DE69737258T2 - Verfahren und Vorrichtung zur Detektion von akutem myokardischem Infarkt - Google Patents
Verfahren und Vorrichtung zur Detektion von akutem myokardischem Infarkt Download PDFInfo
- Publication number
- DE69737258T2 DE69737258T2 DE69737258T DE69737258T DE69737258T2 DE 69737258 T2 DE69737258 T2 DE 69737258T2 DE 69737258 T DE69737258 T DE 69737258T DE 69737258 T DE69737258 T DE 69737258T DE 69737258 T2 DE69737258 T2 DE 69737258T2
- Authority
- DE
- Germany
- Prior art keywords
- electrocardiographic
- wave
- myocardial infarction
- acute myocardial
- wave amplitude
- 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 - Lifetime
Links
- 206010000891 acute myocardial infarction Diseases 0.000 title claims description 115
- 238000000034 method Methods 0.000 title claims description 78
- 238000001514 detection method Methods 0.000 title claims description 28
- 239000011159 matrix material Substances 0.000 claims description 10
- 238000009795 derivation Methods 0.000 claims description 9
- 230000000747 cardiac effect Effects 0.000 claims description 8
- 230000004217 heart function Effects 0.000 claims description 7
- 238000003745 diagnosis Methods 0.000 claims description 6
- 238000010408 sweeping Methods 0.000 claims 1
- 238000002565 electrocardiography Methods 0.000 description 42
- 230000008569 process Effects 0.000 description 15
- 208000010125 myocardial infarction Diseases 0.000 description 10
- 238000000718 qrs complex Methods 0.000 description 7
- 230000006870 function Effects 0.000 description 6
- 238000011835 investigation Methods 0.000 description 5
- 238000012544 monitoring process Methods 0.000 description 5
- 230000000694 effects Effects 0.000 description 4
- 210000004351 coronary vessel Anatomy 0.000 description 3
- 238000003066 decision tree Methods 0.000 description 3
- 230000028161 membrane depolarization Effects 0.000 description 3
- 210000004165 myocardium Anatomy 0.000 description 3
- 208000007177 Left Ventricular Hypertrophy Diseases 0.000 description 2
- 230000036982 action potential Effects 0.000 description 2
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000036770 blood supply Effects 0.000 description 2
- 230000002596 correlated effect Effects 0.000 description 2
- 210000002414 leg Anatomy 0.000 description 2
- 229910052760 oxygen Inorganic materials 0.000 description 2
- 239000001301 oxygen Substances 0.000 description 2
- 238000005086 pumping Methods 0.000 description 2
- 238000012216 screening Methods 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- 210000000689 upper leg Anatomy 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 206010002383 Angina Pectoris Diseases 0.000 description 1
- 208000009042 Anterior Wall Myocardial Infarction Diseases 0.000 description 1
- 238000012935 Averaging Methods 0.000 description 1
- 208000009785 Inferior Wall Myocardial Infarction Diseases 0.000 description 1
- 206010028851 Necrosis Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 201000009658 anterolateral myocardial infarction Diseases 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 238000004364 calculation method Methods 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- 239000002800 charge carrier Substances 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 208000028831 congenital heart disease Diseases 0.000 description 1
- 230000000875 corresponding effect Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000034994 death Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 210000002837 heart atrium Anatomy 0.000 description 1
- 210000002064 heart cell Anatomy 0.000 description 1
- 201000009526 inferior myocardial infarction Diseases 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 230000005226 mechanical processes and functions Effects 0.000 description 1
- KFOPKOFKGJJEBW-ZSSYTAEJSA-N methyl 2-[(1s,7r,8s,9s,10r,13r,14s,17r)-1,7-dihydroxy-10,13-dimethyl-3-oxo-1,2,6,7,8,9,11,12,14,15,16,17-dodecahydrocyclopenta[a]phenanthren-17-yl]acetate Chemical compound C([C@H]1O)C2=CC(=O)C[C@H](O)[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H](CC(=O)OC)[C@@]1(C)CC2 KFOPKOFKGJJEBW-ZSSYTAEJSA-N 0.000 description 1
- 230000003278 mimic effect Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 235000018343 nutrient deficiency Nutrition 0.000 description 1
- 230000002787 reinforcement Effects 0.000 description 1
- 230000002336 repolarization Effects 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 230000035939 shock Effects 0.000 description 1
- 239000003053 toxin Substances 0.000 description 1
- 231100000765 toxin Toxicity 0.000 description 1
- 108700012359 toxins Proteins 0.000 description 1
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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7235—Details of waveform analysis
- A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Pathology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Physics & Mathematics (AREA)
- Medical Informatics (AREA)
- Biophysics (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (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 |
|---|---|---|---|
| US08/780,648 US5792066A (en) | 1997-01-09 | 1997-01-09 | Method and system for detecting acute myocardial infarction |
| US780648 | 1997-01-09 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| DE69737258D1 DE69737258D1 (de) | 2007-03-08 |
| DE69737258T2 true DE69737258T2 (de) | 2007-08-30 |
Family
ID=25120226
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE69737258T Expired - Lifetime DE69737258T2 (de) | 1997-01-09 | 1997-10-06 | Verfahren und Vorrichtung zur Detektion von akutem myokardischem Infarkt |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US5792066A (enExample) |
| EP (1) | EP0853285B1 (enExample) |
| JP (1) | JP4141000B2 (enExample) |
| CN (1) | CN1191783C (enExample) |
| DE (1) | DE69737258T2 (enExample) |
Families Citing this family (48)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2000033732A1 (en) * | 1998-12-09 | 2000-06-15 | John Mccune Anderson | A system for determining the condition of a patient's heart |
| US6272379B1 (en) * | 1999-03-17 | 2001-08-07 | Cathco, Inc. | Implantable electronic system with acute myocardial infarction detection and patient warning capabilities |
| US6339720B1 (en) | 1999-09-20 | 2002-01-15 | Fernando Anzellini | Early warning apparatus for acute Myocardial Infarction in the first six hours of pain |
| US6684100B1 (en) | 2000-10-31 | 2004-01-27 | Cardiac Pacemakers, Inc. | Curvature based method for selecting features from an electrophysiologic signals for purpose of complex identification and classification |
| US6947789B2 (en) * | 2000-11-13 | 2005-09-20 | Innovise Medical, Inc. | Method for detecting, sizing and locating old myocardial infarct |
| US6526313B2 (en) * | 2001-06-05 | 2003-02-25 | Cardiac Pacemakers, Inc. | System and method for classifying cardiac depolarization complexes with multi-dimensional correlation |
| US6865420B1 (en) | 2002-01-14 | 2005-03-08 | Pacesetter, Inc. | Cardiac stimulation device for optimizing cardiac output with myocardial ischemia protection |
| US6950702B2 (en) * | 2002-07-15 | 2005-09-27 | Cardiac Pacemakers, Inc. | Use of curvature based features for beat detection |
| US6609023B1 (en) * | 2002-09-20 | 2003-08-19 | Angel Medical Systems, Inc. | System for the detection of cardiac events |
| US20080139954A1 (en) * | 2002-09-20 | 2008-06-12 | Mary Carol Day | System for at least two types of patient alerting associated with cardiac events |
| US7558623B2 (en) * | 2002-09-20 | 2009-07-07 | Angel Medical Systems, Inc. | Means and method for the detection of cardiac events |
| US7801596B2 (en) * | 2002-09-20 | 2010-09-21 | Angel Medical Systems, Inc. | Physician's programmer for implantable devices having cardiac diagnostic and patient alerting capabilities |
| US7991460B2 (en) | 2002-09-20 | 2011-08-02 | Angel Medical Systems, Inc. | Methods and apparatus for detecting cardiac events based on heart rate sensitive parameters |
| US8630702B2 (en) * | 2002-09-20 | 2014-01-14 | Angel Medical Systems, Inc. | System for detection of different types of cardiac events |
| US7031764B2 (en) | 2002-11-08 | 2006-04-18 | Cardiac Pacemakers, Inc. | Cardiac rhythm management systems and methods using multiple morphology templates for discriminating between rhythms |
| US7500955B2 (en) | 2003-06-27 | 2009-03-10 | Cardiac Pacemaker, Inc. | Signal compression based on curvature parameters |
| US7792571B2 (en) * | 2003-06-27 | 2010-09-07 | Cardiac Pacemakers, Inc. | Tachyarrhythmia detection and discrimination based on curvature parameters |
| US20050113886A1 (en) * | 2003-11-24 | 2005-05-26 | Fischell David R. | Implantable medical system with long range telemetry |
| US20070249944A1 (en) * | 2004-05-26 | 2007-10-25 | Fischell David R | Means and method for the detection of cardiac events |
| US20050277841A1 (en) * | 2004-06-10 | 2005-12-15 | Adnan Shennib | Disposable fetal monitor patch |
| US20060030782A1 (en) * | 2004-08-05 | 2006-02-09 | Adnan Shennib | Heart disease detection patch |
| US20060030781A1 (en) * | 2004-08-05 | 2006-02-09 | Adnan Shennib | Emergency heart sensor patch |
| US7277747B2 (en) | 2004-11-23 | 2007-10-02 | Cardiac Pacemakers, Inc. | Arrhythmia memory for tachyarrhythmia discrimination |
| US20060094028A1 (en) * | 2004-11-04 | 2006-05-04 | Welch Allyn, Inc. | Rapid diagnostic assay |
| US20060229679A1 (en) * | 2005-03-31 | 2006-10-12 | Joo Tae H | External defibrillator and a method of determining when to use the external defibrillator |
| US8688189B2 (en) * | 2005-05-17 | 2014-04-01 | Adnan Shennib | Programmable ECG sensor patch |
| US20070016089A1 (en) * | 2005-07-15 | 2007-01-18 | Fischell David R | Implantable device for vital signs monitoring |
| US8838215B2 (en) * | 2006-03-01 | 2014-09-16 | Angel Medical Systems, Inc. | Systems and methods of medical monitoring according to patient state |
| US7774057B2 (en) * | 2005-09-06 | 2010-08-10 | Cardiac Pacemakers, Inc. | Method and apparatus for device controlled gene expression for cardiac protection |
| US20070255184A1 (en) * | 2006-02-10 | 2007-11-01 | Adnan Shennib | Disposable labor detection patch |
| US20070191728A1 (en) * | 2006-02-10 | 2007-08-16 | Adnan Shennib | Intrapartum monitor patch |
| US8781566B2 (en) * | 2006-03-01 | 2014-07-15 | Angel Medical Systems, Inc. | System and methods for sliding-scale cardiac event detection |
| US8002701B2 (en) | 2006-03-10 | 2011-08-23 | Angel Medical Systems, Inc. | Medical alarm and communication system and methods |
| US20100312130A1 (en) * | 2006-06-27 | 2010-12-09 | Yi Zhang | Graded response to myocardial ischemia |
| US8000780B2 (en) | 2006-06-27 | 2011-08-16 | Cardiac Pacemakers, Inc. | Detection of myocardial ischemia from the time sequence of implanted sensor measurements |
| US8005531B2 (en) | 2006-09-29 | 2011-08-23 | The General Electric Company | Method and apparatus with reduced electrode system specific ECG interpretation |
| US8219210B2 (en) * | 2006-10-02 | 2012-07-10 | Cardiac Pacemakers, Inc. | Method and apparatus for identification of ischemic/infarcted regions and therapy optimization |
| US20080081354A1 (en) * | 2006-10-02 | 2008-04-03 | Cardiac Pacemakers, Inc. | Devices, vectors and methods for inducible ischemia cardioprotection |
| US8014863B2 (en) * | 2007-01-19 | 2011-09-06 | Cardiac Pacemakers, Inc. | Heart attack or ischemia detector |
| WO2010081292A1 (zh) * | 2009-01-13 | 2010-07-22 | 华为技术有限公司 | 心电图导联识别方法及装置 |
| US20120323133A1 (en) * | 2010-01-20 | 2012-12-20 | Koninklijke Philips Electronics N.V. | Identification of culprit coronary artery using anatomically oriented ecg data from extended lead set |
| WO2016034203A1 (de) * | 2014-09-01 | 2016-03-10 | Schiller Ag | Verfahren und vorrichtung zur automatischen klassifikation von herzschlägen, computerprogrammprodukt und ekg-gerät zur durchführung des verfahrens |
| JP6595582B2 (ja) * | 2014-09-02 | 2019-10-23 | コーニンクレッカ フィリップス エヌ ヴェ | 虚血監視ｅｃｇアルゴリズムを制御するためのユーザフィードバック |
| KR101647945B1 (ko) * | 2014-11-28 | 2016-08-23 | 광운대학교 산학협력단 | 심근경색 검출 장치 및 방법 |
| WO2016166627A1 (en) * | 2015-04-14 | 2016-10-20 | Koninklijke Philips N.V. | Method and system for ecg based cardiac ischemia detection |
| TWI650104B (zh) * | 2017-08-30 | 2019-02-11 | 美商宇心生醫股份有限公司 | 心電圖擷取裝置及方法 |
| CN110680305B (zh) * | 2019-10-08 | 2021-07-27 | 深圳邦健生物医疗设备股份有限公司 | 确定移行导联位置的方法、装置和计算机设备 |
| US20220330899A1 (en) * | 2021-04-15 | 2022-10-20 | Alivecor, Inc. | Detection and prediction of hypertension induced organ damage using ecg and blood pressure data |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4523595A (en) * | 1981-11-25 | 1985-06-18 | Zibell J Scott | Method and apparatus for automatic detection and treatment of ventricular fibrillation |
| US4546776A (en) * | 1984-09-13 | 1985-10-15 | Bellin Howard T | Portable EKG monitoring device for ST deviation |
| US4957115A (en) * | 1988-03-25 | 1990-09-18 | New England Medical Center Hosp. | Device for determining the probability of death of cardiac patients |
| US5277188A (en) * | 1991-06-26 | 1994-01-11 | New England Medical Center Hospitals, Inc. | Clinical information reporting system |
-
1997
- 1997-01-09 US US08/780,648 patent/US5792066A/en not_active Expired - Lifetime
- 1997-10-06 EP EP97117285A patent/EP0853285B1/en not_active Expired - Lifetime
- 1997-10-06 DE DE69737258T patent/DE69737258T2/de not_active Expired - Lifetime
- 1997-12-04 CN CNB971254087A patent/CN1191783C/zh not_active Expired - Lifetime
-
1998
- 1998-01-07 JP JP00141898A patent/JP4141000B2/ja not_active Expired - Lifetime
Also Published As
| Publication number | Publication date |
|---|---|
| DE69737258D1 (de) | 2007-03-08 |
| EP0853285A1 (en) | 1998-07-15 |
| JPH10192251A (ja) | 1998-07-28 |
| CN1191783C (zh) | 2005-03-09 |
| EP0853285B1 (en) | 2007-01-17 |
| JP4141000B2 (ja) | 2008-08-27 |
| CN1191708A (zh) | 1998-09-02 |
| US5792066A (en) | 1998-08-11 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| 8364 | No opposition during term of opposition |