Systems and methods for assessing heart function

Patent metadata

Field	Value
Publication number	US-9826915-B2
Application number	US-201514798124-A
Country	US
Kind code	B2
Filing date	Jul 13, 2015
Priority date	Nov 3, 2010
Publication date	Nov 28, 2017
Grant date	Nov 28, 2017

Abstract

Systems and methods can be used to provide an indication of heart function, such as an indication of mechanical function or hemodynamics of the heart, based on electrical data. For example, a method for assessing a function of the heart can include determining a time-based electrical characteristic for a plurality of points distributed across a spatial region of the heart. The plurality of points can be grouped into at least two subsets of points based on at least one of a spatial location for the plurality of points or the time-based electrical characteristics for the plurality of points. An indication of synchrony for the heart can be quantified based on relative analysis of the determined time-based electrical characteristic for each of the at least two subsets of points.

First claim

What is claimed is:

1. A system, comprising:
a computing device configured to store data and execute machine readable instructions, the data including electrical data representing measurements of electrical activity for a plurality of points across at least one spatial region of a patient's heart, wherein the plurality of points across the patient's heart is divided into a plurality of segments, each containing some of the plurality of points, the instructions to at least:
compute at least one indication of synchrony based on analysis of the electrical data to provide an assessment of mechanical synchrony of the patient's heart based on electrical measurements by weighting each of the plurality of segments according to its respective contribution to mechanical heart function and/or hemodynamic performance;
determine at least one therapy parameter based on the at least one indication of synchrony; and

a therapy system to deliver therapy based on the at least one therapy parameter, the computing device to adjust the at least one therapy parameter in response to feedback corresponding to updated measurements of electrical activity.

2. The system of claim 1 , wherein the instructions are further configured to determine which of a plurality of leads to use in delivering the therapy.

3. The system of claim 1 , wherein the instructions are further configured to compute time-based electrical characteristics for the plurality of points based on the measurements of electrical activity during at least one time interval.

4. The system of claim 1 , wherein the instructions of the computing device are further configured to determine the therapy parameter as including one or more lead placement locations to deliver the therapy.

5. The system of claim 1 , wherein the instructions of the computing device are further configured to:
compute the at least one indication of synchrony based on the electrical data that is acquired non-invasively via sensors distributed on the outer surface of the patient's body and invasively via one or more other sensors within the patient's body; and
generate map data to display the at least one indication of synchrony.

6. A system, comprising:
a computing device configured to store data and execute machine readable instructions, the data including electrical data representing measurements of electrical activity for a plurality of points across at least one spatial region of a patient's heart, the instructions to at least:
compute at least one indication of synchrony based on analysis of the electrical data, the at least one indication of synchrony providing a quantitative assessment of at least one of heart electrical function, heart mechanical function or hemodynamic performance, the instructions to compute the at least one indication of synchrony further including instructions to;
compute time-based electrical characteristics for the plurality of points based on the measurements of electrical activity during at least one time interval;
calculate standard deviation values for a plurality of spatial segments across the least one region of the patient's heart based on the time-based electrical characteristics of the plurality of points within each respective segment; and
identify at least one spatial segment of the plurality spatial segments having an increased dispersion for the time-based electrical characteristics relative to other of the plurality of spatial segments based on the calculated standard deviations values;

determine at least one therapy parameter based on the at least one indication of synchrony that is computed; and

a therapy system to deliver therapy based on the at least one therapy parameter, the computing device to adjust the at least one therapy parameter in response to feedback corresponding to updated measurements of electrical activity.

7. The system of claim 6 , wherein the time-based electrical characteristics is an activation time or a repolarization time.

8. The system of claim 6 , wherein the therapy system is configured to deliver the therapy to the heart, based on the therapy parameter, to decrease the dispersion for the time-based electrical characteristics in the at least one spatial segment relative to the other spatial segments.

9. The system of claim 6 , wherein the at least one time interval is at least one of selected in response to a user input or selected to be synchronized with the delivery of the therapy by the therapy system.

10. The system of claim 6 , wherein the instructions of the computing device are further configured to determine a treatment location based on the at least one indication of synchrony.

11. The system of claim 10 , wherein the treatment location is determined based on the measurements of electrical activity acquired intraoperatively to provide spatial guidance to locate one or more sites for delivering the therapy.

12. The system of claim 6 , wherein the at least one therapy parameter comprises at least one of a quantity of the therapy, a duration of the therapy and a time between delivery of consecutive therapies.

13. The system of claim 9 , further comprising a plurality of electrodes to deliver electrical therapy to patient's heart,
wherein the at least one therapy parameter is set to establish an electrical field vector by controlling stimulation parameters for at least one of the plurality of electrodes.

14. The system of claim 6 , further comprising a plurality of body surface electrodes distributed in arrangement to measure body surface electrical activity corresponding to the electrical activity.

15. The system of claim 6 , wherein the instructions of the computing device are further configured to determine the therapy parameter as including one or more lead placement locations to deliver the therapy.

16. The system of claim 6 , wherein the instructions of the computing device are further configured to:
compute the at least one indication of synchrony based on the electrical data that is acquired non-invasively via sensors distributed on the outer surface of the patient's body and invasively via one or more other sensors within the patient's body; and
generate map data to display the at least one indication of synchrony.

17. A system comprising:
a computing device configured to store data and execute machine readable instructions, the data including electrical data representing measurements of electrical activity for a plurality of points across at least one spatial region of a patient's heart, the instructions to at least:
identify at least one area of the patients heart that does not contribute to a mechanical function;
exclude the identified area from the at least one spatial region of the heart such that the electrical data for points residing in the excluded area are not used in computing at least one indication of synchrony;
compute the at least one indication of synchrony based on an analysis of the electrical data, the at least one indication of synchrony providing a quantitative assessment of at least one of heart electrical function, heart mechanical function or hemodynamic performance; and
determine at least one therapy parameter based on the at least one indication of synchrony; and

a therapy system to deliver therapy based on the at least one therapy parameter.

18. The system of claim 17 , wherein the instructions of the computing device are further configured to:
compute the at least one indication of synchrony based on the electrical data that is acquired non-invasively via sensors distributed on the outer surface of the patient's bod

Assignees

• Cardioinsight Technologies Inc

Inventors

• Ramanathan Charulatha
• Wodlinger Harold
• Strom Maria
• Arless Steven G
• Jia Ping

Classifications

• A61B5/0036

  including treatment, e.g., using an implantable medical device, ablating, ventilating · CPC title

• A61B5/4848

  Monitoring or testing the effects of treatment, e.g. of medication · CPC title

• A61N1/3627

  for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy · CPC title

• A61B5/1107

  Measuring contraction of parts of the body, e.g. organ or muscle · CPC title

• A61N1/368

  comprising more than one electrode co-operating with different heart regions {(A61N1/3622, A61N1/3627 take precedence)} · CPC title