Evaluation of heart mechanical performance

Surgery – Truss – Pad

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128677, 128687, A61B 502

Patent

active

052918955

ABSTRACT:
The invention evaluates the mechanical condition of a heart in a patient by noninvasively providing a pulse signal representative of arterial pulsation by placing a transducer sufficiently close to the skin of the patient to provide an electric signal representative of the arterial pulsation. The patient is subjected to a heart-straining maneuver to provide an arterial pulse contour squarewave signal during the heart-straining maneuver having an early strain phase amplitude at the beginning of the heart-straining maneuver and a later strain amplitude at the end of the heart-straining maneuver. An indication is provided of the ratio of the late strain phase amplitude which ratio is representative of the mechanical condition of the heart of the patient. The invention may also provide an indication of the relationship between that ratio and the pulmonary capillary wedge pressure of the patient. The invention may also provide an indication of the state of hydration of the patient.

REFERENCES:
"A Noninvasive Method of Predicting Pulmonary-Capillary Wedge Pressure," K. M. McIntyre, J. A. Vita, C. T. Lambrew, J. Freeman, and J. Loscalzo, Dec. 10, 1992, pp. 1715-1720, The New England Journal of Medicine Richard Gorlin, M.D., Dec. 10, 1992, The Mount Sinai Medical Center.

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