Electroanatomical mapping
This invention relates to the determination and/or representation of physiological information relating to a heart surface.
1. A method for providing an electroanatomical representation of a patient's heart, the method comprising:
measuring signals at one or more electrodes over a time period including multiple heart beat cycles, at least some of the signals being in response to electrical activity in the patient's heart cavity;
selecting portions of a first signal to process to determine a triggering event based on a second, different signal of the measured signals;
applying an algorithm to the selected portions of the first signal to determine the triggering event in the first signal;
synchronizing, by the computer, the signals measured at the one or more electrodes with one another according to a heartbeat cycle based on the triggering event; and
generating, by the computer, the electroanatomical representation of the patient's heart based on the synchronized measured signals and positions of the catheter electrodes.
2. The method of claim 1 , further comprising:
processing the second, different signal to determine an event corresponding in time to a potential undesired triggering event in the first signal; and
wherein selecting portions of the first signal to process to determine the triggering event comprises selecting a portion of the first signal that excludes the time period including the potential undesired triggering event.
3. The method of claim 1 , wherein applying the algorithm to the selected portions of the first signal to determine the triggering event comprises:
processing the first signal using a sliding window integration to generate a reference signal; and
analyzing the reference signal to determine the triggering event.
4. The method of claim 1 , wherein applying the algorithm to the selected portions of the first signal to determine the triggering event comprises:
processing the first signal to generate a representation of instantaneous energy; and
analyzing the representation of instantaneous energy to determine the triggering event.
5. The method of claim 1 , wherein applying the algorithm to the selected portions of the first signal to determine the triggering event comprises:
applying an algorithm to generate a representation of the first signal having reduced jitter; and
analyzing the representation of the first signal having reduced jitter to determine the triggering event.
6. The method of claim 1 , wherein applying the algorithm to the selected portions of the first signal to determine the triggering event comprises applying an algorithm to integrate the first signal over a window.
7. The method of claim 1 , wherein selecting portions of the first signal comprises selecting portions of the first signal to process to determine the triggering event based on a surface electrocardiogram signal.
8. The method of claim 1 , wherein selecting portions of the first signal comprises selecting portions of the first signal to exclude from processing.
9. The method of claim 1 , wherein selecting portions of the first signal comprises selecting portions of the first signal to include in processing.
10. The method of claim 1 , wherein the one or more electrodes comprise one or more electrodes on an intracardiac catheter.
11. A system for providing information about an electroanatomical representation of a patient's heart, the system comprising:
one or more electrodes for measuring signals over a time period including multiple heart beat cycles, at least some of the signals being in response to electrical activity in the patient's heart cavity; and
an electronic processor coupled to the one or more electrodes, wherein the electronic processor is configured to:
select portions of a first signal to process to determine a triggering event based on a second, different signal of the measured signals;
apply an algorithm to the first signal to determine the triggering event in the first signal;
synchronize the signals measured at the one or more electrodes with one another according to a heart beat cycle based on the triggering event; and
generate the electroanatomical representation of the patient's heart based on the synchronized measured signals and positions of the catheter electrodes.
12. The system of claim 11 , wherein the electronic processor is configured to:
process the second, different signal to determine an event corresponding in time to a potential undesired triggering event in the first signal; and
wherein to select portions of the first signal to process includes to select a portion of the first signal that excludes the time period including the potential undesired triggering event.
13. The system of claim 11 , wherein to apply the algorithm to the first signal to determine the triggering event includes to:
process the first signal using a sliding window integration to generate a reference signal; and
analyze the reference signal to determine the triggering event.
14. The system of claim 11 , wherein to apply the algorithm to the first signal to determine the triggering event includes to:
process the first signal to generate a representation of instantaneous energy; and
analyze the representation of instantaneous energy to determine the triggering event.
15. The system of claim 11 , wherein to apply the algorithm to the first signal to determine the triggering event includes to:
apply an algorithm to generate a representation of the first signal having reduced jitter; and
analyze the representation of the first signal having reduced jitter to determine the triggering event.
16. The system of claim 11 , wherein to apply the algorithm to the first signal to determine the triggering event includes to apply an algorithm to integrate the first signal over a window.
17. The system of claim 11 , wherein to select portions of the first signal comprises to select portions of the first signal to process to determine the triggering event based on a surface electrocardiogram signal.
18. The system of claim 11 , wherein to select portions of the first signal comprises to select portions of the first signal to exclude from processing.
19. The system of claim 11 , wherein to select portions of the first signal comprises to select portions of the first signal to include in processing.
20. The system of claim 11 , wherein the one or more electrodes comprise one or more electrodes on an intracardiac catheter.