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    • 21. 发明授权
    • Dynamic morphology based atrial automatic threshold
    • 动态形态基于心房自动阈值
    • US08290590B2
    • 2012-10-16
    • US11601217
    • 2006-11-17
    • Derek D. BohnAnkur GargEric K. Enrooth
    • Derek D. BohnAnkur GargEric K. Enrooth
    • A61N1/362
    • A61N1/371A61N1/3712
    • Methods and systems for performing capture threshold tests are described. During an initialization procedure a capture detection interval and capture detection threshold are determined based on peak values of cardiac signals sensed following the supracapture threshold initialization pulses. Following initialization, a plurality of pacing pulses to the atrium are delivered and the peak values of the cardiac signals sensed following each of the plurality of pacing pulses are determined. The peak values are compared to the pacing artifact threshold and the capture detection threshold. A timing of each of the peak values is compared to the capture detection interval. For each pacing pulse, discrimination between a captured response, a noncaptured response, and a fusion response is based on the peak value and timing comparisons.
    • 描述用于执行捕获阈值测试的方法和系统。 在初始化过程期间,捕获检测间隔和捕获检测阈值是基于超标准阈值初始化脉冲之后感测的心脏信号的峰值来确定的。 在初始化之后,传送到心房的多个起搏脉冲,并且确定在多个起搏脉冲之后检测到的心脏信号的峰值。 将峰值与起搏伪像阈值和捕获检测阈值进行比较。 将每个峰值的定时与捕获检测间隔进行比较。 对于每个起搏脉冲,捕获的响应,非捕获响应和融合响应之间的区别基于峰值和时序比较。
    • 27. 发明授权
    • Atrial retrograde management
    • 心房逆行管理
    • US08229561B2
    • 2012-07-24
    • US11012692
    • 2004-12-15
    • Geng ZhangAnkur Garg
    • Geng ZhangAnkur Garg
    • A61N1/365
    • A61N1/3712A61N1/3622A61N1/3714
    • Methods and systems for classifying cardiac responses to pacing stimulation and/or preventing retrograde cardiac conduction are described. Following delivery of a pacing pulse to an atrium of the patient's heart during a cardiac cycle, the system senses in the atrium for a retrograde P-wave. The system classifies the atrial response to the pacing pulse based on detection of the retrograde P-wave. The system may also sense for an atrial evoked response and utilize the atrial evoked response in classifying the cardiac pacing response. If capture is not detected, the system may deliver additional atrial pacing pulses to reduce atrial retrograde conduction. A backup pace may be delivered to prevent the atrial retrograde conduction if an atrial evoked response is not detected during a cardiac cycle. Alternatively, retrograde management may involve delaying a next scheduled pace may be until expiration of an atrial effective refractory period.
    • 描述了用于将心脏反应分类为起搏刺激和/或预防逆行心脏传导的方法和系统。 在心脏周期内将起搏脉搏递送到患者心脏的心房后,系统在心房感测逆行P波。 该系统基于逆行P波的检测将起搏脉冲的心房响应分类。 该系统还可以感知心房诱发反应并且利用心房诱发反应来分类心脏起搏反应。 如果未检测到捕获,则系统可能会传递额外的心房起搏脉冲以减少心房逆行传导。 如果在心动周期期间没有检测到心房诱发反应,则可以提供备份速度以防止心房逆行传导。 或者,逆行管理可能涉及延迟下一预定速度,直到心房有效不应期结束。
    • 28. 发明授权
    • Methods and systems for management of atrial retrograde conduction and pacemaker mediated tachyarrhythmia
    • 用于管理心房逆行传导和起搏器介导的快速性心律失常的方法和系统
    • US07801610B2
    • 2010-09-21
    • US11601092
    • 2006-11-17
    • Derek D. BohnAnkur GargEric K. Enrooth
    • Derek D. BohnAnkur GargEric K. Enrooth
    • A61N1/362
    • A61N1/371A61N1/3621A61N1/3712A61N1/3714
    • Methods and systems for classifying cardiac responses to pacing stimulation and managing retrograde conduction and pacemaker mediated tachyarrhythmia are described. An atrial pacing pulse and a ventricular pacing pulse are delivered during a paced cardiac cycle. A post ventricular atrial refractory period (PVARP) is timed following the ventricular pacing pulse. The system determines if the atrial pacing pulse captures the atrium. An atrial depolarization occurring after the paced cardiac cycle is sensed. Retrograde management is initiated if the atrial pacing pulse did not capture the atrium and the atrial depolarization occurred during the PVARP. Pacemaker mediated tachyarrhythmia (PMT) is initiated if the atrial pacing pulse did not capture the atrium and the atrial depolarization did not occur during the PVARP.
    • 描述了用于分类心脏起搏刺激响应和管理逆行传导和起搏器介导的快速性心律失常的方法和系统。 心律起搏脉搏和心室起搏脉搏在心跳期间进行。 心室起搏脉搏后定时心室心房不应期(PVARP)。 该系统确定心房起搏脉冲是否捕获心房。 感觉到起搏心动周期后出现心房去极化。 如果心房起搏脉搏没有捕获心房并且在PVARP期间发生心房去极化,则开始逆行管理。 如果心房起搏脉搏没有捕获心房并且在PVARP期间没有发生心房去极化,起搏器介导的快速性心律失常(PMT)开始。