CA2076384A1 - Implantable electrical nerve stimulator pacemaker with ischemia detector for decreasing cardiac workload - Google Patents

Implantable electrical nerve stimulator pacemaker with ischemia detector for decreasing cardiac workload

Info

Publication number
CA2076384A1
CA2076384A1 CA2076384A CA2076384A CA2076384A1 CA 2076384 A1 CA2076384 A1 CA 2076384A1 CA 2076384 A CA2076384 A CA 2076384A CA 2076384 A CA2076384 A CA 2076384A CA 2076384 A1 CA2076384 A1 CA 2076384A1
Authority
CA
Canada
Prior art keywords
myocardial ischemia
pacemaker
cardiac workload
stimulation
programming
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA2076384A
Other languages
French (fr)
Other versions
CA2076384C (en
Inventor
Israel Woolf Promund Obel
Ivan Bourgeois
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic Inc
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2076384A1 publication Critical patent/CA2076384A1/en
Application granted granted Critical
Publication of CA2076384C publication Critical patent/CA2076384C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36114—Cardiac control, e.g. by vagal stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36557—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by chemical substances in blood

Abstract

A method and apparatus for stimulating the right and/or left carotid sinus nerves or the right stellate ganglion or the epidural space at about T2 with continuous and/or phasic electrical pulses in response to detected myocardial ischemia to decrease cardiac workload as a method to protect the myocardium. The automatic detection of the need for such stimulation is responsive to a change in ST segment variation different from a predetermined or programmed threshold suggesting acute myocardial ischemia and/or other criteria or indicators of myocardial ischemia, including changes if pH and/or oxygen saturation (SO2) detected from a sensor located in the heart, preferably the coronary sinus.
The system is implemented with a dual chamber pacemaker with programming and telemetry capabilities for automatically recording in memory the aforementioned values for periods of time preceding and following each instance of stimulation for telemetry out on command and for programming "on" one or more of the sensors.
CA002076384A 1991-03-22 1992-03-18 Implantable electrical nerve stimulator pacemaker with ischemia detector for decreasing cardiac workload Expired - Fee Related CA2076384C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/673,883 1991-03-22
US07/673,883 US5199428A (en) 1991-03-22 1991-03-22 Implantable electrical nerve stimulator/pacemaker with ischemia for decreasing cardiac workload

Publications (2)

Publication Number Publication Date
CA2076384A1 true CA2076384A1 (en) 1992-09-23
CA2076384C CA2076384C (en) 1998-05-26

Family

ID=24704478

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002076384A Expired - Fee Related CA2076384C (en) 1991-03-22 1992-03-18 Implantable electrical nerve stimulator pacemaker with ischemia detector for decreasing cardiac workload

Country Status (7)

Country Link
US (1) US5199428A (en)
EP (2) EP0721786B1 (en)
JP (1) JP2620819B2 (en)
AU (1) AU648167B2 (en)
CA (1) CA2076384C (en)
DE (2) DE69223703T2 (en)
WO (1) WO1992016257A1 (en)

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