Abstract: An apparatus and method for effecting cardiac pacing capture utilizes an in-place catheter having at least one lumen terminating in a distal port which is positioned within a pre-selected heart chamber. The other end of the lumen terminates in a proximal port which is connected to a cannular connector containing an adjustable seal having a distal portion of a wire electrode extending therethrough. The seal is loosened and the wire electrode is advanced through it and the catheter lumen until its distal end emerges from the distal port of the in-place catheter and engages a surface of the heart chamber. The seal is re-tightened if desired; for example, to continuously monitor pressure by means of a pressure monitor connected to a port in the cannular connector. The proximal end of the wire electrode is connected to the output of a pacemaker pulse generator. The output of the pacemaker pulse generator is set to a level at which cardiac pacing capture is achieved.

Abstract: An improved dual chamber cardiac pacing apparatus detects retrograde P-waves conduction by either determining polarity of the P-wave at a location in the right atrium adjacent the A-V node; or the sequence of signals which appear at this predetermined location and at a second predetermined location in the atrium in proximity to the sinus node. The pacing apparatus will ignore retrograde P-waves when initiating sequential pacing in the ventricle. In addition, the pacing apparatus will provide a burst of high rate atrial pacing pulses upon detection of the simultaneous occurrence of retrograde P-wave conduction, high rate heart beat and narrow QRS complexes.

Abstract: An improved dual chamber cardiac pacing apparatus detects retrograde P-waves conduction by either determining polarity of the P-wave at a location in the right atrium adjacent the A-V node; or the sequence of signals which appear at this predetermined location and at a second predetermined location in the atrium in proximity to the sinus node. The pacing apparatus will ignore retrograde P-waves when initiating sequential pacing in the ventricle. In addition, the pacing apparatus will provide a burst of high rate atrial pacing pulses upon detection of the simultaneous occurrence of retrograde P-wave conduction, high rate heart beat and narrow QRS complexes.

Abstract: An apparatus and method for displaying ECG signals in a format which permits simple and rapid detection of abnormalities in the heart beat. This method and apparatus is particularly suitable for reviewing, at an accelerated rate, heart beat information recorded in real time by portable, patient operated recording equipment over an extended period of time. The system not only detects, identifies, flags and tabulates occurrences of abnormalities, it permits display of the actual waveform for inspection and analysis by a reviewing technician or physician.

Abstract: The present invention comprises a simple low cost remote cardiac resuscitation device, the patient's portion of which is particularly adapted to be fitted into a "false bottom" briefcase or other hand carried article until needed. The device is compact, easily applied by the patient at the onset of a symptomatic attack, and will place at the command of an attending cardiologist all of the information which is required and the ability to provide primary resuscitative care to that patient via remote control pending the arrival of trained medical personnel.