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    • 9. 发明授权
    • Closed-loop adaptive adjustment of pacing therapy based on cardiogenic impedance signals detected by an implantable medical device
    • 基于由可植入医疗设备检测到的心源性阻抗信号的起搏治疗的闭环自适应调整
    • US08712519B1
    • 2014-04-29
    • US11558194
    • 2006-11-09
    • Dorin PanescuWeiqun YangLouis WongNils HolmstromAndre Walker
    • Dorin PanescuWeiqun YangLouis WongNils HolmstromAndre Walker
    • A61N1/365
    • A61N1/36521A61N1/3627A61N1/3684
    • Techniques are provided for controlling therapy provided by the implantable cardiac stimulation device based on cardiogenic impedance. A cardiogenic impedance signal (or intracardiac impedance signal) is an impedance signal representative of the beating of the heart of the patient in which the device is implanted. The cardiogenic impedance signal is sensed along a sensing vector passing through at least a portion of the heart so that the sensed impedance is affected by the mechanical beating of the heart along that sensing vector. Pacing therapy is automatically and adaptively adjusted based on the cardiogenic impedance signal. For example, pacing timing parameters such as the atrioventricular delay and the inter-ventricular delay may be adjusted. Preferably, the adjustments are adaptive, i.e. the adjustments are performed in a closed-loop so as to adapt the adjustments to changes in the cardiogenic impedance signal so as to optimize therapy. In one particular example, the adjustments are performed so as to reduce a degree of fractionation within a cardiogenic impedance waveform.
    • 提供技术用于基于心源性阻抗来控制由可植入心脏刺激装置提供的治疗。 心源性阻抗信号(或心内阻抗信号)是表示装置植入的患者的心跳的阻抗信号。 沿着通过心脏的至少一部分的感测矢量感测心源性阻抗信号,使得感测到的阻抗受到沿着该感测向量的心脏的机械跳动的影响。 基于心源阻抗信号自动调整起搏治疗。 例如,可以调整起搏定时参数,例如房室延迟和心室间延迟。 优选地,调整是自适应的,即,在闭环中进行调整,以使调整适应于心源阻抗信号的变化,以便优化治疗。 在一个具体示例中,执行调整以便降低心源阻抗波形内的分级程度。