System and method for determining a reference baseline for use in cardiac decompensation assessment
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Accused Products
Abstract
A system and method for determining a reference baseline of individual patient status for use in an automated collection and analysis patient care system is described. A set of collected measures is retrieved from a medical device adapted to be implanted in a patient. The collected device measures set includes individual measures which each relate to patient information recorded by the medical device during an initial time period. The collected device measures set is received from the medical device over a communications link which is interfaced to a network server. The collected device measures set is stored into a patient care record for the patient within a database server. The collected device measures set is processed into reference measures, which are representative of measured or derived patient information. The reference measures set is stored into the patient care record as data in a reference baseline indicating an initial patient status.
147 Citations
25 Claims
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1. (canceled)
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2. A system for determining a reference baseline for use in heart failure assessment, comprising:
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a data module to assemble physiological measures, which were directly recorded as data on a substantially continuous basis by an implantable medical device for a patient or indirectly derived from the data;
a reference baseline module to identify those of the physiological measures that originate from an observation time period as a reference baseline for the patient; and
an evaluation module to evaluate the physiological measures, comprising;
an analysis module to determine patient wellness through analysis of the physiological measures against the reference baseline; and
a comparison module to compare the patient wellness to worsening heart failure indications. - View Dependent Claims (3, 4, 5, 6, 7, 8, 9, 10)
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11. A method for determining a reference baseline for use in heart failure assessment, comprising:
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assembling physiological measures, which were directly recorded as data on a substantially continuous basis by an implantable medical device for a patient or indirectly derived from the data;
identifying those of the physiological measures that originate from an observation time period as a reference baseline for the patient; and
evaluating the physiological measures by determining patient wellness through analysis of the physiological measures against the reference baseline and comparing the patient wellness to worsening heart failure indications. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19)
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20. A system for determining a stressor-based reference baseline for use in heart failure assessment, comprising:
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a programmer to receive monitoring of a patient that was performed during an observation time period while the patient performed prescribed physical stressors and while pacing stimulus stressors were applied to an implantable medical device of the patient;
a storage module to store physiological measures from the observation period comprising at least one of direct measures regularly recorded on a substantially continuous basis by the implantable medical device and measures derived therefrom;
a reference baseline module to identify those of the physiological measures that originate from the observation time period as a reference baseline for the patient; and
an evaluation module to evaluate the reference baseline and those physiological measures originating subsequent to the observation period, comprising;
an analyzer module to analyze the direct measures and the derived measures to detect any trends affecting cardiac performance of the patient; and
a comparison module to compare each such trend to parameters corresponding to worsening heart failure indications to generate a notification of parameter violations. - View Dependent Claims (21, 22)
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23. A method for determining a stressor-based reference baseline for use in heart failure assessment, comprising:
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monitoring a patient during an observation time period while the patient performs prescribed physical stressors and by applying pacing stimulus stressors to an implantable medical device of the patient;
storing from the observation period physiological measures comprising at least one of direct measures regularly recorded on a substantially continuous basis by the implantable medical device and measures derived therefrom;
identifying those of the physiological measures that originate from the observation time period as a reference baseline for the patient; and
evaluating the reference baseline and those physiological measures originating subsequent to the observation period, comprising;
analyzing the direct measures and the derived measures to detect any trends affecting cardiac performance of the patient; and
comparing each such trend to parameters corresponding to worsening heart failure indications to generate a notification of parameter violations. - View Dependent Claims (24, 25)
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Specification