JPH0414005B2 - - Google Patents
Info
- Publication number
- JPH0414005B2 JPH0414005B2 JP58143601A JP14360183A JPH0414005B2 JP H0414005 B2 JPH0414005 B2 JP H0414005B2 JP 58143601 A JP58143601 A JP 58143601A JP 14360183 A JP14360183 A JP 14360183A JP H0414005 B2 JPH0414005 B2 JP H0414005B2
- Authority
- JP
- Japan
- Prior art keywords
- probe
- cardiac
- signal
- local
- circuit
- 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
- 230000000747 cardiac effect Effects 0.000 claims description 108
- 239000000523 sample Substances 0.000 claims description 92
- 210000002216 heart Anatomy 0.000 claims description 73
- 230000000694 effects Effects 0.000 claims description 70
- 230000000638 stimulation Effects 0.000 claims description 63
- 230000002861 ventricular Effects 0.000 claims description 59
- 230000001746 atrial effect Effects 0.000 claims description 58
- 230000004044 response Effects 0.000 claims description 48
- 230000028161 membrane depolarization Effects 0.000 claims description 40
- 230000002107 myocardial effect Effects 0.000 claims description 40
- 210000001519 tissue Anatomy 0.000 claims description 33
- 210000002837 heart atrium Anatomy 0.000 claims description 29
- 238000000034 method Methods 0.000 claims description 27
- 238000012545 processing Methods 0.000 claims description 16
- 210000005003 heart tissue Anatomy 0.000 claims description 10
- 230000001105 regulatory effect Effects 0.000 claims description 8
- 210000001008 atrial appendage Anatomy 0.000 claims description 6
- 230000001965 increasing effect Effects 0.000 claims description 6
- 230000008602 contraction Effects 0.000 claims description 5
- 210000003748 coronary sinus Anatomy 0.000 claims description 5
- 230000007423 decrease Effects 0.000 claims description 3
- 230000002123 temporal effect Effects 0.000 claims description 3
- 230000002169 extracardiac Effects 0.000 claims description 2
- 230000001939 inductive effect Effects 0.000 claims 2
- 230000033228 biological regulation Effects 0.000 claims 1
- 238000012790 confirmation Methods 0.000 claims 1
- 230000008878 coupling Effects 0.000 claims 1
- 238000010168 coupling process Methods 0.000 claims 1
- 238000005859 coupling reaction Methods 0.000 claims 1
- 238000005259 measurement Methods 0.000 claims 1
- 210000004165 myocardium Anatomy 0.000 description 20
- 230000004913 activation Effects 0.000 description 16
- 210000005245 right atrium Anatomy 0.000 description 16
- 230000005540 biological transmission Effects 0.000 description 14
- 239000012530 fluid Substances 0.000 description 14
- 238000010586 diagram Methods 0.000 description 11
- 210000005247 right atrial appendage Anatomy 0.000 description 11
- 238000002565 electrocardiography Methods 0.000 description 9
- 230000002159 abnormal effect Effects 0.000 description 8
- 210000001992 atrioventricular node Anatomy 0.000 description 8
- 210000001013 sinoatrial node Anatomy 0.000 description 8
- 238000011161 development Methods 0.000 description 7
- 210000005242 cardiac chamber Anatomy 0.000 description 6
- 230000005284 excitation Effects 0.000 description 6
- 238000000718 qrs complex Methods 0.000 description 6
- 230000033764 rhythmic process Effects 0.000 description 5
- 230000005856 abnormality Effects 0.000 description 4
- 210000005241 right ventricle Anatomy 0.000 description 4
- 230000004936 stimulating effect Effects 0.000 description 4
- 206010047302 ventricular tachycardia Diseases 0.000 description 4
- 208000001871 Tachycardia Diseases 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 238000006243 chemical reaction Methods 0.000 description 3
- 238000013461 design Methods 0.000 description 3
- 230000009177 electrical depolarization Effects 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 238000007667 floating Methods 0.000 description 3
- 230000006794 tachycardia Effects 0.000 description 3
- 206010016654 Fibrosis Diseases 0.000 description 2
- 102100026827 Protein associated with UVRAG as autophagy enhancer Human genes 0.000 description 2
- 101710102978 Protein associated with UVRAG as autophagy enhancer Proteins 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 206010003119 arrhythmia Diseases 0.000 description 2
- 206010003668 atrial tachycardia Diseases 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000009977 dual effect Effects 0.000 description 2
- 230000005672 electromagnetic field Effects 0.000 description 2
- 230000000763 evoking effect Effects 0.000 description 2
- 230000004761 fibrosis Effects 0.000 description 2
- 239000012634 fragment Substances 0.000 description 2
- 230000010247 heart contraction Effects 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 238000007914 intraventricular administration Methods 0.000 description 2
- 230000002028 premature Effects 0.000 description 2
- 230000004213 regulation of atrial cardiomyocyte membrane depolarization Effects 0.000 description 2
- 230000034225 regulation of ventricular cardiomyocyte membrane depolarization Effects 0.000 description 2
- 238000007920 subcutaneous administration Methods 0.000 description 2
- 208000003663 ventricular fibrillation Diseases 0.000 description 2
- 206010003130 Arrhythmia supraventricular Diseases 0.000 description 1
- 206010003662 Atrial flutter Diseases 0.000 description 1
- 206010033557 Palpitations Diseases 0.000 description 1
- 208000004301 Sinus Arrhythmia Diseases 0.000 description 1
- 206010040738 Sinus arrest Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 230000003288 anthiarrhythmic effect Effects 0.000 description 1
- 230000006793 arrhythmia Effects 0.000 description 1
- 230000009910 autonomic response Effects 0.000 description 1
- 210000004375 bundle of his Anatomy 0.000 description 1
- 206010061592 cardiac fibrillation Diseases 0.000 description 1
- 239000002327 cardiovascular agent Substances 0.000 description 1
- 229940125692 cardiovascular agent Drugs 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000001143 conditioned effect Effects 0.000 description 1
- 230000002950 deficient Effects 0.000 description 1
- 230000003111 delayed effect Effects 0.000 description 1
- 230000003205 diastolic effect Effects 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 230000005684 electric field Effects 0.000 description 1
- 210000002615 epidermis Anatomy 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000002600 fibrillogenic effect Effects 0.000 description 1
- 208000019622 heart disease Diseases 0.000 description 1
- 230000005764 inhibitory process Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 210000005244 lower chamber Anatomy 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 210000000653 nervous system Anatomy 0.000 description 1
- 239000012811 non-conductive material Substances 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 230000010287 polarization Effects 0.000 description 1
- 230000000750 progressive effect Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 230000004043 responsiveness Effects 0.000 description 1
- 210000002027 skeletal muscle Anatomy 0.000 description 1
- 210000003491 skin Anatomy 0.000 description 1
- 238000010183 spectrum analysis Methods 0.000 description 1
- 230000009163 spontaneous depolarization Effects 0.000 description 1
- 230000002269 spontaneous effect Effects 0.000 description 1
- 201000002931 third-degree atrioventricular block Diseases 0.000 description 1
- 210000000591 tricuspid valve Anatomy 0.000 description 1
- 210000005243 upper chamber Anatomy 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- 230000002747 voluntary effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/056—Transvascular endocardial electrode systems
-
- 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
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/283—Invasive
- A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Biophysics (AREA)
- Physiology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Pathology (AREA)
- Physics & Mathematics (AREA)
- Vascular Medicine (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US40569582A | 1982-08-05 | 1982-08-05 | |
| US405695 | 1989-09-11 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPS5982831A JPS5982831A (ja) | 1984-05-14 |
| JPH0414005B2 true JPH0414005B2 (enExample) | 1992-03-11 |
Family
ID=23604818
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP58143601A Granted JPS5982831A (ja) | 1982-08-05 | 1983-08-05 | 心臓活動を感知するための装置およびプローブおよび回路組合せ装置 |
Country Status (5)
| Country | Link |
|---|---|
| JP (1) | JPS5982831A (enExample) |
| DE (1) | DE3322900A1 (enExample) |
| FR (1) | FR2533817B1 (enExample) |
| IT (1) | IT1161941B (enExample) |
| NL (1) | NL8302742A (enExample) |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE4126363B4 (de) * | 1991-08-06 | 2004-11-04 | Biotronik Gmbh & Co. Kg | Herzschrittmacher mit Mitteln zur Effektivitätserkennung |
| USRE41334E1 (en) * | 1992-09-23 | 2010-05-11 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Endocardial mapping system |
| CN102307619B (zh) * | 2009-02-06 | 2014-08-27 | 心脏起搏器股份公司 | 可植入装置中的交叉通道噪声检测器 |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4365639A (en) * | 1980-02-07 | 1982-12-28 | Applied Cardiac Electrophysiology | Catheter, cardiac pacemaker and method of pacing |
-
1983
- 1983-06-15 IT IT21642/83A patent/IT1161941B/it active
- 1983-06-25 DE DE19833322900 patent/DE3322900A1/de not_active Withdrawn
- 1983-08-03 NL NL8302742A patent/NL8302742A/nl not_active Application Discontinuation
- 1983-08-04 FR FR8312910A patent/FR2533817B1/fr not_active Expired
- 1983-08-05 JP JP58143601A patent/JPS5982831A/ja active Granted
Also Published As
| Publication number | Publication date |
|---|---|
| IT1161941B (it) | 1987-03-18 |
| NL8302742A (nl) | 1984-03-01 |
| IT8321642A0 (it) | 1983-06-15 |
| FR2533817A1 (fr) | 1984-04-06 |
| JPS5982831A (ja) | 1984-05-14 |
| DE3322900A1 (de) | 1984-04-26 |
| FR2533817B1 (fr) | 1988-11-25 |
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