CA2154579A1 - Method and apparatus for tachyarrhythmia detection and treatment - Google Patents

Method and apparatus for tachyarrhythmia detection and treatment

Info

Publication number
CA2154579A1
CA2154579A1 CA2154579A CA2154579A CA2154579A1 CA 2154579 A1 CA2154579 A1 CA 2154579A1 CA 2154579 A CA2154579 A CA 2154579A CA 2154579 A CA2154579 A CA 2154579A CA 2154579 A1 CA2154579 A1 CA 2154579A1
Authority
CA
Canada
Prior art keywords
tachycardia
treatment
occurence
entrant
tachycardias
Prior art date
Legal status (The legal status 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 status listed.)
Granted
Application number
CA2154579A
Other languages
French (fr)
Other versions
CA2154579C (en
Inventor
Karel Den Dulk
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic Inc
Original Assignee
Karel Den Dulk
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 Karel Den Dulk, Medtronic, Inc. filed Critical Karel Den Dulk
Publication of CA2154579A1 publication Critical patent/CA2154579A1/en
Application granted granted Critical
Publication of CA2154579C publication Critical patent/CA2154579C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • 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
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S128/00—Surgery
    • Y10S128/92—Computer assisted medical diagnostics
    • Y10S128/925—Neural network

Abstract

A device for detection and treatment of tachycardias, which is able to selectively identify the occurence of re-entrant AV nodal tachycardia, and to distinguish it from sinus tachycardias. The apparatus monitors the occurence of atrial and ventricular depolarizations during a detected tachycardia, and, in the event that a series of ventricular depolarizations occur which are each closely preceded or closely followed by an atrial depolarization, at an interval substantially less than would be expected in the case of a sinus tachycardia, re-entrant AV nodal tachycardia is identified, and an appropriate therapy regimen is triggered.
CA002154579A 1993-02-19 1994-01-11 Method and apparatus for tachyarrhythmia detection and treatment Expired - Fee Related CA2154579C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US08/019,511 US5383910A (en) 1993-02-19 1993-02-19 Method and apparatus for tachyarrhythmia detection and treatment
US08/019,511 1993-02-19
PCT/US1994/000376 WO1994019054A1 (en) 1993-02-19 1994-01-11 Method and apparatus for tachyarrhythmia detection and treatment

Publications (2)

Publication Number Publication Date
CA2154579A1 true CA2154579A1 (en) 1994-09-01
CA2154579C CA2154579C (en) 2000-02-08

Family

ID=21793601

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002154579A Expired - Fee Related CA2154579C (en) 1993-02-19 1994-01-11 Method and apparatus for tachyarrhythmia detection and treatment

Country Status (6)

Country Link
US (1) US5383910A (en)
EP (1) EP0684858B1 (en)
AU (1) AU671011B2 (en)
CA (1) CA2154579C (en)
DE (1) DE69409636T2 (en)
WO (1) WO1994019054A1 (en)

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JP3212611B2 (en) * 1994-04-21 2001-09-25 メドトロニック・インコーポレーテッド Implantable medical device for eliminating atrial fibrillation
US5562708A (en) * 1994-04-21 1996-10-08 Medtronic, Inc. Method and apparatus for treatment of atrial fibrillation
US5545185A (en) * 1994-12-23 1996-08-13 Stephen Denker Cardiac pacer which compensates for effects of abrupt changes in heart rate
US5545186A (en) * 1995-03-30 1996-08-13 Medtronic, Inc. Prioritized rule based method and apparatus for diagnosis and treatment of arrhythmias
FR2749765B1 (en) * 1996-06-18 1998-10-02 Ela Medical Sa IMPLANTABLE DEFIBRILLATOR / CARDIOVERVER ACTIVE MEDICAL DEVICE WITH IMPROVED TACHYCARDIAL DISCRIMINATION
US5713932A (en) * 1996-10-28 1998-02-03 Medtronic, Inc. Method and apparatus for determining atrial lead disclocation and confirming diagnosis of atrial tachyarrhythimias
US6035232A (en) * 1997-05-07 2000-03-07 Biotronik Mess-Und Therapiegeraete Gmbh & Co. Device for determining tachycardiac heart rhythm disturbances
US5873897A (en) * 1997-09-19 1999-02-23 Sulzer Intermedics Inc. Method and apparatus for dual chambered tachyarrhythmia classification and therapy
US7203535B1 (en) * 1999-04-01 2007-04-10 Cardiac Pacemakers, Inc. System and method for classifying tachycardia arrhythmias having 1:1 atrial-to-ventricular rhythms
US6179865B1 (en) * 1999-04-01 2001-01-30 Cardiac Pacemakers, Inc. Cross chamber interval correlation
US6430438B1 (en) 1999-05-21 2002-08-06 Cardiac Pacemakers, Inc. Cardiac rhythm management system with atrial shock timing optimization
US8064997B2 (en) * 1999-05-21 2011-11-22 Cardiac Pacemakers, Inc. Method and apparatus for treating irregular ventricular contractions such as during atrial arrhythmia
US7062325B1 (en) * 1999-05-21 2006-06-13 Cardiac Pacemakers Inc Method and apparatus for treating irregular ventricular contractions such as during atrial arrhythmia
US6285907B1 (en) 1999-05-21 2001-09-04 Cardiac Pacemakers, Inc. System providing ventricular pacing and biventricular coordination
US6501988B2 (en) 2000-12-26 2002-12-31 Cardiac Pacemakers Inc. Apparatus and method for ventricular rate regularization with biventricular sensing
US7212860B2 (en) * 1999-05-21 2007-05-01 Cardiac Pacemakers, Inc. Apparatus and method for pacing mode switching during atrial tachyarrhythmias
US7142918B2 (en) * 2000-12-26 2006-11-28 Cardiac Pacemakers, Inc. Apparatus and method for pacing mode switching during atrial tachyarrhythmias
US6351669B1 (en) 1999-05-21 2002-02-26 Cardiac Pacemakers, Inc. Cardiac rhythm management system promoting atrial pacing
US7181278B2 (en) * 1999-05-21 2007-02-20 Cardiac Pacemakers, Inc. Apparatus and method for ventricular rate regularization
US6456871B1 (en) * 1999-12-01 2002-09-24 Cardiac Pacemakers, Inc. System and method of classifying tachyarrhythmia episodes as associated or disassociated
US6501987B1 (en) * 2000-05-26 2002-12-31 Cardiac Pacemakers, Inc. Rate smoothing control
US7239914B2 (en) * 2000-05-13 2007-07-03 Cardiac Pacemakers, Inc. Rate smoothing control
US7039461B1 (en) 2000-05-13 2006-05-02 Cardiac Pacemakers, Inc. Cardiac pacing system for prevention of ventricular fibrillation and ventricular tachycardia episode
US8512220B2 (en) * 2000-05-26 2013-08-20 Cardiac Pacemakers, Inc. Rate smoothing control
US6424865B1 (en) * 2000-07-13 2002-07-23 Cardiac Pacemakers, Inc. Ventricular conduction delay trending system and method
US6512951B1 (en) 2000-09-14 2003-01-28 Cardiac Pacemakers, Inc. Delivery of atrial defibrillation shock based on estimated QT interval
US6829504B1 (en) * 2000-09-14 2004-12-07 Cardiac Pacemakers, Inc. System and method for preventing recurrence of atrial tachyarrhythmia
US6978177B1 (en) * 2000-11-14 2005-12-20 Cardiac Pacemakers, Inc. Method and apparatus for using atrial discrimination algorithms to determine optimal pacing therapy and therapy timing
US6957100B2 (en) * 2000-12-26 2005-10-18 Cardiac Pacemakers, Inc. Method and system for display of cardiac event intervals in a resynchronization pacemaker
US20020087198A1 (en) * 2000-12-29 2002-07-04 Kramer Andrew P. Apparatus and method for ventricular rate regularization
US6963776B2 (en) 2001-04-05 2005-11-08 Cardiac Pacemakers, Inc. Cardiac rhythm management system synchronizing atrial shock to ventricular depolarization based on length of sensing refractory
US6748269B2 (en) * 2001-10-17 2004-06-08 Cardiac Pacemakers, Inc. Algorithm for discrimination of 1:1 tachycardias
US6980860B2 (en) * 2002-10-31 2005-12-27 Medtronic, Inc. Detection of supraventricular tachycardia with 1:1 atrial to ventricular conduction
US8010193B2 (en) * 2002-11-20 2011-08-30 University Of Pittsburgh-Of The Commonwealth System Of Higher Education Device and method to discriminate between supraventricular tachycardias and ventricular arrhythmias
US7206633B2 (en) * 2002-11-20 2007-04-17 University Of Pittsburgh Device and method to discriminate between supraventricular tachycardias and ventricular arrhythmias
US8192358B2 (en) * 2003-04-22 2012-06-05 Patrick Leahy Device and method for use in surgery
US7792571B2 (en) 2003-06-27 2010-09-07 Cardiac Pacemakers, Inc. Tachyarrhythmia detection and discrimination based on curvature parameters
US7500955B2 (en) * 2003-06-27 2009-03-10 Cardiac Pacemaker, Inc. Signal compression based on curvature parameters
US7252090B2 (en) * 2003-09-15 2007-08-07 Medtronic, Inc. Selection of neurostimulator parameter configurations using neural network
US7184837B2 (en) * 2003-09-15 2007-02-27 Medtronic, Inc. Selection of neurostimulator parameter configurations using bayesian networks
US7617002B2 (en) * 2003-09-15 2009-11-10 Medtronic, Inc. Selection of neurostimulator parameter configurations using decision trees
US7239926B2 (en) * 2003-09-15 2007-07-03 Medtronic, Inc. Selection of neurostimulator parameter configurations using genetic algorithms
US7616994B2 (en) * 2004-05-24 2009-11-10 Cardiac Pacemakers, Inc. Fast post-antitachycardia pacing redetection algorithm
US7228176B2 (en) * 2004-07-22 2007-06-05 Cardiac Pacemakers, Inc. Systems, devices, and methods for tachyarrhythmia discrimination or therapy decisions
US8229561B2 (en) * 2004-12-15 2012-07-24 Cardiac Pacemakers, Inc. Atrial retrograde management
US7930029B2 (en) 2004-12-15 2011-04-19 Cardiac Pacemakers, Inc. Template initialization for evoked response detection
US7587240B2 (en) * 2004-12-15 2009-09-08 Cardiac Pacemakers, Inc. Atrial capture verification
US7908006B2 (en) * 2004-12-15 2011-03-15 Cardiac Pacemakers, Inc. Cardiac pacing response classification using an adaptable classification interval
US7881786B2 (en) * 2005-04-29 2011-02-01 Medtronic, Inc. Suppression of high rate pacing for reducing myocardial ischemic irritability
US7457666B2 (en) 2005-05-25 2008-11-25 Cardiac Pacemakers, Inc. Retrograde atrial sensing for identifying sub-threshold atrial pacing
US7715920B2 (en) * 2006-04-28 2010-05-11 Medtronic, Inc. Tree-based electrical stimulator programming
US8306624B2 (en) 2006-04-28 2012-11-06 Medtronic, Inc. Patient-individualized efficacy rating
US8380300B2 (en) * 2006-04-28 2013-02-19 Medtronic, Inc. Efficacy visualization
US7801610B2 (en) * 2006-11-17 2010-09-21 Cardiac Pacemakers, Inc. Methods and systems for management of atrial retrograde conduction and pacemaker mediated tachyarrhythmia
US8290590B2 (en) 2006-11-17 2012-10-16 Cardiac Pacemakers, Inc. Dynamic morphology based atrial automatic threshold
US9138596B2 (en) * 2007-08-22 2015-09-22 Cardiac Pacemakers, Inc. Optical depolarization of cardiac tissue
WO2009075749A1 (en) * 2007-12-11 2009-06-18 Cardiac Pacemakers, Inc. Lv unipolar sensing or pacing vector
JP5438687B2 (en) 2007-12-13 2014-03-12 カーディアック ペースメイカーズ， インコーポレイテッド A system that provides unipolar detection vectors
US8452405B2 (en) * 2009-05-05 2013-05-28 Cardiac Pacemakers, Inc. Methods and systems for mitigating the occurrence of arrhythmia during atrial pacing

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4572192A (en) * 1983-09-21 1986-02-25 Board Of Regents For The University Of Oklahoma System for prevention of paroxysmal supraventricular tachycardia
US4860749A (en) * 1988-01-06 1989-08-29 Wayne State University Tachycardia detection for automatic implantable cardioverter/defibrillator with atrial and ventricular sensing capability
US5107850A (en) * 1990-11-02 1992-04-28 Cardiac Pacemakers, Inc. Method and apparatus for classifying and treating cardiac arrhythmias based on atrial and ventricular activity
US5205283A (en) * 1991-07-30 1993-04-27 Medtronic, Inc. Method and apparatus for tachyarrhythmia detection and treatment
US5327900A (en) * 1991-11-01 1994-07-12 Telectronics Pacing Systems, Inc. Apparatus and method for discriminating between heart rhythms with similar atrial and ventricular rates

Also Published As

Publication number Publication date
DE69409636T2 (en) 1998-12-24
WO1994019054A1 (en) 1994-09-01
EP0684858A1 (en) 1995-12-06
CA2154579C (en) 2000-02-08
AU6229094A (en) 1994-09-14
US5383910A (en) 1995-01-24
DE69409636D1 (en) 1998-05-20
EP0684858B1 (en) 1998-04-15
AU671011B2 (en) 1996-08-08

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