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    • 98. 发明授权
    • Measuring T-Wave alternans
    • 测量T波交替
    • US08634903B2
    • 2014-01-21
    • US12610062
    • 2009-10-30
    • Vinod SharmaXiaohong Zhou
    • Vinod SharmaXiaohong Zhou
    • A61B5/0468
    • A61B5/0452
    • An implantable medical device (IMD), such as an implantable pacemaker, cardioverter, or diagnostic device, generates an EGM signal, e.g., a far field EGM signal, samples the EGM signal to obtain a single T-wave amplitude value for each T-wave over a plurality of beats, and stores the T-wave amplitude values in memory. The IMD creates a time series of the T-wave amplitude values stored in memory, calculates the power spectral density for the times series, and selects a power spectral density of a particular frequency, e.g., 0.5 cycles per beat, as the TWA value. The IMD may periodically determine TWA values for the patient and store the values in memory. The TWA values may be presented to medical personnel, e.g., as a trend. The IMD may deliver or modify therapy, or provide an alert, based on the TWA values.
    • 诸如可植入心脏起搏器,心律转复器或诊断装置的可植入医疗装置(IMD)生成例如远场EGM信号的EGM信号,对EGM信号进行采样,以获得每个T- 在多个节拍中波动,并将T波幅度值存储在存储器中。 IMD产生存储在存储器中的T波幅度值的时间序列,计算时间序列的功率谱密度,并选择特定频率的功率谱密度,例如每个节拍0.5个周期作为TWA值。 IMD可以周期性地确定患者的TWA值并将值存储在存储器中。 TWA值可以呈现给医务人员,例如作为趋势。 IMD可以根据TWA值提供或修改治疗或提供警报。