Apparatus and method for optimizing cardiac performance by determining the optimal timing interval from an accelerometer signal
US5836987A · kind A · utility
Assignee
Inventors
Key dates
| Filing date | Mar 12, 1997 |
| Grant date | Nov 17, 1998 |
| Priority date | — |
| Expiry date | Mar 12, 2017 |
Classification
- Technology area (CPC A)Human Necessities
- CPC primaryA61N1/3682
- WIPO fieldMedical technology
- WIPO sectorInstruments
Abstract
A cardiac stimulating apparatus and method which optimizes cardiac performance by determining, from a filtered waveform transmitted from an accelerometer contained within the cardiac pacer, an optimum timing interval between at least one of intrinsic and paced stimulations of pre-selected chambers of the heart. Digitized data of the accelerometer signal, corresponding with identified R--R intervals, are stored for a plurality of preselected timing intervals for analysis and comparison. The accelerometer signal is filtered to isolate features of the waveform associated with specific cardiac events including for example, the first heart sound, the second heart sound or an amplitude in the frequency domain thereof. Characteristic values of these features of the accelerometer signal are calculated over a plurality of complete R--R intervals for each of the preselected timing intervals. The characteristic values are analyzed and compared to determine which timing interval optimizes cardiac performance. The cardiac stimulating apparatus and method may be used in any of several pacing modes including A-V pacing, V--V pacing, or A--A pacing.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.