Device for measurement and evaluation of cardiac function on the basis of thoracic impedance
First Claim
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1. A cardiac function measurement and evaluation that is a device for measuring and evaluating cardiac function in a subject, the device comprising:
- a thoracic impedance measuring unit;
an electrocardiogram measuring unit;
an arithmetic unit;
a storage unit; and
a display unit,whereinthe thoracic impedance measuring unit includes drive electrodes for applying an electrical current, and receive electrodes for extracting an impedance signal, and measures a plurality of continuous sets of thoracic impedances,the electrocardiogram measuring unit includes a signal detection module that detects electrocardiogram signals from electrodes applied to the subject, and measures a plurality of continuous sets of electrocardiogram signals,the arithmetic unit calculates (dZ/dt)min values of the plurality of continuous sets of thoracic impedances measured by the thoracic impedance measuring unit, and preceding RR intervals (RR1), pre-preceding RR intervals (RR2), and RR1/RR2 values of continuous sets of electrocardiogram data from R waves of the electrocardiogram signal obtained by the electrocardiogram measuring unit,the storage unit stores, as a data set;
a (dZ/dt)min value of each of the sets of thoracic impedance data corresponding to an RR1 value, RR2 value, and RR1/RR2 value of each of the calculated plurality of continuous sets of electrocardiogram data,the display unit displays each of the (dZ/dt)min values corresponding to at least one of the RR1 value, RR2 value, and RR1/RR2 value,(dZ/dt)min values where RR1/RR2≤
1 are extracted as first (dZ/dt)min values which correspond to values reflecting Frank-Starling mechanism and mechanical restitution in which postextrasystolic potentiation is not involved,(dZ/dt)min values where RR1/RR2>
1 are extracted as second (dZ/dt)min values which correspond to values reflecting postextrasystolic potentiation, Frank-Starling mechanism, and mechanical restitution in which postextrasystolic potentiation is involved, andthe respective (dZ/dt)min values of the thoracic impedance data extracted as the first and second (dz/dt)min values are distinguishably plotted as a scatter plot on the display unit, wherein respective (dz/dt)min value is plotted as a Y axis of the scatter plot, and corresponding RR1 value is plotted as an X axis of the scatter plot.
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Abstract
A cardiac function measurement and evaluation device is provided to measure and evaluate cardiac function in patients with atrial fibrillation, sinus arrhythmia, and the like, using thoracic impedance data and electrocardiogram data. By creating a two-dimensional scatter plot in which (dZ/dt)min values and preceding RR intervals (RR1) corresponding thereto, and the like obtained by thoracic impedance measurement, are plotted, it is possible to visually and easily evaluate the state of cardiac function in patients with atrial fibrillation and sinus arrhythmia. Using the measurement and evaluation device of the present invention makes it possible to perform examinations easily and repeatedly with less burden on patients. Therefore, it is possible to provide very useful information for diagnosing heart disease, selecting drugs, and the like.
11 Citations
11 Claims
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1. A cardiac function measurement and evaluation that is a device for measuring and evaluating cardiac function in a subject, the device comprising:
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a thoracic impedance measuring unit; an electrocardiogram measuring unit; an arithmetic unit; a storage unit; and a display unit, wherein the thoracic impedance measuring unit includes drive electrodes for applying an electrical current, and receive electrodes for extracting an impedance signal, and measures a plurality of continuous sets of thoracic impedances, the electrocardiogram measuring unit includes a signal detection module that detects electrocardiogram signals from electrodes applied to the subject, and measures a plurality of continuous sets of electrocardiogram signals, the arithmetic unit calculates (dZ/dt)min values of the plurality of continuous sets of thoracic impedances measured by the thoracic impedance measuring unit, and preceding RR intervals (RR1), pre-preceding RR intervals (RR2), and RR1/RR2 values of continuous sets of electrocardiogram data from R waves of the electrocardiogram signal obtained by the electrocardiogram measuring unit, the storage unit stores, as a data set;
a (dZ/dt)min value of each of the sets of thoracic impedance data corresponding to an RR1 value, RR2 value, and RR1/RR2 value of each of the calculated plurality of continuous sets of electrocardiogram data,the display unit displays each of the (dZ/dt)min values corresponding to at least one of the RR1 value, RR2 value, and RR1/RR2 value, (dZ/dt)min values where RR1/RR2≤
1 are extracted as first (dZ/dt)min values which correspond to values reflecting Frank-Starling mechanism and mechanical restitution in which postextrasystolic potentiation is not involved,(dZ/dt)min values where RR1/RR2>
1 are extracted as second (dZ/dt)min values which correspond to values reflecting postextrasystolic potentiation, Frank-Starling mechanism, and mechanical restitution in which postextrasystolic potentiation is involved, andthe respective (dZ/dt)min values of the thoracic impedance data extracted as the first and second (dz/dt)min values are distinguishably plotted as a scatter plot on the display unit, wherein respective (dz/dt)min value is plotted as a Y axis of the scatter plot, and corresponding RR1 value is plotted as an X axis of the scatter plot. - View Dependent Claims (2, 3, 4)
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5. A cardiac function measurement and evaluation device that is a device for measuring and evaluating cardiac function in a subject, the device comprising:
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a thoracic impedance measuring unit; an electrocardiogram measuring unit; an arithmetic unit; a storage unit; and a display unit, wherein the thoracic impedance measuring unit includes drive electrodes for applying an electrical current, and receive electrodes for extracting an impedance signal, and measures a plurality of continuous sets of thoracic impedances, the electrocardiogram measuring unit includes a signal detection module that detects electrocardiogram signals from electrodes applied to the subject, and measures a plurality of continuous sets of electrocardiogram signals, the arithmetic unit calculates (dZ/dt)min values of the plurality of continuous sets of thoracic impedances measured by the thoracic impedance measuring unit, and preceding RR intervals (RR1), pre-preceding RR intervals (RR2), and RR1/RR2 values of continuous sets of electrocardiogram data from R waves of the electrocardiogram signal obtained by the electrocardiogram measuring unit, the storage unit stores, as a data set;
a (dZ/dt)min value of each of the sets of thoracic impedance data corresponding to an RR1 value, RR2 value, and RR1/RR2 value of each of the calculated plurality of continuous sets of electrocardiogram data,(dZ/dt)min values where RR1/RR2≤
1 are extracted as first (dZ/dt)min values which correspond to values reflecting Frank-Starling mechanism and mechanical restitution in which postextrasystolic potentiation is not involved,(dZ/dt)min values where RR1/RR2>
1 are extracted as second (dZ/dt)min values which correspond to values reflecting Frank-Starling mechanism and mechanical restitution in which postextrasystolic potentiation is involved, anda total of the respective (dZ/dt)min values are calculated by the arithmetic unit, and the display unit displays the total (dZ/dt)min values as a bar graph. - View Dependent Claims (6, 7)
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8. A cardiac function measurement and evaluation device that is a device for measuring and evaluating cardiac function in a subject, the device comprising:
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a thoracic impedance measuring unit; an electrocardiogram measuring unit; an arithmetic unit; a storage unit; and a display unit, wherein the thoracic impedance measuring unit includes drive electrodes for applying an electrical current, and receive electrodes for extracting an impedance signal, and measures a plurality of continuous sets of thoracic impedances, the electrocardiogram measuring unit includes a signal detection module that detects electrocardiogram signals from electrodes applied to the subject, and measures a plurality of continuous sets of electrocardiogram signals, the arithmetic unit calculates (dZ/dt)min values of the plurality of continuous sets of thoracic impedances measured by the thoracic impedance measuring unit, and preceding RR intervals (RR1), pre-preceding RR intervals (RR2), and RR1/RR2 values of continuous sets of electrocardiogram data from R waves of the electrocardiogram signal obtained by the electrocardiogram measuring unit, the storage unit stores, as a data set;
a (dZ/dt)min value of each of the sets of thoracic impedance data corresponding to an RR1 value, RR2 value, and RR1/RR2 value of each of the calculated plurality of continuous sets of electrocardiogram data,the display unit displays each of the (dZ/dt)min values corresponding to each of the RR1 value, RR2 value, and RR1/RR2 value, (dZ/dt)min values where RR1/RR2≤
1 are extracted as first (dZ/dt)min values which correspond to values reflecting postextrasystolic potentiation, Frank-Starling mechanism, and mechanical restitution in which postextrasystolic potentiation is not involved,(dZ/dt)min value where RR1/RR2>
1 are extracted as second (dZ/dt)min value which correspond to values reflecting postextrasystolic potentiation, Frank-Starling mechanism, and mechanical restitution in which postextrasystolic potentiation is involved, andrespective (dZ/dt)min values of the thoracic impedance data extracted as the first and second (dZ/dt)min values are distinguishably plotted as a three-dimensional scatter plot on the display unit, wherein the respective (dZ/dt)min value is plotted as a value of a Z axis, corresponding RR1 value as a value of an X axis, and RR1/RR2 value as a value of a Y axis.
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9. A cardiac function measurement and evaluation device that is a device for measuring and evaluating cardiac function in a subject, the device comprising:
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a thoracic impedance measuring unit; an electrocardiogram measuring unit; an arithmetic unit; a storage unit; and a display unit, wherein the thoracic impedance measuring unit includes drive electrodes for applying an electrical current, and receive electrodes for extracting an impedance signal, and measures a plurality of continuous sets of thoracic impedances, the electrocardiogram measuring unit includes a signal detection module that detects electrocardiogram signals from electrodes applied to the subject, and measures a plurality of continuous sets of electrocardiogram signals, the arithmetic unit calculates (dZ/dt)min values of the plurality of continuous sets of thoracic impedances measured by the thoracic impedance measuring unit, and preceding RR intervals (RR1), pre-preceding RR intervals (RR2), and RR1/RR2 values of continuous sets of electrocardiogram data from R waves of the electrocardiogram signal obtained by the electrocardiogram measuring unit, the storage unit stores, as a data set;
a (dZ/dt)min value of each of the sets of thoracic impedance data corresponding to an RR1 value, RR2 value, and RR1/RR2 value of each of the calculated plurality of continuous sets of electrocardiogram data,the display unit displays each of the (dZ/dt)min values as a scatter plot corresponding to each RR1/RR2 value, (dZ/dt)min values where RR1/RR2>
1 are extracted as first (dZ/dt)min values which correspond to values reflecting postextrasystolic potentiation, Frank-Starling mechanism, and mechanical restitution in which postextrasystolic potentiation is involved. - View Dependent Claims (10)
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11. A cardiac function measurement and evaluation device that is a device for measuring and evaluating cardiac function in a subject, the device comprising:
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a thoracic impedance measuring unit; an electrocardiogram measuring unit; an arithmetic unit; a storage unit; and a display unit, wherein the thoracic impedance measuring unit includes drive electrodes for applying an electrical current, and receive electrodes for extracting an impedance signal, and measures a plurality of continuous sets of thoracic impedances, the electrocardiogram measuring unit includes a signal detection module that detects electrocardiogram signals from electrodes applied to the subject, and measures a plurality of continuous sets of electrocardiogram signals, the arithmetic unit calculates (dZ/dt)min values of the plurality of continuous sets of thoracic impedances measured by the thoracic impedance measuring unit, and preceding RR intervals (RR1), pre-preceding RR intervals (RR2), and RR1/RR2 values of continuous sets of electrocardiogram data from R waves of the electrocardiogram signal obtained by the electrocardiogram measuring unit, the storage unit stores, as a data set;
a (dZ/dt)min value of each of the sets of thoracic impedance data corresponding to an RR1 value, RR2 value and RR1/RR2 value of each of the calculated plurality of continuous sets of electrocardiogram data, and standard datathe display unit displays each of the (dZ/dt)min values corresponding to at least one of the RR1 value, RR2 value, and RR1/RR2 value, the arithmetic unit includes a determination module that compares obtained data of the subject with the standard data and determines cardiac function, and the determination module further performs comparison with past data of same subject stored in the storage unit, and determines the course of cardiac function.
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Specification
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Current AssigneeMedical Corporation Ushiroda Internal Medicine Clinic
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Original AssigneeMedical Corporation Ushiroda Internal Medicine Clinic
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InventorsUshiroda, Shinichi
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Primary Examiner(s)Bertram, Eric D.
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Assistant Examiner(s)So, Elizabeth K
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Application NumberUS15/381,795Publication NumberTime in Patent Office837 DaysField of SearchNoneUS Class CurrentCPC Class CodesA61B 5/0295 using plethysmography, i.e....A61B 5/0535 Impedance plethysmography f...A61B 5/303 Patient cord assembly, e.g....A61B 5/316 Modalities, i.e. specific d...A61B 5/333 Recording apparatus special...A61B 5/339 Displays specially adapted ...A61B 5/352 Detecting R peaks, e.g. for...A61B 5/361 Detecting fibrillationA61B 5/364 Detecting abnormal ECG inte...A61B 5/7264 Classification of physiolog...G16H 50/20 for computer-aided diagnosi...
