Method for detecting tachyarrhythmia of a heart by measuring patient activity and partial pressure of blood oxygen

• US 5,431,172 A
• Filed: 09/13/1993
• Issued: 07/11/1995
• Est. Priority Date: 09/11/1992
• Status: Expired due to Term

• Current Assignee: Pacesetter AB
• Original Assignee: Pacesetter AB
• Inventors: Holmstroem, Nils, Hagel, Pia, Hoegnelid, Kurt, Franksson, Agneta
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): Parker, Marianne
• Application Number:
  US08/119,532
• Time in Patent Office: 666 Days
• Field of Search: 128/632, 128/637, 128/695, 128/696, 128/702, 128/705, 607/9, 607/14, 607/17, 607/19, 607/22
• US Class Current: 600/518
• CPC Class Codes: A61N 1/36557 controlled by chemical substances in blood
• CPC Class Codes: A61N 1/39622 Pacing therapy

Abstract

For detecting tachyarrhythmia of the heart, the partial pressure of gases physically dissolved in the blood is measured, preferably the partial oxygen pressure pO₂, and a fast variation and/or a variation of the measured partial pressure pO₂ that exceeds a prescribed degree is utilized as a criterion for the detection of a tachyarrhythmia. An apparatus for treating tachyarrhythmia of the heart operating according to the above method includes a sensor for identifying the partial pressure of gases dissolved in the blood, an evaluation unit supplied with the sensor output for recognizing rapid changes of the partial pressure or changes of the partial pressure that exceed a prescribed degree, the output of the evaluation unit being connected to circuitry for triggering the tachyarrhythmia treatment.

Claims

1. A method for detecting tachyarrhythmia of a heart comprising the steps of:

measuring a partial pressure of gases dissolved in blood of a patient and monitoring any changes of said partial pressure;

measuring physical activity of said patient, in whom tachyarrhythmia is to be detected, utilizing an activity sensor; and

utilizing a simultaneous occurrence of a low activity level and presence of a selected change in the measured partial pressure as a criterion for detecting a tachyarrhythmia.

2. A method as claimed in claim 1 wherein the step of utilizing a selected change in the measured partial pressure as a part of the criterion for the detection of a tachyarrhythmia is further defined by utilizing an occurrence of a selected change in magnitude of said measured partial pressure over a selected period of time as a part of the criterion for the detection of a tachyarrhythmia.

3. A method as claimed in claim 1 wherein the step of utilizing a selected change in the measured partial pressure as a part of the criterion for the detection of a tachyarrhythmia is further defined by utilizing an occurrence of the magnitude of said measured partial pressure falling below a predetermined minimum value as a part of the criterion for the detection of a tachyarrhythmia.

4. A method as claimed in claim 1 wherein the step of measuring a partial pressure of gases dissolved in the blood is further defined by measuring a partial pressure of oxygen in the blood.

5. A method as claimed in claim 4 wherein the step of utilizing a selected change in the measured partial pressure as a part of the criterion for the detection of a tachyarrhythmia is further defined by utilizing an occurrence of a decrease in magnitude of the measured partial pressure of oxygen in the blood over a selected period of time as a part of the criterion for the detection of a tachyarrhythmia.

6. A method as claimed in claim 4 wherein the step of utilizing a selected change in the measured partial pressure as a part of the criterion for the detection of a tachyarrhythmia is further defined by utilizing an occurrence of the magnitude of the measured partial pressure of oxygen in the blood falling below a predetermined minimum value as a part of the criterion for the detection of a tachyarrhythmia.

7. A method as claimed in claim 1 comprising the additional steps of:

measuring a heartbeat rate of said heart; and

utilizing said heartbeat rate as a further criterion for the detection of a tachyarrhythmia with a simultaneous presence of both criteria indicating the presence of a tachyarrhythmia.

8. A method for detecting tachyarrhythmia of the heart comprising the steps of:

measuring a partial pressure of gases dissolved in blood in a patient and monitoring any changes of said partial pressure;

measuring physical activity of said patient, in whom tachyarrhythmia is to be detected, utilizing an activity sensor; and

utilizing a simultaneous occurrence of an unmodified activity level and presence of a selected change in the measured partial pressure as a criterion for the detection of a tachyarrhythmia.

9. An apparatus for detecting tachyarrhythmia of a heart comprising:

means for measuring a partial pressure of gases dissolved in blood of a patient and monitoring any changes of said partial pressure;

means for measuring a physical activity of said patient, in whom tachyarrhythmia is to be detected, including an activity sensor; and

means for detecting a tachyarrhythmia comprising means for utilizing a simultaneous occurrence of a low activity level and presence of a selected change in the measured partial pressure as a criterion for the detection of a tachyarrhythmia.

10. An apparatus as claimed in claim 9 wherein said means for detecting a tachyarrhythmia comprises means for detecting a tachyarrhythmia utilizing an occurrence of a selected change in magnitude of said measured partial pressure over a selected period of time as a part of the criterion for the detection of a tachyarrhythmia.

11. An apparatus as claimed in claim 9 wherein said means for detecting a tachyarrhythmia comprises means for detecting a tachyarrhythmia utilizing an occurrence of the magnitude of said measured partial pressure falling below a predetermined minimum value as a part of the criterion for the detection of a tachyarrhythmia.

12. An apparatus as claimed in claim 9 wherein the said means for measuring a partial pressure of gases dissolved in the blood comprises means for measuring a partial pressure of oxygen in the blood.

13. An apparatus as claimed in claim 12 wherein said means for detecting a tachyarrhythmia comprises means for detecting a tachyarrhythmia by utilizing an occurrence of a decrease in magnitude of the measured partial pressure of oxygen in the blood over a selected period of time as a part of the criterion for the detection of a tachyarrhythmia.

14. An apparatus as claimed in claim 12 wherein said means for detecting a tachyarrhythmia comprises means for detecting a tachyarrhythmia by utilizing an occurrence of the magnitude of the measured partial pressure of oxygen in the blood falling below a predetermined minimum value as a part of the criterion for the detection of a tachyarrhythmia.

15. An apparatus as claimed in claim 9 further comprising:

means for measuring heartbeat rate of said heart; and

wherein said means for detecting a tachyarrhythmia comprises means for utilizing said heartbeat rate as a further criterion for the detection of a tachyarrhythmia with a simultaneous presence of both criteria indicating the presence of a tachyarrhythmia.

16. An apparatus for detecting tachyarrhythmia of the heart comprising:

means for measuring a partial pressure of gases dissolved in the blood in a patient and for monitoring any changes of said partial pressure;

means for measuring the physical activity of said patient, in whom tachyarrhythmia is to be detected, including an activity sensor; and

means for detecting a tachyarrhythmia comprising means for utilizing the simultaneous occurrence of an unmodified activity level and a selected change in the measured partial pressure as a criterion for the detection of a tachyarrhythmia.