摘要:
The method calls for the periodic electrical stimulation of the heart muscle to alter the ejection profile of the heart thus reducing the observed blood pressure of the patient. The therapy may be invoked by an implantable blood pressure sensor associated with a pacemaker like device.
摘要:
This is a neurostimulator that is configured to treat epilepsy and other neurological disorders using certain stimulation strategies, particularly changing various pulse parameters, during the imposition of a burst of those pulses. The invention includes the processes embodying those stimulation strategies.
摘要:
The invention provides apparatus and methods for mapping conduction pathways and creating lesions in the heart wall for the treatment of atrial fibrillation. The apparatus may include at least one epicardial ablation probe having a plurality of electrodes for creating a lesion. The apparatus and method facilitate the formation of a lesion which electrically isolates the pulmonary veins from the surrounding myocardium.
摘要:
An antitachycardia device, either implanted or external, which delivers a fixed pulse width truncated exponential waveform defibrillation shock and automatically adjusts the pulse duration based upon the impedance measured or calculated following a delivered shock. The apparatus operates by measuring or calculating the high voltage system impedance, selecting a pulse width for that impedance value and using a pulse width derived from the selected pulse width for the next defibrillation shock.
摘要:
A cardiac therapy method with duration timer is disclosed, using an implanted cardiac pulse generator. A patient's heartbeat is sensed and the intervals between heartbeats are averaged. The number of temporary storage bins, in the form of RAM locations, are provided, including a sinus bin, a low rate tachycardia bin, a high rate tachycardia bin, and a fibrillation bin. The storage bin corresponding to the cardiac rhythm band of the determined average heartbeat interval is incremented. A maximum count limit is assigned to each storage bin. When the first bin reaches its maximum count limit, a diagnosis of the patient's cardiac rhythm is provided. Upon detection of a tachycardia, a duration timer is started and the tachycardia is treated in accordance with a programmed routine. If sinus is detected during the predetermined time period, then the duration timer is cleared. If fibrillation is detected during the predetermined time period, then the duration timer is cleared and fibrillation is treated by delivering a high energy shock to the heart.
摘要:
A cardiac therapy method is disclosed, using an implanted cardiac pulse generator. A patient's heartbeat is sensed and the intervals between heartbeats are averaged. The number of temporary storage bins, in the form of RAM locations, are provided, including a sinus bin, a low rate tachycardia bin, a high rate tachycardia bin, and a fibrillation bin. The storage bin corresponding to the cardiac rhythm band of the determined average heartbeat interval is incremented. A maximum count limit is assigned to each storage bin. When the first bin reaches its maximum count limit, a diagnosis of the patient's cardiac rhythm is provided. Upon detection of a tachycardia, a duration timer is started and the tachycardia is treated in accordance with a programmed routine. If sinus is detected during the predetermined time period, then the duration timer is cleared. If fibrillation is detected during the predetermined time period, then the duration timer is cleared and fibrillation is treated by delivering a high energy shock to the heart.
摘要:
A method for cardiac defibrillation is described, for use with an implanted defibrillator. A patient's R-waves are sensed to detect the R-R intervals. If an arrhythmia is detected, the charging of a capacitor is commenced. Determination are made whether the arrhythmia is still in progress and whether the capacitor is charged a predetermined amount. If the arrhythmia is not still in progress, the charging is discontinued. If the arrhythmia is still in progress and the capacitors are charged a predetermined amount, another R-R interval is detected and if the R-R interval is shorter than a selected amount, a shock is delivered to the heart.