Cycle length variability in nonsustained ventricular tachycardia

• US 5,277,190 A
• Filed: 04/07/1992
• Issued: 01/11/1994
• Est. Priority Date: 04/07/1992
• Status: Expired due to Fees

• Current Assignee: The Board of Regents of the University of Colorado (University of Colorado System)
• Original Assignee: The Board of Regents of the University of Colorado (University of Colorado System)
• Inventors: Moulton, Kreigh P.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): Getzow, Scott M.
• Application Number:
  US07/864,978
• Time in Patent Office: 644 Days
• Field of Search: 128/702, 128/703, 128/705, 128/706, 128/708
• US Class Current: 600/518
• CPC Class Codes: A61B 5/363 Detecting tachycardia or bradycardia

Abstract

The invention disclosed herein describes a method for determining the suitability of a person for extended electrophysiologic testing for ventricular tachycardia comprising monitoring the heart of a person to detect an episode of nonsustained ventricular tachycardia, determining a cycle length variability (CLV) value, and comparing the CLV value to a predetermined threshold number, and making a positive suitability determination if the CLV value is at or below the predetermined threshold number.

Claims

1. A method for determining the suitability of a person for extended electrophysiologic testing, comprising:

monitoring the heartbeat of the person for an extended period of time with a heart monitoring device;

measuring and recording heart beat cycles in the person during at least one episode of nonsustained ventricular tachycardia;

determining a cycle length variability value for each recorded episode of nonsustained ventricular tachycardia wherein the step of determining a cycle length variability value further comprises;

measuring the length of each cycle which occurs during the recorded episode of nonsustained ventricular tachycardia,

calculating the differences in length between consecutive cycles in the episode, and

determining the average of the differences for the episode; and

comparing at least one determined cycle length variability value to a predetermined electrophysiologic testing threshold number in a range from 35 to 45 milliseconds.

2. The method of claim 1 wherein the step of comparing further comprises a predetermined electrophysiologic testing threshold number of 40 milliseconds.

3. The method of claim 1 wherein the step of determining the average of the differences, further comprises an average based on at least five lengths.

4. A method for evaluating a person for admission to in-patient electrophysiologic testing, comprising:

monitoring a heatbeat of a person with a heart monitoring device for a extended period of time;

measuring and recording heart beat cycles in the person during at least one episode of nonsustained ventricular tachycardia;

determining at least one cycle length variability value by;

measuring the length of each cycle within an episode;

calculating the differences in length between consecutive cycles in the episode, and

determining the average of the differences for the episode to obtain a cycle length variability value;

comparing the determined cycle length variability value to a predetermined electrophysiologic testing threshold number in a range from 35 to 45 milliseconds; and

admitting the person to an in-patient electrophysiologic testing facility if the determined cycle length variability value is less than or equal to the predetermined electrophysiologic testing threshold number.

5. The method of claim 4 wherein the step of comparing further comprises a predetermined electrophysiologic threshold number of 40 milliseconds.