Systems and methods for determining an arrhythmia type are provided. A method may include: obtaining an electrocardiogram signal, obtaining a feature vector of the electrocardiogram signal, obtaining a trained prediction model, and determining an arrhythmia type of the electrocardiogram signal based on the trained prediction model and the feature vector. The feature vector includes a threshold crossing sample (TCSC) percent feature, an L-Z complexity feature, an empirical mode decomposition (EMD) complex number feature, a sample entropy feature, and a set of wavelet transform energy features.

Systems and methods for determining an arrhythmia type are provided. A method may include: obtaining an electrocardiogram signal, obtaining a feature vector of the electrocardiogram signal, obtaining a trained prediction model, and determining an arrhythmia type of the electrocardiogram signal based on the trained prediction model and the feature vector. The feature vector includes a threshold crossing sample (TCSC) percent feature, an L-Z complexity feature, an empirical mode decomposition (EMD) complex number feature, a sample entropy feature, and a set of wavelet transform energy features.

A medical device includes at least one electrode to sense an electrocardiogram (ECG) signal of a patient, and a controller coupled to the at least one electrode. The controller is configured to generate a first ECG template based on a first ECG signal of the patient received during a first baselining operation. The controller is configured to determine that the patient has been administered a therapeutic shock, and responsive to the determination that the patient has been administered the therapeutic shock, the controller is configured to initiate a second baselining operation and generate a second ECG template based on a second ECG signal of the patient received during the second baselining operation. The controller is configured to determine whether the patient is experiencing a cardiac event based on a comparison of the second ECG template to a real time ECG signal received during real time monitoring of the patient.

A medical device includes at least one electrode to sense an electrocardiogram (ECG) signal of a patient, and a controller coupled to the at least one electrode. The controller is configured to generate a first ECG template based on a first ECG signal of the patient received during a first baselining operation. The controller is configured to determine that the patient has been administered a therapeutic shock, and responsive to the determination that the patient has been administered the therapeutic shock, the controller is configured to initiate a second baselining operation and generate a second ECG template based on a second ECG signal of the patient received during the second baselining operation. The controller is configured to determine whether the patient is experiencing a cardiac event based on a comparison of the second ECG template to a real time ECG signal received during real time monitoring of the patient.

Methods and systems for identifying optimized ablation targets for treating and preventing arrhythmias sustained by reentrant circuits are described. The methods comprise receiving at least one mesh generated from one or more images of a patient's heart, receiving activation data generated from one or more simulations of electrical-signal propagation over the at least one mesh, generating at least one flow graph based on the activation data and the at least one mesh, and applying a max-flow min-cut algorithm to the at least one flow graph to determine at least one of a number, one or more dimensions, and one or more locations of one or more ablation targets. Non-transitory computer-readable media storing a set of instructions for treating and preventing arrhythmias sustained by reentrant circuits are also described.

Various embodiments include methods and diagnostic systems implementing the methods for determining a prognostic prediction of a likelihood of success or a likelihood of complications of an electrophysiology procedure at the identified area of electrophysiological interest. Various embodiments may include generating a patient-specific three-dimensional (3D) cardiac activation and arrythmia localization model identifying an area of electrophysiological interest for performing an electrophysiology procedure to treat the arrythmia, using the 3D heart model to identify heart structures near the identified area of electrophysiological interest, determining a prognostic indication of an electrophysiology procedure performed at the identified area of electrophysiological interest based at least in part on one or more heart structures near the area of electrophysiological interest, and generating an output providing a prognostic indication of an electrophysiology procedure at the identified area of electrophysiological interest based at least in part on the determined likelihood of success.

This specification describes methods of performing ECG analyses. In one approach, the system receives an ECG recording for a first duration, automatically performs a first analysis of the ECG recording for the first duration to detect events with reference to each of a plurality of arrhythmias, generates a GUI where areas within the GUI are designated for displaying detected events for each of the arrhythmias and enables a user to select at least one ECG segment of a second duration of the ECG recording. In response to the user's selection of the at least one ECG segment, the system presents the user with at least one option, and in response to the user's selection of the option, the system performs a second analysis of the ECG segment of the second duration and displays at least one output corresponding to the second analysis.

This specification describes methods of performing ECG analyses. In one approach, the system receives an ECG recording for a first duration, automatically performs a first analysis of the ECG recording for the first duration to detect events with reference to each of a plurality of arrhythmias, generates a GUI where areas within the GUI are designated for displaying detected events for each of the arrhythmias and enables a user to select at least one ECG segment of a second duration of the ECG recording. In response to the user's selection of the at least one ECG segment, the system presents the user with at least one option, and in response to the user's selection of the option, the system performs a second analysis of the ECG segment of the second duration and displays at least one output corresponding to the second analysis.

This disclosure is directed to systems and techniques for determining an evidence level of an atrial tachycardia (AT) episode based on heart beat intervals in the cardiac activity data over a pre-determined time period. Based on a determination that the evidence level indicates relatively regular heart beat intervals, the example techniques apply a first set of AT detection criteria and indicate a detection of an AT episode based on satisfaction of at least one of the first set of AT detection criteria. Based on a determination that the evidence level indicates relatively irregular heart beat intervals, the example techniques apply a second set of AT detection criteria and indicate a detection of an AT episode based on based on satisfaction of at least one of the second set of AT detection criteria.

This disclosure is directed to systems and techniques for determining an evidence level of an atrial tachycardia (AT) episode based on heart beat intervals in the cardiac activity data over a pre-determined time period. Based on a determination that the evidence level indicates relatively regular heart beat intervals, the example techniques apply a first set of AT detection criteria and indicate a detection of an AT episode based on satisfaction of at least one of the first set of AT detection criteria. Based on a determination that the evidence level indicates relatively irregular heart beat intervals, the example techniques apply a second set of AT detection criteria and indicate a detection of an AT episode based on based on satisfaction of at least one of the second set of AT detection criteria.