Apparatus and methods of energy efficient, atrial-based...

A - Human Necessities – 61 – N

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A61N 1/362 (2006.01)

Patent

CA 2559442

The present invention enables hemodynamic efficiencies for patients suffering from intraventricular conduction delays or conduction blockage. The invention effectively overcomes such conduction delay or block (e.g., left bundle branch block, "LBBB," or right bundle branch block, "RBBB") by delivering a novel form of cardiac resynchronization therapy (CRT). Specifically, a single ventricular pre-excitation pacing stimulus is triggered from an atrial event (e.g., intrinsic or evoked depolarization). The triggering event may emanate from the right atrium (RA) or the left atrium (LA). A single ventricular pre- excitation pacing stimulus is delivered prior to the intrinsic depolarization of the other ventricle and thus promotes intraventricular electromechanical synchrony during CRT delivery.

Cette invention permet des rendements hémodynamiques chez des patients affectés par des retards de conduction intraventriculaire ou un blocage de conduction. L'invention permet de résoudre efficacement ce retard ou blocage de conduction (ex. : bloc de branche gauche, <= BBG >= ou bloc de branche droite <= BBR >=) en procédant à un nouveau type de thérapie de resynchronisation cardiaque. De manière spécifique, un stimulus de pré-excitation ventriculaire gauche est déclenché à partir d'un événement auriculaire (ex : dépolarisation intrinsèque ou évoquée). L'événement de déclenchement peut émaner de l'atrium droit (AD) ou de l'atrium gauche (AG). Un seul stimulus de pré-excitation ventriculaire est délivré avant la dépolarisation intrinsèque de l'autre ventricule et favorise ainsi la synchronisation électromécanique intraventriculaire pendant l'application de la thérapie de resynchronisation cardiaque.

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