Method and apparatus for gauging cardiac status using post...

A - Human Necessities – 61 – N

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A61N 1/362 (2006.01) A61N 1/365 (2006.01) A61N 1/368 (2006.01) A61N 1/39 (2006.01)

Patent

CA 2519269

A hemodynamic status of a patient is determined in an implanted medical device (IMD) by observing a perturbation of the patient's heart, measuring heart rate turbulence resulting from the perturbation, and quantifying the heart rate turbulence to determine the hemodynamic status. The perturbation may be naturally-occurring, or may be generated by the implantable medical device. The patient's response to heart rate turbulence may also be used to provide a response to the patient, such as providing an alarm and/or administering a therapy. Heart rate turbulence may also be used to tune and/or optimize a device parameter such as A-V or V-V pacing intervals.

Selon l'invention, un état hémodynamique d'un patient est déterminé dans un dispositif médical implantable (IMD) par: observation d'une perturbation du coeur du patient; mesure d'une turbulence de la fréquence cardiaque résultant de la perturbation; et quantification de la turbulence de la fréquence cardiaque en vue de déterminer l'état hémodynamique. La perturbation peut être naturelle ou générée par le dispositif médical implantable. La réaction du patient à la turbulence de la fréquence cardiaque peut également être exploitée pour fournir une réaction au patient, telle que le déclenchement d'une alarme et/ou l'administration d'une thérapie. La turbulence de la fréquence cardiaque peut également être exploitée pour affiner et/ou optimiser un paramètre du dispositif, tel que des intervalles de stimulation A-V ou V-V.

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