Method of and apparatus for detecting cardiac rhythm disturbance

• US 4,784,153 A
• Filed: 11/12/1986
• Issued: 11/15/1988
• Est. Priority Date: 11/12/1986
• Status: Expired due to Term

• Current Assignee: Lloyd A. Marks
• Original Assignee: Lloyd A. Marks
• Inventors: Marks, Lloyd A.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): NOT, DEFINED
• Application Number:
  US06/929,414
• Time in Patent Office: 734 Days
• Field of Search: 128/701, 128/690, 128/696, 128/702, 128/703, 128/704
• US Class Current: 600/514
• CPC Class Codes: A61B 5/364 Detecting abnormal ECG interval, e.g. extrasystoles, ectopic heartbeats
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: A61B 5/7415 Sound rendering of measured values, e.g. by pitch or volume variation A61B5/741 takes precedence

Abstract

A method for generating audio information to indicate the presence and nature of a cardiac rhythm disturbance is disclosed. More specifically, this method produces sounds which accompany atrial and ventricular ectopic rhythms, allowing the physician to appreciate the presence of such rhythms without having to visually inspect the morphology of the electrocardiogram signal. Furthermore, the sounds differ according to the type of ectopic rhythm present. This method provides such information in real time, allowing the physician to correlate the information with the current condition of the patient. The electrocardiogram signal is analyzed by a microprocessor or microcomputer which in turn controls a tone generator to produce the audio output.

Claims

1. A cardiac diagnostic system for producing sounds from electrocardiogram signals comprising:

an electrocardiogram (EKG) module transmitting a first signal proportional to the shape of the electrocardiogram;

a means to receive said first signal and provide a second signal proportional to the first derivative of the first signal;

a computing means responsive to at least one of said first and second signals identifying when a QRS complex deflection of a heartbeat has occurred, determining at least one mathematical parameter derived from the shape of said QRS complex deflection and transmitting an output signal proportional to said mathematical parameter; and

a tone generating means responsive to the output signal of the computing means producing a tone whose characteristics are dependent upon said mathematical parameter of said QRS complex deflection and which tone is produced only for each QRS complex deflection.

2. A cardiac diagnostic system in accordance with claim 1 wherein said mathematical parameter is the mean EKG signal upstroke rate.

3. A cardiac diagnostic system in accordance with claim 1 wherein said mathematical parameter is a peak magnitude of said QRS complex deflection.

4. A cardiac diagnostic system in accordance with claim 1 further comprising a signal sent from the computing means to the tone generating means to disable the tone when the QRS complex deflection has terminated.

5. A cardiac diagnostic system in accordance with claim 1 further comprising:

a means wherein a sensitivity range parameter distinguishing normal from abnormal heartbeats is provided within the computing means; and

said computing means extracting parameters characterizing normal heartbeat signals and comparing the parameters extracted from the normal heartbeats with the same parameters extracted from ongoing heartbeats and generating a third signal preventing the tone generating means from generating a tone when the difference between the parameters from the normal heartbeat signals and the ongoing heartbeat signals exceeds the sensitivity range parameter.

6. A cardiac diagnostic system in accordance with claim 1 further comprising a means to provide said tone generating means with a modulating signal proportional to a or a function of said first or second signals, which modulating signal controls the frequency of said tone produced by said tone generating means to modulate about a center frequency as a function of the amplitude of said first or second signals.

8. A cardiac diagnostic system in accordance with claim 1 wherein the tone generating means responsive to an output signal of the computing means produces a tone whose time duration is dependent upon said mathematical parameter of said QRS complex deflection.

7. A cardiac diagnostic system for producing sounds from electrocardiogram signals comprising:

an electrocardiogram (EKG) module transmitting a first signal proportional to the shape of the electrocardiogram waveform;

a tone generating means responsive to the output of the EKG module producing a tone whose characteristics are dependent upon a mathematical parameter of a QRS complex deflection and which tone is produced only for each QRS complex deflection.

17. A cardiac diagnostic system in accordance with claim 7 further comprising a means to receive said first signal and provide a second signal proportional to the first derivative of the first signal and wherein said tone generating means is responsive to the output of the EKG module and said means providing said second signal.

9. A cardiac diagnostic system for producing sounds from electrocardiogram signals comprising:

an electrocardiogram (EKG) module transmitting a first signal proportional to the shape of the electrocardiogram waveform;

a tone generating means responsive to the output of the EKG module for producing a tone whose characteristics are dependent upon a mathematical parameter of a QRS complex deflection and which tone is produced only for each QRS complex deflection; and

means to provide said tone generating means with a second signal which causes the tone to modulate about a center frequency so that said tone produced by said tone generating means is modulated as a function of the amplitude of said first signal.

10. A cardiac diagnostic system for producing sounds from electrocardiogram signals comprising:

an electrocardiogram (EKG) module transmitting a first signal proportional to the shape of the electrocardiogram waveform;

a computing means responsive to said first signal identifying when a QRS complex deflection of a heartbeat has occurred, determining at least one mathematical parameter derived from the shape of said QRS complex deflection and transmitting an output signal proportional to said mathematical parameter; and

a tone generating means responsive to the output of the computing means producing a tone whose characteristics are dependent upon a mathematical parameter of a QRS complex deflection and which tone is produced only for each QRS complex deflection.

11. A cardiac diagnostic system in accordance with claim 10 wherein said mathematical parameter is a mean EKG upstroke rate.

12. A cardiac diagnostic system in accordance with claim 10 wherein said mathematical parameter is a peak magnitude of said QRS deflection.

13. A cardiac diagnostic system in accordance with claim 10 further comprising a signal sent from the computing means to the tone generating means to disable the tone when the QRS complex deflection has terminated.

14. A cardiac diagnostic system in accordance with claim 10 further comprising:

a means wherein a sensitivity range parameter distinguishing normal from abnormal heartbeats is provided within the computing means; and

said computing means extracting parameters characterizing normal heartbeat signals and comparing the parameters extracted from the normal heartbeats with the same parameters extracted from ongoing heartbeats and generating a second signal preventing the tone generating means from generating a tone when the difference between the parameters from the normal heartbeat signals and the ongoing heartbeat signals exceeds the sensitivity range parameter.

15. A cardiac diagnostic system in accordance with claim 10 further comprising a means to provide said tone generating means with a modulating signal which causes the tone to modulate about a center frequency so that said tone produced by said tone generating means is modulated as a function of the amplitude of said first signal.

16. A cardiac diagnostic system in accordance with claim 10 wherein the tone generating means responsive to an output signal of the computing means produces a tone whose time duration is dependent upon said mathematical parameter of said QRS complex deflection.