通过Biotronik的脱同步检测算法揭示捕获损失和长时间的左心室延迟
S Serge Barold1, Andreas Kucher2
1University of Rochester School of Medicine and Dentistry, Rochester, New York. 601 Elmwood Av, Rochester, NY 14642, USA.
Journal of electrocardiology
|May 22, 2025
概括
生物电子心脏再同步治疗除器 (CRT-D) 设备可以使用CRT节奏中断算法检测节奏捕捉的丧失或延长的左心室 (LV) 延迟. 这种监控有助于识别节奏有效性的问题.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 医疗器械技术 医疗器械技术
背景情况:
- 心脏再同步治疗除器 (CRT-D) 对于治疗心力衰竭至关重要.
- 有效的节奏捕捉和适当的时间 (延迟) 对于CRT-D的有效性至关重要.
- 基于设备的算法越来越多地用于远程患者监控和问题检测.
研究的目的:
- 为了评估Biotronik CRT-D家庭监控检测心室节奏捕获损失的能力.
- 评估检测延长的设备定义的左心室 (LV) 延迟.
- 根据间隔特征区分真实LV延迟和捕获损失.
主要方法:
- 在Biotronik CRT-D设备中利用了CRT节奏中断算法.
- 利用家庭监控数据自动识别节奏异常.
- 分析了从节奏刺激到进行心室激活的间隔.
主要成果:
- 自动检测到节奏捕获的损失和延长的设备定义的LV延迟.
- 感兴趣的情况显示,从节奏刺激到心室激活的间隔很短.
- 捕获损失的间隔比设备定义的延迟更长,更可变.
结论:
- 生物电子CRT-D家庭监控有效地揭露了捕获损失和延长的LV延迟.
- 对节奏到激活间隔的分析有助于区分这些关键事件.
- 如果设备定义的延迟似乎延长了,建议重新评估真实LV延迟.
更多相关视频
16:40A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
26.4K
12:45Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
10.6K
相关概念视频
Electrocardiogram
3.3K
An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
3.3K
Dysrhythmias IV: Characteristics of Bradyarrhythmias
128
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
128
Pulse rhythm
940
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
940
Correlation between ECG and Cardiac Cycle
8.6K
The electrical signals recorded on an electrocardiogram (ECG) occur before the mechanical processes of contraction and relaxation during the cardiac cycle.
A cardiac action potential originates in the SA node and spreads throughout the atria and the AV node in approximately 0.03 seconds. This results in the P wave in an ECG and triggers atrial contraction. The action potential is then briefly slowed at the AV node, allowing the atria to contract and fill the ventricles with blood before...
A cardiac action potential originates in the SA node and spreads throughout the atria and the AV node in approximately 0.03 seconds. This results in the P wave in an ECG and triggers atrial contraction. The action potential is then briefly slowed at the AV node, allowing the atria to contract and fill the ventricles with blood before...
8.6K
