Heartbeat monitoring process and device

• US 4,250,888 A
• Filed: 11/28/1978
• Issued: 02/17/1981
• Est. Priority Date: 12/14/1977
• Status: Expired due to Term

• Current Assignee: Carl-Zeiss-Stiftung
• Original Assignee: Carl-Zeiss-Stiftung
• Inventors: Grosskopf, Rudolf
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US05/964,364
• Time in Patent Office: 812 Days
• Field of Search: 128/695, 128/696, 128/699, 128/700, 128/702, 128/703, 128/704, 128/705, 128/706, 128/708, 128/709, 128/710, 128/711, 128/903, 128/904
• US Class Current: 600/515
• CPC Class Codes: A61B 5/0245 by using sensing means generating electric signals, i.e. ECG signals
• CPC Class Codes: A61B 5/332 Portable devices specially adapted therefor
• CPC Class Codes: A61B 5/335 using integrated circuit memory devices
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle

Abstract

A process for the electronic long-time monitoring of the heart with EKG lead electrodes fastened to the skin of a patient, in which the signal delivered by these electrodes is digitized and evaluated, the process being characterized by the fact that the EKG signal is evaluated simultaneously on basis of several parameters, that all evaluation signals are stored in the form of histograms, and that furthermore, in case of a signal anomaly determined by the evaluation, this anomaly as well as preceding and following signal sections are permanently stored.

Claims

1. The method of electronic long-time monitoring of heart performance involving EKG lead electrodes applied to the skin of a patient, which method comprises digitizing the EKG signal delivered by the electrodes, and simultaneously evaluating the EKG signal on the basis of each of a plurality of different parameters, temporarily storing all evaluation signals for a plurality of heartbeats in the form of histograms, each of which histograms is unique to a different parameter evaluation, whereby for each histogram a threshold value is stored representing a normal performance of the heart in terms of the applicable parameter, continuously comparatively monitoring each newly developed evaluation signal against the applicable threshold value for the occurrence of an anomaly histogram in respect of the applicable parameter, and permanently storing the anomaly histogram as well as the corresponding-parameter histograms for a predetermined number of preceding and following heartbeat cycles.

2. The method of claim 1, characterized by the fact that the digital signal corresponding to a predetermined number of heartbeats is temporarily stored and that the signal section corresponding to the next following heartbeat is simultaneously evaluated and effects the cancellation of the signal section which has been stored longest.

3. The method of claim 1, characterized by the fact that the permanent storage of the temporarily stored signals and of the following signal sections can also be initiated manually.

4. The method of claim 1, characterized by the fact that, when the storage capacity for permanent signal storage is exhausted, a warning signal is given off.

5. The method of claim 1, characterized by the fact that a clock signal is produced and that it is stored together with and upon entry of evaluation signals into the permanent storage.

6. The method of claim 1, wherein one of said parameters is unique to heart-pulse period or frequency, and wherein for said one parameter the temporary storage of the applicable histogram is for the most recent group of n successive heartbeats, n being a whole number greater than 50, whereby jitter of heartbeat frequency is detectable and instantly stored.

7. A system for the electronic long-time monitoring of the heart of a patient, comprising EKG apparatus including electrodes adapted to be fastened to the skin of a patient for producing an analog EKG-signal output, electronic-circuit means connected to said apparatus for the programmed evaluation of the EKG-signal, said circuit means consisting of an analog-digital converter for digitizing EKG-signals, a temporary-storage means for storing the signals of a predetermined number of heartbeats, microprocessor means from which continuously the oldest of the heartbeats stored in said temporary-storage means is erased upon entry of the digitized signal for the most recent heartbeat, program-storage means connected to said microprocessor means for storing an evaluation program for said EKG-signals on the basis of a plurality of different selected parameters, a result-storage means connected to one output of said microprocessor means and serving to store statistics of the EKG-signal arranged in accordance with said different parameters of said evaluation program, a further storage device coupled to another output of said microprocessor means and serving to store the complete EKG-signal stored in said temporary-storage means and the EKG-signal of a predetermined number of following heartbeats in case said microprocessor means notes a signal anomaly, said system further comprising an output unit connected to the outputs of said storage device and of said result-storage means and serving as an electronic interface for the digital output of the stored signals, said system being arranged on a plate adapted to be worn by the patient.

8. The system of claim 7, in which said plate is a flexible sheet.

9. The system of claim 7, in which said plate includes means for its detachable fastening to the clothing of the patient.

10. The system of claim 7, in which said plate includes means for removable attachment to the skin of the patient.

11. The system of claim 7, wherein said circuit includes patient-lead electrodes connected thereto by flexible lines.

12. The system of claim 7, in which said circuit includes storage means for permanently storing a plurality of EKG histograms in digital form.

13. The system of claim 7, in which said circuit includes a plurality of integrated circuits.