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    • 12. 发明申请
    • Temperature Based Systems and Methods for Tachycardia Discrimination and Therapy
    • 基于温度的系统和方法用于心动过速鉴别和治疗
    • US20090254137A1
    • 2009-10-08
    • US12411157
    • 2009-03-25
    • Rodney W. SaloAllan Charles ShurosDan Li
    • Rodney W. SaloAllan Charles ShurosDan Li
    • A61N1/05
    • A61N1/3622A61N1/3962
    • Embodiments of the invention are related to an implantable medical system, amongst other things. In an embodiment, the invention includes a processor, an electrical sensor, and a temperature sensor. The processor is configured to monitor myocardial electrical activity with input from the electrical sensor; identify myocardial electrical activity indicative of an arrhythmia, measure temperature of blood in the coronary venous system with input from the temperature sensor; determine if the arrhythmia is hemodynamically stable or hemodynamically unstable based on the temperature of blood in the coronary venous system, and initiate high-voltage shock therapy if the arrhythmia is hemodynamically unstable. Other embodiments are also included herein.
    • 本发明的实施例涉及可植入医疗系统等。 在一个实施例中,本发明包括处理器,电传感器和温度传感器。 处理器被配置为通过来自电传感器的输入来监测心肌电活动; 识别指示心律失常的心肌电活动,用来自温度传感器的输入测量冠状静脉系统中血液的温度; 根据冠状静脉系统中的血液温度,确定心律失常是否为血液动力学稳定或血液动力学不稳定,如果心律失常是血液动力学不稳定的话,开始进行高压休克治疗。 本文还包括其它实施例。
    • 15. 发明申请
    • METHOD AND DEVICE FOR MYOCARDIAL STRESS REDISTRIBUTION
    • 用于心肌应激再分配的方法和装置
    • US20080234772A1
    • 2008-09-25
    • US11689032
    • 2007-03-21
    • Allan C. ShurosRodney W. SaloShantha Arcot-Krishnamurthy
    • Allan C. ShurosRodney W. SaloShantha Arcot-Krishnamurthy
    • A61N1/362
    • A61N1/3627
    • Methods and devices are described for delivering electrical stimulation to the heart in a manner that advantageously redistributes myocardial stress during systole for therapeutic purposes in the treatment of, for example, post-MI and HF patients. Pre-excitation pacing may be applied to deliberately de-stress a particular myocardial region that may be expected to undergo deleterious remodeling, such an the area around a myocardial infarct or a hypertrophying region or to deliberately stress a region remote from the pre-excitation pacing site in order to exert a cardioprotective conditioning effect, similar to the beneficial effects of exercise. Pre-excitation pacing may be advantageously combined with inotropic electrical stimulation applied to the stressed region.
    • 描述了将方法和装置以有效地将收缩期内的心肌应力重新分配到治疗目的的治疗目的的心脏和心脏病和心脏病患者的方式,以向心脏递送电刺激。 预激发起搏可用于故意减压可能预期会发生有害重塑的特定心肌区域,例如心肌梗塞或肥大区域周围的区域,或故意压迫远离预激励起搏的区域 为了发挥心脏保护性调理作用,类似于运动的有益效果。 预激发起搏可以有利地与施加到应激区域的变力电刺激组合。
    • 16. 发明申请
    • SYSTEMS AND METHODS FOR ELECTRICAL STIMULATION OF BLOOD VESSELS
    • 血管电刺激系统与方法
    • US20080195174A1
    • 2008-08-14
    • US11674463
    • 2007-02-13
    • Joseph WalkerRodney W. SaloAnand IyerJoseph M. PastoreEric Mokelke
    • Joseph WalkerRodney W. SaloAnand IyerJoseph M. PastoreEric Mokelke
    • A61N1/36
    • A61N1/36114A61N1/36117
    • Disclosed herein, among other things, is a system for electrical stimulation of blood vessels. An embodiment of the system includes at least one electrode having electrical contact with a blood vessel. The embodiment also includes a stimulation circuit electrically connected to the electrode, the circuit adapted to provide stimulation to the vessel. The embodiment further includes a controller connected to the circuit, the controller adapted to select frequency and voltage parameters for the stimulation circuit to selectively affect vascular therapy, including constriction of the vessel and dilation of the vessel. According to various embodiments, the stimulation circuit and controller are contained within an implantable medical device (IMD). The system also includes a sensor connected to the controller, and the controller initiates and adjusts therapy based on a signal received from the sensor, in varying embodiments.
    • 此处公开的是用于电刺激血管的系统。 该系统的一个实施例包括至少一个与血管电接触的电极。 该实施例还包括电连接到电极的刺激电路,该电路适于向容器提供刺激。 该实施例还包括连接到电路的控制器,所述控制器适于选择用于刺激电路的频率和电压参数,以选择性地影响血管治疗,包括容器收缩和血管扩张。 根据各种实施例,刺激电路和控制器被包含在可植入医疗装置(IMD)内。 该系统还包括连接到控制器的传感器,并且在不同的实施例中,控制器基于从传感器接收的信号来启动和调整治疗。