Systems and methods for determining optimal interventricular pacing delays based on electromechanical delays

US8972009B2 · US · B2

Patent metadata
FieldValue
Publication numberUS-8972009-B2
Application numberUS-97641910-A
CountryUS
Kind codeB2
Filing dateDec 22, 2010
Priority dateDec 22, 2010
Publication dateMar 3, 2015
Grant dateMar 3, 2015

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Abstract

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Techniques are provided for use with implantable medical devices such as pacemakers for optimizing interventricular (VV) pacing delays for use with cardiac resynchronization therapy (CRT). In one example, ventricular electrical depolarization events are detected within a patient in which the device is implanted. The onset of isovolumic ventricular mechanical contraction is also detected based on cardiomechanical signals detected by the device, such as cardiogenic impedance (Z) signals, S1 heart sounds or left atrial pressure (LAP) signals. Then, an electromechanical time delay (T_QtoVC) between ventricular electrical depolarization and the onset of isovolumic ventricular mechanical contraction is determined. VV pacing delays are set to minimize the time delay to the onset of isovolumic ventricular mechanical contraction. Various techniques for identifying the onset of isovolumic ventricular contraction based on Z, S1 or LAP or other cardiomechanical signals are described. In some examples, CRT nonresponders are specifically identified and/or heart failure progression is tracked.

First claim

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What is claimed is: 1. A method for use with an implantable cardiac rhythm management device for implant within a patient, the method comprising: detecting ventricular electrical depolarization within the patient based on electrocardiac signals sensed by the device; detecting an onset of isovolumic ventricular mechanical contraction within the patient based on cardiomechanical signals sensed by the device; determining a time delay from ventricular electrical depolarization to…

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What does patent US8972009B2 cover?
Techniques are provided for use with implantable medical devices such as pacemakers for optimizing interventricular (VV) pacing delays for use with cardiac resynchronization therapy (CRT). In one example, ventricular electrical depolarization events are detected within a patient in which the device is implanted. The onset of isovolumic ventricular mechanical contraction is also detected based o…
Who is the assignee on this patent?
Min Xiaoyi, Pacesetter Inc
What technology area does this patent fall under?
Primary CPC classification A61N1/3627. Mapped technology areas include Human Necessities.
When was this patent published?
Publication date Tue Mar 03 2015 00:00:00 GMT+0000 (Coordinated Universal Time) (B2). Legal status and post-grant events are not shown on this page.
What related patents are in patentsdb?
We list 8 related publications on this page (citations in our corpus or others sharing the same primary CPC).