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    • 3. 发明授权
    • Cardioversion energy reduction system
    • 心律转换能量减少系统
    • US5836976A
    • 1998-11-17
    • US846747
    • 1997-04-30
    • Xiaoyi MinLi WangRahul MehraPaul J. DeGrootWalter H. OlsonLuc R. MongeonMichael R. S. Hill
    • Xiaoyi MinLi WangRahul MehraPaul J. DeGrootWalter H. OlsonLuc R. MongeonMichael R. S. Hill
    • A61N1/39
    • A61N1/3956A61N1/3925A61N1/3987
    • In an implantable pacemaker/cardioverter/defibrillator, a system for correlating the delivery of a cardioversion therapy to an optimum point or phase of the respiratory cycle of the patient to effect delivery of the therapy when the impedance between the cardioversion electrodes is minimized. In a first application for use with cardioversion electrodes located substantially in contact with the heart chamber, the optimum point or phase is at the end of inspiration. In a second application for use with at least one cardioversion electrode located remotely from the heart chamber, the optimum point or phase is at end expiration or beginning of inspiration. The cardioversion therapy is delivered in synchrony with a ventricular sense event, if present. If the optimum point or phase of the respiratory cycle cannot be determined during a therapy time, a pre-shock may be delivered to elicit a respiration cycle through a stimulated contraction of the diaphragm.
    • 在植入式心脏起搏器/心律转复除颤器中,用于将心脏复律治疗的输送与患者呼吸周期的最佳点或阶段相关联的系统,以在心脏复律电极之间的阻抗最小化时实现治疗的传递。 在与基本上与心脏腔室接触的心脏复律电极一起使用的第一个应用中,最佳点或阶段在吸气结束时。 在与远离心脏室的位置的至少一个心脏复律电极一起使用的第二个应用中,最佳点或阶段是结束期满或开始吸气。 复发疗法与心室感觉事件(如果存在)同步传递。 如果在治疗时间内不能确定呼吸周期的最佳点或相位,则可以传送预休克以通过振膜的刺激收缩引起呼吸循环。