ES2739812T3 - Sistema y método para ajustar automáticamente los parámetros de control de la terapia de resincronización cardíaca - Google Patents

Sistema y método para ajustar automáticamente los parámetros de control de la terapia de resincronización cardíaca Download PDF

Info

Publication number
ES2739812T3
ES2739812T3 ES12811723T ES12811723T ES2739812T3 ES 2739812 T3 ES2739812 T3 ES 2739812T3 ES 12811723 T ES12811723 T ES 12811723T ES 12811723 T ES12811723 T ES 12811723T ES 2739812 T3 ES2739812 T3 ES 2739812T3
Authority
ES
Spain
Prior art keywords
fusion
electrostimulation
activation
electrical
phenotype
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.)
Active
Application number
ES12811723T
Other languages
English (en)
Spanish (es)
Inventor
Michael Sweeney
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Brigham and Womens Hospital Inc
Original Assignee
Brigham and Womens Hospital 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 Brigham and Womens Hospital Inc filed Critical Brigham and Womens Hospital Inc
Application granted granted Critical
Publication of ES2739812T3 publication Critical patent/ES2739812T3/es
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61B5/366—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
    • 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
    • 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
    • A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
    • A61N1/3682—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions with a variable atrioventricular delay

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (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)
ES12811723T 2011-07-14 2012-07-16 Sistema y método para ajustar automáticamente los parámetros de control de la terapia de resincronización cardíaca Active ES2739812T3 (es)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201161507760P 2011-07-14 2011-07-14
PCT/US2012/046907 WO2013010165A1 (en) 2011-07-14 2012-07-16 System and method for automated adjustment of cardiac resynchronization therapy control parameters

Publications (1)

Publication Number Publication Date
ES2739812T3 true ES2739812T3 (es) 2020-02-04

Family

ID=47506602

Family Applications (1)

Application Number Title Priority Date Filing Date
ES12811723T Active ES2739812T3 (es) 2011-07-14 2012-07-16 Sistema y método para ajustar automáticamente los parámetros de control de la terapia de resincronización cardíaca

Country Status (6)

Country Link
US (1) US10029103B2 (enExample)
EP (1) EP2731672B1 (enExample)
JP (1) JP6105576B2 (enExample)
CN (1) CN103796714B (enExample)
ES (1) ES2739812T3 (enExample)
WO (1) WO2013010165A1 (enExample)

Families Citing this family (67)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9510763B2 (en) 2011-05-03 2016-12-06 Medtronic, Inc. Assessing intra-cardiac activation patterns and electrical dyssynchrony
US9204815B2 (en) * 2012-05-04 2015-12-08 The Cleveland Clinic Foundation Frequency analysis tool for cardiac resynchronization
US9278219B2 (en) 2013-03-15 2016-03-08 Medtronic, Inc. Closed loop optimization of control parameters during cardiac pacing
US10064567B2 (en) 2013-04-30 2018-09-04 Medtronic, Inc. Systems, methods, and interfaces for identifying optimal electrical vectors
US9931048B2 (en) 2013-04-30 2018-04-03 Medtronic, Inc. Systems, methods, and interfaces for identifying effective electrodes
US10251555B2 (en) 2013-06-12 2019-04-09 Medtronic, Inc. Implantable electrode location selection
US9877789B2 (en) 2013-06-12 2018-01-30 Medtronic, Inc. Implantable electrode location selection
US9474457B2 (en) 2013-06-12 2016-10-25 Medtronic, Inc. Metrics of electrical dyssynchrony and electrical activation patterns from surface ECG electrodes
US9278220B2 (en) 2013-07-23 2016-03-08 Medtronic, Inc. Identification of healthy versus unhealthy substrate for pacing from a multipolar lead
US9282907B2 (en) 2013-07-23 2016-03-15 Medtronic, Inc. Identification of healthy versus unhealthy substrate for pacing from a multipolar lead
US9265954B2 (en) 2013-07-26 2016-02-23 Medtronic, Inc. Method and system for improved estimation of time of left ventricular pacing with respect to intrinsic right ventricular activation in cardiac resynchronization therapy
US9265955B2 (en) 2013-07-26 2016-02-23 Medtronic, Inc. Method and system for improved estimation of time of left ventricular pacing with respect to intrinsic right ventricular activation in cardiac resynchronization therapy
US9986928B2 (en) 2013-12-09 2018-06-05 Medtronic, Inc. Noninvasive cardiac therapy evaluation
US9320446B2 (en) 2013-12-09 2016-04-26 Medtronic, Inc. Bioelectric sensor device and methods
US9776009B2 (en) 2014-03-20 2017-10-03 Medtronic, Inc. Non-invasive detection of phrenic nerve stimulation
US10172568B2 (en) * 2014-07-14 2019-01-08 Medtronic, Inc. Determining prospective risk of heart failure hospitalization
US9591982B2 (en) 2014-07-31 2017-03-14 Medtronic, Inc. Systems and methods for evaluating cardiac therapy
US9586052B2 (en) 2014-08-15 2017-03-07 Medtronic, Inc. Systems and methods for evaluating cardiac therapy
US9764143B2 (en) 2014-08-15 2017-09-19 Medtronic, Inc. Systems and methods for configuration of interventricular interval
US9586050B2 (en) 2014-08-15 2017-03-07 Medtronic, Inc. Systems and methods for configuration of atrioventricular interval
US11253178B2 (en) 2015-01-29 2022-02-22 Medtronic, Inc. Noninvasive assessment of cardiac resynchronization therapy
CN104546428B (zh) * 2015-01-30 2016-06-15 张建卿 复合多功能三维立体心脏保护罩
US10166396B2 (en) * 2015-04-24 2019-01-01 Medtronic, Inc. Efficient delivery of multi-site pacing
US9656087B2 (en) * 2015-07-31 2017-05-23 Medtronic, Inc. Delivery of bi-ventricular pacing therapy in a cardiac medical device and medical device system
EP3389770B1 (fr) * 2015-12-18 2020-08-26 Sorin CRM SAS Dispositif médical implantable actif de type resynchroniseur cardiaque avec adaptation dynamique du délai atrioventriculaire en fonction d'un degré de fusion détecté et quantifié
US10780279B2 (en) * 2016-02-26 2020-09-22 Medtronic, Inc. Methods and systems of optimizing right ventricular only pacing for patients with respect to an atrial event and left ventricular event
US11219769B2 (en) * 2016-02-26 2022-01-11 Medtronic, Inc. Noninvasive methods and systems of determining the extent of tissue capture from cardiac pacing
EP3474945B1 (en) 2016-06-27 2022-12-28 Cardiac Pacemakers, Inc. Cardiac therapy system using subcutaneously sensed p-waves for resynchronization pacing management
WO2018009392A1 (en) 2016-07-07 2018-01-11 Cardiac Pacemakers, Inc. Leadless pacemaker using pressure measurements for pacing capture verification
WO2018039322A1 (en) 2016-08-24 2018-03-01 Cardiac Pacemakers, Inc. Cardiac resynchronization using fusion promotion for timing management
CN109640809B (zh) 2016-08-24 2021-08-17 心脏起搏器股份公司 使用p波到起搏定时的集成式多装置心脏再同步治疗
US10758737B2 (en) 2016-09-21 2020-09-01 Cardiac Pacemakers, Inc. Using sensor data from an intracardially implanted medical device to influence operation of an extracardially implantable cardioverter
WO2018081017A1 (en) 2016-10-27 2018-05-03 Cardiac Pacemakers, Inc. Implantable medical device with pressure sensor
US10463305B2 (en) 2016-10-27 2019-11-05 Cardiac Pacemakers, Inc. Multi-device cardiac resynchronization therapy with timing enhancements
EP3541471B1 (en) 2016-11-21 2021-01-20 Cardiac Pacemakers, Inc. Leadless cardiac pacemaker providing cardiac resynchronization therapy
US11207532B2 (en) 2017-01-04 2021-12-28 Cardiac Pacemakers, Inc. Dynamic sensing updates using postural input in a multiple device cardiac rhythm management system
US10532213B2 (en) 2017-03-03 2020-01-14 Medtronic, Inc. Criteria for determination of local tissue latency near pacing electrode
US10987517B2 (en) 2017-03-15 2021-04-27 Medtronic, Inc. Detection of noise signals in cardiac signals
CN111050841B (zh) 2017-07-28 2023-09-26 美敦力公司 心动周期选择
CN110996784B (zh) 2017-07-28 2023-05-30 美敦力公司 生成激动时间
EP3668592B1 (en) 2017-08-18 2021-11-17 Cardiac Pacemakers, Inc. Implantable medical device with pressure sensor
US10786167B2 (en) 2017-12-22 2020-09-29 Medtronic, Inc. Ectopic beat-compensated electrical heterogeneity information
US10799703B2 (en) 2017-12-22 2020-10-13 Medtronic, Inc. Evaluation of his bundle pacing therapy
US11419539B2 (en) 2017-12-22 2022-08-23 Regents Of The University Of Minnesota QRS onset and offset times and cycle selection using anterior and posterior electrode signals
US10492705B2 (en) 2017-12-22 2019-12-03 Regents Of The University Of Minnesota Anterior and posterior electrode signals
US10433746B2 (en) 2017-12-22 2019-10-08 Regents Of The University Of Minnesota Systems and methods for anterior and posterior electrode signal analysis
US10617318B2 (en) 2018-02-27 2020-04-14 Medtronic, Inc. Mapping electrical activity on a model heart
US10668290B2 (en) 2018-03-01 2020-06-02 Medtronic, Inc. Delivery of pacing therapy by a cardiac pacing device
US10918870B2 (en) 2018-03-07 2021-02-16 Medtronic, Inc. Atrial lead placement for treatment of atrial dyssynchrony
US10780281B2 (en) 2018-03-23 2020-09-22 Medtronic, Inc. Evaluation of ventricle from atrium pacing therapy
US11285312B2 (en) 2018-03-29 2022-03-29 Medtronic, Inc. Left ventricular assist device adjustment and evaluation
US11304641B2 (en) 2018-06-01 2022-04-19 Medtronic, Inc. Systems, methods, and interfaces for use in cardiac evaluation
US10940321B2 (en) 2018-06-01 2021-03-09 Medtronic, Inc. Systems, methods, and interfaces for use in cardiac evaluation
EP3806951B1 (en) * 2018-06-14 2024-07-24 Medtronic, Inc. Delivery of cardiac pacing therapy for cardiac remodeling
US11298548B2 (en) * 2019-01-23 2022-04-12 Medtronic, Inc. Dual-electrogram based control of cardiac resynchronization therapy
US11547858B2 (en) 2019-03-29 2023-01-10 Medtronic, Inc. Systems, methods, and devices for adaptive cardiac therapy
US11697025B2 (en) 2019-03-29 2023-07-11 Medtronic, Inc. Cardiac conduction system capture
WO2020257388A1 (en) * 2019-06-19 2020-12-24 Allina Health System Systems and methods for optimizing implantable medical device characteristics using data structures and graphical representations
US11497431B2 (en) 2019-10-09 2022-11-15 Medtronic, Inc. Systems and methods for configuring cardiac therapy
US12201843B2 (en) 2019-10-09 2025-01-21 Medtronic, Inc. Synchronizing external electrical activity
US11642533B2 (en) 2019-11-04 2023-05-09 Medtronic, Inc. Systems and methods for evaluating cardiac therapy
US12383183B2 (en) 2020-01-30 2025-08-12 Medtronic, Inc. Disturbance detection and removal in cardiac signals
US12023503B2 (en) 2020-07-30 2024-07-02 Medtronic, Inc. ECG belt systems to interoperate with IMDs
US12465770B2 (en) 2020-07-31 2025-11-11 Medtronic, Inc. Coronary sinus conduction system pacing and delivery
US11813464B2 (en) 2020-07-31 2023-11-14 Medtronic, Inc. Cardiac conduction system evaluation
US12280260B2 (en) 2020-12-02 2025-04-22 Medtronic, Inc. Evaluation and adjustment of left bundle branch (LBB) pacing therapy
CN116870365A (zh) * 2022-01-30 2023-10-13 合源医疗器械(上海)有限公司 脉冲刺激控制方法、装置、医疗系统、电子设备及介质

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6993389B2 (en) * 2001-03-30 2006-01-31 Cardiac Pacemakers, Inc. Identifying heart failure patients suitable for resynchronization therapy using QRS complex width from an intracardiac electrogram
WO2003020364A2 (en) 2001-08-28 2003-03-13 Medtronic, Inc. Implantable medical device for treating cardiac mechanical dysfunction by electrical stimulation
US6934586B2 (en) 2002-04-22 2005-08-23 Medtronic, Inc. Cardiac resynchronization with adaptive A1-A2 and/or V1-V2 intervals
US6978184B1 (en) * 2002-07-29 2005-12-20 Marcus Frank I Optimization method for cardiac resynchronization therapy
US7142922B2 (en) 2002-12-20 2006-11-28 Cardiac Pacemakers, Inc. Method and apparatus for predicting acute response to cardiac resynchronization therapy at a given stimulation site
US7013176B2 (en) 2003-01-28 2006-03-14 Cardiac Pacemakers, Inc. Method and apparatus for setting pacing parameters in cardiac resynchronization therapy
US6885889B2 (en) 2003-02-28 2005-04-26 Medtronic, Inc. Method and apparatus for optimizing cardiac resynchronization therapy based on left ventricular acceleration
US7079895B2 (en) 2003-04-25 2006-07-18 Medtronic, Inc. Cardiac pacing for optimal intra-left ventricular resynchronization
WO2006069033A1 (en) 2004-12-20 2006-06-29 Medtronic, Inc. Automatic lv / rv capture verification and diagnostics
US8214041B2 (en) 2005-04-19 2012-07-03 Medtronic, Inc. Optimization of AV intervals in single ventricle fusion pacing through electrogram morphology
US7570999B2 (en) 2005-12-20 2009-08-04 Cardiac Pacemakers, Inc. Implantable device for treating epilepsy and cardiac rhythm disorders
US8725255B2 (en) * 2006-11-17 2014-05-13 Cardiac Pacemakers, Inc. Cardiac resynchronization therapy optimization using cardiac activation sequence information
DE602008004206D1 (de) 2007-12-13 2011-02-10 Ela Medical Sa Medizinische Vorrichtung zur Bestimmung des Herzzustands eines Patienten, dem ein aktives Implantat zur biventrikulären Stimulation eingesetzt wurde
US8145308B2 (en) * 2008-03-13 2012-03-27 Medtronic, Inc. Method and apparatus for determining a parameter associated with delivery of therapy in a medical device
US20090299423A1 (en) 2008-06-03 2009-12-03 Pacesetter, Inc. Systems and methods for determining inter-atrial conduction delays using multi-pole left ventricular pacing/sensing leads
WO2010039501A1 (en) * 2008-10-03 2010-04-08 Cardiac Pacemakers, Inc. Methods and apparatuses for cardiac resynchronization therapy mode selection based on intrinsic conduction
US8478388B2 (en) * 2009-04-07 2013-07-02 Pacesetter, Inc. Cardiac coordinate system for motion analysis

Also Published As

Publication number Publication date
JP2014522697A (ja) 2014-09-08
EP2731672B1 (en) 2019-06-05
WO2013010165A1 (en) 2013-01-17
CN103796714A (zh) 2014-05-14
EP2731672A1 (en) 2014-05-21
US20140222099A1 (en) 2014-08-07
EP2731672A4 (en) 2015-04-01
CN103796714B (zh) 2016-03-09
JP6105576B2 (ja) 2017-03-29
US10029103B2 (en) 2018-07-24

Similar Documents

Publication Publication Date Title
ES2739812T3 (es) Sistema y método para ajustar automáticamente los parámetros de control de la terapia de resincronización cardíaca
US8326419B2 (en) Therapy optimization via multi-dimensional mapping
US8202224B2 (en) System and method for calibrating cardiac pressure measurements derived from signals detected by an implantable medical device
US9462959B2 (en) Methods and systems that use implanted posture sensor to monitor left atrial pressure and/or inter-thoracic fluid volume
CN111065435B (zh) 用于管理心力衰竭的系统和方法
US11890115B2 (en) Heart failure progression monitoring based on LV conduction pattern and morphology trends
US20110319954A1 (en) Metrics and techniques for optimization of cardiac therapies
US20140172035A1 (en) Method and apparatus for right ventricular resynchronization
US8812093B2 (en) Systems and methods for exploiting near-field impedance and admittance for use with implantable medical devices
JP6522515B2 (ja) 心臓再同期療法（ｃｒｔ）を最適化するためのシステム及び方法
US7794404B1 (en) System and method for estimating cardiac pressure using parameters derived from impedance signals detected by an implantable medical device
US20210016096A1 (en) Method and device for verifying atrial activity oversensing consistency on his sensing channel
US20110319769A1 (en) Ischemic status monitoring
US9155896B2 (en) Method and apparatus for improving cardiac efficiency based on myocardial oxygen consumption
US9549674B2 (en) Method and device for estimating a myocardial performance parameter
US8744601B2 (en) Methods for optimization of biventricular pacing devices and systems useful therefor
US9248294B2 (en) Method and apparatus for optimization of cardiac resynchronization therapy using vectorcardiograms derived from implanted electrodes
CN117042839A (zh) 用于植入式脉冲发生器的引线定位
US9675805B2 (en) Method and system for localizing left ventricular conduction non-uniformity
CN119677558A (zh) 区分左束分支区域起搏和心室间隔起搏