Device and method for the treatment of breathing disorders and cardiac disorders

1. An implantable medical device for treating a patient comprising:

a. a stimulator configured to provide electrical stimulation to a first lead system that includes a first stimulation electrode;

b. the first lead system configured to transvenously place the first stimulation electrode in a first ranine vein near the patient's first hypoglossal nerve;

c. wherein the stimulator is configured to stimulate the hypoglossal nerve using the first stimulation electrode in the first ranine vein.

2. The implantable medical device of claim 1 , further including:

a. a second lead system operatively connected to the stimulator and including a second stimulation electrode;

b. the second lead system configured to transvenously place the second stimulation electrode in a second ranine vein contralateral to the first ranine vein, the second stimulation electrode near a second hypoglossal nerve;

c. wherein the stimulator is configured to stimulate the first and second hypoglossal nerves using the first and second stimulation electrodes in the first and second ranine veins.

3. The implantable medical device of claim 2 , further comprising:

a. a third lead system configured to transvenously place a third stimulation electrode near the patient's phrenic nerve and wherein a processor is further configured to deliver electrical stimulation to the third stimulation electrode near the patient's phrenic nerve.

4. The implantable medical device of claim 3 , the stimulator being configured to provide electrical stimulation to the first and second lead systems slightly before applying electrical stimulation to the third lead system.

5. The implantable medical device of claim 4 , wherein the stimulator is configured to provide the electrical stimulation to the lead systems at a defined interval.

6. The implantable medical device of claim 4 , further comprising an impedance detector configured to sense a respiration cycle, wherein the stimulator is configured to provide electrical stimulation to the lead systems in synchrony with the respiration cycle.

7. The implantable medical device of claim 2 , wherein the stimulator is configured to supply sub threshold stimulation periodically to the first and second lead systems to alter hypoglossal tone to a value near a value of tone during an awake state.

8. The implantable medical device of claim 2 , wherein the stimulator is configured to supply sub threshold stimulation periodically to the first and second lead systems to alter tone, where a level of sub threshold stimulation is selected not to arouse the patient.

9. The implantable medical device of claim 2 , wherein the stimulator is configured to supply sub threshold stimulation periodically to the first and second lead systems to elevate upper airway muscle tone where a level of sub threshold stimulation is selected so that the patient is not aware of stimulation while the patient is awake.

10. The implantable medical device of claim 2 , further comprising an impedance detector configured to sense a respiration cycle, wherein the stimulator is configured to provide electrical stimulation to the first lead system and the second lead system in synchrony with the respiration cycle.

11. The implantable medical device of claim 10 , wherein the stimulator is configured to supply sub threshold stimulation periodically to the first and second lead systems to alter hypoglossal tone to a value near a value of tone during an awake state.

12. The implantable medical device of claim 10 , wherein the stimulator is configured to supply sub threshold stimulation periodically to the first and second lead systems to alter tone, where a level of sub threshold stimulation is selected not to arouse the patient.

13. The implantable medical device of claim 10 , wherein the stimulator is configured to supply sub threshold stimulation periodically to the first and second lead systems to elevate upper airway muscle tone where a level of sub threshold stimulation is selected so that the patient is not aware of stimulation while the patient is awake.