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Class 600/517 - Vertical variation of PQRST signal waveform (e.g., amplitude of QRS complex, etc.) detected


Subclass of Class 600 - Surgery
Definition: Subject matter including means for detecting a variation
No. of patents: 187
Last issue date: 05/01/2012


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NumberTitleIssue Date
8170653Baseline processing for the detection of cardiac events
A system for the detection of cardiac events occurring in a human patient is provided. At least two electrodes are included in the system for obtaining an electrical signal from a patient's heart. An electrical signal processor is electrically coupled to the electro...
05/01/2012
8126539Method and apparatus for monitoring T-wave alternans
An implantable medical device and associated method assess T-wave alternans by sensing a cardiac electrogram (EGM) signal and selecting a pair of consecutive T-wave signals from the EGM signal. A first amplitude and a second amplitude from each of the consecutive T-...
02/28/2012
8090435System and method for distinguishing among cardiac ischemia, hypoglycemia and hyperglycemia using an implantable medical device
Techniques are described for detecting ischemia, hypoglycemia or hyperglycemia based on intracardiac electrogram (IEGM) signals. Ischemia is detected based on a shortening of the interval between the QRS complex and the end of a T-wave (QTmax), alone or in combinati...
01/03/2012
8078271System and method for distinguishing between hypoglycemia and hyperglycemia using an implantable medical device
Techniques are described for detecting and distinguishing among ischemia, hypoglycemia or hyperglycemia based on intracardiac electrogram (IEGM) signals. In one technique, these conditions are detected and distinguished based on an analysis of: the interval between ...
12/13/2011
8024030System and method for analyzing an electrocardiogram signal
A system for analyzing an ECG signal is provided. The system comprises an interface that receives an ECG waveform associated with heart beat cycle of a patient. The system includes signal processor that determines a first isoelectric portion lying between a T-wave o...
09/20/2011
8014852System, method and apparatus for detecting a cardiac event
A system, method and apparatus for detecting a cardiac event in a subject, may include at least one electrode attached to the subject for obtaining an electrocardiogram of the subject's heart, and determination means for determining a size of an area under a QRS com...
09/06/2011
7925336Differentiating ischemic from non-ischemic T-wave inversion
A method of discriminating between ischemic and cardiac memory effects in a heart, comprising receiving electrocardiographic (ECG) data, calculating, from the ECG data, a direction of a T-wave vector, diagnosing ischemia if the T-wave vector is between about 75 degr...
04/12/2011
7890161Method for detecting the myocardial state of the heart and a measuring apparatus for performing this method
A method for detecting the myocardial state of a heart with a measuring apparatus which includes inserting a bipolar cardiological measuring electrode (4) into a heart division (8) at an acute attachment angle (9) on the myocardium (6) of...
02/15/2011
7869864Methods, systems and devices for detecting and diagnosing heart diseases and disorders
Disclosed herein methods, devices, and systems for detecting and diagnosing a heart disease or disorder in a subject from a prime electrocardiogram which comprises calculating at least one distribution function of the prime electrocardiogram and determining whether ...
01/11/2011
7860559Means and method for the detection of cardiac events
Disclosed is a system for the detection of cardiac events that includes an implanted device called a cardiosaver, a physician's programmer and an external alarm system. The system is designed to provide early detection of cardiac events such as acute myocardial infa...
12/28/2010
7844323Means and method for the detection of cardiac events
Disclosed is a system for the detection of cardiac events that includes an implanted device called a cardiosaver, a physician's programmer and an external alarm system. The system is designed to provide early detection of cardiac events such as acute myocardial infa...
11/30/2010
7761142Method and apparatus for detecting arrhythmias in a medical device
A method of detecting a cardiac event in a medical device that includes sensing cardiac signals from a plurality of electrodes forming a first sensing vector and a second sensing vector, determining inflections of the sensed cardiac signals, generating a pulse ampli...
07/20/2010
7756572System and method for efficiently distinguishing among cardiac ischemia, hypoglycemia and hyperglycemia using an implantable medical device and an external system
Techniques are described for efficiently detecting and distinguishing among cardiac ischemia, hypoglycemia or hyperglycemia based on intracardiac electrogram (IEGM) signals. In one example, a preliminary indication of an episode of cardiac ischemia is detected based...
07/13/2010
7756571Methods and systems for detecting the presence of T-wave alternans
Embodiments of the present invention relate to implantable systems, and method for use therein, that can detect T-wave alternans. In accordance with specific embodiments of the present invention, intrinsic premature contractions of the ventricles are detected, and a...
07/13/2010
7751876Method and system for detecting premature ventricular contraction from a surface electrocardiogram
A system and method for automatically detecting abnormal heart contractions originating in the ventricles, in a way that is independent of signal morphology is provided. As an uninterrupted series of ventricular detections indicates a possible ventricular arrhythmia...
07/06/2010
7734336Method and apparatus for detecting arrhythmias in a medical device
A method of detecting a cardiac event in a medical device that includes sensing cardiac signals from a plurality of electrodes forming a first sensing vector and a second sensing vector, determining inflections of the sensed cardiac signals, generating a pulse ampli...
06/08/2010
7643872System and method for detecting cardiac ischemia based on T-Waves using an implantable medical device
A technique is provided for detecting episodes of cardiac ischemia based on an examination of the total energy of T-waves. Since cardiac ischemia is often a precursor to acute myocardial infarction (AMI) or ventricular fibrillation (VF), the technique thereby provid...
01/05/2010
7623913Implantable medical devices using heuristic filtering in cardiac event detection
Methods for performing cardiac signal analysis in an implanted medical device, and devices configured to perform illustrative methods of cardiac signal analysis. A cardiac signal is captured by an implanted device using implanted electrodes and, during at least cert...
11/24/2009
7620449Differentiating ischemic from non-ischemic T-wave inversion
A method of discriminating between ischemic and cardiac memory effects in a heart, comprising receiving electrocardiographic (ECG) data, calculating, from the ECG data, a direction of a T-wave vector, diagnosing ischemia if the T-wave vector is between about 75 degr...
11/17/2009
7610086System and method for detecting cardiac ischemia in real-time using a pattern classifier implemented within an implanted medical device
Pattern classification techniques are provided for use with an implantable medical device for detecting cardiac ischemia substantially in real-time. Values representative of morphological features of electrical cardiac signals are detected by the implantable medical...
10/27/2009
7558623Means and method for the detection of cardiac events
Disclosed is a system for the detection of cardiac events that includes an implanted device called a cardiosaver, a physician's programmer and an external alarm system. The system is designed to provide early detection of cardiac events such as acute myocardial infa...
07/07/2009
7539535Real-time, high frequency QRS electrocardiograph with reduced amplitude zone detection
Real time cardiac electrical data are received from a patient, manipulated to determine various useful aspects of the ECG signal, and displayed in real time in a useful form on a computer screen or monitor. The monitor displays the high frequency data from the QRS c...
05/26/2009
7412283Method and system for processing electrocardial signals
Known methods of heart function analysis, while useful, suffer from a number of limitations. These include the fact that these methods are inherently static, in that they consider an individual electrocardiogram (ECG) that can only provide a picture of heart functio...
08/12/2008
7386340System for the diagnosis and monitoring of coronary artery disease, acute coronary syndromes, cardiomyopathy and other cardiac conditions
Cardiac electrical data are received from a patient, manipulated to determine various useful aspects of the ECG signal, and displayed and stored in a useful form using a computer. The computer monitor displays various useful information, and in particular graphicall...
06/10/2008
7379771Conduction based automatic therapy selection
A system comprising an implantable medical device includes a ventricular heart signal sensing circuit, a pacing therapy circuit, and a controller circuit coupled to the signal sensing circuit and the therapy circuit. The controller circuit is operable to detect a ve...
05/27/2008
7376458Method for defining signal templates in implantable cardiac devices
Template formation methods for use in implantable cardiac rhythm management devices. In an illustrative method, a signal is captured signal an implanted cardiac rhythm management device, and parameters for analysis of the captured signal are then defined. Then, in t...
05/20/2008
7361146System and method for detecting abnormal respiration via respiratory parameters derived from intracardiac electrogram signals
Techniques are provided for tracking patient respiration based upon intracardiac electrogram (IEGM) signals or other electrical cardiac signals. Briefly, respiration patterns are detected based upon cycle-to-cycle changes in morphological features associated with in...
04/22/2008
7349732System and method for emulating a surface EKG using internal cardiac signals sensed by an implantable medical device
A surface electrocardiogram (EKG) is emulated using signals detected by the internal leads of an implanted device. In one example, the emulation is performed using a technique that concatenates portions of signals sensed using different electrodes, such as by combin...
03/25/2008
7340303Evoked response sensing for ischemia detection
A cardiac pacemaker in which an electrogram is recorded from an evoked response sensing channel in order to detect changes indicative of cardiac ischemia. If such changes are detected, the maximum allowable pacing rate can be decreased for those pacing modes that al...
03/04/2008
7330752Procedure for detection of stress by segmentation and analyzing a heart beat signal
A procedure for the detection of stress state is disclosed, wherein ambulatory heart beat signal is measured. In the first phase segments are defined from heart beat signal with a chosen rule for segmentation. Then at least one segment describing a physiological sta...
02/12/2008
7330750Estimation of cardiac death risk
The invention relates to a method and apparatus for predicting a sudden heart abnormality for an individual patient. In order to provide a prediction mechanism that is suitable for acute care, three sub-indices are determined based on medical data obtained from the ...
02/12/2008
7330764Implantable medical electrical stimulation lead fixation method and apparatus
An implantable medical electrical lead particularly for stimulation of the sacral nerves comprises a lead body extending between a distal end and a proximal end, and the distal end having at least one electrode of an electrode array extending longitudinally from the...
02/12/2008
7328066Implantable cardiac stimulation device, system and method that identifies and prevents impending arrhythmias of the atria
An implantable cardiac stimulation device includes a system that identifies and prevents the occurrence of impending atrial arrhythmias. A sensing circuit senses atrial activity of a patient's heart to provide an atrial activity signal. A processor compares the atri...
02/05/2008
7320675Method and apparatus for modulating cellular metabolism during post-ischemia or heart failure
A drug delivery system detects a cardiac condition indicative of a need for increasing a cardiac metabolic level and, in response, releases a drug into tissue or blood to shift a source of metabolically synthesized energy fueling cardiac contraction from fatty acid ...
01/22/2008
7319962Automatic voice and data recognition for implanted medical device instrument systems
The voice controlled system of the present invention permits hands-free interactive control of a medical data processing instrument that interfaces with an implanted medical device. In an example embodiment, the system includes a microphone and a speech recognition ...
01/15/2008
7315753Pulse oximeter with parallel saturation calculation modules
A method and apparatus for reducing the effects of noise on a system for measuring physiological parameters, such as, for example, a pulse oximeter. The method and apparatus of the invention take into account the physical limitations on various physiological paramet...
01/01/2008
7295874Intermittent stress augmentation pacing for cardioprotective effect
A device and method for delivering electrical stimulation to the heart in a manner which provides a protective effect against subsequent ischemia is disclosed. The protective effect is produced by configuring a cardiac pacing device to intermittently switch from a n...
11/13/2007
7289845Curvature based method for selecting features from an electrophysiologic signal for purpose of complex identification and classification
A method for curvature based complex identification and classification comprises sensing a cardiac signal and computing curvatures at sample points on the sensed cardiac signal. Then to extract features from the computed curvatures, and compare the extracted feature...
10/30/2007
7274959System and method for detecting cardiac ischemia using an implantable medical device
A technique is provided for detecting episodes of cardiac ischemia based on an examination of post-T-wave signal segments. Since cardiac ischemia is often a precursor to acute myocardial infarction (AMI) or ventricular fibrillation (VF), the technique thereby provid...
09/25/2007
7272436System and method for distinguishing among cardiac ischemia, hypoglycemia and hyperglycemia using an implantable medical device
Techniques are described for detecting ischemia, hypoglycemia or hyperglycemia based on intracardiac electrogram (IEGM) signals. Ischemia is detected based on a shortening of the interval between the QRS complex and the end of a T-wave (QTmax), alone or in combinati...
09/18/2007
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