Classifying tachyarrhythmia using time interval between...

Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems

Reexamination Certificate

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C607S006000, C607S014000, C600S514000, C600S515000, C600S516000, C600S518000

Reexamination Certificate

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10618261

ABSTRACT:
A cardiac rhythm management system measures a time interval between a first fiducial marker indicative of a ventricular depolarization (e.g., a Q-wave, an R-wave, etc.) and a second fiducial marker indicative of a subsequent mitral valve closure (MVC) occurring during the same cardiac cycle. Such time intervals are used for detecting atrioventricular (AV) dissociation. The AV dissociation may, in turn, be used for discriminating between a supraventricular tachyarrhythmia (SVT) and a ventricular tachyarrhythmia (VT) or for any other diagnostic or therapeutic purpose. The AV dissociation and/or SVT/VT discrimination information may be communicated from an implantable cardiac rhythm management device to an external interface and/or used to determine the nature of therapy delivered to the subject. In a further example, amplitudes indicative of the MVCs are also used for determining whether AV dissociation exists.

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patent: 6665564 (2003-12-01), Lincoln et al.
patent: 2002/0151938 (2002-10-01), Corbucci
Brooks, Nicholas, et al., “Factors responsible for normal splitting of first heart sound”,British Heart Journal, vol. 42,(1979), 695-702.
Manyari, Dante, et al., “A Simple Echocardiographic Method to Detect Atrioventricular Dissociation”,Chest, vol. 81, No. 1,(Jan. 1982), 67-73.
Ruckel, Andreas, et al., “Atrioventricular Dissociation Detected by Suprastemal M-Mode Echocardiography: A Clue to the Diagnosis of Ventricular Tachycardia”,Am J. Cardiol, vol. 54.,(1984), 561-563.

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