Method and apparatus for dual chamber cardiac analysis

• US 5,713,366 A
• Filed: 09/16/1996
• Issued: 02/03/1998
• Est. Priority Date: 09/16/1996
• Status: Expired due to Term

• Current Assignee: Intermedics Incorporated
• Original Assignee: Sulzer Intermedics, Inc. (Sulzer AG)
• Inventors: Ostrow, Eliot L., Armstrong, Randolph K.
• Primary Examiner(s): Jastrzab, Jeffrey R.
• Application Number:
  US08/714,241
• Time in Patent Office: 505 Days
• Field of Search: 607/4, 607/5, 607/9, 607/30, 607/32, 607/60, 607/14, 128/697, 128/702, 128/705, 128/710
• US Class Current: 600/510
• CPC Class Codes: A61N 1/3702 Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

A method and apparatus for analyzing cardiac information involves recording both atrial and ventricular information related to a recognized event. This information can then be transmitted by telemetry to the physician and graphed on a common graph which plots both atrial and ventricular information over the time period of the event. This technique allows greater ability to discern the true nature of these events, including whether a given event is a sinus tachycardia due to exercise or a ventricular tachycardia which might necessitate treatment. Therefore, the present invention enables more accurate analysis of cardiac information and thereby makes possible the more appropriate application of treatment.

Claims

1. A method for monitoring cardiac signals comprising the steps of:

recording a beat-by-beat atrial rate as said atrial rate varies over time when a cardiac rate exceeds a certain level;

recording a beat-by-beat ventricular rate as said ventricular rates varies over time when the ventricular or atrial rate exceeds a certain level;

plotting the atrial and ventricular rates together on the same plot over time, on a beat-by-beat basis exclusive of other information from said cardiac signals; and

providing an indication of types of tachycardia based on said plot.

2. The method of claim 1 including the step of selecting at least one ventricular or atrial as said cardiac rate.

3. The method of claim 2 including the step of recording said atrial and ventricular rates in an implantable device.

4. The method of claim 3 including the step of transmitting said recorded rates to a receiver outside the implantable device, and receiving said recorded rates in an external device.

5. The method of claim 4 including the step of determining treatment based on a comparison of the plotted ventricular and atrial rates.

6. A system for dual chamber cardiac analysis comprising:

an implantable device including;

a device for detecting a cardiac event, said cardiac event comprising a plurality of beats;

means for determining an atrial rate and a ventricular rate for each beat of said said detected cardiac event; and

a memory for recording said atrial and ventricular rates;

a transmitter connected to said memory for transmitting said atrial and ventrical rates; and

an external machine including a telemetry system for receiving said transmitted rates and a display device for simultaneously graphing points representative of said atrial and ventricular rates recorded by said memory exclusive of other information on said cardiac event versus time on a beat-by-beat basis to provide an indication of types of tachycardia based on said graphed points.

7. The system of claim 6 wherein said external machine includes programming means for setting rate levels that determine when a cardiac event has occurred and wherein said implantable device includes a receiver and means for receiving said rate levels and wherein said memory comprises means for recording whenever said rates exceed said received rate levels.