An implanted cardiac rhythm management device is disclosed that is operative to detect myocardial ischemia. Thus, the instant disclosure can reduce the manufacturing cost of the antenna structure. The peak wavelength of the waveform of the light transmission loss characteristic of the first long period grating is formed on the shorter wavelength side than a transmission band. The present invention further provides a combination of pharmacologically active agents and a pharmaceutical composition. A media machine responsive support mount described herein may include a support that may support a media machine, a rotating subsystem for rotating the support, and a lifting subsystem for lifting the support. The accuracy is improved for detection information itself to be output from the vehicle behavior detector to external apparatuses.