A Belay Prevention Algorithm of Cardiac Depolarization Wave Detection for Pacemakers or Automatic Implantable Cardioverter/Defibrillator (AICD)

이식용 심장박동기(Pacemaker) 및 심장 세동제거기 (AICD)를 위한 심장 탈분극파 검출지연 방지 알고리즘

  • Kim, J.K. (Dept. of Electronic, Information and Communication Engineering, Myong Ji University) ;
  • Park, C.K. (Dept. of Electronic, Information and Communication Engineering, Myong Ji University) ;
  • Han, S.H. (Dept. of Electronic, Information and Communication Engineering, Myong Ji University) ;
  • Cho, B.S. (Dept. of Information and Communication, Tongwon College) ;
  • Huh, W. (Dept. of Electronic, Information and Communication Engineering, Myong Ji University)
  • 김정국 (명지대학교 전자정보통신공학부) ;
  • 박충규 (명지대학교 전자정보통신공학부) ;
  • 한상휘 (명지대학교 전자정보통신공학부) ;
  • 조병서 (동원대학 정보통신과) ;
  • 허웅 (명지대학교 전자정보통신공학부)
  • Published : 1999.06.01

Abstract

The delay of cardiac depolarization wave detection in the conventional pacemakers or AICD (automatic implantable cardioverter/ defibrillator, or ICD) has been overlooked. However, it is known that the delay may cause hemodynamic problems and may prevent the proper operation of a new automatic feature, automatic capture verification, that is to be appeared in the near-future devices. In order to reduce the effects of the delay, a delay prevention algorithm was developed and tested by applying three human electrograms. The algorithm set the sensing threshold just above the measured noise level to reduce the detection delay. It is found that the low threshold was able to reduce the delay by 20msec(average) In most cases. The implementation results showed reliability and efficacy of the algorithm, and the algorithm could be applicable to the existing hardware and software of the conventional pacemakers and AICD without any significant modifications.

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