IP Library Granted Patent US 8,041,417
Granted Patent B2
US 8,041,417 · App. 12/359,846 · Granted Oct 18, 2011

Method and system for dynamical systems modeling of electrocardiogram data

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Quick Facts
Patent No.
US 8,041,417
App. No.
12/359,846
Granted
Oct 18, 2011
Kind
B2
Abstract

Electrocardiogram data is received in association with a subject, the electrocardiogram data comprising a series of RR intervals and a series of QT intervals. A first value which indicates an amount by which uncertainty associated with the QT intervals is reduced given the RR intervals is generated. A second value which indicates an amount by which uncertainty associated with the RR intervals is reduced given the QT intervals is generated. The subject is determined to be associated with a low risk of cardiac dysfunction responsive to the first value exceeding the second value and a result of the determination is provided.

Claims (68)

1. A computer-implemented method for diagnosing a risk of cardiac dysfunction associated with a subject, the method executed by one or more computer systems and comprising:

receiving electrocardiogram data associated with a subject, the electrocardiogram data comprising a series of RR intervals and a series of QT intervals, wherein the series RR intervals corresponds, in part, to the series of QT intervals;

generating a first value which indicates an amount by which uncertainty associated with the series of QT intervals is reduced given the series of RR intervals;

generating a second value which indicates an amount by which uncertainty associated with the series of RR intervals is reduced given the series of QT intervals;

determining the subject to be associated with a low risk of cardiac dysfunction responsive to the first value exceeding the second value; and

providing a result of the determination.

2. The method of claim 1 , wherein determining the subject to be associated with the low risk of cardiac dysfunction further comprises:

determining that a histogram generated based on the series of RR intervals fits an Erlang distribution.

3. The method of claim 2 , wherein determining that the histogram generated based on the series of RR intervals fits an Erlang distribution comprises:

generating a coefficient, wherein the coefficient describes a fit between the series of RR intervals and an Erlang distribution; and

determining that the coefficient does not exceed a threshold value.

4. The method of claim 1 , wherein the first value and the second value represent Komolgorov-Sinai mutual information values and are generated using a lag of 500.

5. The method of claim 1 , further comprising:

determining that the subject is associated with a high risk of cardiac dysfunction responsive to the second value exceeding the first value.

6. The method of claim 5 , wherein determining that the subject is associated with the high risk of cardiac dysfunction further comprises:

determining that a histogram generated based on the series of RR intervals does not fit an Erlang Distribution.

7. The method of claim 5 , further comprising:

determining whether the high risk of cardiac dysfunction is due to intrinsic dysfunction or extrinsic dysfunction.

8. The method of claim 7 , wherein determining whether the high risk of cardiac dysfunction is due to intrinsic dysfunction or extrinsic dysfunction comprises:

determining whether a stationarity value exceeds a threshold value;

determine that the high risk of cardiac dysfunction is due to intrinsic dysfunction responsive to the stationarity metric exceeding the threshold value; and

determine that the high risk of cardiac dysfunction is due to extrinsic function responsive to the stationarity metric not exceeding the threshold value.

9. The method of claim 5 , wherein electrocardiogram data is derived from a subject who has been treated with a compound.

10. The method of claim 1 , wherein determining that the subject is associated with the low risk of cardiac dysfunction further comprises:

determining one or more Lyapunov coefficients based on the series of RR intervals; and

determining that the subject is associated with a low risk of cardiac dysfunction responsive to the one or more Lyapunov coefficients exceeding a value of zero.

11. A computer system for diagnosing a risk of cardiac dysfunction associated with a subject, the system comprises one or more computer systems and a memory, the system further comprising:

a reporting module stored in the memory and adapted to receive electrocardiogram data associated with a subject, the electrocardiogram data comprising a series of RR intervals and a series of QT intervals, wherein the series RR intervals corresponds, in part, to the series of QT intervals;

a mutual information module stored in the memory and adapted to generate a first value which indicates an amount by which uncertainty associated with the series of QT intervals is reduced given the series of RR intervals and a second value which indicates an amount by which uncertainty associated with the series of RR intervals is reduced given the series of QT intervals;

a diagnosis module stored in the memory and adapted to determine the subject to be associated with a low risk of cardiac dysfunction responsive to the first value exceeding the second value; and

a visualization module stored in the memory and adapted to provide a result of the determination.

12. The system of claim 11 , further comprising an Erlang fitting module stored in the memory and adapted to:

determine that a histogram generated based on the series of RR intervals fits an Erlang distribution.

13. The system of claim 12 , wherein the diagnosis module is further adapted to:

generate a coefficient, wherein the coefficient describes a fit between the histogram generated based on the series of RR intervals and an Erlang distribution; and

determine that the subject is associated with a low risk of cardiac dysfunction responsive to the coefficient below a threshold value.

14. The system of claim 13 , wherein the first value and the second value represent Komolgorov-Sinai mutual information values and the mutual information module is further adapted to generate the first value and the second value based on a lag of 500.

15. The system of claim 14 , wherein the diagnosis module is further adapted to:

determine that the subject is associated with a high risk of cardiac dysfunction responsive to determining that the series of RR intervals do not fit an Erlang Distribution.

16. The system of claim 11 , wherein the diagnosis module is further adapted to:

determine that the subject is associated with a high risk of cardiac dysfunction responsive to the second value exceeding the first value.

17. The system of claim 16 , wherein the diagnosis module is further adapted to:

determine whether the high risk of cardiac dysfunction is due to intrinsic dysfunction or extrinsic dysfunction.

18. The system of claim 17 , wherein the diagnosis module is further adapted to:

determine whether a stationarity value exceeds a threshold value;

determine that the high risk of cardiac dysfunction is due to intrinsic cardiac dysfunction responsive to the stationarity metric exceeding the threshold value; and

determine that the high risk of cardiac dysfunction is due to extrinsic cardiac dysfunction responsive to the stationarity metric not exceeding the threshold value.

19. A computer-readable storage medium encoded with executable computer program code for diagnosing a risk of cardiac dysfunction associated with a subject, the program code comprising program code for:

receiving electrocardiogram data associated with a subject, the electrocardiogram data comprising a series of RR intervals and a series of QT intervals, wherein the series RR intervals corresponds, in part, to the series of QT intervals;

generating a first value which indicates an amount by which uncertainty associated with the QT intervals is reduced given the RR intervals;

generating a second value which indicates an amount by which uncertainty associated with the RR intervals is reduced given the QT intervals; and

determining the subject to be associated with a low risk of cardiac dysfunction responsive to the first value exceeding the second value; and

providing a result of the determination.

20. The medium of claim 19 , wherein program code for determining the subject to be associated with a low risk of cardiac dysfunction comprises program code for:

determining that a histogram generated based on the series of RR intervals fits an Erlang distribution.

21. The medium of claim 20 , wherein program code for determining that the histogram generated based on the series of RR intervals fits an Erlang distribution comprises program code for:

generating a coefficient, wherein the coefficient describes a fit between the series of RR intervals and an Erlang distribution; and

determining that the coefficient does not exceed a threshold value.

22. The medium of claim 19 , further comprising program code for:

determining that the subject is associated with a high risk of cardiac dysfunction responsive to the second value exceeding the first value.

23. The medium of claim 22 , wherein the diagnosis module is further adapted to:

determine whether the high risk of cardiac dysfunction is due to intrinsic dysfunction or extrinsic dysfunction.

24. The medium of claim 23 , wherein the diagnosis module is further adapted to:

determine whether a stationarity value exceeds a threshold value;

determine that the high risk of cardiac dysfunction is due to intrinsic cardiac dysfunction responsive to the stationarity value exceeding the threshold value; and

determine that the high risk of cardiac dysfunction is due to extrinsic function responsive to the stationarity value not exceeding the threshold value.

25. The medium of claim 22 , wherein program code for determining that the subject is associated with a high risk of cardiac dysfunction further comprises program code for:

determining that a histogram generated based on the series of RR intervals does not fit an Erlang Distribution.

Assignments (11)
RELEASE OF SECURITY INTEREST AT REEL/FRAME 051832/0777 Recorded Jan 17, 2025
From: GOLDMAN SACHS BANK USA, AS COLLATERAL AGENT
To: ERESEARCHTECHNOLOGY, INC.; BIOMEDICAL SYSTEMS LLC (F/K/A BIOMEDICAL SYSTEMS CORPORATION)
Reel/Frame 069939/0212 →
RELEASE OF SECURITY INTEREST AT REEL/FRAME 051837/0001 Recorded Jan 17, 2025
From: GOLDMAN SACHS BANK USA, AS COLLATERAL AGENT
To: ERESEARCHTECHNOLOGY, INC.; BIOMEDICAL SYSTEMS LLC (F/K/A BIOMEDICAL SYSTEMS CORPORATION)
Reel/Frame 069939/0303 →
RELEASE OF SECURITY INTEREST Recorded Feb 7, 2020
From: NEWSTAR FINANCIAL, INC.
To: ERESEARCHTECHNOLOGY, INC.; BIOMEDICAL SYSTEMS CORPORATION
Reel/Frame 051754/0801 →
SECOND LIEN SECURITY AGREEMENT Recorded Feb 6, 2020
From: BIOMEDICAL SYSTEMS LLC; ICARDIAC TECHNOLOGIES LLC; ERESEARCHTECHNOLOGY, INC.
To: GOLDMAN SACHS BANK USA
Reel/Frame 051837/0001 →
FIRST LIEN SECURITY AGREEMENT Recorded Feb 5, 2020
From: BIOMEDICAL SYSTEMS LLC; ICARDIAC TECHNOLOGIES LLC; ERESEARCHTECHNOLOGY, INC.
To: GOLDMAN SACHS BANK USA
Reel/Frame 051832/0777 →
RELEASE OF SECURITY INTEREST Recorded Feb 4, 2020
From: GOLDMAN SACHS BANK USA
To: ERESEARCH TECHNOLOGY, INC.; BIOMEDICAL SYSTEMS CORPORATION; ICARDIAC TECHNOLOGIES, INC.
Reel/Frame 051717/0031 →
SECURITY INTEREST Recorded Aug 1, 2017
From: ERESEARCHTECHNOLOGY, INC.; BIOMEDICAL SYSTEMS CORPORATION
To: NEWSTAR FINANCIAL, INC.
Reel/Frame 043154/0278 →
SECURITY AGREEMENT Recorded Jul 31, 2017
From: ERESEARCHTECHNOLOGY, INC.; BIOMEDICAL SYSTEMS CORPORATION
To: GOLDMAN SACHS BANK USA, AS COLLATERAL AGENT
Reel/Frame 043379/0581 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 15, 2010
From: CALLAHAN, TIMOTHY
To: BIOMEDICAL SYSTEMS CORPORATION
Reel/Frame 024240/0418 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 15, 2010
From: JONCKHEERE, EDMOND
To: UNIVERSITY OF SOUTHERN CALIFORNIA
Reel/Frame 024239/0444 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 15, 2010
From: ARIAEI, FARIBA
To: UNIVERSITY OF SOUTHERN CALIFORNIA
Reel/Frame 024240/0152 →