Method and system for rapid non-invasive determination of the systolic time intervals

• US 4,094,308 A
• Filed: 08/19/1976
• Issued: 06/13/1978
• Est. Priority Date: 08/19/1976
• Status: Expired due to Term

• Current Assignee: Cormier Cardiac Systems Incorporated
• Original Assignee: Cormier Cardiac Systems Incorporated
• Inventors: Cormier, Denny Charles
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US05/715,895
• Time in Patent Office: 663 Days
• Field of Search: 128/2.05 R, 128/2.05 S, 128/2.05 V, 128/2.06 R, 235/150.53, 235/181, 179/1 ST
• US Class Current: 600/528
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence

Abstract

A non-invasive method and means for determining beat-by-beat assessments of a patient'"'"'s cardiac performance by measuring the "pre-ejection phase" (PEP) and the "left ventricular ejection time" (LVET), the aforementioned phrases also being known as the "systolic time intervals" (STI) of the heart. The system accomplishes its function through the following method: (1) transduction of the heart sounds into an electrical phonocardiogram (PCG) signal and controlled amplification thereof; (2) extraction of initial cardiac contraction and aortic valvular events by subjecting the PCG to the general inverse-filtering technique known as "deconvolution;" (3) electronic separation of the PEP, LVET and heart pulse intervals from the deconvolved PCG with microcomputer circuitry comprising microprocessor and digital logic assemblies; (4) precise measurement and simultaneous storage of the PEP, LVET, the PEP/LVET ratio, and the heart rate with the use of electronic digital counters, timers, dividers, and buffer memories after every heart beat; and (5) finally effecting digital readout for instantly displaying the systolic time intervals, their respective ratio, and the heart rate, or for storing them for later use.

Claims

1. In a method for the non-invasive determination of cardiac performance by measuring the systolic time intervals (STI), the steps of transducing the heart sounds into an electrical phonocardiogram signal, subjecting the phonocardiogram signal to an inverse filtering system specifically matched in accordance with formulae equivalent to TRW(t) for detection of cardiac valvular events as derived from fundamental biophysical parameters of the heart for extraction of said systolic time interval events from the phonocardiogram signal, extracting systolic time interval events from the phonocardiogram signal after thus being subjected to said inverse filtering system, electrically measuring intervals between said systolic time interval events, and finally indicating said systolic time intervals for interpretation as indicia of cardiac performance.

2. The method as set forth in claim 1 wherein said inverse filtering extracting step consists of the inverse filtering step known as "deconvolution".

3. In a method for the non-invasive determination of cardiac performance, the steps of transducing the heart sounds into an electrical phonocardiogram signal, then extracting from the phonocardiogram on a real time basis predetermined systolic time interval events by subjecting said phonocardiogram signal on the inverse filtering technique known as "deconvolution", then separating the pre-determined systolic time interval events extracted from the deconvolved phonocardiogram signal, then electrically measuring said predetermined systolic time interval events, and finally indicating said systolic time intervals for interpretation as indicia of cardiac performance.

4. In a method for the non-invasive determination of human cardiac performance by measuring the "preejection phase" (PEP) and the "left ventricular ejection time" (LVET), the steps of, transducing the heart sounds into an electrical phonocardiogram signal, electrically extracting on a real time basis initial cardiac contraction and aortic valvular events by subjecting the phonocardiogram signal to the inverse filtering technique known as "deconvolution," electrically separating from the deconvolved phonocardiogram signal the "pre-ejection phase or period" (PEP), and the (LVET), and finally indicating said PEP and LVET time intervals as indicia of cardiac performance.

5. The method as set forth in claim 4 and including the additional step of converting said PEP and LVET time intervals for indication thereof as the ratio, PEP/LVET.

6. A method for non-invasive determination of the systolic time intervals (STI), which comprises:

(a) transducing the heart sounds into a phonocardiogram (PCG) signal;

(b) deconvolving said phonocardiogram signal to extract initial cardiac contraction and aortic valvular events;

(c) electronically separating the PEP and LVET from said deconvolved PCG signal;

(d) precisely measuring said PEP and LVET after every systolic cycle, and finally;

(e) indicating the values for said PEP and LVET.

7. A system for the non-invasive determination of systolic time intervals (STI), which comprises:

(a) transducer means for converting heart sounds into an electrical phonocardiogram (PCG);

(b) a deconvolver for transforming said PCG signal into a deconvolved signal having a series of systolic event spikes of varying amplitudes;

(c) means for converting said deconvolved PCG signal to a signal of uniform polarity;

(d) means for separating and identifying from said converted signal temporal boundaries defining the PEP and LVET;

(e) means for computing values of the PEP and LVET; and

(f) means for indicating the values of said PEP and LVET.

8. A system for the non-invasive determination of systolic time intervals as defined in claim 7 including equalization circuit means for correcting any phase or frequency distortion introduced into said PCG signal by said transducer means.

9. A system for the non-invasive determination of systolic time intervals as defined in claim 7 including automatic gain control circuitry for maintaining said phonocardiogram (PCG) signal at a constant RMS level.

10. A system for the non-invasive determination of systolic time intervals as defined in claim 7 including signal conditioner circuit means for suppressing deconvolved signal noise.

11. A system for the non-invasive determination of systolic time intervals as defined in claim 7 wherein said separating means comprises a combination of linear and digital logic circuitry.

12. A system for the non-invasive determination of systolic time intervals as defined in claim 7 wherein said means for separating and indentifying further defines the heart pulse interval for measurement of the heart rate.

13. A system for the non-invasive determination of systolic time intervals as defined in claim 12 including means for continuously indicating said heart rate on a beat-by-beat basis.

14. A system for the non-invasive determination of systolic time intervals as defined in claim 7 wherein said means for computing the values of the PEP and LVET comprises a combination of microprocessor and programmed logic assembly integrated circuitry for providing real time computation of the values for PEP and LVET.

15. A system for the non-invasive determination of systolic time intervals as defined in claim 7 wherein said means for computing the values of the PEP and LVET comprises a combination of microprocessor and programmed logic assembly integrated circuitry for providing real time computation of the values for PEP, LVET, and the PEP/LVET ratio.

16. A system for the non-invasive determination of systolic time intervals as defined in claim 15 wherein said means for indicating said values of the PEP, LVET and the PEP/LVET ratio comprise digital display means.

17. A system for the non-invasive determination of systolic time intervals as defined in claim 7 wherein the means for indicating said values of the PEP and LVET comprise digital display means.

18. A system for the non-invasive determination of systolic time intervals as defined in claim 7 including means for indicating the values of said PEP and LVET as the ratio, PEP/LVET.