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    • 3. 发明授权
    • Implantable cardiac device and method for monitoring the status of a cardiovascular disease
    • 可植入的心脏装置和监测心血管疾病状态的方法
    • US08308649B2
    • 2012-11-13
    • US12528653
    • 2007-03-23
    • Nils HolmströmMalin ÖhlanderKjell NorénAndreas BlomqvistKarin Ljungström
    • Nils HolmströmMalin ÖhlanderKjell NorénAndreas BlomqvistKarin Ljungström
    • A61B5/02
    • A61N1/36521A61B5/0215A61B5/02405A61B5/053A61B5/4035A61B5/4836A61B5/7257A61N1/36564A61N1/36578A61N1/36592A61N1/3702
    • An implantable cardiac device has a heart stimulator for electrically stimulating the heart of a patient, detector that measures a physiologic parameter that is affected by the status of a cardiovascular disease associated with sympathetic activation, a signal processor that determines at least one of a low frequency, LF, and a very low frequency, VLF, Mayer wave component in the measured parameter, and analyzer that automatically analyzes the determined Mayer wave component in relation to a predetermined reference value to determine the status of the cardiovascular disease. The detector is a cardio-mechanical parameter detector that measures, as said physiologic parameter, a mechanical change in at least one of the four chambers of the heart. In a corresponding method for monitoring the status of a cardiovascular disease associated with sympathetic activation of a patient having an implantable electric heart stimulator a physiologic parameter affected by the cardiac disease is measured. At least one of a low frequency, LF, and a very low frequency, VLF, Mayer wave component in the parameter is determined, and the wave component is analyzed in relation to a predetermined reference value to determine the status of the cardiovascular disease. A mechanical change in at least one of the four chambers of the heart is measured as the physiologic parameter.
    • 可植入心脏装置具有用于电刺激患者心脏的心脏刺激器,所述心脏刺激器测量受到与交感神经激活相关的心血管疾病状态影响的生理参数的检测器,信号处理器确定低频 LF,以及在测量参数中的非常低频VLF,Mayer波分量,以及分析仪,其自动分析与预定参考值相关的确定的Mayer波分量,以确定心血管疾病的状态。 检测器是心机械参数检测器,其作为所述生理参数测量心脏的四个腔室中的至少一个中的机械变化。 在用于监测与具有可植入电心脏刺激器的患者的交感神经激活相关的心血管疾病的状态的相应方法中,测量受心脏病影响的生理参数。 确定参数中的低频,低频和极低频VLF,迈耶波分量中的至少一个,并且相对于预定参考值分析波分量以确定心血管疾病的状态。 心脏的四个腔室中的至少一个的机械变化被测量为生理参数。
    • 4. 发明授权
    • Apparatus for detecting diastolic heart failure
    • 用于检测舒张性心力衰竭的装置
    • US07959576B2
    • 2011-06-14
    • US10562302
    • 2004-05-06
    • Maria TorpoMalin ÖhlanderAnders BjörlingKarin Ljungström
    • Maria TorpoMalin ÖhlanderAnders BjörlingKarin Ljungström
    • A61B5/021
    • A61N1/3627A61B8/06A61B8/13
    • An implantable medical apparatus for detecting diastolic heart failure, DHF, has a DHF determining device for determining at least one DHF parameter for detecting a DHF state of the heart of a patient. The DHF includes circuitry for determining, as the DHF parameter, the time duration of a predetermined phase of diastole. A pacemaker has such an apparatus and a control unit that optimizes pacing therapy and pacemaker settings depending on the determined time duration. A corresponding method of detecting diastolic heart failure, DHF, includes determining at least one DHF parameter for detecting a DHF state of the heart of a patient. As the DHF parameter, the time duration of a predetermined phase of diastole is determined.
    • 用于检测舒张性心力衰竭的可植入医疗装置DHF具有DHF确定装置,用于确定用于检测患者心脏的DHF状态的至少一个DHF参数。 DHF包括用于确定舒张期的预定阶段的持续时间作为DHF参数的电路。 起搏器具有这样的装置和控制单元,其根据确定的持续时间优化起搏治疗和起搏器设置。 检测舒张性心力衰竭DHF的相应方法包括确定用于检测患者心脏的DHF状态的至少一个DHF参数。 作为DHF参数,确定舒张期的预定相位的持续时间。
    • 7. 发明授权
    • Detection of diastolic heart failure
    • 舒张性心力衰竭的检测
    • US07483742B2
    • 2009-01-27
    • US10562109
    • 2004-04-26
    • Sven-Erik HedbergAnders BjörlingMaria TorpoKarin Ljungström
    • Sven-Erik HedbergAnders BjörlingMaria TorpoKarin Ljungström
    • A61N1/00
    • A61B5/021A61B5/02154A61N1/3627A61N1/36564A61N1/3702G06F19/00
    • An implantable medical apparatus for detecting diastolic heart failure, DHF, has a DHF determining device for determining at least one blood pressure parameter for detecting a DHF state of the heart of a patient. The DHF determining device includes a pressure measuring unit for measuring pulse pressure in a cardiac cycle for a predetermined workload situation of the patient as the blood pressure parameter, and a comparator compares the measured pulse pressure with a predetermined reference value. A pacemaker includes such an apparatus and a control unit that optimizes pacing therapy depending on the result of the comparison of the measured pulse pressures with the predetermined reference values. A corresponding method of detecting diastolic heart failure, DHF, includes the step of determining at least one blood pressure parameter for detecting a DHF state of the heart of a patient by determining, as said blood pressure parameter, the pulse pressure in a cardiac cycle for a predetermined workload situation of the patient, and the determined pulse pressure is compared with a predetermined reference value.
    • 用于检测舒张性心力衰竭的可植入医疗装置DHF具有用于确定用于检测患者心脏的DHF状态的至少一个血压参数的DHF确定装置。 DHF确定装置包括:压力测量单元,用于在患者的预定工作情况下测量心动周期中的脉搏压力作为血压参数,并且比较器将测量的脉搏压力与预定参考值进行比较。 起搏器包括这样的装置和控制单元,其根据所测量的脉搏压力与预定参考值的比较结果优化起搏治疗。 检测舒张性心力衰竭DHF的相应方法包括以下步骤:通过将作为所述血压参数的心脏周期中的脉搏压力确定为心动周期中的脉搏压力来确定用于检测患者心脏的DHF状态的至少一个血压参数 患者的预定工作情况,并将确定的脉搏压力与预定的参考值进行比较。