The signal source impedance Z of implanted pacemaker electrodes plays an important role for adequate sensing of electrogram
signals and has so far been little explored. A frequency-domain method for the
in vivo calculation of Z is described. Electrogram signals picked up between two electrodes were recorded unloaded, and loaded with
resistors and capacitors, then amplified, and stored on magnetic tape. After time sampling and a.d. conversion, the signals
were read into a digital computer as discrete time vectors with 2
P samples. Each vector was subjected to a fast Fourier transform (f.f.t.), and the ratio H(jω
i) between the transformed loaded and unloaded vectors was calculated. For the electrode impedance Z a linear model was chosen
that consisted of the tissue and electrode resistance R
T, in series with a parallel coupling between Faraday resistance R
F, and Helmholtz capacitance C
H. By nonlinear regression analysis the parameters (∧) in this model were estimated from the ratios H(jjω
i) obtained in patients with permanent pacemaker electrodes, and in patients with temporary multicore wire electrodes after
open heart surgery. As an estimate for R
T was also used the voltage/current ratio R′
T, 90 μs into the stimulation pulse from an external variable parameter pulse generator. The 3-component impedance model described
the essential features of the electrode impedance in the frequency range up to 100 Hz. It was found that Ĉ
H, decreased slightly with increasing frequency, and that Ř
T in general was larger than R′
T. A modified model with frequency dependent parameters was found to obtain a better approach to the experimental data.
Keywords Electrogram - Frequency analysis - Nonlinear regression analysis - Pacemaker electrode impedance