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    • 51. 发明授权
    • Method and apparatus to terminate ventricular tachycardia via pacing
    • 通过起搏终止室性心动过速的方法和装置
    • US07894899B2
    • 2011-02-22
    • US12393059
    • 2009-02-26
    • Vinod Sharma
    • Vinod Sharma
    • A61N1/362
    • A61N1/3622A61N1/3962
    • An implantable device for terminating ventricular tachycardia is disclosed. The device includes a processor configured to determine a first antitachycardia pulse routine of N pulses. In the routine the first N−1 pulses are separated by a first cycle length and the Nth pulse is separated by a second cycle length that is shorter than the first cycle length. The device also comprises a lead coupled to the processor. The lead comprises an electrode configured to sense a tachycardia and further configured, under control of the processor, to administer the antitachycardia pulse routine.
    • 公开了用于终止室性心动过速的可植入装置。 该装置包括被配置为确定N个脉冲的第一抗心动过速脉冲程序的处理器。 在该例程中,第一N-1个脉冲被第一周期长度分开,并且第N个脉冲被分开比第一周期长度短的第二周期长度。 该装置还包括耦合到处理器的引线。 引线包括被配置为感测心动过速的电极,并且在处理器的控制下进一步配置以施用抗心动过速脉冲程序。
    • 55. 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。