Method of and apparatus for classifying arrhythmias using...

Surgery – Diagnostic testing – Cardiovascular

Reexamination Certificate

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C600S508000, C600S509000, C600S512000, C600S523000, C128S920000, C128S922000, C128S923000

Reexamination Certificate

active

07657307

ABSTRACT:
A method of classifying arrhythmias using scatter plot analysis to define a measure of variability of a cardiac rhythm parameter such as for example, without limitation, R-R interval, A-A interval, and the slope of a portion of a cardiac signal, is disclosed. The variability measurement is derived from a scatter plot of a cardiac rhythm parameter, employing a region counting technique that quantifies the variability of the cardiac rhythm parameter while minimizing the computational complexity. The method may be employed by an implantable medical device or system, such as an implantable pacemaker or cardioverter defibrillator, or by an external device or system, such as a programmer or computer. The variability measurement may be correlated with other device or system information to differentiate between atrial flutter and atrial fibrillation, for example. The variability information may also be used by the device or system to select an appropriate therapy for a patient.

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“Do Existing Measures of Poincare Plot Geometry Reflect Nonlinear Features of Heart Rate Variability?” Brennan et al., IEEE Trans Biomed Eng. Nov. 2001;48(11):1342-7. Related Articles, Links Department of Electrical and Electronic Engineering, The University of Melbourne, Parkville, Victoria, Australia.

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