Fibrillation and tachycardia detection

Details Fibrillation and tachycardia detection Fibrillation and tachycardia detection

1993-11-04

1994-11-22

Cohen, Lee S.

Surgery: light, thermal, and electrical application

Light, thermal, and electrical application

Electrical therapeutic systems

128705, A61N 100

Patent

active

053664876

ABSTRACT:
Providing a sensitive, prompt, and accurate indication of both ventricular fibrillation and monomorphic ventricular tachycardia is the aim of this invention. The invention employs electrical voltage-versus-time signals produced by the heart, these observed from two or more locations. By well-known signal-processing techniques, these signals are reduced to pulses of standardized height and duration, each derived from a prominent feature of the waveform for each heart period, such as its leading edge, in the process eliminating the irrelevant information in the waveform, but retaining the feature that is most relevant in the present context, namely, its precise time of occurrence. The invention then uses further standard electronic techniques to determine the amount of delay between the corresponding pulses in two such pulse trains, in the process distinguishing between monomorphic ventricular tachycardia and more benign conditions. It is a further straightforward matter of signal analysis to determine coincidence rate as a fraction of total pulse rate, which in the normal heart approaches unity (100%), while in the fibrillating heart is much lower, thus diagnosing ventricular fibrillation. The present invention is hence able to trigger a defibrillating-discharge decision, or a cardioversion-discharge in the prior case, much more reliably than has been possible in the prior art.

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Mercando et al., "Measurement of Differences in Timing and Sequence Between Two Ventricular Electrodes as a Means of Tachycardia Differentiation", PACE, vol. 9, pp. 1069-1077.
Camm et al., "Tachycardia Recognition by Implantable Elecronic Devices", PACE, vol. 10, pp. 1175-1190.

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