System and method for improving a heart muscle response
View Patent ↗A system for improving heart muscle response during a pre-ejection phase in the heart muscle pumping cycle requires a catheter having a pressure transducer and a fluid device mounted at its distal end. Also included is a pump connected to the proximal end of the catheter in fluid communication with the fluid device. A computer will activate the pump in response to a predetermined signal from the pressure transducer to inject and maintain an increased fluid volume in the pumping chamber of the heart for a predetermined time interval Δt during the pre-ejection phase. This supplements the isometric pressure in the heart's pumping chamber in preparation for a subsequent ejection of blood from the pumping chamber.
1. A system for improving heart muscle response during a pre-ejection phase in the heart muscle pumping cycle which comprises:
a catheter having a proximal end and a distal end;
a pressure transducer mounted on the catheter at the distal end thereof for measuring a blood pressure inside a pumping chamber of the heart muscle when the distal end of the catheter is inserted into the pumping chamber;
an inflatable balloon mounted on the catheter at the distal end thereof, wherein the inflatable balloon has a volume in a range between 2 cc and 7 cc when completely inflated;
a pump connected to the proximal end of the catheter in fluid communication with the inflatable balloon; and
a computer connected with the pressure transducer and with the pump, to activate the pump in response to a predetermined signal from the pressure transducer, and to fully inflate the balloon and increase fluid volume in the pumping chamber with a predetermined volume of fluid during a predetermined time interval Δt during the pre-ejection phase while the pumping chamber is isovolumic, wherein Δt is approximately 10 msec, to assist contractile elements of the heart muscle in generating an isometric pressure in the pumping chamber, in preparation for a subsequent ejection of blood from the pumping chamber by series-elastic elements of the heart muscle in a post pre ejection phase.
2. The system as recited in claim 1 wherein the predetermined signal from the pressure transducer is an abrupt increase in pressure on blood inside the pumping chamber.
3. The system as recited in claim 1 wherein the system further comprises saline for use in inflating the balloon.
4. A method for improving heart muscle response during a pre-ejection phase in the heart muscle pumping cycle which comprises the steps of:
providing a catheter having a proximal end and a distal end, with an inflatable balloon mounted on the catheter at the distal end thereof, wherein the inflatable balloon has a volume in a range between 2 cc and 7 cc when completely inflated, and a pressure transducer mounted on the catheter at the distal end thereof for measuring a blood pressure inside a pumping chamber of the heart muscle;
inserting the distal end of the catheter into the pumping chamber;
monitoring blood pressure in the pumping chamber with the pressure transducer;
increasing a fluid volume in the pumping chamber by fully inflating the balloon in response to a predetermined signal from the pressure transducer to increase fluid volume in the pumping chamber with a predetermined volume of fluid during a predetermined time interval Δt during the pre-ejection phase while the pumping chamber is isovolumic, wherein Δt is approximately 10 msec, to assist contractile elements of the heart muscle in generating an isometric pressure in the pumping chamber during the pre-ejection phase, in preparation for a subsequent ejection of blood from the pumping chamber by series-elastic elements of the heart muscle in a post pre-ejection phase; and
sequentially repeating the monitoring and increasing steps to improve heart muscle response.
5. The method as recited in claim 4 wherein the method further comprises the step of deflating the balloon after the pre-ejection phase.
6. The method as recited in claim 5 wherein saline is used for inflating the balloon.
7. The method as recited in claim 4 wherein the predetermined signal from the pressure transducer is an abrupt increase in pressure on blood inside the pumping chamber.
8. A non-transitory, computer-readable medium having executable instructions stored thereon that direct a computer system to perform a process for improving heart muscle response during a pre-ejection phase in the heart muscle pumping cycle, the medium comprising instructions for:
monitoring blood pressure in a pumping chamber of the heart muscle with a pressure transducer;
activating and fully inflating an inflatable balloon having a volume between 2 cc and 7 cc when completely inflated in response to a predetermined signal from the pressure transducer to increase fluid volume in the pumping chamber for a predetermined time interval Δt, to increase fluid volume in the pumping chamber with a predetermined volume of fluid during a predetermined time interval At during the pre-ejection phase while the pumping chamber is isovolumic, wherein Δt is approximately 10 msec, to assist contractile elements of the heart muscle in generating an isometric pressure in the pumping chamber during the pre-ejection phase, in preparation for a subsequent ejection of blood from the pumping chamber by series-elastic elements of the heart muscle in a post pre-ejection phase; and
sequentially repeating the monitoring and activating instructions to improve heart muscle response.
9. The medium as recited in claim 8 wherein the medium further comprises an instruction for deflating the balloon after the pre-ejection phase, wherein saline is used for inflating the balloon.
10. The medium as recited in claim 8 wherein the predetermined signal from the pressure transducer is an abrupt increase in pressure on blood inside the pumping chamber.