AU2010201351B2 - Method for discriminating between ventricular and supraventricular arrhythmias - Google Patents
Method for discriminating between ventricular and supraventricular arrhythmias Download PDFInfo
- Publication number
- AU2010201351B2 AU2010201351B2 AU2010201351A AU2010201351A AU2010201351B2 AU 2010201351 B2 AU2010201351 B2 AU 2010201351B2 AU 2010201351 A AU2010201351 A AU 2010201351A AU 2010201351 A AU2010201351 A AU 2010201351A AU 2010201351 B2 AU2010201351 B2 AU 2010201351B2
- Authority
- AU
- Australia
- Prior art keywords
- cardiac
- template
- signal
- complex
- therapy
- Prior art date
- Legal status (The legal status 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 status listed.)
- Expired
Links
- 238000000034 method Methods 0.000 title claims abstract description 173
- 230000002861 ventricular Effects 0.000 title description 30
- 206010042600 Supraventricular arrhythmias Diseases 0.000 title description 13
- 206010047281 Ventricular arrhythmia Diseases 0.000 title description 10
- 230000000747 cardiac effect Effects 0.000 claims abstract description 300
- 230000033764 rhythmic process Effects 0.000 claims abstract description 58
- 239000013598 vector Substances 0.000 claims description 54
- 238000004458 analytical method Methods 0.000 claims description 21
- 238000011282 treatment Methods 0.000 claims description 20
- 230000002159 abnormal effect Effects 0.000 claims description 7
- 238000001514 detection method Methods 0.000 abstract description 141
- 206010003119 arrhythmia Diseases 0.000 abstract description 135
- 230000006793 arrhythmia Effects 0.000 abstract description 130
- 238000002560 therapeutic procedure Methods 0.000 abstract description 124
- 206010047302 ventricular tachycardia Diseases 0.000 description 58
- 208000014321 polymorphic ventricular tachycardia Diseases 0.000 description 22
- 230000003068 static effect Effects 0.000 description 22
- 230000006870 function Effects 0.000 description 18
- 206010003658 Atrial Fibrillation Diseases 0.000 description 14
- 238000007920 subcutaneous administration Methods 0.000 description 14
- 208000007888 Sinus Tachycardia Diseases 0.000 description 13
- 230000003211 malignant effect Effects 0.000 description 13
- 206010003668 atrial tachycardia Diseases 0.000 description 11
- 238000005070 sampling Methods 0.000 description 10
- 208000003734 Supraventricular Tachycardia Diseases 0.000 description 9
- 230000000875 corresponding effect Effects 0.000 description 9
- 230000035939 shock Effects 0.000 description 9
- 208000001871 Tachycardia Diseases 0.000 description 8
- 208000003663 ventricular fibrillation Diseases 0.000 description 8
- 230000008859 change Effects 0.000 description 7
- 230000000694 effects Effects 0.000 description 7
- 238000000718 qrs complex Methods 0.000 description 7
- 206010003130 Arrhythmia supraventricular Diseases 0.000 description 6
- 206010028980 Neoplasm Diseases 0.000 description 6
- 201000011510 cancer Diseases 0.000 description 6
- 230000036210 malignancy Effects 0.000 description 6
- 238000004364 calculation method Methods 0.000 description 5
- 230000008602 contraction Effects 0.000 description 5
- 210000002837 heart atrium Anatomy 0.000 description 5
- 238000005259 measurement Methods 0.000 description 5
- 230000002763 arrhythmic effect Effects 0.000 description 4
- 230000002596 correlated effect Effects 0.000 description 4
- 230000000877 morphologic effect Effects 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 206010049447 Tachyarrhythmia Diseases 0.000 description 3
- 230000001133 acceleration Effects 0.000 description 3
- 230000001746 atrial effect Effects 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 230000004217 heart function Effects 0.000 description 3
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- 238000012935 Averaging Methods 0.000 description 2
- 241001506308 Potato virus T Species 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 238000013194 cardioversion Methods 0.000 description 2
- 238000007405 data analysis Methods 0.000 description 2
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- 238000012544 monitoring process Methods 0.000 description 2
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- 230000006794 tachycardia Effects 0.000 description 2
- 210000005166 vasculature Anatomy 0.000 description 2
- 208000029578 Muscle disease Diseases 0.000 description 1
- 206010065342 Supraventricular tachyarrhythmia Diseases 0.000 description 1
- 206010065341 Ventricular tachyarrhythmia Diseases 0.000 description 1
- 230000001594 aberrant effect Effects 0.000 description 1
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- 239000003990 capacitor Substances 0.000 description 1
- 210000005242 cardiac chamber Anatomy 0.000 description 1
- 206010061592 cardiac fibrillation Diseases 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
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- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
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- 230000006378 damage Effects 0.000 description 1
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- 230000002939 deleterious effect Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
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- 230000002600 fibrillogenic effect Effects 0.000 description 1
- 230000036541 health Effects 0.000 description 1
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- 210000005003 heart tissue Anatomy 0.000 description 1
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- 230000009467 reduction Effects 0.000 description 1
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Classifications
-
- 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
- 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
- A61B5/366—Detecting abnormal QRS complex, e.g. widening
-
- 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
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/36592—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by the heart rate variability
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)
- Electrotherapy Devices (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| AU2010201351A AU2010201351B2 (en) | 2003-05-29 | 2010-04-06 | Method for discriminating between ventricular and supraventricular arrhythmias |
| AU2012265575A AU2012265575B2 (en) | 2003-05-29 | 2012-12-18 | Method for discriminating between ventricular and supraventricular arrhythmias |
Applications Claiming Priority (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US47432303P | 2003-05-29 | 2003-05-29 | |
| US60/474,323 | 2003-05-29 | ||
| US10/856,084 | 2004-05-27 | ||
| US10/856,084 US7330757B2 (en) | 2001-11-21 | 2004-05-27 | Method for discriminating between ventricular and supraventricular arrhythmias |
| PCT/US2004/017229 WO2004105871A1 (en) | 2003-05-29 | 2004-05-28 | Method for discriminating between ventricular and supraventricular arrhythmias |
| AU2004242990A AU2004242990B2 (en) | 2003-05-29 | 2004-05-28 | Method for discriminating between ventricular and supraventricular arrhythmias |
| AU2010201351A AU2010201351B2 (en) | 2003-05-29 | 2010-04-06 | Method for discriminating between ventricular and supraventricular arrhythmias |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2004242990A Division AU2004242990B2 (en) | 2003-05-29 | 2004-05-28 | Method for discriminating between ventricular and supraventricular arrhythmias |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2012265575A Division AU2012265575B2 (en) | 2003-05-29 | 2012-12-18 | Method for discriminating between ventricular and supraventricular arrhythmias |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| AU2010201351A1 AU2010201351A1 (en) | 2010-04-29 |
| AU2010201351B2 true AU2010201351B2 (en) | 2012-10-04 |
Family
ID=42140329
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2010201351A Expired AU2010201351B2 (en) | 2003-05-29 | 2010-04-06 | Method for discriminating between ventricular and supraventricular arrhythmias |
Country Status (2)
| Country | Link |
|---|---|
| CN (1) | CN101912667B (zh) |
| AU (1) | AU2010201351B2 (zh) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9352165B2 (en) | 2014-04-17 | 2016-05-31 | Medtronic, Inc. | Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors |
| US9526908B2 (en) | 2014-04-01 | 2016-12-27 | Medtronic, Inc. | Method and apparatus for discriminating tachycardia events in a medical device |
Families Citing this family (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9433791B2 (en) | 2011-05-11 | 2016-09-06 | Medtronic, Inc. | AV nodal stimulation during atrial tachyarrhythmia to prevent inappropriate therapy delivery |
| CN103892827B (zh) * | 2012-12-29 | 2016-01-20 | 深圳先进技术研究院 | 基于fpga的室上性心动过速检测方法及系统 |
| US10376705B2 (en) | 2014-04-01 | 2019-08-13 | Medtronic, Inc. | Method and apparatus for discriminating tachycardia events in a medical device |
| US9808640B2 (en) * | 2014-04-10 | 2017-11-07 | Medtronic, Inc. | Method and apparatus for discriminating tachycardia events in a medical device using two sensing vectors |
| US10278601B2 (en) | 2014-04-24 | 2019-05-07 | Medtronic, Inc. | Method and apparatus for selecting a sensing vector configuration in a medical device |
| US10244957B2 (en) | 2014-04-24 | 2019-04-02 | Medtronic, Inc. | Method and apparatus for selecting a sensing vector configuration in a medical device |
| US10252067B2 (en) | 2014-04-24 | 2019-04-09 | Medtronic, Inc. | Method and apparatus for adjusting a blanking period during transitioning between operating states in a medical device |
| US9795312B2 (en) | 2014-04-24 | 2017-10-24 | Medtronic, Inc. | Method and apparatus for adjusting a blanking period for selecting a sensing vector configuration in a medical device |
| US9610025B2 (en) | 2014-07-01 | 2017-04-04 | Medtronic, Inc. | Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors |
| US9656091B2 (en) * | 2014-07-11 | 2017-05-23 | Cardiac Pacemakers, Inc. | Power saving communication for medical devices |
| US9924885B2 (en) | 2014-07-24 | 2018-03-27 | Medtronic, Inc. | Rhythm discriminator with immunity to body posture |
| US9486637B2 (en) | 2014-07-24 | 2016-11-08 | Medtronic, Inc. | Method and apparatus for accurate separation of supraventricular tachycardia from ventricular tachycardia during posture changes |
| US10188867B2 (en) * | 2015-01-23 | 2019-01-29 | Medtronic, Inc. | Method and apparatus for beat acquisition during template generation in a medical device having dual sensing vectors |
| CN115211866B (zh) * | 2022-09-07 | 2022-12-27 | 西南民族大学 | 一种心律失常分类方法、系统及电子设备 |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4989602A (en) * | 1989-04-12 | 1991-02-05 | Siemens-Pacesetter, Inc. | Programmable automatic implantable cardioverter/defibrillator and pacemaker system |
| EP0744190A2 (en) * | 1995-05-25 | 1996-11-27 | Pacesetter, Inc. | Implantable antitachycardia stimulation device |
| US5978707A (en) * | 1997-04-30 | 1999-11-02 | Cardiac Pacemakers, Inc. | Apparatus and method for treating ventricular tachyarrhythmias |
| EP1114653A2 (en) * | 2000-01-05 | 2001-07-11 | Pacesetter, Inc. | An implantable cardioversion device with a self-adjusting threshold for therapy selection |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5370667A (en) * | 1992-04-03 | 1994-12-06 | Intermedics, Inc. | Device and method for automatically adjusting tachycardia recognition criteria based on detected parameter |
| US5474574A (en) * | 1992-06-24 | 1995-12-12 | Cardiac Science, Inc. | Automatic external cardioverter/defibrillator |
| US6223078B1 (en) * | 1999-03-12 | 2001-04-24 | Cardiac Pacemakers, Inc. | Discrimination of supraventricular tachycardia and ventricular tachycardia events |
-
2004
- 2004-05-28 CN CN201010193613.3A patent/CN101912667B/zh not_active Expired - Lifetime
-
2010
- 2010-04-06 AU AU2010201351A patent/AU2010201351B2/en not_active Expired
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4989602A (en) * | 1989-04-12 | 1991-02-05 | Siemens-Pacesetter, Inc. | Programmable automatic implantable cardioverter/defibrillator and pacemaker system |
| EP0744190A2 (en) * | 1995-05-25 | 1996-11-27 | Pacesetter, Inc. | Implantable antitachycardia stimulation device |
| US5978707A (en) * | 1997-04-30 | 1999-11-02 | Cardiac Pacemakers, Inc. | Apparatus and method for treating ventricular tachyarrhythmias |
| EP1114653A2 (en) * | 2000-01-05 | 2001-07-11 | Pacesetter, Inc. | An implantable cardioversion device with a self-adjusting threshold for therapy selection |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9526908B2 (en) | 2014-04-01 | 2016-12-27 | Medtronic, Inc. | Method and apparatus for discriminating tachycardia events in a medical device |
| US9352165B2 (en) | 2014-04-17 | 2016-05-31 | Medtronic, Inc. | Method and apparatus for verifying discriminating of tachycardia events in a medical device having dual sensing vectors |
Also Published As
| Publication number | Publication date |
|---|---|
| AU2010201351A1 (en) | 2010-04-29 |
| CN101912667B (zh) | 2014-04-02 |
| CN101912667A (zh) | 2010-12-15 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| NB | Applications allowed - extensions of time section 223(2) |
Free format text: THE TIME IN WHICH TO REQUEST EXAMINATION HAS BEEN EXTENDED TO 28 NOV 2010. |
|
| FGA | Letters patent sealed or granted (standard patent) | ||
| MK14 | Patent ceased section 143(a) (annual fees not paid) or expired |