ATE513577T1 - Verfahren und gerät zur vorhersage von arrhythmien anhand der diurnalen herzfrequenz - Google Patents

Verfahren und gerät zur vorhersage von arrhythmien anhand der diurnalen herzfrequenz

Info

Publication number
ATE513577T1
ATE513577T1 AT04812942T AT04812942T ATE513577T1 AT E513577 T1 ATE513577 T1 AT E513577T1 AT 04812942 T AT04812942 T AT 04812942T AT 04812942 T AT04812942 T AT 04812942T AT E513577 T1 ATE513577 T1 AT E513577T1
Authority
AT
Austria
Prior art keywords
heart rate
arrhythmia
night
day
predicting
Prior art date
Application number
AT04812942T
Other languages
English (en)
Inventor
Paul Belk
Troy Jackson
Original Assignee
Medtronic Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medtronic Inc filed Critical Medtronic Inc
Application granted granted Critical
Publication of ATE513577T1 publication Critical patent/ATE513577T1/de

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7275—Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/024—Measuring pulse rate or heart rate
    • A61B5/02405—Determining heart rate variability
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/024—Measuring pulse rate or heart rate
    • A61B5/02438—Measuring pulse rate or heart rate with portable devices, e.g. worn by the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/024—Measuring pulse rate or heart rate
    • A61B5/0245—Measuring pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals
    • A61B5/02455—Measuring pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals provided with high/low alarm devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/363—Detecting tachycardia or bradycardia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0031—Implanted circuitry
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
    • A61N1/3622—Heart stimulators for treating or preventing abnormally high heart rate comprising two or more electrodes co-operating with different heart regions

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Cardiology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Physiology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • Data Mining & Analysis (AREA)
  • Databases & Information Systems (AREA)
  • Signal Processing (AREA)
  • Psychiatry (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Artificial Intelligence (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
AT04812942T 2003-12-03 2004-12-03 Verfahren und gerät zur vorhersage von arrhythmien anhand der diurnalen herzfrequenz ATE513577T1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US52656303P 2003-12-03 2003-12-03
PCT/US2004/040522 WO2005056107A1 (en) 2003-12-03 2004-12-03 Method and apparatus for predicting arrhythmias using diurnal heart rate

Publications (1)

Publication Number Publication Date
ATE513577T1 true ATE513577T1 (de) 2011-07-15

Family

ID=34676629

Family Applications (1)

Application Number Title Priority Date Filing Date
AT04812942T ATE513577T1 (de) 2003-12-03 2004-12-03 Verfahren und gerät zur vorhersage von arrhythmien anhand der diurnalen herzfrequenz

Country Status (4)

Country Link
US (1) US7313439B2 (de)
EP (1) EP1703945B1 (de)
AT (1) ATE513577T1 (de)
WO (1) WO2005056107A1 (de)

Families Citing this family (16)

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Publication number Priority date Publication date Assignee Title
US7774056B2 (en) 2006-04-28 2010-08-10 Medtronic, Inc. Device site stimulation for notification
US20070255347A1 (en) * 2006-04-28 2007-11-01 Medtronic, Inc. Inhibition of stimulation notification
EP2059299B1 (de) 2006-08-28 2017-07-26 St. Jude Medical AB Bestimmung der zeitlichen schwankung eines medizinischen parameters eines menschen
US7764996B2 (en) * 2006-10-31 2010-07-27 Cardiac Pacemakers, Inc. Monitoring of chronobiological rhythms for disease and drug management using one or more implantable device
US8214007B2 (en) * 2006-11-01 2012-07-03 Welch Allyn, Inc. Body worn physiological sensor device having a disposable electrode module
US7946995B1 (en) * 2006-11-09 2011-05-24 Pacesetter, Inc. Analyzing circadian variations of a hemodynamic parameter to determine an adverse cardiac condition
US8532769B2 (en) * 2009-10-30 2013-09-10 Medtronic, Inc. Heart rate variability distinction
US20110301479A1 (en) * 2010-06-03 2011-12-08 Medtronic, Inc. System and Method for Assessing a Likelihood of a Patient to Experience a Future Cardiac Arrhythmia Using Dynamic Changes in a Biological Parameter
JP2014522247A (ja) 2011-03-29 2014-09-04 ボストン サイエンティフィック ニューロモデュレイション コーポレイション リード線位置付けのためのシステムおよび方法
EP2564897A1 (de) 2011-08-31 2013-03-06 St. Jude Medical AB System zur Bestimmung der Schritteinstellungen
US9734304B2 (en) 2011-12-02 2017-08-15 Lumiradx Uk Ltd Versatile sensors with data fusion functionality
US9700222B2 (en) 2011-12-02 2017-07-11 Lumiradx Uk Ltd Health-monitor patch
CN106456015B (zh) 2014-06-27 2021-08-24 皇家飞利浦有限公司 用于评估急性发作和/或住院治疗的风险的装置、系统、方法和计算机程序
US10058708B2 (en) 2015-06-30 2018-08-28 Cardiac Pacemakers, Inc. Heart failure event detection using minimum heart rate
US9931042B2 (en) 2015-12-07 2018-04-03 Vivint Inc. Monitoring baby physical characteristics
WO2019228775A1 (en) * 2018-05-31 2019-12-05 Københavns Universitet Cardiovascular implantable electronic device (cied) with cardiac event prediction

Family Cites Families (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4428378A (en) 1981-11-19 1984-01-31 Medtronic, Inc. Rate adaptive pacer
US5042497A (en) * 1990-01-30 1991-08-27 Cardiac Pacemakers, Inc. Arrhythmia prediction and prevention for implanted devices
US5113869A (en) * 1990-08-21 1992-05-19 Telectronics Pacing Systems, Inc. Implantable ambulatory electrocardiogram monitor
US5117824A (en) 1990-11-14 1992-06-02 Medtronic, Inc. Apparatus for monitoring electrical physiologic signals
US5718235A (en) 1992-10-06 1998-02-17 Gw Scientific, Inc. Detection of abnormal and induction of normal heart rate variability
US5891044A (en) 1992-10-06 1999-04-06 Gw Scientific, Inc. Detection of abnormal and induction of normal heart rate variability
US5545186A (en) 1995-03-30 1996-08-13 Medtronic, Inc. Prioritized rule based method and apparatus for diagnosis and treatment of arrhythmias
US5861011A (en) * 1997-02-14 1999-01-19 Vitatron Medical, B.V. Pacemaker with automatic lower rate limit drop
US5967995A (en) * 1998-04-28 1999-10-19 University Of Pittsburgh Of The Commonwealth System Of Higher Education System for prediction of life-threatening cardiac arrhythmias
US5891180A (en) 1998-04-29 1999-04-06 Medtronic Inc. Interrogation of an implantable medical device using audible sound communication
US6221024B1 (en) 1998-07-20 2001-04-24 Medtronic, Inc. Implantable pressure sensor and method of fabrication
US6370431B1 (en) 1998-10-26 2002-04-09 Medtronic, Inc. Pacemaker system for preventing ventricular tachycardia
US6675043B1 (en) * 1998-11-06 2004-01-06 Impulse Dynamics N.V. Sensor-based regulation of excitable tissue control of the heart
US6171252B1 (en) 1999-04-29 2001-01-09 Medtronic, Inc. Pressure sensor with increased sensitivity for use with an implantable medical device
DE19930270A1 (de) * 1999-06-25 2000-12-28 Biotronik Mess & Therapieg Kardioelektrische Vorrichtung
US7062314B2 (en) * 1999-10-01 2006-06-13 Cardiac Pacemakers, Inc. Cardiac rhythm management device with triggered diagnostic mode
US6487442B1 (en) 2000-04-28 2002-11-26 Nicholas Wood Detection of abnormal and induction of normal heat rate variability
US7123959B2 (en) * 2002-03-25 2006-10-17 Cardiac Pacemakers, Inc. Method and apparatus for preventing cardiac arrhythmias with endovascular stimulation
US6922585B2 (en) * 2002-04-05 2005-07-26 Medtronic, Inc. Method and apparatus for predicting recurring ventricular arrhythmias
US6970743B2 (en) * 2002-08-30 2005-11-29 Pacesetter, Inc. System and method for treating abnormal ventricular activation-recovery time
US8192376B2 (en) * 2003-08-18 2012-06-05 Cardiac Pacemakers, Inc. Sleep state classification

Also Published As

Publication number Publication date
EP1703945B1 (de) 2011-06-22
US7313439B2 (en) 2007-12-25
US20050137489A1 (en) 2005-06-23
EP1703945A1 (de) 2006-09-27
WO2005056107A1 (en) 2005-06-23

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