Method for diagnosing cardiac arrhythmias using interval irregularity

• US 5,941,831 A
• Filed: 04/03/1998
• Issued: 08/24/1999
• Est. Priority Date: 04/03/1998
• Status: Expired due to Term

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Inventors: Turcott, Robert
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US09/054,929
• Time in Patent Office: 508 Days
• Field of Search: 600/515, 600/519
• US Class Current: 600/515
• CPC Class Codes: A61B 5/364 Detecting abnormal ECG interval, e.g. extrasystoles, ectopic heartbeats
• CPC Class Codes: A61B 5/7264 Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00
• CPC Class Codes: A61N 1/3621 for treating or preventing abnormally high heart rate

Abstract

A method for detecting or classifying cardiac arrhythmias using interval irregularity. The method includes the steps of detecting a patient'"'"'s cardiac activity and looking at a first selected criterion such as the patient'"'"'s heart rate exceeding a preset rate threshold to determine if a tachycardia is present. When the first criterion is met, a window of N successive cardiac intervals is selected for analysis. A selected number of the shortest and longest intervals are ignored and the difference between the remaining longest and shortest intervals is calculated to provide a measure of interval irregularity indicative of the origin of the cardiac rhythm. In one embodiment, a parameter n is set such that 0≦n<N/2, and the intervals in the window are ordered from shortest to longest with the shortest being interval 1 and the longest being interval N. The difference between interval N-n and interval n+1 is then computed to provide a measure of interval irregularity which is indicative of the origin of a cardiac rhythm. For example, if n=1, the longest and shortest of the intervals in a window of intervals are discarded, and the difference between the duration of the second longest and second shortest is calculated and this difference is a measure of interval irregularity. The difference is compared to a selected irregularity threshold and if the difference is greater than the threshold, the rhythm is considered irregular. If the difference is less than or equal to the irregularity threshold, the rhythm is considered regular.

Claims

1. A method for analyzing a cardiac rhythm, including the steps of:

detecting a patient'"'"'s cardiac activity, said cardiac activity including successive heartbeats, and providing a sequence of cardiac intervals which are measures for the time between sequential ones of said successive heartbeats;

selecting a window containing a predetermined number N of successive cardiac intervals;

ignoring a predetermined number n of the shortest and longest ones of said intervals where 0≦

n<

N/2; and

taking the difference between the remaining longest and shortest intervals where said difference provides a measure of interval irregularity whereby said measure of interval irregularity is indicative of whether the cardiac rhythm is of supraventricular or ventricular origin.

2. The method as set forth in claim 1, wherein said step of ignoring a selected number of the shortest and longest ones of said intervals includes ordering said intervals from shortest to longest with the shortest being interval 1 and the longest being interval N and taking the difference between interval N-n and interval n+1.

3. The method as set forth in claim 1, and further including the step following said detecting step and before said selecting a window step of determining from said sequence of cardiac intervals whether a prescribed tachycardia rate threshold has been exceeded.

4. A method for analyzing a cardiac rhythm, comprising the steps of:

detecting a patient'"'"'s cardiac activity including a sequence of successive cardiac intervals;

determining from said detected cardiac activity a heart rate for said patient and determining if said patient'"'"'s heart rate exceeds a preselected tachycardia rate threshold;

if said patient'"'"'s heart rate exceeds said preselected tachycardia rate threshold, selecting a window of successive cardiac intervals;

ignoring a predetermined number of the shortest and longest ones of said intervals in said window; and

taking the difference between the remaining longest and shortest intervals to provide a measure of interval irregularity.

5. A method for providing a measure of cardiac interval irregularity, including the steps of:

detecting a patient'"'"'s cardiac activity including a sequence of heartbeats and providing a sequence of intervals that are measures for the time between successive heartbeats;

ignoring a preselected number of the shortest and longest ones of said intervals; and

taking the difference between the remaining longest and shortest intervals to provide a measure of interval irregularity.

6. The method as set forth in claim 5, and wherein:

said detecting step includes the step of selecting a window of N successive cardiac intervals;

said ignoring step includes the step of setting a parameter n such that 0≦

n<

N/2 and further includes the step of ordering said intervals from shortest to longest with the shortest being interval 1 and the longest being interval N; and

said step of taking the difference includes taking the difference between interval n+1 and interval N-n to provide the measure of interval irregularity.