Intravascular parasympatheticstimulation for atrial cardioversion
Apparatus is provided, which includes an electrode device, configured to be coupled to an atrial site of a subject containing parasympathetic nervous tissue, and a control unit. The control unit is configured to, responsively to a detection of an episode of non-sinus atrial tachycardia, restore normal sinus rhythm (NSR) of the subject, by driving the electrode device to apply a parasympathetic stimulation signal to the atrial site, and configuring the parasympathetic stimulation signal to activate the parasympathetic nervous tissue sufficiently to restore the NSR. Other embodiments are also described.
1 - 78 . (canceled)
79 . Apparatus comprising:
an electrode device, configured to be coupled to a site of a subject containing parasympathetic nervous tissue; and
circuitry, configured to:
be placed in a blood vessel of the subject, and
responsively to a detection of an episode of non-sinus atrial tachycardia, restore normal sinus rhythm (NSR) of the subject, by:
driving the electrode device to apply a parasympathetic stimulation signal to the site, and
configuring the parasympathetic stimulation signal to activate the parasympathetic nervous tissue sufficiently to restore the NSR.
80 . The apparatus according to claim 79 , wherein the blood vessel includes a vena cava of the subject, and wherein the circuitry is configured to be placed within the vena cava.
81 . The apparatus according to claim 79 , comprising a housing, which comprises the circuitry and the electrode device, wherein the housing is configured to be placed in the blood vessel.
82 . The apparatus according to claim 79 , and comprising a non-implantable transmitter, configured to transmit a wireless signal responsively to the detection of the episode of non-sinus atrial tachycardia, wherein the electrode device is implantable, and wherein the circuitry is configured to:
receive the wireless signal, and
responsively to the wireless signal, restore the NSR by driving the electrode device to apply the parasympathetic stimulation signal.
83 . The apparatus according to claim 82 , wherein the blood vessel includes a vena cava of the subject, and wherein the circuitry is configured to be placed within the vena cava.
84 . The apparatus according to claim 82 , comprising:
a physiological sensor, configured to sense a physiological parameter of the subject; and
a non-implantable monitor, configured to perform the detection of the episode responsively to the sensed physiological parameter.
85 . The apparatus according to claim 82 , wherein the wireless signal includes one or more parameters of the parasympathetic stimulation signal.
86 . The apparatus according to claim 82 , wherein the wireless signal includes power sufficient to power the electrode device.
87 . The apparatus according to claim 82 , comprising a housing, which comprises the circuitry and the electrode device, wherein the housing is configured to be placed in the blood vessel.
88 - 90 . (canceled)
91 . Apparatus comprising:
an esophageal electrode device, configured to be placed in an esophagus of a subject in a vicinity of at least one vagus nerve of the subject; and
circuitry, configured to:
drive the electrode device to apply an electrical current to a wall of the esophagus, and
configure the current to stimulate the at least one vagus nerve.
92 - 178 . (canceled)
179 . A method comprising:
placing circuitry in a blood vessel of a subject;
detecting an episode of non-sinus atrial tachycardia of the subject; and
responsively to the detecting, restoring normal sinus rhythm (NSR) of the subject, by:
driving, by the circuitry, application of a parasympathetic stimulation signal to a site of the subject containing parasympathetic nervous tissue, and
configuring the parasympathetic stimulation signal to activate the parasympathetic nervous tissue sufficiently to restore the NSR.
180 . The method according to claim 179 , wherein the blood vessel includes a vena cava of the subject, and wherein placing the circuitry comprises placing the circuitry within the vena cava.
181 . The method according to claim 179 , and comprising:
transmitting, from outside a body of the subject, a wireless signal responsively to the detecting; and
receiving the wireless signal by the circuitry, wherein restoring the NSR comprises restoring the NSR responsively to the wireless signal.
182 . The method according to claim 181 , wherein the blood vessel includes a vena cava of the subject, and wherein placing the circuitry comprises placing the circuitry within the vena cava.
183 . The method according to claim 181 , wherein the wireless signal includes one or more parameters of the parasympathetic stimulation signal.
184 . The method according to claim 181 , wherein the wireless signal includes power sufficient to power the application of the parasympathetic stimulation signal.
185 . (canceled)
186 . A method comprising:
applying, from within an esophagus of a subject, an electrical current to a wall of the esophagus in a vicinity of at least one vagus nerve of the subject; and
configuring the current to stimulate the at least one vagus nerve.