System and method for diagnosing and monitoring myocardial ischemia for automated remote patient care
First Claim
1. A system for diagnosing and monitoring myocardial ischemia for automated remote patient care, comprising:
- a database storing a plurality of monitoring sets which each comprise recorded measures relating to patient information recorded on a substantially continuous basis;
a server retrieving and processing a plurality of the monitoring sets, comprising;
a comparison module determining a patient status change by comparing at least one recorded measure and time from each of the monitoring sets to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times; and
an analysis module comparing the patient status change to a predetermined indicator threshold corresponding to same type of patient information as the recorded measures which were compared and to at least one stickiness threshold, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of myocardial ischemia and the stickiness threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change and determining an onset, a progression, a regression, and a status quo of myocardial ischemia dependent upon the comparison.
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Abstract
A system for diagnosing and monitoring myocardial ischemia for automated remote patient care is presented. A database stores monitoring sets containing recorded measures relating to patient information recorded on a substantially continuous basis. A server retrieving and processing the monitoring sets includes a comparison module determining a patient status change by comparing recorded measures and time from each of the monitoring sets to other recorded measures and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times, and an analysis module testing each patient status change for, an onset, a progression, a regression, and a status quo of myocardial ischemia against a predetermined indicator threshold, including hysteresis threshold, corresponding to same type of patient information as the compared recorded measures.
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Citations
85 Claims
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1. A system for diagnosing and monitoring myocardial ischemia for automated remote patient care, comprising:
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a database storing a plurality of monitoring sets which each comprise recorded measures relating to patient information recorded on a substantially continuous basis;
a server retrieving and processing a plurality of the monitoring sets, comprising;
a comparison module determining a patient status change by comparing at least one recorded measure and time from each of the monitoring sets to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times; and
an analysis module comparing the patient status change to a predetermined indicator threshold corresponding to same type of patient information as the recorded measures which were compared and to at least one stickiness threshold, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of myocardial ischemia and the stickiness threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change and determining an onset, a progression, a regression, and a status quo of myocardial ischemia dependent upon the comparison. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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13. A method for diagnosing and monitoring myocardial ischemia for automated remote patient care, comprising:
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storing a plurality of monitoring sets which each comprise recorded measures relating to patient information recorded on a substantially continuous basis in a database;
retrieving a plurality of the monitoring sets from the database;
determining a patient status change by comparing at least one recorded measure and time from each of the monitoring sets to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times; and
comparing the patient status change to a predetermined indicator threshold corresponding to a same type of patient information as the recorded measures which were compared and to at least one stickiness threshold, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of myocardial ischemia and the stickiness threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change and determining an onset, a progression, a regression, and a status quo of myocardial ischemia dependent upon the comparison. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24)
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25. A computer-readable storage medium having code for diagnosing and monitoring myocardial ischemia for automated remote patient care, comprising:
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code for storing a plurality of monitoring sets which each comprise recorded measures relating to patient information recorded on a substantially continuous basis in a database;
code for retrieving a plurality of the monitoring sets from the database;
code for determining a patient status change by comparing at least one recorded measure and time from each of the monitoring sets to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times; and
code for comparing the patient status change to a predetermined indicator threshold corresponding to a same type of patient information as the recorded measures which were compared and to at least one stickiness threshold, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of myocardial ischemia and the stickiness threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change and code for determining an onset, a progression, a regression, and a status quo of myocardial ischemia dependent upon the comparison. - View Dependent Claims (26, 27, 28, 29, 30, 31, 32)
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33. An automated collection and analysis patient care system for diagnosing and monitoring myocardial ischemia and outcomes thereof, comprising:
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a database storing patient monitoring information, comprising;
a plurality of monitoring sets, each monitoring set comprising recorded measures which each relate to patient information and comprise either medical device measures or derived measures calculable therefrom, the medical device measures having been regularly recorded on a substantially continuous basis;
a set of stored indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of myocardial ischemia and relating to a same type of patient information as at least one of the recorded measures;
a server diagnosing a myocardial ischemia finding comprising an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia, comprising;
a receiver retrieving a plurality of the monitoring sets from the database;
an analysis module determining a change in patient status by comparing at least one recorded measure and time to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times; and
a comparison module comparing each patient status change to the indicator threshold corresponding to a same type of patient information as the recorded measures which were compared and to at least one stickiness threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change. - View Dependent Claims (34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48)
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49. A method for diagnosing and monitoring myocardial ischemia and outcomes using an automated collection and analysis patient care system, comprising:
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storing a plurality of monitoring sets in a database, each monitoring set comprising recorded measures which each relate to patient information and comprise either medical device measures or derived measures calculable therefrom, the medical device measures having been regularly recorded on a substantially continuous basis;
retrieving a plurality of the monitoring sets from the database;
defining a set of indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of myocardial ischemia and relating to a same type of patient information as at least one of the recorded measures; and
diagnosing a myocardial ischemia finding comprising an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia, comprising;
determining a change in patient status by comparing at least one recorded measure and time to at least one other recorded measure and time from another monitoring set with bath recorded measures relating to a same type of patient information recorded at different times; and
comparing each patient status change to the indicator threshold corresponding to a same type of patient information as the recorded measures which were compared and to at least one stickiness threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change. - View Dependent Claims (50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64)
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65. A computer-readable storage medium having code for diagnosing and monitoring myocardial ischemia using an automated collection and analysis patient care system, comprising:
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code for storing a plurality of monitoring sets in a database, each monitoring set comprising recorded measures which each relate to patient information and comprise either medical device measures or derived measures calculable therefrom, the medical device measures having been regularly recorded on a substantially continuous basis;
code for retrieving a plurality of the monitoring sets from the database;
code for defining a set of indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of myocardial ischemia and relating to a same type of patient information as at least one of the recorded measures; and
code for diagnosing a myocardial ischemia finding comprising an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia, comprising;
code for determining a change in patient status by comparing at least one recorded measure and time to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times; and
code for comparing each patient status change to the indicator threshold corresponding to a same type of patient information as the recorded measures which were compared and to at least one stickiness threshold corresponding to a treatment or diagnosis based on a duration and degree of the patient status change. - View Dependent Claims (66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76)
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77. An automated patient care system for diagnosing and monitoring myocardial ischemia and outcomes thereof, comprising:
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a medical device regularly recording measures relating to at least one of monitoring angina, reduced exercise capacity and respiratory distress;
a database maintaining information for an individual patient, comprising organizing a plurality of monitoring sets in a database, and storing the recorded measures for the individual patient on a substantially continuous basis into a monitoring set in the database;
a server evaluating a finding of at least one of an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia, comprising;
a comparison module determining a patient status change by comparing at least one recorded measure and time from each of the monitoring sets to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times; and
an analysis module comparing the patient status change to a predetermined indicator threshold corresponding to a same type of patient information as the recorded measures which were compared and to at least one stickiness threshold, the predetermined indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of angina, reduced exercise capacity and respiratory distress and the stickiness threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change. - View Dependent Claims (78, 79, 80)
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81. A method for diagnosing and monitoring myocardial ischemia and outcomes thereof in an automated patient care system, comprising:
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regularly recording measures relating to at least one of monitoring angina, reduced exercise capacity and respiratory distress;
maintaining information for an individual patient, comprising;
organizing a plurality of monitoring sets in a database;
storing the recorded measures for the individual patient on a substantially continuous basis into a monitoring set in the database;
periodically retrieving a plurality of the monitoring sets from the database;
evaluating a finding of at least one of an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia, comprising;
determining a patient status change by comparing at least one recorded measure and time from each of the monitoring sets to at least one other recorded measure and time from another monitoring sat with both recorded measures relating to a same type of patient information recorded at different times; and
comparing the patient status change to a predetermined indicator threshold corresponding to a same type of patient information as the recorded measures which were compared and to at least one stickiness threshold, the predetermined indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of angina, reduced exercise capacity and respiratory distress and the stickiness threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change. - View Dependent Claims (82, 83, 84)
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85. A computer-readable storage medium having code for diagnosing and monitoring myocardial ischemia in an automated patient care system, comprising:
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code for regularly recording measures relating to at least one of monitoring angina, reduced exercise capacity and respiratory distress;
code for maintaining information for an individual patient, comprising;
code for organizing a plurality of monitoring sets in a database;
code for storing the recorded measures for the individual patient on a substantially continuous basis into a monitoring set in the database;
code for periodically retrieving a plurality of the monitoring sets from the database;
code for evaluating a finding of at least one of an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia, comprising;
code for determining a patient status change by comparing at least one recorded measure and time from each of the monitoring sets to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times; and
code for comparing the patient status change to a predetermined indicator threshold corresponding to a same type of patient information as the recorded measures which were compared and to at least one stickiness threshold, the predetermined indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of angina, reduced exercise capacity and respiratory distress and the stickiness threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change.
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Specification