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    • 7. 发明申请
    • METHOD OF CONTINUOUS CAPTURE VERIFICATION IN CARDIAC RESYNCHRONIZATION DEVICES
    • 心脏再生装置中连续检测验证方法
    • WO2007076177A1
    • 2007-07-05
    • PCT/US2006/060812
    • 2006-11-12
    • MEDTRONIC, INC.BUSACKER, James W.SHELDON, Todd J.
    • BUSACKER, James W.SHELDON, Todd J.
    • A61N1/00
    • A61N1/3627A61N1/3684A61N1/371
    • In bi-ventricular pacing devices (including CRT devices) analysis of myocardial electrogram signals in one ventricle (e.g., a left ventricle, or "LV") can be used to infer capture or loss-of-capture (LOC) of an earlier stimulus pulse in the same ventricle, on a continuous (every pacing cycle), triggered, aperiodic and/or periodic basis. Rather than using an evoked-response principle as has been the basis of capture detection in prior art and other systems, a principle employed via the present invention uses evidence of inter-ventricular conduction (i.e., from the opposite chamber) and/or atrio-ventricular conduction as evidence of LOC, since a non-capturing pacing stimulus provided to a first chamber will allow the myocardial tissue of the first chamber to remain non-refractory and thus inter-ventricular and atrio-ventricular wavefront propagation and conduction can commence and be detected thereby revealing whether LOC has occurred.
    • 在双心室起搏装置(包括CRT装置)中,可以使用一个心室(例如,左心室或“LV”)分析心肌电图信号来推断早期刺激的捕获或丢失(LOC) 脉冲在同一个心室,连续(每个起搏周期),触发,非周期和/或周期基础。 不是使用诱发反应原理作为现有技术和其他系统中的捕获检测的基础,通过本发明采用的原理使用室间传导(即,从相对的室)和/或心室传导的证据, 心室传导作为LOC的证据,因为提供给第一腔室的非捕获起搏刺激将允许第一腔室的心肌组织保持不耐受,因此可以开始心室间和心房内波前传播和传导 从而揭示LOC是否发生。