Method and apparatus to monitor pulmonary edema

Surgery – Diagnostic testing – Cardiovascular

Reexamination Certificate

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C607S003000, C600S547000

Reexamination Certificate

active

06931272

ABSTRACT:
In general, the invention is directed to monitoring fluid retention that may accompany congestive heart failure and pulmonary edema. A medical device, such as an implanted pacemaker or an external defibrillator, senses electrical signals associated with the periodic depolarization and re-polarization of a heart. The device processes the electrical signals to obtain one or more “cardiac parameters,” which reflect pulmonary edema. By monitoring the cardiac parameters, the device monitors pulmonary edema. Cardiac parameters comprise the amplitude of the QRS complex, the integral of the QRS complex, or the integral of the QRST segment and the like. When the device detects fluid buildup, the device may respond by taking remedial action and/or generating an alert.

REFERENCES:
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patent: 5456261 (1995-10-01), Luczyk
patent: 5876353 (1999-03-01), Riff
patent: 5904708 (1999-05-01), Goedeke
patent: 5957861 (1999-09-01), Combs et al.
patent: 6473640 (2002-10-01), Erlebacher
Madias, et al.,Anasarca-Mediated Attenuation of the Amplitude of Electrocardiogram Complexes: A Description of a Heretofore Unrecognized Phenomenon, vol. 38, No. 3, 2001, Journal of American College of Cardiology.

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