Dynamic atrioventricular delay optimization

    公开(公告)号:US12090328B2

    公开(公告)日:2024-09-17

    申请号:US17898616

    申请日:2022-08-30

    Inventor: Qi An Yinghong Yu

    CPC classification number: A61N1/3682 A61N1/36592 A61N1/36842 A61N1/36843

    Abstract: Systems and methods for monitoring and treating patients with heart failure are discussed. The system may receive patient atrioventricular (AV) conduction characteristic under different heart rates or patient conditions. Stimulation parameters including stimulation timing parameters may be stored in a memory. The system may include a stimulation control circuit configured to determine a parameter update schedule indicating a timing at which to update stimulation parameter using patient AV conduction characteristic, and dynamically update at least a portion of the stored set of stimulation parameters at the determined parameter update schedule. For a specified heart rate or heart rate range, a stimulation parameter may be selected from the set of the stimulation parameters for use during cardiac stimulation.

    Cardiac resynchronization therapy heart sound response characterization

    公开(公告)号:US11311731B2

    公开(公告)日:2022-04-26

    申请号:US16845730

    申请日:2020-04-10

    Abstract: This document discusses, among other things, systems and methods to determine a response curve between received cardiac electrical information from a subject, such as a time of a P wave, and received cardiac acceleration information of the subject, such as a time of a first heart sound (S1) or a second heart sound (S2), to a set of stimulation signals provided to the subject at different AVD intervals. In certain examples, one or more cardiac resynchronization therapy (CRT) parameters can be determined for the subject using the determined response curve.

    Multi-sensor based cardiac stimulation

    公开(公告)号:US10350418B2

    公开(公告)日:2019-07-16

    申请号:US15334615

    申请日:2016-10-26

    Abstract: Devices and methods for improving device therapy such as cardiac resynchronization therapy by determining a value for a device parameter are described. An ambulatory medical device (AMD) can include a sensor circuit to sense a physiological signal and generate two or more signal metrics, and detect an event of worsening cardiac condition using the two or more signal metrics. In response to the detection of worsening cardiac condition, the AMD can determine, for a stimulator, a value of at least one stimulation parameter based on temporal responses of two or more signal metrics. The temporal responses include near-term and long-term responses to the stimulation. The AMD can program the stimulator with the determined parameter value, and generate stimulation according to the determined parameter value to stimulate target tissue.

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