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[Cardiac pacemaker as bridge to cardiac telemonitoring]
H Hutten1, G Schreier, P Kastner
1Institut für Elektro- und Biomedizinische Technik Technische Universität Graz. hutten@ibmt.tu-graz.ac.at
Biomedizinische Technik. Biomedical Engineering
|June 1, 1996
Summary
Modern pacemakers offer advanced features for cardiac care. Computer-assisted analysis of intramyocardial electrograms (IEGM) aids diagnosis, and the CHARM system enables non-invasive heart transplant rejection monitoring.
Area of Science:
- Cardiology and Biomedical Engineering
- Signal Processing and Data Analysis
Context:
- Modern pacemakers and electrodes possess advanced features for cardiac diagnosis and therapy.
- Intramyocardial electrograms (IEGM), especially ventricular evoked responses (VER), provide crucial diagnostic information.
- Data transmission from pacemakers to central processing stations enables sophisticated analysis.
Purpose:
- To leverage pacemaker technology for enhanced cardiac diagnosis and therapy management.
- To develop and evaluate a system for non-invasive rejection monitoring after heart transplantation.
Summary:
- The study details a system utilizing high-bandwidth transmission of intramyocardial electrograms (IEGM) from pacemakers.
- Computer-assisted analysis of IEGMs, particularly VER, is performed via specialized software at a central data station.
- A secure user account provides access to comprehensive patient reports, including trend data, for clinical decision-making.
Impact:
- Successful clinical evaluation of the CHARM (Computerized Heart Acute Rejection Monitoring) system for non-invasive monitoring post-heart transplantation.
- Demonstrates the potential of pacemaker-integrated technology for advanced cardiac care and rejection surveillance.
- Highlights the utility of IEGM analysis in improving patient management and therapeutic strategies.