Implantable device for delivering cardiac drug therapy
First Claim
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1. A method for operating a cardiac device implanted in a patient, comprising:
- sensing intrinsic cardiac activity;
recording an electrogram from the sensed cardiac activity in order to detect a change indicative of cardiac ischemia;
analyzing a spectrum of intervals between heartbeats and computing an LF/HF ratio;
delivering a quantity of a cardiac drug to the patient when an ischemic condition is detected from the recorded electrogram and the LF/HF ratio exceeds a specified threshold value; and
,wherein a change in the recorded electrogram indicative of cardiac ischemia is detected by comparing the recorded electrogram with a reference electrogram and looking for an increased current of injury in the recorded electrogram.
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Abstract
An implantable medical device in which an electrogram is recorded and analyzed in order to detect changes indicative of cardiac ischemia. Cardiac ischemia may be detected by recording an electrogram from a sensing channel of the device and comparing the recorded electrogram with a reference electrogram. If cardiac ischemia is detected, a cardiac drug such as a thrombolytic agent is delivered.
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Citations
27 Claims
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1. A method for operating a cardiac device implanted in a patient, comprising:
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sensing intrinsic cardiac activity; recording an electrogram from the sensed cardiac activity in order to detect a change indicative of cardiac ischemia; analyzing a spectrum of intervals between heartbeats and computing an LF/HF ratio; delivering a quantity of a cardiac drug to the patient when an ischemic condition is detected from the recorded electrogram and the LF/HF ratio exceeds a specified threshold value; and
,wherein a change in the recorded electrogram indicative of cardiac ischemia is detected by comparing the recorded electrogram with a reference electrogram and looking for an increased current of injury in the recorded electrogram. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 11, 12, 13, 14, 15, 16, 17, 18)
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10. An implantable cardiac device, comprising:
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a sensing channel to sense cardiac activity; a pacing channel to deliver pacing pulses; circuitry to record an electrogram from the sensing channel of an evoked response to a pace and to detect a change in the recorded electrogram indicative of cardiac ischemia by comparing the recorded electrogram with a reference electrogram; circuitry to analyze a spectrum of intervals between heartbeats detected by the sensing channel and to compute an LF/HF ratio; a drug delivery apparatus to deliver a quantity of a cardiac drug; and
,circuitry to actuate the drug delivery apparatus upon detection of a change in the recorded electrogram indicative of cardiac ischemia and when the LF/HF ratio exceeds a specified threshold value.
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19. An implantable cardiac device, comprising:
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means for sensing intrinsic cardiac activity; means for recording an electrogram from the sensed cardiac activity in order to detect a change indicative of cardiac ischemia; means for analyzing a spectrum of intervals between heartbeats and computing an LF/HF means for delivering a quantity of a cardiac drug to the patient when an ischemic condition is detected from the recorded electrogram and the LF/HF ratio exceeds a specified threshold value; and
,means for detecting a change in the recorded electrogram indicative of cardiac ischemia by comparing the recorded electrogram with a reference electrogram representative of cardiac ischemia. - View Dependent Claims (20, 21, 22, 23, 24, 25, 26, 27)
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Specification