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    • 6. 发明授权
    • Method and apparatus for predicting recurring ventricular arrhythmias
    • 用于预测复发性室性心律失常的方法和装置
    • US06922585B2
    • 2005-07-26
    • US10117465
    • 2002-04-05
    • Xiaohong ZhouVinod SharmaWalter H. Olson
    • Xiaohong ZhouVinod SharmaWalter H. Olson
    • A61B5/0452A61B5/0402A61B5/046A61B5/0464A61N1/362A61N1/37A61N1/39
    • A61B5/4035A61B5/046A61B5/0464A61N1/3622A61N1/3962
    • An implantable medical device and method are provided for assessing autonomic tone and risk factors associated with arrhythmias and, based on this assessment, an early recurrence of ventricular tachycardia or ventricular fibrillation is predicted. Specifically, changes in R—R interval, heart rate variability, patient activity, and myocardial ischemia are measured prior to and after a detected an arrhythmia episode. A recurrence score is calculated as a weighted sum of measured parameters and compared to a prediction criterion. The prediction criterion may be a preset threshold score or an individualized episode template based on previously calculated recurrence scores associated with recurring episodes. Stored parameters and episode-related data may be downloaded for offline analyses for optimizing prediction criteria and monitoring patient status.
    • 提供了一种用于评估与心律失常相关的自主神经和风险因素的可植入医疗装置和方法,并且基于该评估,预测了室性心动过速或心室颤动的早期复发。 具体地,在检测到心律失常发作之前和之后测量R-R间期,心率变异性,患者活动和心肌缺血的变化。 计算复发得分作为测量参数的加权和并与预测标准进行比较。 预测标准可以是基于先前计算的与重复发作相关联的复发评分的预设阈值评分或个体化发作模板。 可以下载存储的参数和与剧集相关的数据用于离线分析,以优化预测标准和监测患者状态。
    • 8. 发明授权
    • Ischemia detection based on cardiac conduction time
    • 基于心脏传导时间的缺血检测
    • US07415307B2
    • 2008-08-19
    • US10284900
    • 2002-10-31
    • Vinod SharmaWalter H. Olson
    • Vinod SharmaWalter H. Olson
    • A61N1/00
    • A61B5/05A61B5/7203A61N1/362
    • Methods and process for detection of myocardial ischemia involve detection and analysis of changes in electrical conduction velocity within the heart to monitor changes in the condition of the cardiac muscle and indicate possible ischemia. Conduction velocity slows considerably when oxygen supply to the heart is reduced. Analysis of electrical conduction velocity can be used to verify the occurrence of myocardial ischemia in a more reliable manner. Changes in conduction velocity may be monitored based on conduction time between electrodes positioned in the left and right ventricles of the heart. The electrodes may be endocardial or epicardial electrodes. In general, the techniques may involve launching a stimulation waveform at one electrode and sensing a local cardiac depolarization at another electrode to assess conduction time.
    • 用于检测心肌缺血的方法和过程涉及检测和分析心脏内电传导速度的变化,以监测心肌状况的变化并指示可能的缺血。 当心脏供氧减少时,传导速度显着减慢。 电传导速度分析可以更可靠地验证心肌缺血的发生。 可以基于位于心脏左心室和右心室的电极之间的传导时间来监测传导速度的变化。 电极可以是心内膜或心外膜电极。 通常,这些技术可以涉及在一个电极处发射刺激波形并感测另一个电极处的局部心脏去极化以评估传导时间。