ATE475359T1 - Verfahren und vorrichtung zur erkennung von vorhofflimmern auf der basis von ventrikulären zykluslängen - Google Patents

Verfahren und vorrichtung zur erkennung von vorhofflimmern auf der basis von ventrikulären zykluslängen

Info

Publication number
ATE475359T1
ATE475359T1 AT07854113T AT07854113T ATE475359T1 AT E475359 T1 ATE475359 T1 AT E475359T1 AT 07854113 T AT07854113 T AT 07854113T AT 07854113 T AT07854113 T AT 07854113T AT E475359 T1 ATE475359 T1 AT E475359T1
Authority
AT
Austria
Prior art keywords
detecting
africial
cycle length
ventricular cycle
cardiac signal
Prior art date
Application number
AT07854113T
Other languages
English (en)
Inventor
Brian B Lee
Eric J Panken
Original Assignee
Medtronic Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medtronic Inc filed Critical Medtronic Inc
Application granted granted Critical
Publication of ATE475359T1 publication Critical patent/ATE475359T1/de

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/361—Detecting fibrillation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/024—Measuring pulse rate or heart rate
    • A61B5/02405—Determining heart rate variability
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3925—Monitoring; Protecting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/395—Heart defibrillators for treating atrial fibrillation

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Physiology (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
AT07854113T 2006-10-30 2007-10-17 Verfahren und vorrichtung zur erkennung von vorhofflimmern auf der basis von ventrikulären zykluslängen ATE475359T1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/554,275 US7634310B2 (en) 2006-10-30 2006-10-30 Method and apparatus for atrial fibrillation detection based on ventricular cycle lengths
PCT/US2007/081600 WO2008054992A1 (en) 2006-10-30 2007-10-17 Method and apparatus for atrial fibrillation detection based on ventricular cycle lengths

Publications (1)

Publication Number Publication Date
ATE475359T1 true ATE475359T1 (de) 2010-08-15

Family

ID=39149249

Family Applications (1)

Application Number Title Priority Date Filing Date
AT07854113T ATE475359T1 (de) 2006-10-30 2007-10-17 Verfahren und vorrichtung zur erkennung von vorhofflimmern auf der basis von ventrikulären zykluslängen

Country Status (5)

Country Link
US (1) US7634310B2 (de)
EP (1) EP2086402B1 (de)
AT (1) ATE475359T1 (de)
DE (1) DE602007008134D1 (de)
WO (1) WO2008054992A1 (de)

Families Citing this family (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8442624B2 (en) 2010-05-12 2013-05-14 Siemens Medical Solutions Usa, Inc. System for cardiac medical condition detection
US8433398B2 (en) 2011-03-10 2013-04-30 Siemens Medical Solutions Usa, Inc. Signal analysis system for heart condition determination
US8744559B2 (en) 2011-08-11 2014-06-03 Richard P. Houben Methods, systems and devices for detecting atrial fibrillation
US9277956B2 (en) 2011-11-09 2016-03-08 Siemens Medical Solutions Usa, Inc. System for automatic medical ablation control
EP4400041B1 (de) 2014-08-14 2025-10-15 Cardiac Pacemakers, Inc. Erkennung von vorhofflimmern mit ventrikulärer frequenzvariabilität
JP6653372B2 (ja) 2015-07-30 2020-02-26 カーディアック ペースメイカーズ， インコーポレイテッド 植込み可能なデバイスにおける心房細動電気記録図のトリガ
CN108601941B (zh) * 2016-02-12 2021-12-28 心脏起搏器股份公司 触发对生理状况起始的存储
US10039469B2 (en) 2016-03-30 2018-08-07 Medtronic, Inc. Atrial arrhythmia episode detection in a cardiac medical device
US10045710B2 (en) 2016-03-30 2018-08-14 Medtronic, Inc. Atrial arrhythmia episode detection in a cardiac medical device
US10159423B2 (en) 2016-09-28 2018-12-25 Medtronic Monitoring, Inc. System and method for cardiac monitoring using adaptive sensitivity/specificity levels
US10143395B2 (en) 2016-09-28 2018-12-04 Medtronic Monitoring, Inc. System and method for cardiac monitoring using rate-based sensitivity levels
US10292611B2 (en) 2016-11-01 2019-05-21 Medtronic Monitoring, Inc. System and method for onset/offset capture
CN110573211B (zh) * 2017-03-07 2023-05-23 心脏起搏器股份公司 事后心房颤动检测
JP2022553322A (ja) * 2019-10-23 2022-12-22 インパルス ダイナミクス エヌヴイ 心房性不整脈患者のための心臓収縮性調節
US11559242B2 (en) 2020-01-30 2023-01-24 Pacesetter, Inc. Methods and systems for distinguishing over-sensed R-R intervals from true R-R intervals
US11647940B2 (en) 2020-05-04 2023-05-16 Pacesetter, Inc R-R interval pattern recognition for use in arrhythmia discrimination
US11766207B2 (en) 2020-06-01 2023-09-26 Pacesetter, Inc. Methods, devices and systems for improving R-wave detection and arrhtymia detection accuracy
US12161474B2 (en) 2020-06-02 2024-12-10 Pacesetter, Inc. Methods, devices and systems for identifying false R-R intervals and false arrhythmia detections due to R-wave undersensing or intermittent AV conduction block
US12186100B2 (en) 2021-05-10 2025-01-07 Pacesetter, Inc. Methods and systems for arrhythmia episode prioritization and improving arrhythmia detection and classification to reduce clinical review burden
US12390167B2 (en) 2021-06-22 2025-08-19 Pacesetter, Inc. Methods and systems for determining whether R-wave detections should be classified as false due to T-wave oversensing (TWO) or P-wave oversensing (PWO)
US12551707B2 (en) 2021-07-02 2026-02-17 Impulse Dynamics Nv Means and methods for using non-excitatory electrical heart failure therapy as a therapy for heart failure with preserved ejection fraction
US12350059B2 (en) 2021-09-07 2025-07-08 Pacesetter, Inc. Robust ventricular sensing of far-field EGM or ECG signals that avoids oversensing of ventricular sensed events
CN118541193A (zh) * 2021-12-06 2024-08-23 心脏起搏器股份公司 用于检测心律失常的系统
EP4751765A1 (de) * 2024-11-28 2026-06-03 BIOTRONIK SE & Co. KG Implantierbare medizinische vorrichtung mit optimierter untererfassungsverwaltung

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5319569A (en) * 1989-09-19 1994-06-07 Hewlett-Packard Company Block averaging of time varying signal attribute measurements
US5086772A (en) * 1990-07-30 1992-02-11 Telectronics Pacing Systems, Inc. Arrhythmia control system employing arrhythmia recognition algorithm
US5117824A (en) * 1990-11-14 1992-06-02 Medtronic, Inc. Apparatus for monitoring electrical physiologic signals
US5282837A (en) * 1991-04-12 1994-02-01 Incontrol, Inc. Atrial defibrillator and method
US5480413A (en) * 1994-11-30 1996-01-02 Telectronics Pacing Systems, Inc. Apparatus and method for stabilizing the ventricular rate of a heart during atrial fibrillation
US5968079A (en) * 1998-03-18 1999-10-19 Medtronic, Inc. Method and apparatus for diagnosis and treatment of arrhythmias
US6091988A (en) * 1998-04-30 2000-07-18 Medtronic, Inc. Apparatus for treating atrial tachyarrhythmias with synchronized shocks
US6430441B1 (en) * 2000-01-18 2002-08-06 Pacesetter, Inc. Implantable cardiac stimulation device having autocapture/autothreshold capability
AU2001293572A1 (en) * 2000-09-20 2002-04-02 Mcgill University Method and system for detection of cardiac arrhythmia
DE60102836T2 (de) * 2000-11-28 2005-04-21 Medtronic Inc Vorrichtung zur erkennung einer vorhoffibrillation mittels herzkammerdetektion
US6490479B2 (en) * 2000-12-28 2002-12-03 Ge Medical Systems Information Technologies, Inc. Atrial fibrillation detection method and apparatus
US6748272B2 (en) * 2001-03-08 2004-06-08 Cardiac Pacemakers, Inc. Atrial interval based heart rate variability diagnostic for cardiac rhythm management system
US6961616B2 (en) * 2001-09-27 2005-11-01 Cardiac Pacemakers, Inc. Trending of conduction time for optimization of cardiac resynchronization therapy in cardiac rhythm management system
US7082328B2 (en) * 2002-01-29 2006-07-25 Medtronic, Inc. Methods and apparatus for controlling a pacing system in the presence of EMI
US7146206B2 (en) * 2002-03-20 2006-12-05 Medtronic, Inc. Detection of cardiac arrhythmia using mathematical representation of standard ΔRR probability density histograms
US7031765B2 (en) * 2002-11-11 2006-04-18 Medtronic, Inc Algorithms for detecting atrial arrhythmias from discriminatory signatures of ventricular cycle lengths
US8160684B2 (en) * 2006-03-29 2012-04-17 Medtronic, Inc. Method and apparatus for detecting arrhythmias in a medical device

Also Published As

Publication number Publication date
US7634310B2 (en) 2009-12-15
DE602007008134D1 (de) 2010-09-09
US20080188764A1 (en) 2008-08-07
EP2086402B1 (de) 2010-07-28
WO2008054992A1 (en) 2008-05-08
EP2086402A1 (de) 2009-08-12

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