System for examining cardiac function

• US 5,450,850 A
• Filed: 11/07/1994
• Issued: 09/19/1995
• Est. Priority Date: 11/05/1993
• Status: Expired due to Term

• Current Assignee: Kabushiki Kaisha Toshiba (Toshiba Corporation)
• Original Assignee: Kabushiki Kaisha Toshiba (Toshiba Corporation)
• Inventors: Iinuma, Kazuhiro
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US08/336,081
• Time in Patent Office: 316 Days
• Field of Search: 128/661.04, 128/661.08, 128/661.09, 128/661.10, 128/691, 128/672, 128/670, 128/675, 128/713, 128/662.01
• US Class Current: 600/455
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 8/065 to determine blood output from the heart in general A61B5/029
• CPC Class Codes: A61B 8/145 characterised by scanning multiple planes

Abstract

The minimum amount of data regarding cardiac function required for evaluation is measured non-invasively and various cardiac function parameters are computed (estimated) based on the measured values, and the results are displayed in an optimal form for evaluation. A cardiac function examination system comprises a device for measuring the amount of blood ejected from the ventricle to the aorta based on reflected ultrasonic pulses, a device for measuring the aorta or thick artery diameter based on reflected ultrasonic pulses, a device for inputting at least one of maximum and minimum blood pressure values, a device for computing a maximum ventricular volume or an ejection fraction, and a device for acquiring parameters such as cardiac volume or aorta pressure parameter regarding cardiac function based on the measured values of the ejection amount, the blood vessel diameter, and the ejection fraction, or any one of these, and the input pressure values.

Claims

1. A system for examining a cardiac function comprising:

means for measuring a blood flow amount ejected from a ventricle of a heart to an aorta of an object using reflected wave information of an ultrasonic pulse;

means for measuring a blood vessel diameter of either one of the aorta and a thick artery using reflected wave information of another ultrasonic pulse;

means for inputting, as a blood pressure data, at least one of a maximum and a minimum blood pressures; and

means for acquiring a parameter concerning the cardiac function on the basis of the measured ejection amount, the measured blood vessel diameter and the inputted blood pressure data.

2. The system according to claim 1, wherein said thick artery is either one of a common carotid artery and a brachial artery.

3. The system according to claim 1, wherein said parameter acquiring means comprises means for calculating the parameter and means for displaying the parameter calculated by the parameter calculating means.

4. The system according to claim 3, wherein said parameter is a time-varying data of the blood pressure of either one of the aorta and the thick artery and said parameter calculating means is a means that calculates the time-varying data on the basis of the measured blood vessel diameter and the inputted blood pressure data.

5. A system for examining a cardiac function comprising:

means for measuring a blood flow amount ejected from a ventricle of a heart to an aorta of an object using reflected wave information of an ultrasonic pulse;

means for measuring a blood vessel diameter of either one of the aorta and a thick artery using reflected wave information of another ultrasonic pulse;

means for measuring either one of a maximum volume and an ejection function of a left ventricle of the heart;

means for inputting, as a blood pressure data, at least one of a maximum and a minimum blood pressures; and

means for acquiring a parameter concerning the cardiac function on the basis the measured ejection amount, the measured blood vessel diameter, the measured one of the maximum ventricular volume and the ejection function and the inputted blood pressure data.

6. The system according to claim 5, wherein said ejection fraction measuring means is a means that measures either one of a maximum volume and the ejection fraction using information of a reflected ultrasonic pulse wave from the heart.

7. The system according to claim 5, wherein said thick artery is either one of a common carotid artery and a brachial artery both connected to the heart.

8. The system according to claim 5, wherein said parameter acquiring means comprises means for calculating the parameter and means for displaying the parameter calculated by the parameter calculating means.

9. The system according to claim 8, wherein said parameter is a time-varying data of the blood pressure of either one of the aorta and the thick artery and said parameter calculating means is a means that calculates the time-varying data on the basis of the measured blood vessel diameter and the inputted blood pressure data.

10. The system according to claim 9, wherein said blood pressure inputting means is means for inputting a value read out from a sphygmomanometer using a cuff and said parameter calculating means includes means for correcting the inputted readout value and obtaining the time-varying data of the blood pressure.

11. The system according to claim 9, further comprising means for measuring an electrocardiogram wave of the heart, wherein said parameter displaying means is means that displays simultaneously both time-depending data of the measured ejection amount and the measured electrocardiogram wave both set to be coincident with each other in a cardiac timing based on the measured electrocardiogram wave.

12. The system according to claim 8, wherein said parameter is a time-varying data of a volume of the left ventricle and said parameter calculating means is means that calculates the time-varying data of the volume on the basis of the measured ejection amount and the measured ventricular volume or ejection fraction.

13. The system according to claim 12, further comprising means for measuring an electrocardiogram wave of the heart, wherein said parameter displaying means is means that displays simultaneously all time-depending data of the measured ejection amount, the calculated parameter, and the measured electrocardiogram wave all set to be coincident with each other in a cardiac timing based on the measured electrocardiogram.

14. The system according to claim 8, wherein said parameter is time-varying data consisting of the blood pressure of either one of the aorta and the thick artery and a volume of the left ventricle, said parameter calculating means is means that calculates the time-varying data on the basis of the measured blood vessel diameter, the measured ejection amount, the measured one of the maximum ventricular volume and the ejection fraction and the inputted blood pressure data, and said parameter displaying means displays the calculated parameter as a two-dimensional image whose horizontal and vertical axes are assigned to the volume and the blood pressure, respectively.

15. The system according to claim 8, wherein said parameter is work done of the left ventricle and said parameter calculating means is means that calculates the work done on the basis of the measured blood vessel diameter, the measured ejection amount, the measured one of the maximum ventricular volume and the ejection fraction and the inputted blood pressure data.

16. The system according to claim 8, wherein said parameter is a ratio of a rise blood pressure versus a period from an appearance time of an R-wave on an electrocardiogram to a rise time of a blood pressure of either one of the aorta and the thick artery.

17. The system according to claim 5, further comprising means for measuring an electrocardiogram wave of the heart in parallel with the measurements of the ejection blood flow amount measuring means and the blood vessel diameter measuring means.

18. The system according to claim 17, further comprising means for simultaneously displaying, as a basic data, a time-depending data of the measured ejection amount, the measured blood vessel diameter and the measured electrocardiogram wave all set to be coincident with each other in a cardiac timing based on the measured electrocardiogram wave.

19. The system according to claim 5, wherein an esophagus-insertable ultrasonic probe is provided to transmit and receive said ultrasonic pulse.

20. The system according to claim 19, wherein said esophagus-insertable ultrasonic probe includes two transducers simultaneously driven and wherein said ejection amount measuring means is means that uses one of the two transducers and said blood vessel diameter measuring means is means that uses a remaining one of the two transducers.

21. The system according to claim 20, wherein each of said two transducers is a phased-array-type transducer having a scanning plane for the ultrasonic pulse, each of the scanning plane of the two transducers are approximately perpendicular to each other.

22. A system for examining a cardiac function comprising:

means for measuring a blood vessel diameter of either one of an aorta and a thick artery of an object using reflected wave information of an ultrasonic pulse;

means for inputting, as a blood pressure data, a maximum and a minimum blood pressures of the object; and

means for acquiring a parameter concerning a time variation in an absolute value of either one of an aorta pressure and the blood pressure.

23. A system for examining a cardiac function comprising:

means for measuring an amount of a flood flow ejected from a ventricle of a heart to an aorta of an object using a reflected wave information of an ultrasonic pulse;

means for measuring either one of a maximum volume and an ejection fraction of a left ventricle of the heart using a reflected wave information of another ultrasonic pulse; and

means for acquiring a parameter concerning an absolute value of a cardiac volume of the heart and a time variation of the absolute value on the basis of the measured ejection amount and the measured one of the maximum volume and the ejection fraction.