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    • 6. 发明授权
    • Methods and systems for identifying a vector for monitoring ischemia
    • 识别用于监测缺血的载体的方法和系统
    • US08108037B1
    • 2012-01-31
    • US12834596
    • 2010-07-12
    • Harish KrishnaswamyAnil Keni
    • Harish KrishnaswamyAnil Keni
    • A61B5/04
    • A61B5/0452A61B5/6846
    • Methods and systems may identify a vector or a vector configuration, such as a combination of electrodes, for monitoring ischemia. The method may include: selecting a first combination of sensors as a first candidate to be used for monitoring ischemia; detecting a shift in a ST segment of one of an electrocardiogram and a cardiac electrogram using the first candidate; selecting a second combination of sensors as a second candidate to be used for monitoring ischemia; detecting a shift in a ST segment of one of an electrocardiogram and a cardiac electrogram using the second candidate; comparing the ST shifts for the first and second candidates; and identifying one of the first and second candidates for monitoring ischemia based on the comparison. A multi-electrode implantable cardiac device may include a controller configured to effectuate such functions.
    • 方法和系统可以识别用于监测缺血的载体或载体构型,例如电极的组合。 该方法可以包括:选择传感器的第一组合作为用于监测缺血的第一候选物; 使用所述第一候选来检测心电图和心电图之一的ST段的移位; 选择传感器的第二组合作为用于监测缺血的第二候选者; 使用所述第二候选来检测心电图和心电图之一的ST段的移位; 比较第一和第二候选人的ST班次; 并且基于该比较来识别用于监测缺血的第一和第二候选者之一。 多电极可植入心脏设备可以包括被配置为实现这样的功能的控制器。
    • 7. 发明申请
    • SYSTEMS AND METHODS RELATED TO ST SEGMENT MONITORING BY AN IMPLANTABLE MEDICAL DEVICE
    • 通过可植入医疗器械进行ST段监测的系统和方法
    • US20110245699A1
    • 2011-10-06
    • US13049805
    • 2011-03-16
    • Jay SnellBing ZhuKatie HobermanHarish Krishnaswamy
    • Jay SnellBing ZhuKatie HobermanHarish Krishnaswamy
    • A61B5/0452
    • A61B5/0452A61B5/7264
    • Cardiac activity is sensed over a plurality of heart beats defining a beat set. For each beat in the set, it is determined whether the beat is a non-classified beat (e.g., paced beat, a beat outside of a specified heart rate range or a PVC), or a classified beat. For each classified beat, it is determined whether the beat is a non-detect beat, a minor beat or a major beat. Counts of classified beats, non-classified beats, major beats, minor beats, and non-detect beats are maintained. The beat set is declared to be one of a non-classified set, a major set, a minor set or a non-detect set based on the relative counts of classified beats, non-classified beats, major beats, minor beats, and non-detect beats. Over a period of time, counts of beat-set types are maintained and entry into and exit from ST episodes are determined based on these beat-set counts.
    • 在定义拍子组的多个心跳上感测到心脏活动。 对于集合中的每个节拍,确定节拍是否是非分类节拍(例如,节奏拍子,指定的心率范围或PVC之外的节拍)或分类节拍。 对于每个分类的节拍,确定节拍是否是非检测节拍,小节奏或主要节拍。 维持分类节拍,非分类节拍,主要节拍,次要节拍和非检测节拍的数量。 基于分类节拍,非分类节拍,主要节拍,次要节拍和非节奏组合的相对计数,节拍组被宣布为非分类组,主要组,未成年组或未检测组之一 检测节拍 在一段时间内,基于这些节拍设置计算确定节拍类型的计数,并且进入和退出ST剧集。