Apparatus for monitoring cardiac activity via ECG and heart sound signals

• US 4,548,204 A
• Filed: 02/23/1984
• Issued: 10/22/1985
• Est. Priority Date: 03/06/1981
• Status: Expired due to Term

• 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:
  US06/583,086
• Time in Patent Office: 607 Days
• Field of Search: 128/695, 128/696, 128/697, 128/700, 128/701, 128/710, 128/711, 128/715, 128/904
• US Class Current: 600/513
• 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
• CPC Class Codes: Y10S 128/904 Telephone telemetry

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 monitoring remotely or by a using recording, an ECG signal is modulated and combined with the associated heart sound signal for use as a single combined signal.

Claims

1. In apparatus for detecting heart sounds and analyzing ECG signals, the apparatus including a heart sound signal input and an ECG signal input, the combination of:

first means responsive to said ECG signal for modulating said ECG signal with a predetermined audio frequency to provide a modulated ECG signal;

second means responsive to said modulated ECG signal and said heart sound signal input for combining said signals as a combined modulated ECG signal and heart sound signal output as a single combined signal; and

receiving means responsive to said single combined signal for providing an ECG signal output and a heart sound signal output, said receiving means comprising third means for demodulating said single combined signal in accordance with said predetermined audio frequency to provide said ECG signal and fourth means for providing said heart sound signal, and fourth means comprising filtering means for passing low frequency signals associated with heart sounds and attenuating high frequency signals not associated with heart sounds.

2. Apparatus in accordance with claim 1, wherein said first means includes an audio oscillator for providing the predetermined audio frequency signal.

3. Apparatus in accordance with claim 2, wherein the filtering means has a cut off frequency under 500 Hertz.

4. Apparatus in accordance with claim 2, wherein the audio oscillator with the predetermined audio frequency signal has a frequency of 7000 Hertz.

5. Apparatus in accordance with claim 2, wherein the third means for demodulating includes high pass filtering means for providing the modulated ECG signal.

6. Apparatus in accordance with claim 2, wherein the high pass filtering means has a pass band starting frequency substantially corresponding to 5000 Hertz.