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System and Method For Cardiac Resynchronization Therapy With Optimization of Effort-based Rate-Responsive Pacing
System and Method For Cardiac Resynchronization Therapy With Optimization of Effort-based Rate-Responsive Pacing
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机译:基于努力的心率响应起搏优化的心脏再同步治疗系统和方法
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摘要
An active implantable medical device for cardiac resynchronization therapy with effort based rate-responsive pacing is described. The device calculates a rate-responsive stimulation frequency based on output signal of an effort sensor between a base frequency (fbase) and a maximum frequency (fmax). The device determines a target stimulation frequency based on the difference between a first frequency and the maximum frequency (fmax). The first frequency is the higher frequency of the base frequency (fbase) and the spontaneous frequency of the patient. The device calculates a stimulation frequency that has an immediate increase in the pacing rate from the higher of the initial value of the current stimulation frequency, or the spontaneous frequency to the target stimulation frequency, within a predetermined time, or a predetermined number of cardiac cycles. A plurality of consecutive effort zones (Z1-Z4) is defined over the extent of the dynamic range of the output signal of the effort sensor.
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机译:本发明描述了一种用于心脏再同步治疗的主动式可植入医疗设备,该设备具有基于努力的速率响应式起搏。该设备基于力传感器在基本频率(f base Sub>)和最大频率(f max Sub>)之间的输出信号来计算速率响应刺激频率。该装置基于第一频率和最大频率(f max Sub>)之间的差来确定目标刺激频率。第一个频率是基准频率(f base Sub>)和患者自发频率中的较高频率。该设备计算在预定的时间或预定的心动周期数内从当前刺激频率的初始值或自发频率到目标刺激频率中较高者起搏速度立即增加的刺激频率。 。在努力传感器的输出信号的动态范围的范围内,定义了多个连续的努力区域(Z 1 B> -Z 4 B>)。
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