Systems and Methods are disclosed for detecting acute coronary syndrome (ACS) events, arrythmias,
heart rate abnormalities, medication problems such as non-compliance or ineffective amount or type of medication, and demand / supply related
cardiac ischemia. The
system may have both implanted and external components that communicate with a Physicians's
programmer, and smart-devices for monitoring and alerting to detected medically relevant events or states. At least one processor provides event detection using statistical threshold criteria calculated upon at least a portion of a patient's data / distributions and set for a patient or based upon what a doctor determines as abnormal for a patient. Cardiovascular condition is tracked using
histogram, trend, and
summary information related to
heart rate and / or cardiac features such as S-T segment measures of heartbeats. Heartbeats with elevated rates, and below a “high” range, provide medically relevant detections including medication non-compliance. Novel methods of
power management and patient monitoring are disclosed.