Method and apparatus for identifying patients with wide QRS complexes
First Claim
Patent Images
1. A cardiac rhythm management (CRM) system, comprising:
- an implantable medical device including;
a pacing circuit to deliver pacing pulses; and
an implant controller, coupled to the pacing circuit, to control the delivery of the pacing pulses; and
an external system communicatively coupled to the implantable medical device via telemetry, the external system including;
a user interface including one or more user input devices and one or more presentation devices;
a programming circuit, coupled to the user interface, to program the implantable medical device; and
a wide-QRS detection and alerting circuit coupled to the user interface, the wide-QRS detection and alerting circuit including;
a wide-QRS detector to receive an electrocardiogram (ECG) signal and detect a wide QRS complex from the ECG signal; and
a wide-QRS indicator, coupled to the wide-QRS detector, to produce a wide-QRS indication using the one or more presentation devices when the wide QRS complex is detected.
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Abstract
A medical device programmer or other external system capable of programming an implantable CRM device includes a wide-QRS detection and alerting system. Upon detection of a wide QRS complex, a wide-QRS indicator produces a visual indication of the detection using one or more presentation devices such as a display screen and a printer to alert a physician or other caregiver.
41 Citations
35 Claims
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1. A cardiac rhythm management (CRM) system, comprising:
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an implantable medical device including;
a pacing circuit to deliver pacing pulses; and
an implant controller, coupled to the pacing circuit, to control the delivery of the pacing pulses; and
an external system communicatively coupled to the implantable medical device via telemetry, the external system including;
a user interface including one or more user input devices and one or more presentation devices;
a programming circuit, coupled to the user interface, to program the implantable medical device; and
a wide-QRS detection and alerting circuit coupled to the user interface, the wide-QRS detection and alerting circuit including;
a wide-QRS detector to receive an electrocardiogram (ECG) signal and detect a wide QRS complex from the ECG signal; and
a wide-QRS indicator, coupled to the wide-QRS detector, to produce a wide-QRS indication using the one or more presentation devices when the wide QRS complex is detected. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. A medical device programmer for communicating with an implantable medical device, the medical device programmer comprising:
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an external telemetry circuit to communicate with the implantable medical device;
a user interface including one or more user input devices and one or more presentation devices;
a programming circuit, coupled to the user interface an the external telemetry circuit, to program the implantable medical device;
a surface electrocardiogram (ECG) sensing circuit to sense at least one surface ECG signal; and
a wide-QRS detection and alerting circuit coupled to the use interface, the wide-QRS detection and alerting circuit including;
a wide-QRS detector, coupled to the surface ECG sensing circuit, to receive the at least one surface ECG signal and detect a wide QRS complex from the at least one surface ECG signal; and
a wide-QRS indicator coupled to the wide-QRS detector, the wide-QRS indicator adapted to produce a wide-QRS indication using the one or more presentation devices when the wide QRS complex is detected. - View Dependent Claims (10, 11, 12, 13, 14)
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15. An external system for communicating with an implantable medical device coupled to implantable electrodes, the external system comprising;
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an external telemetry circuit to receive at least one wireless electrocardiogram (ECG) signal from the implantable medical device, the wireless ECG signal being a signal sensed through the implantable electrodes and approximating a surface ECG signal;
a programming circuit, coupled to the external telemetry circuit, to program the implantable medical device;
a user interface including one or more presentation devices; and
a wide-QRS detection and alerting circuit coupled to the external telemetry circuit and the user interface, the wide-QRS detection and alerting circuit including;
a wide-QRS detector to receive the at least one wireless ECG signal and detect a wide QRS complex from the at least one wireless ECG signal; and
a wide-QRS indicator coupled to the wide-QRS detector, the wide-QRS detector adapted to produce a wide-QRS indication using the one or more presentation devices when the wide QRS complex is detected. - View Dependent Claims (16, 17, 18, 19, 20, 21, 22)
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23. A method for operating a medical device programmer communicating with an implantable medical device, the method comprising:
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sensing a surface electrocardiogram (ECG) signal using a surface ECG sensing circuit of the medical device programmer;
measuring a QRS width from the surface ECG signal;
detecting a wide QRS complex by comparing the measured QRS width to a predetermined threshold QRS width; and
presenting a visual indication of a detection of the wide QRS complex using a presentation device of the medical device programmer when the QRS width exceeds the predetermined threshold QRS width. - View Dependent Claims (24, 25, 26, 27, 28, 29, 30)
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31. A method for operating an external system communicating with an implantable medical device coupled to implantable electrodes, the method comprising:
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receiving a wireless electrocardiogram (ECG) signal from the implantable medical device, the wireless ECG signal being a signal sensed through the implantable electrodes and approximating a surface ECG signal;
measuring a QRS width from the wireless ECG signal;
detecting a wide QRS complex by comparing the QRS width to a predetermined threshold QRS width; and
presenting a visual indication of a detection of the wide QRS complex using a presentation device of the external system when the QRS width exceeds the predetermined threshold QRS width. - View Dependent Claims (32, 33, 34, 35)
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Specification