tachyarrhythmia
termination.