Myocardial performance assessment
First Claim
1. A method of cardiac pacing, the method comprising:
- detecting a first heart sound and a second heart sound;
determining a QT interval; and
configuring an implantable medical device as a function of the QT interval and of the first and second heart sounds.
1 Assignment
0 Petitions
Accused Products
Abstract
Myocardial performance is assessed using a combination of electrical and mechanical criteria. More specifically, this assessment may be based on a QT interval based on electrogram (EGM) readings and on first and second heart sounds. The timing relationships between the QT interval and the first and second heart sounds can be used to evaluate certain systolic, diastolic, and systolic/diastolic parameters relating to myocardial performance. In addition, these parameters may be used to automatically drive therapies. For example, myocardial performance parameters obtained from the QT interval and from the timing of the first and second heart sounds may be used to optimize the AV delay and to optimize multisite pacing.
175 Citations
56 Claims
-
1. A method of cardiac pacing, the method comprising:
-
detecting a first heart sound and a second heart sound;
determining a QT interval; and
configuring an implantable medical device as a function of the QT interval and of the first and second heart sounds. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41)
-
-
12. An implantable medical device comprising:
-
a sensing arrangement to sense electrical cardiac signals;
a pulse generator to deliver stimulation pulses to a heart; and
a control arrangement, responsive to the sensing arrangement, to determine a QT interval as a function of the electrical cardiac signals and to configure the pulse generator as a function of the QT interval and of first and second heart sounds.
-
-
26. A medical device system comprising:
-
an electrical sensing arrangement to sense electrical cardiac signals;
an acoustic sensing arrangement to sense first and second heart sounds;
a pulse generator to deliver stimulation pulses to a heart;
at least one pacing lead, coupled to the pulse generator and configured to deliver the stimulation pulses to a chamber of the heart; and
a control arrangement, responsive to the sensing arrangement and configured to determine a QT interval as a function of the electrical cardiac signals and to cause the pulse generator to deliver the stimulation pulses at a rate determined as a function of the QT interval and of the first and second heart sounds.
-
-
42. A method of manufacturing an implantable medical device comprising:
-
providing a sensing arrangement to sense electrical cardiac signals;
providing a pulse generator to deliver stimulation pulses to a heart;
coupling a control arrangement to the sensing arrangement; and
programming the control arrangement to determine a QT interval as a function of the electrical cardiac signals and to configure the pulse generator as a function of the QT interval and of first and second heart sounds. - View Dependent Claims (43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54)
-
-
55. An implantable medical device comprising:
-
means for detecting a first heart sound and a second heart sound;
means for determining a QT interval; and
means for configuring the implantable medical device as a function of the QT interval and of the first and second heart sounds.
-
-
56. A medical device system comprising:
-
means for detecting a first heart sound and a second heart sound;
means for determining a QT interval; and
means for configuring an implantable medical device as a function of the QT interval and of the first and second heart sounds.
-
Specification