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Boston Medical Technologies Granted Patent for Algorithm to Measure Heart Rate Variability; Algorithm Eliminates 98% of the Work Associated with Analyzing a Patient's Heart Rate.


Business Editors and Health/Medical Writers

WAKEFIELD, Mass.--(BW HealthWire)--Oct. 30, 2000

Boston Medical Technologies, the pioneer of office and hospital-based, non-invasive systems for measurement of heart rate variability Heart rate variability (HRV) is a measure of variations in the heart rate. It is usually calculated by analysing the time series of beat-to-beat intervals from ECG or arterial pressure tracings.  (HRV HRV Croatia (ISO Country code)
HRV Heart Rate Variability
HRV Human Rhinovirus
HRV Heat Recovery Ventilator
HRV High Resolution Visible
HRV Haute Resolution Visible
HRV Hypersonic Research Vehicle
HRV Hercules Recovery Vehicle
), today announced that it has been granted a patent by the U.S. Patent and Trademark Office for its algorithm to reliably and accurately measure a patient's heart rate. The patent, US PAT NO. 5,984,954, titled "The Method and Apparatus for R-Wave Detection," eliminates 98% of the work associated with analyzing a patient's heartbeat, making it easier and more efficient for physicians to include heart rate variability testing as a standard of care in a patient's office visit.

According to extensive published clinical data, heart rate variability can be used as an indicator of autonomic dysfunction--damage to the autonomic nervous system autonomic nervous system: see nervous system.
autonomic nervous system

Part of the nervous system that is not under conscious control and that regulates the internal organs. It includes the sympathetic, parasympathetic, and enteric nervous systems.
. Autonomic dysfunction is prevalent in patients with chronic diseases such as diabetes and cardiovascular disease Cardiovascular disease
Disease that affects the heart and blood vessels.

Mentioned in: Lipoproteins Test

cardiovascular disease 
, as well as neurodegenerative disorders including Parkinson's disease Parkinson's disease or Parkinsonism, degenerative brain disorder first described by the English surgeon James Parkinson in 1817. When there is no known cause, the disease usually appears after age 40 and is referred to as Parkinson's disease. , multiple system atrophy Multiple system atrophy (MSA) is a degenerative neurological disorder. Presentation
MSA is characterized by a combination of the following:
  • Progressive damage to the autonomic nervous system, commonly leading to low blood pressure upon standing, difficulty
 and peripheral neuropathy Peripheral Neuropathy Definition

The term peripheral neuropathy encompasses a wide range of disorders in which the nerves outside of the brain and spinal cord—peripheral nerves—have been damaged.
(1),(2),(3),(4). In fact, approximately 16 million individuals in the U.S. have diabetes and it is recommended that individuals with Type 1 diabetes type 1 diabetes
n.
See diabetes mellitus.
 should have their heart rate variability tested after five years of the onset of diabetes and every year thereafter, and patients with Type 2 diabetes type 2 diabetes
n.
See diabetes mellitus.
 should have their heart rate variability tested upon diagnosis and every year thereafter(1). Additionally, heart rate variability should be measured whenever a patient's treatment regimen is altered. Despite this clinical utility, heart rate variability testing has existed primarily in research laboratory settings.

The American Heart Association American Heart Association (AHA),
n.pr a national voluntary health agency that has the goal of increasing public and medical awareness of cardiovascular diseases and stroke, and thereby reducing the number of associated deaths and disabilities.
 (AHA) and the American Association of Clinical Endocrinologists (AACE AACE Association for the Advancement of Computing in Education
AACE American Association of Clinical Endocrinologists
AACE American Association of Cost Engineers
AACE Association for the Advancement of Cost Engineering
) have recently declared heart rate variability to be the recommended test for detecting autonomic dysfunction in diabetes(5). According to published research, loss of heart rate variability in diabetic autonomic neuropathy is associated with up to a 50 percent mortality rate within five years of the onset of clinical symptoms(6). With diseases such as diabetes, it is important to identify autonomic dysfunction prior to the onset of symptoms because early intervention may prevent, slow or completely stop the onset or progression of clinical symptoms(2).

"One of the biggest hurdles to make heart rate variability testing an integral part of patient care has been the lengthy time it would traditionally take for testing and analysis. Physicians would need to determine by hand a patient's heart rate, which was a long and often error-prone process," said John Schafer, president and CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board.  of Boston Medical Technologies. "With our unique algorithm to measure heart rate variability, our Process Center is able to determine a patient's heart rate variability quickly and efficiently, and the results are then automatically forwarded to the physician's office. Remarkably, this entire process only takes 15 minutes."

With Boston Medical Technologies' Anscore Health Management System, a patient can have their heart rate variability assessed and documented in response to paced respiration and other controlled exercises. The data is then transmitted through standard phone lines in the physician's office to Boston Medical Technologies' Process Center where trained analysts review each test and apply the patented algorithm to calculate standard indices and ratios for heart rate variability.

Within minutes, comprehensive results are electronically transmitted directly to the physician's office. From taking the test to receiving the results, heart rate variability testing with the Anscore Health Management System only takes 15 minutes, enabling physician and patient to immediately discuss its implications for treatment and compliance. This patent-pending process not only ensures that each heartbeat is carefully measured for reliable and accurate analysis, but it is completed in approximately half the time of traditional methods.

About Boston Medical Technologies

Boston Medical Technologies is pioneering the development and worldwide deployment of office and hospital-based, non-invasive heart rate variability testing systems to improve the quality and cost-effectiveness of clinical care. Founded in 1994, Boston Medical Technologies is headquartered in Wakefield, Mass. For more information, contact Boston Medical Technologies at (781) 213-9200 or on the Web at http://www.bosmedtech.com.

Under development since 1994, the Anscore Health Management System received 510(k) clearance from the FDA FDA
abbr.
Food and Drug Administration


FDA,
n.pr See Food and Drug Administration.

FDA,
n.pr the abbreviation for the Food and Drug Administration.
 for heart rate variability testing on June 11, 1999. On August 11, 2000, the FDA approved a second 510(k) submission for the use of the Anscore Health Management System in the assessment of heart rate variability. Boston Medical Technologies has also been granted ISO (1) See ISO speed.

(2) (International Organization for Standardization, Geneva, Switzerland, www.iso.ch) An organization that sets international standards, founded in 1946. The U.S. member body is ANSI.
 9001/ EN 46001 certification for their full quality assurance system under the Medical Device Directive.

Anscore(TM) Health Management System is a trademark of Boston Medical Technologies, Inc.

(1) Vinik, Al, MD, PhD, and Suwanwalaikorn, S, MD: Autonomic

Neuropathy, In deFronzo, R.M. (ed). Current Therapy

of Diabetes Mellitus. Yearbook Inc. 1997; 165-176.

(2) Robertson, D; Beck, C; Gary, T; Picklo, M: Classification of

Autonomic Disorders. Int Angiol. 12 (2): 1993; 93-1002.

(3) Low, PA. Autonomic Neuropathy. Semin Neurol 1987 Mar; 7 (1):

49-57.

(4) Task Force of the European Society of Cardiology The European Society of Cardiology (ESC) represents more than 50,000 cardiology professionals across Europe and the Mediterranean. Its mission is to reduce the impact of cardiovascular disease in Europe.  and the North

American Society of Pacing and Electrophysiology. Heart Rate

Variability: Standards of Measurement, Physiological

Interpretation and Clinical Use. Circulation: Vol. 93, No. 5,

1996.

(5) The American Association of Clinical Endocrinologists Medical

Guidelines for the Management of Diabetes Mellitus: The AACE

System of Intensive Diabetes Self-management - 2000 Update,

Endocrine Practice 2000; 6(1): 43-84; American Heart

Association, 1999. AHA Scientific Statement: Diabetes and

cardiovascular disease. Circulation 100:1134-1146.

(6) Ewing, DJ; Campbell, IW; Clarke, BF: The Natural History of

Diabetic Neuropathy. Quarterly Journal of Medicine 1980; 49

(193): 95-108).
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