CA1290812C - Exercise-responsive rate - adaptive cardiac pacemaker - Google Patents
Exercise-responsive rate - adaptive cardiac pacemakerInfo
- Publication number
- CA1290812C CA1290812C CA000522336A CA522336A CA1290812C CA 1290812 C CA1290812 C CA 1290812C CA 000522336 A CA000522336 A CA 000522336A CA 522336 A CA522336 A CA 522336A CA 1290812 C CA1290812 C CA 1290812C
- Authority
- CA
- Canada
- Prior art keywords
- exercise
- rate
- temperature
- patient
- stimulation rate
- 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 - Fee Related
Links
- 230000000747 cardiac effect Effects 0.000 title claims abstract description 34
- 230000003044 adaptive effect Effects 0.000 title description 5
- 239000008280 blood Substances 0.000 claims abstract description 123
- 210000004369 blood Anatomy 0.000 claims abstract description 123
- 230000000638 stimulation Effects 0.000 claims abstract description 78
- 230000004044 response Effects 0.000 claims abstract description 11
- 230000006870 function Effects 0.000 claims description 48
- 230000000284 resting effect Effects 0.000 claims description 31
- 230000008859 change Effects 0.000 claims description 27
- 230000007423 decrease Effects 0.000 claims description 11
- 238000000034 method Methods 0.000 claims description 9
- 230000037081 physical activity Effects 0.000 claims description 5
- 230000002123 temporal effect Effects 0.000 claims description 5
- 230000001419 dependent effect Effects 0.000 claims description 4
- 230000006872 improvement Effects 0.000 claims description 4
- 230000027288 circadian rhythm Effects 0.000 claims description 3
- 230000003111 delayed effect Effects 0.000 claims description 3
- 210000002837 heart atrium Anatomy 0.000 claims description 3
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- 230000002503 metabolic effect Effects 0.000 claims description 2
- 238000001514 detection method Methods 0.000 claims 8
- 230000006399 behavior Effects 0.000 claims 2
- 230000006978 adaptation Effects 0.000 claims 1
- 230000006461 physiological response Effects 0.000 claims 1
- 230000029058 respiratory gaseous exchange Effects 0.000 abstract description 4
- 230000000977 initiatory effect Effects 0.000 abstract description 3
- 230000009286 beneficial effect Effects 0.000 abstract 1
- 230000002060 circadian Effects 0.000 abstract 1
- 238000004458 analytical method Methods 0.000 description 6
- 230000001447 compensatory effect Effects 0.000 description 6
- 230000004087 circulation Effects 0.000 description 5
- 230000004936 stimulating effect Effects 0.000 description 4
- 230000001276 controlling effect Effects 0.000 description 3
- 239000002674 ointment Substances 0.000 description 3
- AYFVYJQAPQTCCC-GBXIJSLDSA-N L-threonine Chemical compound C[C@@H](O)[C@H](N)C(O)=O AYFVYJQAPQTCCC-GBXIJSLDSA-N 0.000 description 2
- 230000033228 biological regulation Effects 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 210000003734 kidney Anatomy 0.000 description 2
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- 238000007620 mathematical function Methods 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 230000001960 triggered effect Effects 0.000 description 2
- 241000282472 Canis lupus familiaris Species 0.000 description 1
- 206010022998 Irritability Diseases 0.000 description 1
- 206010037660 Pyrexia Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000010455 autoregulation Effects 0.000 description 1
- 230000002457 bidirectional effect Effects 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 230000002844 continuous effect Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000002526 effect on cardiovascular system Effects 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 230000004217 heart function Effects 0.000 description 1
- 210000005003 heart tissue Anatomy 0.000 description 1
- 230000001976 improved effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 230000037323 metabolic rate Effects 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- NRNCYVBFPDDJNE-UHFFFAOYSA-N pemoline Chemical compound O1C(N)=NC(=O)C1C1=CC=CC=C1 NRNCYVBFPDDJNE-UHFFFAOYSA-N 0.000 description 1
- 230000003836 peripheral circulation Effects 0.000 description 1
- 230000037074 physically active Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000003252 repetitive effect Effects 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 238000005070 sampling Methods 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
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
- A61N1/3655—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by body or blood temperature
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Physiology (AREA)
- Engineering & Computer Science (AREA)
- Biophysics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Electrotherapy Devices (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE19853541598 DE3541598A1 (de) | 1985-11-25 | 1985-11-25 | Belastungsabhaengig frequenzvariabler herzschrittmacher |
| DEP3541598.3 | 1985-11-25 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA1290812C true CA1290812C (en) | 1991-10-15 |
Family
ID=6286752
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA000522336A Expired - Fee Related CA1290812C (en) | 1985-11-25 | 1986-11-06 | Exercise-responsive rate - adaptive cardiac pacemaker |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US4719920A (enExample) |
| EP (1) | EP0229886B1 (enExample) |
| JP (1) | JPS62137069A (enExample) |
| AT (1) | ATE88367T1 (enExample) |
| BR (1) | BR8605763A (enExample) |
| CA (1) | CA1290812C (enExample) |
| DE (2) | DE3541598A1 (enExample) |
Families Citing this family (54)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4803987A (en) * | 1986-06-11 | 1989-02-14 | Intermedics, Inc. | Temperature responsive controller for cardiac pacer |
| US4858611A (en) * | 1987-06-03 | 1989-08-22 | Dimed, Inc. | Sensing system and method for sensing minute ventilation |
| DE3732640C1 (de) * | 1987-09-28 | 1989-05-18 | Alt Eckhard | Medizinisches Geraet zum Ermitteln von physiologischen Funktionsparametern |
| US4856523A (en) * | 1987-10-08 | 1989-08-15 | Siemens-Pacesetter, Inc. | Rate-responsive pacemaker with automatic mode switching and/or variable hysteresis rate |
| US4827934A (en) * | 1987-10-27 | 1989-05-09 | Siemens-Pacesetter, Inc. | Sensing margin detectors for implantable electromedical devices |
| GB2214813A (en) * | 1988-01-14 | 1989-09-13 | Stuart Charles Webb | Rate-responsive pacemaker |
| US5063927A (en) * | 1988-02-17 | 1991-11-12 | Webb Stuart C | Rate-responsive pacemaker |
| US4940053A (en) * | 1989-01-25 | 1990-07-10 | Siemens-Pacesetter, Inc. | Energy controlled rate-responsive pacemaker having automatically adjustable control parameters |
| US5040535A (en) * | 1989-01-25 | 1991-08-20 | Siemens-Pacesetter, Inc. | Average amplitude controlled rate-responsive pacemaker having automatically adjustable control parameters |
| US5040534A (en) * | 1989-01-25 | 1991-08-20 | Siemens-Pacesetter, Inc. | Microprocessor controlled rate-responsive pacemaker having automatic rate response threshold adjustment |
| DE58908109D1 (de) * | 1989-02-10 | 1994-09-01 | Siemens Ag | An die körperliche Aktivität angepasstes medizinisches Stimulationsgerät. |
| US4922930A (en) * | 1989-04-11 | 1990-05-08 | Intermedics, Inc. | Implantable device with circadian rhythm adjustment |
| US4928689A (en) * | 1989-05-15 | 1990-05-29 | Cardiac Pacemakers, Inc. | Rate adaptive cardiac pacer system having living cell tissue for sensing physiologic demand |
| US5005574A (en) * | 1989-11-28 | 1991-04-09 | Medical Engineering And Development Institute, Inc. | Temperature-based, rate-modulated cardiac therapy apparatus and method |
| US5226413A (en) * | 1990-08-14 | 1993-07-13 | Medtronic, Inc. | Rate responsive pacemaker and method for automatically initializing the same |
| US5312453A (en) * | 1992-05-11 | 1994-05-17 | Medtronic, Inc. | Rate responsive cardiac pacemaker and method for work-modulating pacing rate deceleration |
| US5374281A (en) * | 1993-02-09 | 1994-12-20 | Siemens Pacesetter, Inc. | Hysteresis in a rate-responsive pacemaker |
| US5752521A (en) | 1993-11-12 | 1998-05-19 | Dardik; Irving I. | Therapeutic exercise program |
| US5562711A (en) * | 1994-11-30 | 1996-10-08 | Medtronic, Inc. | Method and apparatus for rate-responsive cardiac pacing |
| US5814087A (en) * | 1996-12-18 | 1998-09-29 | Medtronic, Inc. | Rate responsive pacemaker adapted to adjust lower rate limit according to monitored patient blood temperature |
| US6002952A (en) | 1997-04-14 | 1999-12-14 | Masimo Corporation | Signal processing apparatus and method |
| US7366522B2 (en) | 2000-02-28 | 2008-04-29 | Thomas C Douglass | Method and system for location tracking |
| US7212829B1 (en) | 2000-02-28 | 2007-05-01 | Chung Lau | Method and system for providing shipment tracking and notifications |
| US7321774B1 (en) | 2002-04-24 | 2008-01-22 | Ipventure, Inc. | Inexpensive position sensing device |
| US7403972B1 (en) | 2002-04-24 | 2008-07-22 | Ip Venture, Inc. | Method and system for enhanced messaging |
| US6975941B1 (en) | 2002-04-24 | 2005-12-13 | Chung Lau | Method and apparatus for intelligent acquisition of position information |
| US7218938B1 (en) | 2002-04-24 | 2007-05-15 | Chung Lau | Methods and apparatus to analyze and present location information |
| WO2002003076A2 (en) * | 2000-06-30 | 2002-01-10 | Lifewaves International, Inc. | Systems and methods for assessing and modifying an individual's physiological condition |
| US7146212B2 (en) * | 2000-09-18 | 2006-12-05 | Cameron Health, Inc. | Anti-bradycardia pacing for a subcutaneous implantable cardioverter-defibrillator |
| US6754528B2 (en) | 2001-11-21 | 2004-06-22 | Cameraon Health, Inc. | Apparatus and method of arrhythmia detection in a subcutaneous implantable cardioverter/defibrillator |
| US7194302B2 (en) | 2000-09-18 | 2007-03-20 | Cameron Health, Inc. | Subcutaneous cardiac stimulator with small contact surface electrodes |
| US7069080B2 (en) | 2000-09-18 | 2006-06-27 | Cameron Health, Inc. | Active housing and subcutaneous electrode cardioversion/defibrillating system |
| US6647292B1 (en) * | 2000-09-18 | 2003-11-11 | Cameron Health | Unitary subcutaneous only implantable cardioverter-defibrillator and optional pacer |
| US6702720B2 (en) * | 2001-04-24 | 2004-03-09 | Lifewaves International, Inc. | Systems and methods for breathing exercise regimens to promote ischemic preconditioning |
| US9182238B2 (en) | 2002-04-24 | 2015-11-10 | Ipventure, Inc. | Method and apparatus for intelligent acquisition of position information |
| US9049571B2 (en) | 2002-04-24 | 2015-06-02 | Ipventure, Inc. | Method and system for enhanced messaging |
| US7953487B2 (en) * | 2005-06-16 | 2011-05-31 | St. Jude Medical Ab | Heart stimulating device |
| US9168383B2 (en) | 2005-10-14 | 2015-10-27 | Pacesetter, Inc. | Leadless cardiac pacemaker with conducted communication |
| US8010209B2 (en) | 2005-10-14 | 2011-08-30 | Nanostim, Inc. | Delivery system for implantable biostimulator |
| US7764996B2 (en) | 2006-10-31 | 2010-07-27 | Cardiac Pacemakers, Inc. | Monitoring of chronobiological rhythms for disease and drug management using one or more implantable device |
| WO2009039400A1 (en) * | 2007-09-20 | 2009-03-26 | Nanostim, Inc. | Leadless cardiac pacemaker with secondary fixation capability |
| US8527068B2 (en) | 2009-02-02 | 2013-09-03 | Nanostim, Inc. | Leadless cardiac pacemaker with secondary fixation capability |
| US20110077708A1 (en) * | 2009-09-28 | 2011-03-31 | Alan Ostroff | MRI Compatible Leadless Cardiac Pacemaker |
| US9060692B2 (en) | 2010-10-12 | 2015-06-23 | Pacesetter, Inc. | Temperature sensor for a leadless cardiac pacemaker |
| WO2012051237A1 (en) | 2010-10-12 | 2012-04-19 | Nanostim, Inc. | Temperature sensor for a leadless cardiac pacemaker |
| WO2012051235A1 (en) | 2010-10-13 | 2012-04-19 | Nanostim, Inc. | Leadless cardiac pacemaker with anti-unscrewing feature |
| CN103429296A (zh) | 2010-12-13 | 2013-12-04 | 内诺斯蒂姆股份有限公司 | 递送导管系统和方法 |
| WO2012082755A1 (en) | 2010-12-13 | 2012-06-21 | Nanostim, Inc. | Pacemaker retrieval systems and methods |
| WO2012088118A1 (en) | 2010-12-20 | 2012-06-28 | Nanostim, Inc. | Leadless pacemaker with radial fixation mechanism |
| WO2013067496A2 (en) | 2011-11-04 | 2013-05-10 | Nanostim, Inc. | Leadless cardiac pacemaker with integral battery and redundant welds |
| EP2599523B1 (en) | 2011-11-30 | 2016-02-10 | St. Jude Medical AB | Activity-responsive pacing |
| WO2014022661A1 (en) | 2012-08-01 | 2014-02-06 | Nanostim, Inc. | Biostimulator circuit with flying cell |
| KR20150106891A (ko) * | 2012-12-31 | 2015-09-22 | 엠.아이. 메디컬 인센티브 리미티드 | 심혈관 검사 진단 및 모니터링 시스템 및 방법 |
| US9833624B2 (en) | 2014-05-15 | 2017-12-05 | Pacesetter, Inc. | System and method for rate modulated cardiac therapy utilizing a temperature senor |
Family Cites Families (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3867950A (en) * | 1971-06-18 | 1975-02-25 | Univ Johns Hopkins | Fixed rate rechargeable cardiac pacemaker |
| DE2609365A1 (de) * | 1976-03-06 | 1977-09-08 | Georg Dr Med Csapo | Elektrischer herzschrittmacher |
| US4467807A (en) * | 1981-11-23 | 1984-08-28 | Medtronic, Inc. | Rate adaptive demand pacemaker |
| US4436092A (en) * | 1982-05-19 | 1984-03-13 | Purdue Research Foundation | Exercise responsive cardiac pacemaker |
| US4543954A (en) * | 1982-05-19 | 1985-10-01 | Purdue Research Foundation | Exercise responsive cardiac pacemaker |
| FR2550095B1 (fr) * | 1983-08-02 | 1986-09-26 | Brehier Jacques | Procede de commande d'un stimulateur cardiaque et sonde pour la mise en oeuvre du procede |
| US4527568A (en) * | 1983-12-27 | 1985-07-09 | Vitafin N.V. | Dual chamber pacer with alternative rate adaptive means and method |
| DE3419439C1 (de) * | 1984-05-24 | 1985-11-21 | Eckhard Dr. 8000 München Alt | Belastungsabhaengig frequenzvariabler Herzschrittmacher |
-
1985
- 1985-11-25 DE DE19853541598 patent/DE3541598A1/de active Granted
-
1986
- 1986-10-10 US US06/917,558 patent/US4719920A/en not_active Expired - Lifetime
- 1986-10-16 EP EP86114342A patent/EP0229886B1/en not_active Expired - Lifetime
- 1986-10-16 AT AT86114342T patent/ATE88367T1/de not_active IP Right Cessation
- 1986-10-16 DE DE8686114342T patent/DE3688322T2/de not_active Expired - Fee Related
- 1986-11-06 CA CA000522336A patent/CA1290812C/en not_active Expired - Fee Related
- 1986-11-20 JP JP61275508A patent/JPS62137069A/ja active Granted
- 1986-11-24 BR BR8605763A patent/BR8605763A/pt unknown
Also Published As
| Publication number | Publication date |
|---|---|
| US4719920B1 (enExample) | 1990-02-13 |
| DE3688322T2 (de) | 1993-09-09 |
| EP0229886B1 (en) | 1993-04-21 |
| JPH0374112B2 (enExample) | 1991-11-25 |
| ATE88367T1 (de) | 1993-05-15 |
| EP0229886A2 (en) | 1987-07-29 |
| US4719920A (en) | 1988-01-19 |
| DE3688322D1 (de) | 1993-05-27 |
| DE3541598A1 (de) | 1987-11-19 |
| EP0229886A3 (en) | 1988-06-08 |
| DE3541598C2 (enExample) | 1990-12-06 |
| BR8605763A (pt) | 1987-08-25 |
| JPS62137069A (ja) | 1987-06-19 |
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| Fearnot et al. | Evaluation of the Temperature Response to Exercise Testing in Patients with Single Chamher, Rate Adaptive Pacemakers: A Multicenter Study | |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| MKLA | Lapsed |