ACCURATE CARDIAC EVENT DETECTION IN AN IMPLANTABLE CARDIAC STIMULUS DEVICE
First Claim
1. An implantable cardiac stimulus device (ICSD) comprising a canister housing operational circuitry coupled to a plurality of electrodes, the canister being coupled to a lead electrode assembly having at least some of the plurality of electrodes disposed thereon, the operational circuitry being configured to perform a method comprising:
- capturing cardiac signals using at least some of the plurality of electrodes while implanted in a patient;
detecting, from the captured cardiac signals, detected events by the use of comparison of the captured signal to detection threshold criteria, wherein the detection threshold criteria are generated for a given detected event by reference to whether a preceding detected event is similar or dissimilar to stored data;
declaring a Tachy-on condition if the detected events indicate a cardiac rate for the patient that exceeds a predetermined threshold;
while the Tachy-on condition is declared, determining whether the patient'"'"'s cardiac rhythm is malignant and, if so, delivering cardiac stimulus to the patient.
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Abstract
Methods, systems, and devices for signal analysis in an implanted cardiac monitoring and treatment device such as an implantable cardioverter defibrillator. In some illustrative examples, detected events are analyzed to identify changes in detected event amplitudes. When detected event amplitudes are dissimilar from one another, a first set of detection parameters may be invoked, and, when detected event amplitudes are similar to one another, a second set of detection parameters may be invoked. Additional methods determine whether the calculated heart rate is “high” or “low,” and then may select a third set of detection parameters for use when the calculated heart rate is high.
20 Citations
12 Claims
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1. An implantable cardiac stimulus device (ICSD) comprising a canister housing operational circuitry coupled to a plurality of electrodes, the canister being coupled to a lead electrode assembly having at least some of the plurality of electrodes disposed thereon, the operational circuitry being configured to perform a method comprising:
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capturing cardiac signals using at least some of the plurality of electrodes while implanted in a patient; detecting, from the captured cardiac signals, detected events by the use of comparison of the captured signal to detection threshold criteria, wherein the detection threshold criteria are generated for a given detected event by reference to whether a preceding detected event is similar or dissimilar to stored data; declaring a Tachy-on condition if the detected events indicate a cardiac rate for the patient that exceeds a predetermined threshold; while the Tachy-on condition is declared, determining whether the patient'"'"'s cardiac rhythm is malignant and, if so, delivering cardiac stimulus to the patient. - View Dependent Claims (2, 3, 4)
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5. A method of event detection in an implantable cardiac stimulus device having a plurality of electrodes adapted for implantation in a patient, the method comprising:
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capturing electrical signals from the electrodes; comparing captured electrical signals to a detection threshold that varies with time following a detection profile; when the captured electrical signals cross the detection threshold, declaring a detected event; determining whether either of these conditions is met; a) the detected event is similar to a prior detected event, or b) whether the detected event is separated from an immediately prior detected event by an interval exceeding an interval threshold; selecting from between first and second variants of a selected detection profile for use in subsequent event detection as follows; if b) is met, then selecting the first variant; if b) is not met and a) is met, then selecting the first variant; and else selecting the second variant; and detecting a subsequent cardiac event using the selected variant of the selected detection profile. - View Dependent Claims (6, 7, 8)
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9. An implantable cardiac stimulus device having a plurality of electrodes adapted for implantation in a patient and operational circuitry coupled to the plurality of electrodes which is configured to perform a method comprising:
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capturing electrical signals from the electrodes; comparing captured electrical signals to a detection threshold that varies with time following a detection profile; when the captured electrical signals cross the detection threshold, declaring a detected event; determining whether either of these conditions is met; a) the detected event is similar to a prior detected event, or b) whether the detected event is separated from an immediately prior detected event by an interval exceeding an interval threshold; selecting from between first and second variants of a selected detection profile for use in subsequent event detection as follows; if b) is met, then selecting the first variant; if b) is not met and a) is met, then selecting the first variant; and else selecting the second variant; and detecting a subsequent cardiac event using the selected variant of the selected detection profile. - View Dependent Claims (10, 11, 12)
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Specification