Cardiac depolarization detection apparatus

• US 4,354,497 A
• Filed: 05/23/1977
• Issued: 10/19/1982
• Est. Priority Date: 05/23/1977
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Kahn, Alan R.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US05/799,258
• Time in Patent Office: 1,975 Days
• Field of Search: 128/2.06 A, 128/2.06 B, 128/2.06 G, 128/2.06 R, 128/419 D
• US Class Current: 607/5
• CPC Class Codes: A61B 5/364 Detecting abnormal ECG interval, e.g. extrasystoles, ectopic heartbeats
• CPC Class Codes: A61N 1/365 controlled by a physiological parameter, e.g. heart potential evoked response A61N1/371

Abstract

Apparatus which detects ventricular depolarizations originating at an ectopic focus. Ventricular depolarization is sensed at a plurality of areas of the heart including one area within the interventricular septum or near the right ventricular apex. Logic circuity responds to the sensed depolarizations to discriminate between normal and abnormal origination of an impulse propagated through the ventricular conduction system. A signal representative of such abnormal impulse origination may be employed in any desired manner.

Claims

1. Cardiac ectopic heat detection apparatus which comprises:

means for sensing cardiac depolarization including first means for sensing depolarization of a first area of cardiac tissue and second means for sensing depolarization of at least one other area of cardiac tissue, said first area being an area of earlier activation within the ventricular conduction system than any of said other areas;

output means; and

means interconnecting said output means and sensing means for providing a signal to said output means only following the occurrence of cardiac depolarization sensed by said second means and not preceded by a depolarization sensed by said first means.

2. The apparatus of claim 1 wherein said interconnecting means comprises:

third means for responding to the sensing of depolarization by any of said second means to provide a signal to said output means; and

fourth means responsive to said first means for blocking said signal from said output means for a predetermined period of time following the sensing of depolarization by said first means.

3. The apparatus of claim 2 wherein said third means comprises OR logic means and said fourth means comprises AND logic means.

4. The apparatus of claim 1 wherein said interconnecting means comprises dual state means settable to an initial state in response to the sensing of depolarization by said first means and alterable in state in response to the sensing of depolarization by said second means.

5. In cardiac apparatus of the type having first means for sensing depolarizations resulting from propagation of an impulse at a plurality of areas on a heart and second means for providing signals in response to depolarizations sensed by said first means, the improvement which comprises third means responsive to a normally conducted impulse for rendering said second means nonresponsive to depolarizations sensed by said first means resulting from propagation of said normally conducted impulse, said third means comprising means for detecting depolarizations within or near the interventricular septum and logic means responsive to the sequence of said first means and depolarizations detected within or near the interventricular septum for discriminating between depolarizations resulting from propagation of a normally conducted impulse and those originating from an ectopic focus, said logic means comprising OR logic means for responding to the sensing of depolarization by any of said first means to provide a signal, said second means being responsive to said signal;

and AND logic means responsive to sensed depolarizations within or near the interventricular septum for blocking said signal from said second means for a predetermined period of time following a sensed depolarization within or near the interventricular septum.

6. In cardiac apparatus of the type having first means for sensing depolarizations resulting from propagation of an impulse at a plurality of areas on a heart and second means for providing signals in response to depolarizations sensed by said first means, the improvement which comprises third means responsive to a normally conducted impulse for rendering said second means nonresponsive to depolarizations sensed by said first means resulting from propagation of said normally conducted impulse, said third means comprising means for detecting depolarizations within or near the interventricular septum and logic means responsive to the sequence of said first means and depolarizations detected within or near the interventricular septum for discriminating between depolarizations resulting from propagation of a normally conducted impulse and those originating from an ectopic focus, said logic means comprising dual state means settable to an initial state in response to the sensing of depolarizations within or near the interventricular septum and alterable in state in response to the sensing of depolarization by said first means, a different dual state means being asociated with each of said areas on a heart, said logic means further comprising means for responding to each of said dual state means to provide a signal when any of said dual state means are in the intial state, said second means being responsive to said signal, and means for blocking said signal from said second means for a predetermined period of time following a sensed depolarization within or near the interventricular septum.

7. The apparatus of claim 6 wherein the means to provide a signal comprises OR logic means and said blocking means comprises AND logic means.