Method of detecting and predicting neurocardiogenic syncope

• US 10,070,824 B2
• Filed: 11/25/2013
• Issued: 09/11/2018
• Est. Priority Date: 09/12/2008
• Status: Expired

• Current Assignee: Physiovoyance, LLC
• Original Assignee: Physiovoyance, LLC
• Inventors: LeLorier, Paul
• Primary Examiner(s): Cheng, Jacqueline
• Assistant Examiner(s): PORTILLO, JAIRO H
• Application Number:
  US14/089,431
• Publication Number:
  US 20150148698A1
• Time in Patent Office: 1,751 Days
• Field of Search: None
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/0809 by impedance pneumography
• CPC Class Codes: A61B 5/0816 Measuring devices for examining respiratory frequency measuring frequency of electric signals G01R23/00
• CPC Class Codes: A61B 5/091 Measuring volume of inspired or expired gases, e.g. to determine lung capacity
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B

Abstract

A method of detecting an early onset of neurocardiogenic syncope in a patient uses respiratory functions as a predictor of the syncope. According to the method, at least one sample of baseline minute ventilation, tidal volume and respiratory rate of the patient is obtained. The detection unit is set to detect an increase in tidal volume and in minute ventilation over a predetermined respiratory period. The detecting unit also detects any rate of change in respiratory rate and sends a signal to a microprocessor to determine whether the increase in minute ventilation is a sole function of increased tidal volume. The impending syncope is diagnosed if variance in respiratory rate is less than 25% in relation to the sampled baseline during the predetermined period of time.

Claims

1. A method of detecting an impending neurocardiogenic syncope in a patient, comprising the steps of:

obtaining at least one sample of baseline minute ventilation, tidal volume and respiratory rate of the patient;

detecting an increase in tidal volume over a predetermined period of respiration;

detecting an increase in minute ventilation over said predetermined period of respiration;

detecting any change in respiratory rate over said predetermined period of respiration;

storing at least one data associated with the increase in minute ventilation; and

detecting impending syncope when

(a) the increase in minute ventilation is attributable to an increase in tidal volume; and

(b) the change in respiratory rate is less than 25% in relation to the at least one sampled baseline respiratory rate during the predetermined period of respiration, wherein the steps of detecting an increase in minute ventilation, detecting an increase in tidal volume, detecting any change in respiratory rate, and detecting impending syncope each occur, at least in part, in a microprocessor.

2. The method of claim 1, comprising a step of generating an alarm signal after the impending syncope is detected.

3. The method of claim 1, wherein the step of obtaining at least one sample of baseline minute ventilation, tidal volume, and respiratory rate of the patient is performed by measuring transthoracic impedance or directly by exhaled volumes.

4. The method of claim 1, wherein impending syncope is detected when the detected increase in tidal volume is more than a 75% increase from the baseline.

5. A non-transitory computer readable medium for storing instructions for performing the method of claim 1 when executed.

6. A method of preventing neurocardiogenic syncope in operators of equipment, comprising the steps of:

obtaining at least one sample of baseline minute ventilation, tidal volume and respiratory rate of the equipment operator;

detecting an increase in tidal volume over a predetermined period of respiration of said equipment operator;

detecting an increase in minute ventilation over said predetermined period of respiration of said equipment operator;

detecting any change in respiratory rate over said predetermined period of respiration of said equipment operator;

storing at least one data associated with the increase in minute ventilation; and

alerting the equipment operator of impending syncope when

(a) the increase in minute ventilation is attributable to an increase in tidal volume; and

(b) the change in respiratory rate is less than 25% in relation to the at least one sampled baseline respiratory rate during the predetermined period of respiration, wherein the steps of detecting an increase in minute ventilation, detecting an increase in tidal volume, and detecting any change in respiratory rate each occur, at least in part, in a microprocessor.

7. A method of preventing neurocardiogenic syncope in operators of equipment according to claim 6 wherein the alert to the equipment operator comprises an audible alarm.

8. A method of preventing neurocardiogenic syncope in operators of equipment according to claim 6 wherein the alert to the equipment operator comprises a vibratory alarm.

9. The method of claim 6, wherein the step of obtaining at least one sample of baseline minute ventilation, tidal volume, and respiratory rate of the equipment operator is performed by measuring transthoracic impedance or directly by exhaled volumes.

10. The method of claim 6, wherein the step of alerting the equipment operator of impending syncope is performed only when the detected increase in tidal volume is more than a 75% increase from the baseline.

11. A non-transitory computer readable medium for storing instructions for performing the method of claim 6 when executed.

12. A method of detecting impending neurocardiogenic syncope in a patient, said method comprising:

obtaining a sample baseline minute ventilation, tidal volume, and respiratory rate from the patient;

obtaining a second minute ventilation, tidal volume, and respiratory rate from the patient over a predetermined period of time; and

detecting impending syncope in the patient by

(a) detecting an increase in minute ventilation, attributable to an increase in tidal volume, between said second minute ventilation and said baseline minute ventilation; and

(b) detecting a change in respiratory rate between said second respiratory rate and said baseline respiratory rate of less than 25%, wherein the steps of detecting an increase in minute ventilation, detecting a change in respiratory rate, and detecting impending syncope each occur, at least in part, in a microprocessor.

13. The method of claim 12, comprising a step of storing at least one data associated with said increase in minute ventilation.

14. The method of claim 12, wherein the step of obtaining a sample baseline minute ventilation, tidal volume, and respiratory rate of the patient is performed by measuring transthoracic impedance or directly by exhaled volumes.

15. The method of claim 12, wherein the step of detecting impending syncope further comprises detecting if said second tidal volume is more than 75% above the baseline tidal volume.

16. A non-transitory computer readable medium for storing instructions for performing the method of claim 12 when executed.