Long-term monitoring for discrimination of different heart rhythms
First Claim
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1. A wearable cardiac arrhythmia monitoring and detection device comprising:
- a substrate having a first end incorporating a first electrode, a second end incorporating a second electrode, and an intermediate portion connecting the first and second ends, the intermediate portion incorporating an integrated monitoring device;
wherein the integrated monitoring device comprises;
(i) an amplifier configured to receive and amplify electrocardiography data from the first and second electrodes;
(ii) a programmable microprocessor configured to receive the electrocardiography data from the amplifier and to analyze the received data;
(iii) a data storage device configured to receive and store at least a portion of the electrocardiography data from the programmable microprocessor; and
(iv) a power supply; and
furtherwherein the integrated monitoring device is configured to;
(v) determine the duration of heart beat intervals from the electrocardiography data for a selected analysis segment comprising a plurality of heart beat intervals;
(vi) calculate an instantaneous heart rate for each of the heart beat intervals in the analysis segment;
(vii) calculate a test result using the calculated instantaneous heart rates; and
(viii) compare the test result with a predetermined threshold to discriminate between different types of cardiac arrhythmia.
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Abstract
A method, system, and device for detection of an arrhythmia, and discrimination between different types of arrhythmia, for example to determine whether to administer an electric shock to the heart, the device comprising a wearable monitor with electrodes that detect the electrical activity of a beating heart, attached to an embedded monitoring system having an amplifier, a microprocessor, a data storage device, and a power supply, all disposed on a substrate having large distal end portions that attach to the electrodes and a narrow intermediate portion that attaches to the monitoring system.
15 Citations
22 Claims
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1. A wearable cardiac arrhythmia monitoring and detection device comprising:
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a substrate having a first end incorporating a first electrode, a second end incorporating a second electrode, and an intermediate portion connecting the first and second ends, the intermediate portion incorporating an integrated monitoring device; wherein the integrated monitoring device comprises;
(i) an amplifier configured to receive and amplify electrocardiography data from the first and second electrodes;
(ii) a programmable microprocessor configured to receive the electrocardiography data from the amplifier and to analyze the received data;
(iii) a data storage device configured to receive and store at least a portion of the electrocardiography data from the programmable microprocessor; and
(iv) a power supply; and
furtherwherein the integrated monitoring device is configured to;
(v) determine the duration of heart beat intervals from the electrocardiography data for a selected analysis segment comprising a plurality of heart beat intervals;
(vi) calculate an instantaneous heart rate for each of the heart beat intervals in the analysis segment;
(vii) calculate a test result using the calculated instantaneous heart rates; and
(viii) compare the test result with a predetermined threshold to discriminate between different types of cardiac arrhythmia. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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13. A wearable atrial fibrillation monitoring and detection device comprising:
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a substrate having a first end incorporating a first electrode, a second end incorporating a second electrode, and an intermediate portion with an embedded monitoring system; wherein the embedded monitoring system comprises;
(i) a preamplifier configured to receive electrocardiography data from the first and second electrodes;
(ii) a microprocessor configured to receive the electrocardiography data from the amplifier and to analyze the received data;
(iii) a data storage device configured to receive and store at least a portion of the electrocardiography data from the microprocessor; and
(iv) a power supply; and
furtherwherein the embedded monitoring system is configured to;
(v) determine the duration of heart beat intervals from the electrocardiography data for an analysis segment comprising a plurality of heart beat intervals;
(vi) calculate an instantaneous heart rate for each of the heart beat intervals in the analysis segment;
(vii) calculate a test result using the calculated instantaneous heart rates; and
(viii) compare the test result with a predetermined threshold to identify an atrial fibrillation event. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20, 21, 22)
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Specification