System and method for continuously monitoring classified atrial arrhythmias

• US 6,470,210 B1
• Filed: 04/06/2001
• Issued: 10/22/2002
• Est. Priority Date: 04/06/2001
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Eberle, LeAnne, Foster, Clayton, Chen, Victor, Ricci, Carlos, Seim, Gary, Propp, Hal
• Primary Examiner(s): Getzow, Scott M.
• Application Number:
  US09/827,770
• Publication Number:
  US 20020147408A1
• Time in Patent Office: 564 Days
• Field of Search: 600/518, 600/519, 600/509, 607/5
• US Class Current: 600/515
• CPC Class Codes: A61N 1/395 for treating atrial fibrillation
• CPC Class Codes: A61N 1/39622 Pacing therapy

Abstract

Systems and methods are provided for analyzing occurrences of atrial arrhythmias. Occurrences of each of a number of classified atrial arrhythmia rhythms are detected. The classified atrial arrhythmias may, for example, include at least atrial fibrillation and atrial flutter. A duration of time associated with each of the detected atrial arrhythmia rhythms is measured. Trend data is produced with respect to a predetermined period of time using all or selected ones of the measured time durations. The detecting, measuring, and producing processes may also be performed for one or more unclassified atrial arrhythmias.

Claims

1. A method of analyzing occurrences of classified atrial arrhythmias, comprising:

detecting occurrences of classified atrial fibrillation (AF) rhythms;

detecting occurrences of classified supraventricular tachycardia (SVT) rhythms other than atrial fibrillation rhythms;

measuring a duration of time (AF time duration) associated with each of the detected atrial fibrillation rhythms;

measuring a duration of time (SVT time duration) associated with each of the detected SVT rhythms; and

producing trend data with respect to a predetermined period of time using the measured AF and SVT time durations.

2. The method of claim 1, wherein producing the trend data comprises:

summing the AF time durations to produce a cumulative AF time duration for the predetermined time period; and

summing the SVT time durations to produce a cumulative SVT time duration for the predetermined time period.

3. The method of claim 2, wherein producing the trend data further comprises:

computing changes in the cumulative AF time duration as a function of time over the predetermined time period; and

computing changes in the cumulative SVT time duration as a function of time over the predetermined time period.

4. The method of claim 1, wherein producing the trend data comprises:

computing, using the AF time durations, a percentage (AF percentage) of the predetermined time period during which the classified AF rhythms were detected; and

computing, using the SVT time durations, a percentage (SVT percentage) of the predetermined time period during which the classified SVT rhythms were detected.

5. The method of claim 4, further comprising

computing changes in the AF percentage as a function of time over the predetermined time period;

and

computing changes in the SVT percentage as a function of time over the predetermined time period.

6. The method of claim 1, wherein the predetermined time period comprises a selectively programmable period of time.

7. The method of claim 1, wherein the predetermined time period comprises a 24 hour time period, a time period based on months or a time period based on years.

8. The method of claim 1, wherein the predetermined time period comprises a time period between patient analyses.

9. The method of claim 1, wherein the predetermined time period comprises a time period defined by a life time of a patient.

10. The method of claim 1, wherein the classified SVT rhythms comprise atrial flutter.

11. The method of claim 1, wherein the respective detecting, measuring, and producing processes are performed for one or more unclassified atrial arrhythmias.

12. A body implantable system, comprising:

a lead system comprising an atrial electrode;

a detector, coupled to the lead system, that senses atrial rhythms;

a first timing circuit that detects occurrences of classified atrial fibrillation (AF) rhythms and measures a duration of time (AF time duration) associated with each of the detected atrial fibrillation rhythms;

a second timing circuit that detects occurrences of classified supraventricular tachycardia (SVT) rhythms other than atrial fibrillation rhythms and measures a duration of time (SVT time duration) associated with each of the detected SVT rhythms; and

a processor communicatively coupled to the detector and the timer circuit, the processor producing trend data with respect to a predetermined period of time using the measured AF and SVT time durations.

13. The system of claim 12, wherein the processor is disposed within the body implantable system or within a processing system external to the body implantable system.

14. The system of claim 12, wherein the processor comprises a distributed processor, the distributed processor comprising a first processor disposed within the body implantable system and a second processor disposed within a processing system external to the body implantable system.

15. The system of claim 12, wherein the processor formats the measured AF and SVT time durations using a log format or a time bin format.

16. The system of claim 12, the processor produces the trend data by summing the AF time durations to produce a cumulative AF time duration for the predetermined time period, and summing the SVT time durations to produce a cumulative SVT time duration for the predetermined time period.

17. The system of claim 16, wherein the processor produces the trend data by computing changes in the cumulative AF time duration as a function of time over the predetermined time period, and by computing changes in the cumulative SVT time duration as a function of time over the predetermined time period.

18. The system of claim 12, wherein the processor produces the trend data by computing, using the AF time durations, a percentage (AF percentage) of the predetermined time period during which the classified AF rhythms were detected, and by computing, using the SVT time durations, a percentage (SVT percentage) of the predetermined time period during which the classified SVT rhythms were detected.

19. The system of claim 18, wherein the processor computes changes in the AF percentage as a function of time over the predetermined time period, and computes changes in the SVT percentage as a function of time over the predetermined time period.

20. The system of claim 12, wherein the predetermined time period comprises a selectively programmable period of time.

21. The system of claim 12, wherein the predetermined time period comprises a 24 hour time period, a monthly time period or a yearly time period.

22. The system of claim 12, wherein the predetermined time period comprises a time period between patient analyses or a time period defined by a life time of a patient.

23. The system of claim 12, wherein the classified SVT rhythms comprise atrial flutter.

24. A method of analyzing occurrences of atrial arrhythmias, comprising:

detecting occurrences of each of a plurality of classified atrial arrhythmia rhythms;

measuring a duration of time associated with each of the detected atrial arrhythmia rhythms; and

producing trend data with respect to a predetermined period of time using all or selected ones of the measured time durations.

25. The method of claim 24, wherein producing the trend data comprises summing each of the time durations to produce a cumulative time duration associated with each of the classified atrial arrhythmia rhythms over the predetermined time period.

26. The method of claim 25, wherein producing the trend data further comprises computing changes in the respective cumulative time durations as a function of time over the predetermined time period.

27. The method of claim 24, wherein producing the trend data comprises computing, using each of the time durations, a percentage of the predetermined time period during which each of the classified atrial arrhythmia rhythms was detected.

28. The method of claim 27, further comprising computing changes in the respective percentages as a function of time over the predetermined time period.

29. The method of claim 24, wherein the predetermined time period comprises a selectively programmable period of time.

30. The method of claim 24, wherein the predetermined time period comprises a 24 hour time period, a time period based on months or a time period based on years.

31. The method of claim 24, wherein the predetermined time period comprises a time period between patient analyses.

32. The method of claim 24, wherein the predetermined time period comprises a time period defined by a life time of a patient.

33. The method of claim 24, wherein the classified atrial arrhythmias comprise at least atrial fibrillation and atrial flutter.

34. The method of claim 24, wherein the detecting, measuring, and producing processes are performed for one or more unclassified atrial arrhythmias.