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    • 5. 发明授权
    • Identification of pacing site
    • 鉴定起搏部位
    • US08620432B2
    • 2013-12-31
    • US13171952
    • 2011-06-29
    • Sven-Erik HedbergNils HolmströmJohn GustafssonAndreas BlomqvistAndreas Karlsson
    • Sven-Erik HedbergNils HolmströmJohn GustafssonAndreas BlomqvistAndreas Karlsson
    • A61N1/00
    • A61N1/3686A61N1/36521
    • An implantable medical device applies an electric signal over two electrodes and measures the resulting electric signal over a candidate pair of neighboring electrodes on a lead for a first heart ventricle or over a candidate electrode of the lead and a case electrode. An impedance signal is determined for each candidate pair or electrode based on the applied signal and the measured resulting signal. A time difference between start of contraction in a second ventricle and the timing of local myocardial contraction as identified from the impedance signal at the site of the candidate pair or electrode is determined for each candidate pair or electrode. An optimal pacing electrode is selected to correspond to one of the electrodes of the candidate pair having the largest time difference or the candidate electrode having largest time difference.
    • 可植入医疗装置在两个电极上施加电信号,并且通过在第一心室的引线上或在引线的候选电极和外壳电极上的相邻电极的候选对测量所得到的电信号。 基于所施加的信号和测得的结果信号,为每个候选对或电极确定阻抗信号。 针对每个候选对或电极确定从候选对或电极的位置处的阻抗信号识别的第二心室的收缩开始与局部心肌收缩的定时之间的时间差。 选择最佳起搏电极以对应于具有最大时间差的候选对的电极之一或具有最大时间差的候选电极。
    • 6. 发明申请
    • IDENTIFICATION OF PACING SITE
    • 鉴定场地
    • US20120004700A1
    • 2012-01-05
    • US13171952
    • 2011-06-29
    • Sven-Erik HedbergNils HolmströmJohn GustafssonAndreas BlomqvistAndreas Karlsson
    • Sven-Erik HedbergNils HolmströmJohn GustafssonAndreas BlomqvistAndreas Karlsson
    • A61N1/368
    • A61N1/3686A61N1/36521
    • An implantable medical device applies an electric signal over two electrodes and measures the resulting electric signal over a candidate pair of neighboring electrodes on a lead for a first heart ventricle or over a candidate electrode of the lead and a case electrode. An impedance signal is determined for each candidate pair or electrode based on the applied signal and the measured resulting signal. A time difference between start of contraction in a second ventricle and the timing of local myocardial contraction as identified from the impedance signal at the site of the candidate pair or electrode is determined for each candidate pair or electrode. An optimal pacing electrode is selected to correspond to one of the electrodes of the candidate pair having the largest time difference or the candidate electrode having largest time difference.
    • 可植入医疗装置在两个电极上施加电信号,并且通过在第一心室的引线上或在引线的候选电极和外壳电极上的相邻电极的候选对测量所得到的电信号。 基于所施加的信号和测得的结果信号,为每个候选对或电极确定阻抗信号。 针对每个候选对或电极确定从候选对或电极的位置处的阻抗信号识别的第二心室的收缩开始与局部心肌收缩的定时之间的时间差。 选择最佳起搏电极以对应于具有最大时间差的候选对的电极之一或具有最大时间差的候选电极。