WO2005115233A3 - Differentiating ischemic from non-ischemic t-wave inversion - Google Patents

Differentiating ischemic from non-ischemic t-wave inversion Download PDF

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Publication number
WO2005115233A3
WO2005115233A3 PCT/US2005/017163 US2005017163W WO2005115233A3 WO 2005115233 A3 WO2005115233 A3 WO 2005115233A3 US 2005017163 W US2005017163 W US 2005017163W WO 2005115233 A3 WO2005115233 A3 WO 2005115233A3
Authority
WO
WIPO (PCT)
Prior art keywords
waves
ischemic
inverted
leads
differentiating
Prior art date
Application number
PCT/US2005/017163
Other languages
French (fr)
Other versions
WO2005115233A2 (en
Inventor
Alexei V Shvilkin
Mark E Josephson
Original Assignee
Beth Israel Hospital
Alexei V Shvilkin
Mark E Josephson
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 Beth Israel Hospital, Alexei V Shvilkin, Mark E Josephson filed Critical Beth Israel Hospital
Priority to EP05750555A priority Critical patent/EP1765157A4/en
Priority to CA002567282A priority patent/CA2567282A1/en
Priority to JP2007527352A priority patent/JP2008500135A/en
Publication of WO2005115233A2 publication Critical patent/WO2005115233A2/en
Publication of WO2005115233A3 publication Critical patent/WO2005115233A3/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/355—Detecting T-waves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle

Abstract

A method of differentiating between ischemic and cardiac memory inverted T-waves includes performing an electrocardiogram of a patient (702); identifying inverted T-waves in at least some of precordial leads (704); identifying T-waves in leads I and aVL (706); diagnosing ischemia if leads I and aVL show inverted T-waves (710); and diagnosing cardiac memory if the leads I and aVL show non-inverted T-waves (712). The method may also include identifying T-waves in lead III (714); confirming ischemic diagnosis if the lead III shows deeper inverted T-waves than in the precordial leads (724); and confirming cardiac memory diagnosis otherwise (720, 725).
PCT/US2005/017163 2004-05-21 2005-05-18 Differentiating ischemic from non-ischemic t-wave inversion WO2005115233A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP05750555A EP1765157A4 (en) 2004-05-21 2005-05-18 Differentiating ischemic from non-ischemic t-wave inversion
CA002567282A CA2567282A1 (en) 2004-05-21 2005-05-18 Differentiating ischemic from non-ischemic t-wave inversion
JP2007527352A JP2008500135A (en) 2004-05-21 2005-05-18 Distinguishing ischemic T-wave reversal from non-ischemic T-wave reversal

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/849,879 US7194299B2 (en) 2004-05-21 2004-05-21 Differentiating ischemic from non-ischemic T-wave inversion
US10/849,879 2004-05-21

Publications (2)

Publication Number Publication Date
WO2005115233A2 WO2005115233A2 (en) 2005-12-08
WO2005115233A3 true WO2005115233A3 (en) 2006-10-05

Family

ID=35376143

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2005/017163 WO2005115233A2 (en) 2004-05-21 2005-05-18 Differentiating ischemic from non-ischemic t-wave inversion

Country Status (5)

Country Link
US (3) US7194299B2 (en)
EP (1) EP1765157A4 (en)
JP (1) JP2008500135A (en)
CA (1) CA2567282A1 (en)
WO (1) WO2005115233A2 (en)

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* Cited by examiner, † Cited by third party
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US7194299B2 (en) * 2004-05-21 2007-03-20 Beth Israel Deaconess Medical Center Differentiating ischemic from non-ischemic T-wave inversion
US9101264B2 (en) 2006-06-15 2015-08-11 Peerbridge Health, Inc. Wireless electrode arrangement and method for patient monitoring via electrocardiography
US20100262028A1 (en) * 2007-05-22 2010-10-14 Guohui Li Ecg data processing system and method
US9980661B2 (en) 2007-09-21 2018-05-29 University of Pittsburgh—of the Commonwealth System of Higher Education Electrocardiogram reconstruction from implanted device electrograms
US8200318B2 (en) * 2007-09-21 2012-06-12 University of Pittsburgh—of the Commonwealth System of Higher Education Electrocardiogram reconstruction from implanted device electrograms
US9282911B2 (en) * 2012-11-27 2016-03-15 Physio-Control, Inc. Linear display of ECG signals
JP2016501640A (en) 2012-12-20 2016-01-21 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． Rotor identification using time-series pattern matching
CN105377127A (en) 2013-03-15 2016-03-02 皮尔桥健康公司 System and method for monitoring and diagnosing patient condition based on wireless sensor monitoring data
EP2996547B1 (en) 2013-05-16 2022-08-24 Boston Scientific Scimed, Inc. Enhanced activation onset time optimization by similarity based pattern matching
EP3038522B1 (en) 2013-08-28 2023-05-31 Boston Scientific Scimed Inc. Estimating the prevalence of activation patterns in data segments during electrophysiology mapping
US9730600B2 (en) 2013-10-31 2017-08-15 Boston Scientific Scimed, Inc. Medical device for high resolution mapping using localized matching
CN106456009A (en) 2014-06-20 2017-02-22 波士顿科学医学有限公司 Medical devices for mapping cardiac tissue
US9549681B2 (en) 2014-11-18 2017-01-24 Siemens Medical Solutions Usa, Inc. Matrix-based patient signal analysis
EP3344136B1 (en) * 2015-10-07 2020-07-01 St. Jude Medical, Cardiology Division, Inc. Methods and systems for mapping cardiac repolarization
US11337637B2 (en) * 2016-08-31 2022-05-24 Mayo Foundation For Medical Education And Research Electrocardiogram analytical tool
US11191459B2 (en) 2016-09-12 2021-12-07 Mayo Foundation For Medical Education And Research ECG-based analyte assessments with adjustments for variances in patient posture
CN108125678B (en) * 2017-12-01 2021-01-26 北京顺源开华科技有限公司 Electrocardiosignal direction detection method and device and electronic equipment

Citations (2)

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US5803084A (en) * 1996-12-05 1998-09-08 Olson; Charles Three dimensional vector cardiographic display and method for displaying same
US6865420B1 (en) * 2002-01-14 2005-03-08 Pacesetter, Inc. Cardiac stimulation device for optimizing cardiac output with myocardial ischemia protection

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US546261A (en) * 1895-09-10 Charles d
US5148812A (en) * 1991-02-20 1992-09-22 Georgetown University Non-invasive dynamic tracking of cardiac vulnerability by analysis of t-wave alternans
US5213106A (en) * 1991-03-25 1993-05-25 Lerner Albert M Diagnosing and treating chronic fatigue syndrome by electrocardiographic monitoring of T-waves
US5456261A (en) 1993-12-16 1995-10-10 Marquette Electronics, Inc. Cardiac monitoring and diagnostic system
US6171256B1 (en) 1998-04-30 2001-01-09 Physio-Control Manufacturing Corporation Method and apparatus for detecting a condition associated with acute cardiac ischemia
US6128526A (en) * 1999-03-29 2000-10-03 Medtronic, Inc. Method for ischemia detection and apparatus for using same
US6507753B1 (en) * 2000-08-09 2003-01-14 Ge Marquette Medical Systems, Inc. Method and apparatus to detect acute cardiac syndromes in specified groups of patients using ECG
US6925331B2 (en) * 2002-09-30 2005-08-02 Medtronic, Ind. EGM signal acquisition and processing system
US6884218B2 (en) * 2002-12-09 2005-04-26 Charles W. Olson Three dimensional vector cardiograph and method for detecting and monitoring ischemic events
US7194299B2 (en) * 2004-05-21 2007-03-20 Beth Israel Deaconess Medical Center Differentiating ischemic from non-ischemic T-wave inversion

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5803084A (en) * 1996-12-05 1998-09-08 Olson; Charles Three dimensional vector cardiographic display and method for displaying same
US6865420B1 (en) * 2002-01-14 2005-03-08 Pacesetter, Inc. Cardiac stimulation device for optimizing cardiac output with myocardial ischemia protection

Also Published As

Publication number Publication date
EP1765157A4 (en) 2010-09-08
US7925336B2 (en) 2011-04-12
US7194299B2 (en) 2007-03-20
US20070129640A1 (en) 2007-06-07
US7620449B2 (en) 2009-11-17
WO2005115233A2 (en) 2005-12-08
CA2567282A1 (en) 2005-12-08
US20100222690A1 (en) 2010-09-02
US20050261599A1 (en) 2005-11-24
EP1765157A2 (en) 2007-03-28
JP2008500135A (en) 2008-01-10

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