Automated collection and analysis patient care system and method for diagnosing and monitoring myocardial ischemia and outcomes thereof

An automated method for diagnosing and monitoring myocardial ischemia and outcomes thereof, comprising:

• retrieving a plurality of monitoring sets from a database which each comprise recorded measures relating to patient information recorded on a substantially continuous basis;
• determining a patient status change by comparing at least one recorded measure and time from each of the monitoring sets to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times;
• and
• testing each patient status change for an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia against a predetermined indicator threshold, including at least one hysteresis threshold, corresponding to a same type of patient information as the recorded measures which were compared, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of myocardial ischemia and the hysteresis threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change.

A computer-readable storage medium containing code for an automated method for diagnosing and monitoring myocardial ischemia and outcomes thereof, comprising:

• retrieving a plurality of monitoring sets from a database which each comprise recorded measures relating to patient information recorded on a substantially continuous basis;
• determining a patient status change by comparing at least one recorded measure and time from each of the monitoring sets to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times;
• and
• testing each patient status change for an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia against a predetermined indicator threshold, including at least one hysteresis threshold, corresponding to a same type of patient information as the recorded measures which were compared, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of myocardial ischemia and the hysteresis threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change.

An automated collection and analysis patient care system for diagnosing and monitoring myocardial ischemia and outcomes thereof, comprising:

• a database for storing a plurality of monitoring sets, each monitoring set comprising recorded measures which each relate to patient information and comprise either medical device measures or derived measures calculable therefrom, the medical device measures having been recorded on a substantially continuous basis;
• a set of stored indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of myocardial ischemia and relating to a same type of patient information as at least one of the recorded measures;
• and
• a diagnostic module for diagnosing a myocardial ischemia finding comprising an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia, comprising:
• an analysis module for determining a change in patient status by comparing at least one recorded measure and time to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times;
• and
• a comparison module for comparing each patient status change to the indicator threshold, including at least one hysteresis threshold, corresponding to a same type of patient information as the recorded measures which were compared and the hysteresis threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change.

A method for diagnosing and monitoring myocardial ischemia and outcomes thereof using an automated collection and analysis patient care system, comprising:

• retrieving a plurality of monitoring sets from a database, each monitoring set comprising recorded measures which each relate to patient information and comprise either medical device measures or derived measures calculable therefrom, the medical device measures having been recorded on a substantially continuous basis;
• defining a set of indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of myocardial ischemia and relating to a same type of patient information as at least one of the recorded measures;
• and
• diagnosing a myocardial ischemia finding comprising an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia, comprising:
• determining a change in patient status by comparing at least one recorded measure and time to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times;
• and
• comparing each patient status change to the indicator threshold, including at least one hysteresis threshold, corresponding to a same type of patient information as the recorded measures which were compared and the hysteresis threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change.

A computer-readable storage medium holding code for diagnosing and monitoring myocardial ischemia using an automated collection and analysis patient care system, comprising:

• retrieving a plurality of monitoring sets from a database, each monitoring set comprising recorded measures which each relate to patient information and comprise either medical device measures or derived measures calculable therefrom, the medical device measures having been recorded on a substantially continuous basis;
• defining a set of indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of myocardial ischemia and relating to the same type of patient information as at least one of the recorded measures;
• and
• diagnosing a myocardial ischemia finding comprising an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia, compromising:
• determining a change in patient status by comparing at least one recorded measure to at least one other recorded measure and time from another monitoring set with both recorded measures relating to the same type of patient information recorded at different times;
• and
• comparing each patient status change to the indicator threshold, including at least one hysteresis threshold, corresponding to the same type of patient information as the recorded measures which were compared and the hysteresis threshold corresponding to a treatment or diagnosis based on a duration and degree of the patient change.

An automated patient care system for diagnosing and monitoring myocardial ischemia and outcomes thereof, comprising:

• a database storing recorded measures organized into a monitoring set for an individual patient with each recorded measure having been recorded on a substantially continuous basis and relating to a least one of monitoring angina, reduced exercise capacity and respiratory distress;
• a database module periodically retrieving a plurality of the monitoring sets from the database;
• and
• a diagnostic module evaluating a finding of an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia, comprising:
• a comparison module for determining a patient status change by comparing at least one recorded measure and time from each of the monitoring sets to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times;
• and
• an analysis module for testing each patient status change against an indicator threshold, including at least one hysteresis threshold, corresponding to a same type of patient information as the recorded measures which were compared, a predetermined indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of angina, reduced exercise capacity and respiratory distress and the hysteresis threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change.

A method for diagnosing and monitoring myocardial ischemia and outcomes thereof in an automated patient care system, comprising:

• storing recorded measures organized into a monitoring set for an individual patient into a database with each recorded measure having been recorded on a substantially continuous basis and relating to at least one of monitoring angina, reduced exercise capacity and respiratory distress;
• periodically retrieving a plurality of the monitoring sets from the database;
• evaluating a finding of an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia, comprising:
• determining a patient status change by comparing at least one recorded measure and time from each of the monitoring sets to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times;
• and
• testing each patient status change against an indicator threshold, including at least one hysteresis threshold, corresponding to a same type of patient information as the recorded measures which were compared, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of angina, reduced exercise capacity and respiratory distress and the hysteresis threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change.

A computer-readable storage medium holding code for diagnosing and monitoring myocardial ischemia in an automated patient care system, comprising:

• storing recorded measures organized into a monitoring set for an individual patient into a database with each recorded measure having been recorded on a substantially continuous basis and relating to at least one of monitoring angina, reduced exercise capacity and respiratory distress;
• periodically retrieving a plurality of the monitoring sets from the database;
• evaluating a finding of an absence, an onset, a progression, a regression, and a status quo of myocardial ischemia, comprising:
• determining a patient status change by comparing at least one recorded measure and time from each of the monitoring sets to at least one other recorded measure and time from another monitoring set with both recorded measures relating to a same type of patient information recorded at different times;
• and
• testing each patient status change against an indicator threshold, including at least one hysteresis threshold, corresponding to a same type of patient information as the recorded measures which were compared, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of angina, reduced exercise capacity and respiratory distress and the hysteresis threshold corresponding to a diagnosis or treatment based on a duration and degree of the patient status change.