PACEMAKER ARTIFACT SUPPRESSION IN CORONARY MONITORING

摘要

In cardiac signal processing apparatus, there is provided improved means for suppressing pacer signal artifacts, including both the discharge pulse and the recharge waveform (tail) of such artifact. Rate-limiting circuitry is used to substantially suppress the discharge pulse. However additional circuitry responsive to the detection of a pacer pulse is operative to obtain a measure of the electrical discharge of the discharge portion of the respective pacer pulse and to use such measure to generate a tail suppression signal which, when added to the original signal, substantially cancels the original pacer tail. A feed-back loop is opened by the rate-limiter when a pacer pulse occurs and in turn permits a large signal to be imposed of a threshold-level-type pacer pulse detector for connecting the large signal (pacer pulse) to a capacitor during the discharge portion of the pacer pulse. The capacitor being to discharge shortly after the pacer pulse's discharge portion with a polarity and time constant selected to substantially cancel (when summed) the pacer tail.