METHODS AND SYSTEMS FOR RECOGNIZING ARRHYTHMIAS USING NEURAL STIMULATION
First Claim
1. A method for classifying an arrhythmia, comprising:
- sensing a characteristic of a ventricle before delivering a diagnostic neural stimulation;
delivering the diagnostic neural stimulation;
sensing the characteristic of the ventricle while delivering the diagnostic neural stimulation; and
using the sensed characteristic of the ventricle before and during the diagnostic neural stimulation to classify the arrhythmia as either a supraventricular tachyarrhythmia (SVT) or a ventricular tachycardia (VT).
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Abstract
In various method embodiments for classifying an arrhythmia, a characteristic of a ventricle is sensed before delivering a diagnostic neural stimulation. The diagnostic neural stimulation is delivered, and the characteristic of the ventricle is sensed while delivering the diagnostic neural stimulation. The sensed characteristic of the ventricle before and during the diagnostic neural stimulation is used to classify the arrhythmia as either a supraventricular tachyarrhythmia (SVT) or a ventricular tachycardia (VT). According to various embodiments, the characteristic of the ventricle is ventricular rate, similarity values of sensed ventricular morphology to a normal sinus rhythm (NSR), or ventricular hemodynamics. Various embodiments use ventricular rate regularity before and during the diagnostic neural stimulation to classify an SVT as atrial fibrillation (AF) or as another SVT.
90 Citations
22 Claims
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1. A method for classifying an arrhythmia, comprising:
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sensing a characteristic of a ventricle before delivering a diagnostic neural stimulation; delivering the diagnostic neural stimulation; sensing the characteristic of the ventricle while delivering the diagnostic neural stimulation; and using the sensed characteristic of the ventricle before and during the diagnostic neural stimulation to classify the arrhythmia as either a supraventricular tachyarrhythmia (SVT) or a ventricular tachycardia (VT). - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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13. A system for classifying an arrhythmia, comprising:
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an arrhythmia discriminator configured to discriminate between ventricular tachycardia (VT) and supraventricular tachycardia (SVT); a neural stimulator configured to generate a neural stimulation signal and deliver the neural stimulation signal to an autonomic neural target; and a controller operably connected to the arrhythmia discriminator and the neural stimulator, wherein the controller is configured to control the neural stimulator to deliver a diagnostic neural stimulation, and to classify the arrhythmia as either the SVT or the VT based on a ventricle characteristic before the diagnostic neural stimulation and a ventricle characteristic during the diagnostic neural stimulation. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20, 21, 22)
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Specification