Use of mechanical restitution to predict hemodynamic...

A - Human Necessities – 61 – N

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A61N 1/362 (2006.01)

Patent

CA 2589950

An implantable cardiac stimulation device and associated method for predicting the hemodynamic response to a rapid heart rhythm. The system includes an implantable cardiac stimulation device and associated sensors of electrical and mechanical heart function. The associated method includes measuring a mechanical restitution (MR) parameter or surrogate thereof, performing a comparative analysis of the MR parameter, and predicting an unstable or stable hemodynamic response to a rapid heart rate based on the comparative analysis. If an unstable hemodynamic response to a rapid rhythm is predicted, a more aggressive menu of arrhythmia therapies may be programmed to treat tachycardia. If a stable hemodynamic response is predicted, a less aggressive menu of therapies may be programmed to treat tachycardia.

L~invention concerne un dispositif de stimulation cardiaque implantable et un procédé associé pour prédire une réponse hémodynamique à un rythme cardiaque rapide. Le système comporte un dispositif de stimulation cardiaque implantable et des capteurs associés de fonction cardiaque électrique et mécanique. Le procédé associé consiste à mesurer un paramètre de restitution mécanique (MR) ou un élément de substitution de celui-ci, à réaliser une analyse comparative du paramètre MR et à prévoir une réponse hémodynamique stable ou instable à un rythme cardiaque rapide sur la base de l~analyse comparative. Si l~on prédit une réponse hémodynamique instable à un rythme rapide, un menu plus agressif de thérapies arythmiques peut être programmé pour traiter la tachycardie. Si l~on prévoit une réponse hémodynamique stable, un menu moins agressif de thérapies peut être programmé pour traiter la tachycardie.

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