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Electronic System for Measuring and Optimization of Pacemaker Pulses

Publication at Faculty of Medicine in Pilsen |
2013

Abstract

A pacemaker is a small electronic device implanted under the skin near the collarbone. Pacemakers monitor the heart’s electrical activity.

If the heart is beating too slowly or pausing too long between beats, the pacemaker will provide electrical impulses that stimulate the heart to beat. The pacemaker itself consists of a small box (the pulse generator) and one to three leads that are placed in the heart.

This paper is devoted to electronic evaluating system which enables to find (in coordination with physician) an optimal pacemaker electrical impulses, e.g. pulse width, amplitude, delay and lead (or leads) position in heart to reducing the delivered energy. Inputs of electronic evaluating system are taken from ECG (electro cardio graph) and Finapres (system for continuous measuring of blood pressure).

Results will be helpful for prolonging battery longevity and reducing the stimuli pain on patients with implantable medical devices. There are present results of different approach based on e.g.

Hilbert and wavelet transformation, but one of the simplest and best was derived from heart rate variability and synchronization.