Determining paced cardiac depolarization waveform morphological templates

    公开(公告)号:US10022063B2

    公开(公告)日:2018-07-17

    申请号:US15295352

    申请日:2016-10-17

    Inventor: Troy E. Jackson

    Abstract: Techniques for determining paced cardiac depolarization waveform morphological templates are described. For example, an implantable medical device (IMD) may sense a cardiac electrogram of a heart, identify cardiac depolarizations within the cardiac electrogram, and determine that the cardiac depolarizations are paced cardiac depolarizations resulting from delivery of a pacing pulse to the heart by another IMD without detecting the pacing pulse and without communicating with the other IMD. The IMD may identify paced cardiac depolarization waveforms of the paced cardiac depolarizations, determine a paced cardiac depolarization waveform morphological template based on the identified paced cardiac depolarization waveforms, determine a normal cardiac depolarization waveform morphological template based on the paced cardiac depolarization waveform morphological template, and compare the normal cardiac depolarization waveform morphological template to subsequent cardiac depolarization waveforms. The IMD may detect a cardiac tachyarrhythmia based on the above comparison.

    System and method for avoiding undersensing of ventricular fibrillation
    24.
    发明授权
    System and method for avoiding undersensing of ventricular fibrillation 有权
    避免心室颤动不足的系统和方法

    公开(公告)号:US09002443B2

    公开(公告)日:2015-04-07

    申请号:US13833171

    申请日:2013-03-15

    Abstract: A medical device and associated method for detecting and treating tachyarrhythmias acquires a cardiac signal using electrodes coupled to a sensing module. Cardiac events are sensed from the cardiac signal and a processing module computes a first morphology metric for each sensed cardiac event occurring during a time segment of the cardiac signal. The first morphology metrics corresponding to an event originating in a ventricular chamber are counted. The first processing module computes a second morphology metric for the time segment of the cardiac signal in response to the count of the first morphology metrics meeting a threshold number of events. The time segment is classified as a shockable segment in response to the second morphology metric meeting a detection criterion.

    Abstract translation: 用于检测和治疗快速性心律失常的医疗装置和相关联的方法使用耦合到感测模块的电极获取心脏信号。 从心脏信号感测心脏事件,并且处理模块计算在心脏信号的时间段期间发生的每个感测到的心脏事件的第一形态度量。 计算对应于起始于心室的事件的第一形态学指标。 第一处理模块响应于满足阈值数量事件的第一形态学量度的计数,计算心脏信号的时间段的第二形态度量。 响应于符合检测标准的第二形态度量,该时间段被分类为可震击段。

    Latency-based adaptation of anti-tachyarrhythmia pacing therapy

    公开(公告)号:US12268881B2

    公开(公告)日:2025-04-08

    申请号:US17301923

    申请日:2021-04-19

    Abstract: A medical device comprises therapy delivery circuitry and processing circuitry. The therapy delivery circuitry is configured to deliver anti-tachycardia pacing (ATP) therapy to a heart of a patient. The ATP therapy includes one or more pulse trains and each of the one or more pulse trains includes a plurality of pacing pulses. The processing circuitry is configured to, for at least one of the plurality of pacing pulses of at least one of the one or more pulse trains, determine at least one latency metric of an evoked response of the heart to the pacing pulse. The processing circuitry is further configured to modify the ATP therapy based on the at least one latency metric.

    Delivery of cardiac pacing therapy for cardiac remodeling

    公开(公告)号:US12239840B2

    公开(公告)日:2025-03-04

    申请号:US17734958

    申请日:2022-05-02

    Abstract: A method and device apparatus to deliver a pacing therapy capable of remodeling a patient's heart over a period of time that includes monitoring one or more parameters in response to a delivered cardiac remodeling pacing, determining whether the cardiac remodeling pacing has an effect on cardiac normalization in response to the monitoring, and adjusting the cardiac remodeling pacing in response to the determined effect on cardiac normalization. The method and device may also perform short-term monitoring of one or more parameters in response to the delivered cardiac remodeling pacing, monitor one or more long-term parameter indicative of a long-term effect of the delivered cardiac remodeling pacing, determine the long-term effect of the delivered cardiac remodeling pacing on cardiac normalization in response to the monitoring, and adjust the cardiac remodeling pacing in response to one or both of the short-term monitoring and the determined long-term effect on cardiac normalization.

    SYNCHRONIZATION OF ANTI-TACHYCARDIA PACING IN AN EXTRA-CARDIOVASCULAR IMPLANTABLE SYSTEM

    公开(公告)号:US20240042212A1

    公开(公告)日:2024-02-08

    申请号:US18464189

    申请日:2023-09-08

    Inventor: Troy E. Jackson

    Abstract: An extra-cardiovascular implantable cardioverter defibrillator (ICD) system receives a cardiac electrical signal by an electrical sensing circuit via an extra-cardiovascular sensing electrode vector and senses cardiac events from the cardiac electrical signal. The ICD system detects tachycardia from the cardiac electrical signal and determines a tachycardia cycle length from the cardiac electrical signal. The ICD system determines an ATP interval based on the tachycardia cycle length and sets an extended ATP interval that is longer than the ATP interval. The ICD delivers ATP pulses to a patient's heart via an extra-cardiovascular pacing electrode vector different than the sensing electrode vector. The ATP pulses include a leading ATP pulse delivered at the extended ATP interval after a cardiac event is sensed from the cardiac electrical signal and a second ATP pulse delivered at the ATP interval following the leading ATP pulse.

    MOTION SENSOR-MODULATED CARDIAC EPISODE DETECTION AND/OR ALERTING

    公开(公告)号:US20230309861A1

    公开(公告)日:2023-10-05

    申请号:US18295120

    申请日:2023-04-03

    Abstract: An example medical device system includes memory configured to store information relating to an occurrence of a cardiac event in a patient and processing circuitry configured to determine the occurrence of the cardiac event in the patient. The processing circuitry is configured to determine at least one of a fall of the patient, a slumping posture of the patient, or a change from an upright posture to a non-upright posture of the patient and that the cardiac event is associated therewith in time. The processing circuitry is configured to, in response to determining that the cardiac event and the at least one of the fall of the patient, the slumping posture of the patient, or the change from the upright posture to the non-upright posture of the patient are associated in time, modulate a response to the cardiac event.

Patent Agency Ranking