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Musician created site for artists interested in open source packages. Emphasis on gtk3 based packages.The present invention is directed to a system and method for identifying and quantifying cardiac ischemia with a heart rate responsive pacemaker.
Patients with coronary artery disease often have underlying reduced left ventricular function secondary to chronic coronary occlusion and/or acute myocardial infarction. As a result of such reduced function, the pumping capacity of the heart is limited. Often times the patient has episodes of chest pain that may be accompanied by shortness of breath, excessive fatigue, and even dizziness or fainting, all commonly associated with myocardial ischemia. Such episodes can occur even when the patient””s heart rate is normal.
In the absence of anginal symptoms, patients with myocardial ischemia are at risk for eventual left ventricular dysfunction and the symptoms associated therewith. Indeed, even patients who have experienced previous myocardial infarction may be free of symptoms at rest, but present with ischemia during exercise.
Patients with coexisting coronary heart disease and autonomic dysfunction may present with ischemia that is non-cardiac in origin. Additionally, patients with ischemic heart disease may have atypical symptoms or no symptoms at all.
Despite numerous methods for detecting myocardial ischemia, no single method provides a simple, reliable and effective means for detecting myocardial ischemia without a large amount of time and/or patient discomfort. For example, exercise tolerance testing is costly, burdensome and time consuming. Noninvasive tests, such as nuclear imaging of perfusion, nuclear imaging of metabolism, and radionuclide ejection studies are expensive and only available in select centers. The symptoms of myocardial ischemia are often intermittent and not particularly discriminating. The presence of angina is frequently confounded by coexistent coronary vascular disease. The symptoms may be accompanied by transient electrocardiographic changes, as in the case of myocardial infarction. Nonetheless, electrocardiographic changes do not reflect the presence of myocardial ischemia. As a result, diagnostic methods used for patients with coronary heart disease who are asymptomatic are applied to symptomatic patients who, in turn, are often misled as to the underlying etiology of their symptoms.
Although positive blood pressure trends during exercise may be an indicator of suboptimal coronary blood flow, such trends are seen in both patients

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