Method and apparatus for providing arrhythmia discrimination

• US 20030191404A1
• Filed: 04/08/2002
• Published: 10/09/2003
• Est. Priority Date: 04/08/2002
• Status: Abandoned Application

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Klein, George J.
• Application Number:
  US10/117,187
• Publication Number:
  US 20030191404A1
• Time in Patent Office: Days
• US Class Current: 600/518
• CPC Class Codes: A61N 1/3622 comprising two or more electrodes co-operating with different heart regions
• CPC Class Codes: A61N 1/39622 Pacing therapy

Abstract

The present invention provides a method and apparatus for providing arrhythmia discrimination. Heart signals are monitored to determine when an arrhythmia state is being experienced by an individual. Once the arrhythmia state is detected, the heart of the patient is stimulated to produce stimulated heart signals. These stimulated signals are then monitored and compared with predetermined criteria in order to determine the type of arrhythmia being experienced as well as whether or not the arrhythmia requires treatment.

Claims

1. A method of providing arrhythmia discrimination comprising the steps of:

receiving signals from a heart;

monitoring said signals to detect a condition indicative of at least one of a number arrhythmia states;

detecting said arrhythmia state;

performing a diagnostic test on said heart to produce stimulated heart signals;

monitoring said stimulated heart signals to determine which of said states is detected.

2. The method of claim 1 wherein said step of performing said diagnostic test comprises the steps of:

selecting a diagnostic test corresponding to one of said arrhythmia states;

calculating a level of stimulation for said heart; and

stimulating said heart at said level of stimulation.

3. The method of claim 2 wherein said step of stimulating said heart is selected from the group comprising of pacing, vagal stimulation and drug infusion.

4. The method of claim 1 wherein said step of calculating a level of stimulation for said heart comprises the steps of:

calculating a cycle length of said heart rate; and

subtracting a predetermined value from said cycle length to produce a new cycle length.

5. The method of claim 1 wherein said step of monitoring said heart signals comprises the steps of:

retrieving rate signals from said heart signals; and

determining when said rate signals exceed a detection threshold.

6. The method of claim 1 wherein said step of monitoring said stimulated heart signals comprises the steps of:

retrieving stimulated signals from said stimulated heart signals;

comparing said stimulated signals with predetermined criteria to determine said arrhythmia.

7. The method of claim 6 wherein said stimulated signals are stimulated rate signals or morphology signals.

8. The method of claim 1 further comprising the step of comparing said arrhythmia with a list of target arrhythmias and treatments to determine treatment for said arrhythmia.

9. The method of claim 1 wherein said heart signals comprise atrial and ventricular heart signals.

10. Apparatus for providing arrhythmia discrimination comprising:

a set of electrodes for sensing and transmitting signals from a heart;

a heart signal monitor for receiving said signals and for translating said signals to processor-readable signals;

a processor for retrieving rate signals from said processor-readable heart signals to detect a condition indicative of an arrhythmia state based on said rate signals and for selecting a diagnostic test when said arrhythmia is detected;

wherein said diagnostic test causes said heart to produce stimulated heart signals which are sensed and transmitted by said set of electrodes to said heart signal monitor for translating to processor-readable stimulated heart signals; and

wherein said processor retrieves stimulated signals from said processor-readable stimulated heart signals and compares said stimulated signals with predetermined criteria to discriminate said arrhythmia state.

11. The apparatus of claim 10 further comprising a treatment centre for treating said arrhythmia.

12. The apparatus of claim 10 further comprises a database for storing treatments associated with a list of arrhythmias wherein after said arrhythmia has been discriminated, said processor accesses said database to compare said arrhythmia with said list of arrhythmias to determine treatment for said arrhythmia.

13. The apparatus of claim 10 wherein stimulated signals are stimulated rate signals or stimulated morphology signals.