Method and apparatus for evaluating cardiac function
A technique for cardiac and arrhythmia, applied in the field of computer programs using information provided by electrocardiography, to solve problems such as routine evaluation not being preferred
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Embodiment 1
[0098] 1. Embodiment 1: inclusion criteria:
[0099] ●Patients who are being considered for new ICD implantation with NYHA class III-III symptoms of heart failure and documented left ventricular dysfunction.
[0100] 2. Example: Exclusion Criteria
[0101] ●Unstable coronary artery disease, which may require percutaneous or surgical intervention
[0102] ●Requirement for sustained cardiac pacing (eg, high-grade AV block or for cardiac resynchronization)
[0103] ●Recent coronary artery bypass surgery (within 3 months)
[0104] ●Recent valve surgery (within 3 months)
[0105] ●Recent myocardial infarction (if documented by appropriate ECG and biochemical analysis) (within 3 months)
[0106] 2.1 Main outcome measure: ICD therapy for ventricular arrhythmia or death during 2-year follow-up period
Embodiment 3
[0107]3. Example 3: A study of patient practices incorporated after the analysis from Examples 1 and 2
[0108] A) Subjects were divided into two groups studied in the post-absorption state (the first group were patients determined to be at high risk of arrhythmia; the second group were patients determined to be at low risk of arrhythmia ).
[0109] B) Proper aseptic technique is used throughout the process.
[0110] C) Skin ECG leads are applied in standard locations and connected to a suitable electrophysiological recorder. (Bard system used to study standard 12-lead ECG locations)
[0111] D) Select the appropriate transvenous route and insert the 6F venous sheath using the Seldinger technique.
[0112] E) A suitable electrophysiology catheter, such as a 6F Josephson tetrode catheter, is sheathed.
[0113] F) Steering the catheter into the right ventricular apex using fluoroscopic guidance, obtaining a stable position in the right ventricular apex.
[0114] G) Obtainin...
Embodiment 4
[0120] 4. Example 4: Pilot Study Using Regional Repolarization Instability Index on Myocardial Heterogeneity and Prediction of Ventricular Arrhythmias and Death
[0121] 4.1 Method
[0122] 4.1.1. Subjects have undergone programmed electrical stimulation (PES) between January 1, 2005 and July 31, 2009 by screening the departmental audit database as a clinical risk stratification for ICD implantation Patients with a history of IHD who were part of the IHD and had had a CMR scan within 6 months of their PES were identified. This identified 43 patients. PES recording was not available for 9 patients and an additional 4 patients were excluded because only 6 lead ECGs had been recorded. Of the 30 patients whose PES data were available, 1 could not be analyzed because their drive loop length (DCL) was changed midway through the protocol. The CMR data of these 30 patients are then sought. LGE images for 3 patients were not acquired due to difficulties with gating (1) and breath...
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