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    • 10. 发明申请
    • ISCHEMIA DETECTION
    • ISCHEMIA检测
    • WO2004047917A1
    • 2004-06-10
    • PCT/US2003/035881
    • 2003-11-12
    • MEDTRONIC, INC.
    • SHELDON, Todd, J.NELSON, Shannon, D.STYLOS, LeeSTADLER, Robert, W.
    • A61N1/365
    • A61N1/368A61N1/3627A61N1/36585
    • Techniques for detection and treatment of myocardial ischemia are described that monitor both the electrical and dynamic mechanical activity of the heart to detect and verify the occurrence of myocardial ischemia in a more reliable manner. The occurrence of myocardial ischemia can be detected by monitoring changes in an electrical signal such as an ECG or EGM, and changes in dynamic mechanical activity of the heart that are sensed by an accelerometer sensor. The heart acceleration signal can be obtained from an single- or multiple-axis accelerometer and/or a pressure sensor deployed within or near the heart. The techniques correlate contractility changes detected by an accelerometer or pressure sensor with changes in the ST electrogram segment detected by the electrodes to increase the reliability of ischemia detection.
    • 描述了用于检测和治疗心肌缺血的技术,其监测心脏的电和动态机械活性以更可靠的方式检测和验证心肌缺血的发生。 可以通过监测诸如ECG或EGM的电信号的变化以及由加速度计传感器感测到的心脏的动态机械活动的变化来检测心肌缺血的发生。 心脏加速度信号可以从部署在心脏内部或附近的单轴或多轴加速度计和/或压力传感器获得。 该技术将由加速度计或压力传感器检测到的收缩性变化与由电极检测到的ST电描绘部分的变化相关联,以增加缺血检测的可靠性。