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    • 4. 发明申请
    • METHOD AND DEVICE FOR THREE-STAGE ATRIAL CARDIOVERSION THERAPY
    • 用于三期ATRIAL CARDIOVERSION治疗的方法和装置
    • WO2011139596A2
    • 2011-11-10
    • PCT/US2011/033547
    • 2011-04-22
    • THE WASHINGTON UNIVERSITYEFIMOV, Igor, R.FEDOROV, Vadim, V.RIPPLINGER, Crystal, M.FOYIL, Kelley, V.AMBROSI, Christina, M.
    • EFIMOV, Igor, R.FEDOROV, Vadim, V.RIPPLINGER, Crystal, M.FOYIL, Kelley, V.AMBROSI, Christina, M.
    • A61N1/38A61N1/05A61N1/372A61N1/36
    • A61N1/3956A61N1/3624A61N1/3906A61N1/395A61N1/3987
    • Methods and apparatus for a three-stage atrial cardioversion therapy that treats atrial arrhythmias within pain tolerance thresholds of a patient. An implantable therapy generator adapted to generate and selectively deliver a three-stage atrial cardioversion therapy and at least two leads operably each having at least one electrode adapted to be positioned proximate the atrium of the patient. The device is programmed with a set of therapy parameters for delivering a three-stage atrial cardioversion therapy to the patient via both a far-field configuration and a near-field configuration of the electrodes upon detection of an atrial arrhythmia. The three-stage atrial cardioversion therapy includes a first stage for unpinning of one or more singularities associated with an atrial arrhythmia, a second stage for anti-repinning of the one or more singularities associated with the atrial arrhythmia, both of which are delivered via the far-field configuration of the electrodes, and a third stage for extinguishing of the one or more singularities associated with the atrial arrhythmia delivered via the near-field configuration of the electrodes.
    • 用于治疗患者疼痛耐受阈值内心房心律失常的三期心房心脏复律治疗方法和装置。 一种植入式治疗发生器,其适于产生和选择性地递送三阶段心房复律治疗和至少两个可操作的引线,每个引线具有至少一个适于定位在患者的心房附近的电极。 该装置被编程有一组治疗参数,用于在检测到房性心律失常时通过远场配置和电极的近场配置向患者传送三级心房复律治疗。 三级心房复律治疗包括用于解除与心房心律失常相关的一个或多个奇异点的第一阶段,用于抗心律失常相关的一个或多个奇点的第二阶段,其中两个都通过 电极的远场结构,以及用于熄灭与通过电极的近场结构输送的心房心律失常相关联的一个或多个奇异点的第三阶段。
    • 8. 发明申请
    • METHOD AND APPARATUS FOR TREATMENT OF CARDIAC ELECTROMECHANICAL DISSOCIATION
    • 用于治疗心脏电生理分解的方法和装置
    • WO00066222A1
    • 2000-11-09
    • PCT/US2000/011484
    • 2000-04-28
    • A61N1/38A61N1/39
    • A61N1/3962A61N1/385
    • An apparatus and method for treating post-defibrillation electromechanical dissociation ("EMD"). A first embodiment comprises an implantable defibrillator, which may include cardioversion and pacemaker capabilities, which has the capability of detecting and treating post defibrillation EMD. The stimulator/defibrillator has one or more leads with electrodes. At least one electrode for defibrillation may be an endocardial or epicardial electrode or other suitable defibrillation electrode. A sense circuit senses the electrical condition of the heart of the patient. A hemodynamic sensor senses a parameter correlated to the state of blood flow. The cardiac stimulator/defibrillater detects ventricular tachyarrhythmia including fibrillation and terminates ventricular tachyarrhythmia. After termination of the ventricular tachyarrhythmia, the stimulator/defibrillator can detect the presence of electrical rhythm in the heart correlated, however, with inadequate blood flow to sustain life. Under such conditions, the device provides an output to stimulate the heart to overcome electromechanical dissociation and restore adequate blood flow. The device may also be an external therapy device, as part of, or in conjunction with an external defibrillator. The method for treating the heart to restore blood flow where electromechanical dissociation occurs after termination of a ventricular tachyarrhythmia of ventricular fibrillation comprises identifying electromechanical disassociation after termination of a ventricular tachyarrhythmia or a fibrillation and providing electrical therapy, the therapy comprising a series of packets of electrical pulses.
    • 一种用于治疗除颤后机电解离(“EMD”)的装置和方法。 第一实施例包括可植入除颤器,其可以包括心脏复律和起搏器能力,其具有检测和治疗除颤后EMD的能力。 刺激器/除颤器具有一个或多个具有电极的引线。 用于除颤的至少一个电极可以是心内膜或心外膜电极或其它合适的除颤电极。 感测电路感测患者心脏的电气状况。 血液动力学传感器检测与血流状态相关的参数。 心脏刺激器/去纤颤器检测心律失常包括颤动,并终止室性快速性心律失常。 在室性快速性心律失常终止后,刺激器/除颤器可以检测到心脏中电气节律的存在相关,然而血液流量不足以维持生命。 在这种条件下,该装置提供一个输出来刺激心脏以克服机电解离并恢复足够的血流量。 该装置也可以是外部治疗装置,作为外部去纤颤器的一部分或与其结合使用。 用于治疗心脏恢复血流的方法,其中机电解离发生在心室颤动的室性快速性心律失常终止之后发生,包括在终止室性快速性心律失常或原纤维化之后鉴定机电解离,并提供电疗法,该治疗包括一系列电气 脉冲。