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    • 5. 发明授权
    • Post-extrasystolic potentiation stimulation with physiologic sensor
feedback
    • 用生理传感器反馈进行后外切电位刺激
    • US5213098A
    • 1993-05-25
    • US736198
    • 1991-07-26
    • Tom D. BennettRussell L. Lundstrom, Jr.Paul M. Stein
    • Tom D. BennettRussell L. Lundstrom, Jr.Paul M. Stein
    • A61N1/362A61N1/365
    • A61N1/36585A61N1/3622A61N1/3627
    • A post-extrasystolic potentiation (PESP) cardiac pacing energy stimulator for applying paired and/or triggered pacing stimulation pulses to the right atrium and/or ventricle incorporating one or more sensors, such as a venous oxygen saturation, ventricular, atrial, or arterial blood pressure, or intracardiac or systemic blood flow sensor, and signal processing circuitry for controlling the frequency of or number of heart cycles between periodic delivery of triggered or paired pacing to induce PESP for the treatment of congestive heart failure or other cardiac dysfunctions. Preferably, a first sensor, e.g., a ventricular or arterial blood pressure or flow sensor, is employed to monitor the performance of the heart, and develop a cardiac performance index (CPI) and a second sensor, e.g., an oxygen saturation sensor positioned in the coronary sinus, is employed to monitor cardiac muscle stress and develop a cardiac stress index (CSI) to balance performance and stress. The PESP stimulator may be incorporated into a dual chamber (DDD) pacing system with or without physiologic rate control and with or without backup cardioversion/defibrillation therapy capabilities or in a separate, single purpose device. The PESP stimulator has particular application in atrial stimulation for augmenting filling of the ventricles.
    • 一种收缩后增生(PESP)心脏起搏能量刺激器,用于将配对和/或触发的起搏刺激脉冲施加到合并一个或多个传感器的右心房和/或心室,例如静脉血氧饱和度,心室,心房或动脉血 压力或心脏内或全身血流传感器,以及信号处理电路,用于控制周期性递送触发或配对起搏以诱导PESP治疗充血性心力衰竭或其他心脏功能障碍的心脏周期的频率或数量。 优选地,使用第一传感器,例如心室或动脉血压或流量传感器来监测心脏的性能,并且开发心脏性能指数(CPI)和第二传感器,例如位于 冠状动脉窦,用于监测心肌应力,并开发心脏应激指数(CSI)以平衡性能和压力。 PESP刺激器可以并入具有或不具有生理速率控制的双室(DDD)起搏系统,并且具有或不具有备用心脏复律/除颤治疗能力或在单独的单用途装置中。 PESP刺激器在心房刺激中具有特别的应用,用于增加心室的填充。