Method and apparatus for initiating and delivering cardiac protection pacing
First Claim
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1. A cardiac pacing system, comprising:
- a sensing circuit to sense one or more signals indicative of an ischemic event;
an ischemia detector coupled to the sensing circuit, the ischemic detector adapted to detect an onset and an end of the ischemic event from the one or more signals;
a pulse output circuit to deliver pacing pulses;
a control circuit, coupled to the ischemia detector and the pulse output circuit, to control the delivery of the pacing pulses, the control circuit including;
a cardiac protection pacing sequence initiator adapted to initiate one or more cardiac protection pacing sequences during the ischemic event in response to the detection of the onset of the ischemic event, the one or more cardiac protection pacing sequences each including alternating pacing and non-pacing periods, the pacing periods each having a pacing duration during which a plurality of the pacing pulses is delivered, the non-pacing periods each having a non-pacing duration during which none of the pacing pulses is delivered; and
a cardiac protection pacing timer adapted to time the one or more cardiac protection pacing sequences; and
an implantable medical device including at least the ischemia detector, the pulse output circuit, and the control circuit.
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Abstract
A pacing system delivers cardiac protection pacing to protect the heart from injuries associated with ischemic events. The pacing system detects an ischemic event and, in response, initiates one or more cardiac protection pacing sequences each including alternative pacing and non-pacing periods. In one embodiment, the pacing system initiates a cardiac protection pacing sequence in response to the detection of the onset of an ischemic event, such that a pacing concurrent conditioning therapy is applied during the detected ischemic event.
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Citations
20 Claims
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1. A cardiac pacing system, comprising:
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a sensing circuit to sense one or more signals indicative of an ischemic event; an ischemia detector coupled to the sensing circuit, the ischemic detector adapted to detect an onset and an end of the ischemic event from the one or more signals; a pulse output circuit to deliver pacing pulses; a control circuit, coupled to the ischemia detector and the pulse output circuit, to control the delivery of the pacing pulses, the control circuit including; a cardiac protection pacing sequence initiator adapted to initiate one or more cardiac protection pacing sequences during the ischemic event in response to the detection of the onset of the ischemic event, the one or more cardiac protection pacing sequences each including alternating pacing and non-pacing periods, the pacing periods each having a pacing duration during which a plurality of the pacing pulses is delivered, the non-pacing periods each having a non-pacing duration during which none of the pacing pulses is delivered; and a cardiac protection pacing timer adapted to time the one or more cardiac protection pacing sequences; and an implantable medical device including at least the ischemia detector, the pulse output circuit, and the control circuit. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20)
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Specification