Method and system to determine cardiac cycle length in connection with cardiac mapping

• US 9,895,076 B2
• Filed: 05/04/2015
• Issued: 02/20/2018
• Est. Priority Date: 05/05/2014
• Status: Expired due to Fees

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories)
• Inventors: Nabutovsky, Yelena, Razavi, Hoda
• Primary Examiner(s): PATTON, AMANDA K
• Application Number:
  US14/703,735
• Publication Number:
  US 20150313492A1
• Time in Patent Office: 1,023 Days
• CPC Class Codes: A61B 5/0044 for the heart
• CPC Class Codes: A61B 5/1107 Measuring contraction of parts of the body, e.g. organ, muscle apparatus for measuring work or force in general G01L
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61B 5/721 using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured
• CPC Class Codes: A61B 6/4441 the rigid structure being a C-arm or U-arm

Abstract

A method and system are provided for analyzing data for a region of interest in connection with cardiac mapping. The method and system acquire data recordings of at least one of electrical sensor measurements from an electrical sensor and motion data from a motion sensor in contact with the region of interest, determine cycle lengths associated with cardiac events in the data recordings; and identify a reference cycle length from the cycle lengths determined. The method and system analyze the cycle lengths such that differences in heart rate and cycle length have limited effect on an overall map.

Claims

1. A method comprising:

acquiring, using one or more processors, data recordings of at least one of electrical sensor measurements from an electrical sensor, or motion data from a motion sensor, in contact with the region of interest;

determining, using one or more processors, cycle lengths (CLs) associated with cardiac events in the data recordings;

obtaining a test CL from the data recordings;

generating a count of how many cardiac events have CLs that fall within an upper and a lower threshold of the test CL;

identifying, using one or more processors, a reference cycle length based on the count; and

displaying electrical and/or motion map data using a display based on the reference cycle length.

2. The method of claim 1, further comprising:

saving the count as a proximity count;

repeating the counting and saving operation for multiple test CLs; and

saving the proximity counts as a proximity list, wherein identifying, using one or more processors, a reference cycle length based on the count comprises identifying a reference cycle length from the proximity list.

3. The method of claim 2, wherein the reference cycle length is the test CL having the most cardiac events within the upper and lower thresholds of the test CL.

4. The method of claim 1, further comprising choosing for analysis the cardiac event within each data recordings that has an associated CL that is within a programmed range of the reference cycle length.

5. The method of claim 1, wherein acquiring data recordings comprises collecting a base data recording over a single data recording duration, the method further comprising:

determining the cycle length for the electrical and/or motion data collected during each cardiac event in the single data recording; and

calculating a mean of the CLs in the base data recording to determine a base CL.

6. The method of claim 5, wherein acquiring data recordings further comprises prospectively collecting a next data recording over a next data recording duration, and wherein the method further comprises:

measuring CLs associated with cardiac events in the next data recording duration; and

determining whether the CL for the cardiac events in the next data recording duration are within upper and lower thresholds of the base CL.

7. The method of claim 6, wherein if a CL for a cardiac event in the next data recording duration is within an the upper and lower thresholds of the base CL, the method stops collecting the next data recording and recalculates and updates the base CL based on the current CL base and the cardiac event in the next data recording duration that is within the upper and lower thresholds of the base CL.

8. The method of claim 1, wherein acquiring data recordings further comprises prospectively collecting a next data recording over a next data recording duration, and wherein the method further comprises:

measuring CLs associated with cardiac events in the next data recording duration; and

determining whether the CL for the cardiac events in the next data recording duration are within upper and lower thresholds of the reference CL, wherein if a CL for a cardiac event in the next data recording duration is within an the upper and lower thresholds of the reference CL, the method stops collecting the next data recording and recalculates and updates the reference CL based on the current reference CL and the cardiac event in the next data recording duration that is within the upper and lower thresholds of the reference CL.

9. A system comprising:

a data storage configured to record at least one of;

electrical sensor measurements from an electrical sensor, or motion data from a motion sensor, in contact with a region of interest;

a processor configured to;

determine cycle lengths (CLs) associated with cardiac events in the data recordings;

obtain a test CL from the data recordings;

count how many cardiac events in the data recordings have CLs that fall within an upper and a lower threshold of the test CL; and

identify a test CL as a reference cycle length based on the count; and

a display configured to display electrical and/or motion map data based on the reference cycle length.

10. The system of claim 9, wherein the processor is further configured to

save the count as a proximity count;

repeat the counting and save operation for multiple test CLs; and

save the proximity counts as a proximity list, wherein the processor is configured to identify the reference cycle length based on the count by identifying a reference cycle length from the proximity list.

11. The system of claim 10, the processor is configured to identify test CL having the most cardiac events within the upper and lower thresholds of the test CL as the reference cycle length.

12. The system of claim 9, wherein the processor is further configured to choose for analysis the cardiac event within each data recordings that has an associated CL that is within a programmed range of the reference cycle length.

13. The system of claim 9, wherein the data storage is further configured to record base data over a single data recording duration, and wherein the processor is further configured to:

determine the cycle length for the electrical and/or motion data collected during each cardiac event in the single data recording; and

calculate a mean of the CLs in the base data recording to determine a base CL.

14. The system of claim 13, the data storage is further configured to prospectively collect a next data recording over a next data recording duration, and wherein the processor is further configured to:

measure CLs associated with cardiac events in the next data recording duration; and

determine whether the CL for the cardiac events in the next data recording duration are within upper and lower thresholds of the base CL.

15. The system of claim 14, wherein the data storage is further configured to stop collecting the next data recording if a CL for a cardiac event in the next data recording duration is within an the upper and lower thresholds of the base CL, and the programmer is further configured to recalculate and update the base CL based on the current CL base and the cardiac event in the next data recording duration that is within the upper and lower thresholds of the base CL.

16. The system of claim 9, wherein the data storage is further configured to prospectively collect a next data recording over a next data recording duration, and wherein the programmer is further configured to:

measure CLs associated with cardiac events in the next data recording duration; and

recalculate and update the reference CL based on a current reference CL and cardiac events in the next data recording having duration that are within the upper and lower thresholds of the current reference CL.