An implantable cardioverter/defibrillator (ICD) includes a tachyarrhythmia detection and classification system that classifies tachyarrhythmias based on a morphological analysis of arrhythmic waveforms and a template waveform. Correlation coefficients each computed between morphological features of an arrhythmic waveform and morphological features of the template waveform provide for the basis for classifying the tachyarrhythmia. In one embodiment, morphological features are collected from a sensed arrhythmic waveform, and temporally corresponding morphological features are extracted a stored template waveform. In one embodiment, a correlation analysis takes into account the uncertainty associated with the production of the template waveform by using a template band that includes confidence intervals. In one embodiment, a correlation analysis produces Mahalanobis distance-based correlation coefficients for use in the classification of the tachyarrhythmia. In one embodiment, the stability of correlation coefficients are analyzed to classify the tachyarrhythmia.
Method And Apparatus For Cardiac Arrhythmia Classification Using Sample Entropy
An implantable medical device includes an arrhythmia detection and classification system that classifies an arrhythmia episode based on an irregularity parameter and/or a complexity parameter. The arrhythmia episode is detected from a cardiac signal. The irregularity parameter is indicative of the degree of cycle length irregularity of the cardiac signal and the complexity parameter is indicative of the degree of morphological complexity of the cardiac signal. One example of the irregularity parameter is an irregularity sample entropy, or a parameter related to the irregularity sample entropy, computed to indicate the cycle length irregularity. One example of the complexity parameter is a complexity sample entropy, or a parameter related to the complexity sample entropy, computed to indicate the morphological complexity. In one embodiment, the detected arrhythmia episode is classified using both the irregularity parameter and the complexity parameter.
Cardiac Signal Display And Event Detection Using Multiresolution Z-Score Transform
Dan Li - Shoreview MN, US Quan Ni - Shoreview MN, US
Assignee:
Cardiac Pacemakers, Inc. - St. Paul MN
International Classification:
A61B 5/04
US Classification:
600508
Abstract:
A system comprising a medical device including a processor and a Z-score transformation (ZST) module. The system also includes a display in communication with the processor. The processor is adapted to receive sensor data obtained from at least first and second sensors adapted to produce a time-varying physiologic electrical sensor signal. At least one of the first and second sensors is implantable. The ZST module calculates a ZST for the sensor data received from the first sensor and a ZST for the sensor data received from the second sensor. The display is adapted to display the ZSTs in visual correspondence with each other over time.
Method And Apparatus For Morphology-Based Arrhythmia Classification Using Cardiac And Other Physiological Signals
Dan Li - Shoreview MN, US Shelley Cazares - Minneapolis MN, US Jaeho Kim - Redmond WA, US Kent Lee - Shoreview MN, US
Assignee:
Cardiac Pacemakers, Inc. - St. Paul MN
International Classification:
A61B 5/02
US Classification:
600508, 600515
Abstract:
A tachyarrhythmia detection and classification system classifies tachyarrhythmias based on an analysis of morphological features of a cardiac signal enhanced by using one or more physiological parameters indicative of hemodynamic stability and/or activity level. The tachyarrhythmia detection and classification system computes a measure of similarity between an arrhythmic waveform of the cardiac signal a template waveform for that cardiac signal, such as a correlation coefficient representative of the correlation between morphological features of the arrhythmic waveform and morphological features of the template waveform. A detected tachyarrhythmia episode is classified by comparing the measure of similarity to a threshold that is dynamically adjusted using the one or more physiological parameters.
Fast Post-Antitachycardia Pacing Redetection Algorithm
A method comprising detecting a ventricular tachycardia heart rhythm in a patient, providing anti-tachycardia pacing (ATP) therapy to the patient in response to the ventricular tachycardia heart rhythm, waiting a first time duration after the ATP therapy ends, and monitoring ventricular depolarizations after the first time duration has elapsed. The monitoring includes measuring time intervals between the ventricular depolarizations, and if a consecutive number of the intervals between the ventricular depolarizations are shorter than a first threshold interval value, then the method includes deeming that the ventricular tachycardia rhythm persists. Otherwise, if a fraction of the intervals between the ventricular depolarizations are shorter than a second threshold interval value, then the method includes deeming that the ventricular tachycardia heart rhythm persists, and otherwise deeming that the ventricular tachycardia rhythm is converted.
Method And Apparatus For Selecting And Timing Anti-Tachyarrhythmia Pacing Using Cardiac Cycle Length Stability
An implantable medical device delivers anti-tachyarrhythmia therapies including anti-tachyarrhythmia pacing (ATP). When a tachyarrhythmia episode is detected, the implantable medical device analyzes cardiac cycle length stability to determine whether and/or when to deliver an ATP. In one embodiment, the cardiac cycle length stability is measured by existence of stable ventricular tachyarrhythmia clusters (SVTCs) during the tachyarrhythmia episode. Each SVTC includes at least a specified minimum number of heart beats over which the cardiac cycle lengths meet a stability criterion.
Shelley Cazares - Minneapolis MN, US Dan Li - Shoreview MN, US Jonathan Kwok - Shoreview MN, US
Assignee:
Cardiac Pacemakers, Inc. - St. Paul MN
International Classification:
A61N 1/362
US Classification:
607 32, 607 30, 607 31
Abstract:
This document discusses, among other things, methods and systems for facilitating automated device programming at changeout. A method comprises receiving, from a first device, physiological data at a temporary storage device; and processing the received physiological data, wherein the processing includes determining if a first signal processing function was used by the first device and substantially offsetting the first signal processing function if the first signal processing function was used by the first device; and processing the resultant physiological data to be compatible with a second device. The method further comprising providing the processed resultant physiological data to the second device.
Method And Apparatus For Closed-Loop Control Of Anti-Tachyarrhythmia Pacing Using Hemodynamic Sensor
Dan Li - Shoreview MN, US Cheng Zhang - Vadnais Heights MN, US
Assignee:
Cardiac Pacemakers, Inc. - St. Paul MN
International Classification:
A61N 1/08
US Classification:
607 14, 607 9, 607 23, 600485
Abstract:
A cardiac rhythm management (CRM) system includes an implantable medical device that delivers anti-tachyarrhythmia therapies including anti-tachyarrhythmia pacing (ATP) and a hemodynamic sensor that senses a hemodynamic signal. The implantable medical device includes a hemodynamic sensor-controlled closed-loop ATP system that uses the hemodynamic signal for ATP capture verification. When ATP pulses are delivered according to a selected ATP protocol to terminate a tachyarrhythmia episode, the implantable medical device performs the ATP capture verification by detecting an effective cardiac contraction from the hemodynamic signal. The ATP protocol is adjusted using an outcome of the ATP capture verification.
Isbn (Books And Publications)
Zhongguo Shang Shi Gong Si Fa Zhan Gui Mo Yan Jiu: Development Study on Firm Scale of Listed Companies in China
Carle Physician Group 301 E Southline Rd, Tuscola, IL 61953 (217)2535231 (phone), (217)2534082 (fax)
Education:
Medical School Virginia Commonwealth University SOM Graduated: 2011
Conditions:
Diabetes Mellitus (DM) Disorders of Lipoid Metabolism Hypertension (HTN)
Languages:
Chinese English Spanish
Description:
Dr. Li graduated from the Virginia Commonwealth University SOM in 2011. She works in Tuscola, IL and specializes in Family Medicine. Dr. Li is affiliated with Carle Foundation Hospital.
Kaiser Permanente Medical Group 710 Lawrence Expy, Santa Clara, CA 95051 (408)8511000 (phone), (408)8513331 (fax)
Education:
Medical School Peking Union Med Coll, Beijing, Beijing, China Graduated: 1996
Languages:
English
Description:
Dr. Li graduated from the Peking Union Med Coll, Beijing, Beijing, China in 1996. He works in Santa Clara, CA and specializes in Gastroenterology. Dr. Li is affiliated with Kaiser Permanente.
Albany Neurology & Headache Center 701 14 Ave, Albany, GA 31701 (229)8883266 (phone), (229)8883267 (fax)
Languages:
Arabic English
Description:
Mr. Li works in Albany, GA and specializes in Neurology. Mr. Li is affiliated with Phoebe Putney Memorial Hospital and Phoebe Putney Memorial Hospital Norh Campus.