HVAD ADVERSE EVENT DETECTION FROM CARDIAC COMPASS DATA

    公开(公告)号:US20230056430A1

    公开(公告)日:2023-02-23

    申请号:US17820132

    申请日:2022-08-16

    Abstract: An example system includes an implantable medical device configured to obtain measurement values of one or more patient metrics; and processing circuitry configured to: determine a baseline value for each of the respective one or more patient metrics based on measurement values of the one or more patient metrics over a first period of time; determine a short-term value for each of the one or more patient metrics based on measurement values of the one or more patient metrics over a second period of time, determine a difference between each of the short-term values and the respective baseline value for each of the one or more patient metrics; determine that a risk of an adverse event occurring in the patient is high in response to the determined difference meeting a respective adverse event risk threshold; and generate for output an adverse event high risk alert.

    DELIVERY OF CARDIAC PACING THERAPY FOR CARDIAC REMODELING

    公开(公告)号:US20220257954A1

    公开(公告)日:2022-08-18

    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.

    Delivery of cardiac pacing therapy for cardiac remodeling

    公开(公告)号:US11318314B2

    公开(公告)日:2022-05-03

    申请号:US16441738

    申请日:2019-06-14

    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.

    UTILIZATION OF MORPHOLOGY DISCRIMINATION AFTER UNDERSENSING DETERMINATION FOR UNDERLYING RHYTHMS IN THE THERAPY ZONE
    38.
    发明申请
    UTILIZATION OF MORPHOLOGY DISCRIMINATION AFTER UNDERSENSING DETERMINATION FOR UNDERLYING RHYTHMS IN THE THERAPY ZONE 有权
    经治疗后治疗RHYTHMS治疗方法后的形态学辨证的利用

    公开(公告)号:US20140277222A1

    公开(公告)日:2014-09-18

    申请号:US13832202

    申请日:2013-03-15

    Abstract: A medical device and method for detecting and classifying cardiac rhythm episodes that includes a sensing module to sense cardiac events, a therapy delivery module, and a detection module configured to determine intervals between the sensed cardiac events, determine a predetermined cardiac episode is occurring in response to the determined intervals, determine whether a ventricular rate is greater than an atrial rate in response to the determined intervals, determine whether undersensing is occurring in response to the ventricular rate being greater than the atrial rate, perform a supraventricular tachycardia (SVT) discrimination analysis in response to undersensing occurring, and control the therapy delivery module to deliver therapy in response to the SVT discrimination analysis.

    Abstract translation: 一种用于检测和分类心律发作的医疗装置和方法,其包括感测心脏事件的感测模块,治疗递送模块和被配置为确定所感测的心脏事件之间的间隔的检测模块,确定响应中发生预定的心脏发作 确定间隔时间,确定响应于确定的间隔是否心室率是否大于心房率,确定响应于心室率是否大于心房率的是否发生欠感觉,执行室上性心动过速(SVT)辨别分析 响应于不足的发生,并且控制治疗递送模块以响应于SVT鉴别分析来递送治疗。

    Guiding anti-tachyarrhythmia pacing train design and electrode selection with electrograms

    公开(公告)号:US12083344B2

    公开(公告)日:2024-09-10

    申请号:US17493539

    申请日:2021-10-04

    Inventor: Troy E. Jackson

    CPC classification number: A61N1/3621 A61N1/368

    Abstract: An example medical device system includes therapy delivery circuitry configured to deliver anti-tachycardia pacing (ATP) therapy to a heart of a patient via electrodes communicatively coupled to the therapy delivery circuitry. The ATP therapy includes one or more ATP trains. The medical device system also includes processing circuitry configured determine a first propagation time based on a comparison of features in a local electrogram and a far-field electrogram, such as the time from a fiducial point in the local electrogram and QRS onset in the far-field electrogram. The processing circuitry is also configured to determine, based on the first propagation time, a number of pulses to achieve a second propagation time and control the therapy delivery circuitry to deliver the ATP train of at least the number of pulses.

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