Heart sound detector and synchronization for diagnostics

• US 4,546,777 A
• Filed: 02/23/1984
• Issued: 10/15/1985
• Est. Priority Date: 03/06/1981
• Status: Expired due to Fees

• Current Assignee: Siemens Gammasonics Incorporated
• Original Assignee: Siemens Gammasonics Incorporated
• Inventors: Domnanovich, James R., Groch, Mark W.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US06/583,083
• Time in Patent Office: 600 Days
• Field of Search: 128/689, 128/695, 128/696, 128/700, 128/702-704, 128/706, 128/710, 128/715
• 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
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 7/04 Electric stethoscopes microphones, acoustic transducers therefor H04R

Abstract

From a heart sound signal input the occurrence of a first occurring heart sound is detected. Thereupon a predetermined heart sound enable window time is established, which for a first detection cycle is set to approximately the diastolic interval for the maximum heart rate to be detected. If a second heart sound occurs within this heart sound enable window time, this second heart sound is detected as a systole heart sound. The first heart sound may be detected as a diastole heart sound. If a second heart sound does not occur within the heart sound enable window time the procedure is repeated with increasing heart sound enable time as long as a second heart sound occurs within an increased heart sound enable window time. For diagnostics synchronization signals developed exclusively from the heart sound signals are used to validate data from diagnostic equipment such as a gamma camera.

Claims

1. A method of controlling diagnostic apparatus to acquire cardiac or heart function data or images comprising the steps of:

detecting the occurence of a first heart sound and a second heart sound when both are coincident with a prescribed heart sound enable window adjustable within prescribed limits and beginning with the occurence of the first heart sound;

providing an accurately timed systole trigger signal coincident with systole heart function as derived from the heart sound signal; and

controlling data acquistion of diagnostic apparatus in accordance with said accurately time systole trigger signal.

2. The method of claim 1 further comprising the steps of providing an accurately timed diastole trigger signal coincident with diastole heart function as derived from the heart sound signal;

and

controlling data acquisition of the diagnostic apparatus in accordance with said accurately timed diastole trigger signal.

3. The method of claim 2 wherein said diastole and systole controlling steps further comprise the steps of gating a diastolic image in accordance with said diastolic trigger signal and gating a systolic image in accordance with said systolic trigger signal.

4. The method of claim 1 wherein said controlling step comprises the step of obtaining multiple data frames by starting data acquisition at systole and obtaining data at a predetermined number of points thereafter.

5. A method of controlling diagnostic apparatus of the type which produces cardiac cycle analysis data comprising:

storing cardiac cycle analysis data for a cardiac cycle in a temporary storage memory, the cardiac cycle analysis data being stored in serial time relationship;

detecting the occurrence of a first occuring heart sound;

detecting the occurrence of a second occuring heart sound within a pre-established heart sound enable window adjustable between prescribed limits until the detection of the second heart sound;

producing an accurately timed heart sound signal in accordance with the second occuring heart sound signal;

selecting a portion of the temporarily stored data that is desired for data analysis in accordance with the accurately timed heart sound signal; and

controlling the read-out of the desired portion of the temporarily stored data for data analysis to diagnostic apparatus.

6. The method of claim 5 further comprising the steps of:

determining the cardiac rate of the present cardiac cycle data;

detecting whether or not the present cardiac cycle data represents a departure of the cardiac rate by a predetermined amount from the average of a predetermined number of previous cardiac cycles based on either the heart sound rate, and inhibiting the read-out of the temporarily stored data to the diagnostic apparatus in accordance with said detecting step.

7. The method as in either claim 5 or claim 6 wherein said controlling step further comprises framing the read-out data to the diagnostic apparatus with a predetermined number of data frame time intervals.

8. The method of claim 7, further comprising the steps of:

producing an accurately timed diastole heart sound in accordance with the first occuring heart sound; and

starting the providing of data to the temporary storage memory in accordance with an accurately timed diastole heart sound.

9. The method of claim 7 further comprising the steps of:

detecting an EGC wave signal;

producing an ECG-R wave signal in predetermined relationship to the detected EGC wave signal; and

starting the providing of data to the temporary storage memory in accordance with the ECG-R wave signal.

10. The method of claim 8 wherein said starting step further comprises the step of controlling the addressing of the temporary storage memory upon the occurence of each data starting step to store the data from each successive cardiac cycle in predetermined different locations defining independent cardiac cycle data.

11. Apparatus for controlling the acquiring and reading-out of cardiac cycle data produced by diagnostic apparatus, the cardiac cycle data being produced in association with an ongoing heart sound signal comprising:

first means for temporarily storing cardiac cycle data, said cardiac cycle data being received at a data input and representing one or more cardiac parameters in serial time relationship;

second means responsive to the ongoing heart sound signal for producing a trigger signal in predetermined time relationship to the ongoing heart sound signal to select the portion of said stored cardiac cycle data that is desired for data analysis by additional diagnostic apparatus; and

means responsive to said second means for controlling the read-out of said desired portion data from said temporary storing means.

12. The apparatus of claim 11 further comprising arrythmia detector means for detecting cardiac cycle data in said temporary storage means corresponding to a cardiac cycle that represents a cardiac rate that is a departure from previous cardiac cycles by a predetermined amount, said readout controlling means being responsive to said arrythmia detector means and further comprising means for inhibiting the read-out of detected arrythmia cardiac cycle data and discarding said detected arrythmia cardiac cycle data in said temporary storage means.

13. The apparatus of claim 12 further comprising data framing means for formulating said read-out data into a predetermined number of data frame time intervals.

14. The apparatus of claim 11 further comprising means for generating an accurately timed systole heart sound signal connected to said second means.

15. The apparatus of claim 14 wherein said second means comprises means for selecting said data portion in accordance with a predetermined relationship defining the desired portion of the cardiac cycle with respect to the occurrence of systole, said second means further means for selecting a cardiac reference signal from a plurality of signals including a diastole heart sound signal and an ECG-R wave signal.