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    • 4. 发明申请
    • ISCHEMIA DETECTION AND CLASSIFICATION
    • ISCHEMIA检测和分类
    • WO2012057852A1
    • 2012-05-03
    • PCT/US2011/033811
    • 2011-04-25
    • MEDTRONIC, INC.SONG, ZhendongSTADLER, Robert, W.
    • SONG, ZhendongSTADLER, Robert, W.
    • A61B5/0452A61B5/0245
    • A61B5/0452A61B5/0245A61B5/1118
    • Techniques for detecting ischemia and classifying a type of ischemia are described. Electrograms of cardiac activity may be generated using implanted or external electrodes, e.g., electrodes carried on vascular leads within the heart and a housing electrode. In some examples, ischemia is detected and classified as benign or malignant based on whether a change an electrogram metric is detected, or first detected, in an endocardial electrogram or a non-endocardial electrogram. The relative timing of the change in the electrogram metric and a change in heart rate or patient activity may also be considered. In some examples, the system may create a stress test for detecting ischemia by instructing the patient to exercise or increasing the cardiac pacing rate.
    • 描述了用于检测缺血和分类一种缺血的技术。 可以使用植入或外部电极(例如,在心脏内的血管引线上承载的电极和外壳电极)产生心脏活动的电描记图。 在一些实例中,基于在心内膜电图或非心内膜电图中是否检测到或者首先检测到电描记图量度,检测到缺血并将其分类为良性或恶性。 也可以考虑电描记图度量的变化和心率或患者活动变化的相对时间。 在一些实例中,系统可以通过指示患者运动或增加心脏起搏速率来产生用于检测缺血的压力测试。
    • 5. 发明申请
    • VIRTUAL PHYSICIAN ACUTE MYOCARDIAL INFARCTION DETECTION SYSTEM AND METHOD
    • 虚拟医学急性心肌梗死检测系统及方法
    • WO2010011632A1
    • 2010-01-28
    • PCT/US2009/051220
    • 2009-07-21
    • MEDTRONIC, INC.WENGREEN, Eric, J.SONG, ZhendongLEE, Brian, B.
    • WENGREEN, Eric, J.SONG, ZhendongLEE, Brian, B.
    • A61B5/00
    • A61B5/0002A61B5/0006A61B5/0031A61B5/02405A61B5/0404A61B5/0452A61B5/04525A61B5/076A61N1/365
    • A system and method for virtually detecting a medical condition, such as acute myocardial infarction (AMI), in a patient using holistic diagnostic procedures implemented in medical devices. Physiological parameters in a patient are monitored in an implantable medical device (IMD) to detect deviations from desired characteristics. When severe physiological parameter deviations exist indicating with a desired certainty that the patient is experiencing a medical condition (e.g., AMI), an alert is generated. If only minor deviations from the desired characteristics exist, additional holistic diagnostic procedures are performed virtually for diagnosing whether the patient is likely to be experiencing the medical condition, such as querying the patient through an external device regarding symptoms the patient is experiencing and analyzing the patient's responses to the questions to determine whether the patient is experiencing the medical condition. When diagnosis is still unclear, additional holistic diagnostic procedures can be performed virtually until diagnosis is certain.
    • 用于使用在医疗装置中实施的整体诊断程序来虚拟检测医疗状况的系统和方法,例如急性心肌梗塞(AMI)。 在可植入医疗器械(IMD)中监测患者的生理参数,以检测与所需特征的偏差。 当存在严重的生理参数偏差,指示患者正在经历医疗状况(例如,AMI)的期望确定性时,产生警报。 如果仅存在与期望特征的微小偏差,则虚拟地执行附加的整体诊断程序,用于诊断患者是否可能经历医疗状况,例如通过外部设备查询患者所遇到的症状并分析患者的 回答问题以确定患者是否正在经历医疗状况。 当诊断仍不清楚时,可以进行额外的整体诊断程序,直到诊断确定为止。