초록 ▼

Systems and methods provide for gathering of patient related data during non-sleep periods and modulating a therapy delivered to the patient during sleep using the gathered data. Data associated with a patient is gathered while the patient is awake. A therapy delivered to the patient during patient

Systems and methods provide for gathering of patient related data during non-sleep periods and modulating a therapy delivered to the patient during sleep using the gathered data. Data associated with a patient is gathered while the patient is awake. A therapy delivered to the patient during patient sleep is adjusted using the acquired data. The therapy delivered to the patient may include one or more of a respiratory therapy, such as a positive airway pressure (xPAP) therapy, a sleep disordered breathing therapy, a cardiac rhythm management therapy, such as a cardiac overdrive pacing therapy, a medication therapy, or a drug delivery therapy. The therapy delivered to the patient may be optimized using the acquired data.

대표청구항 ▼

What is claimed is: 1. A method, comprising: acquiring data associated with a patient while the patient is awake, the data comprising respiration data indicative of a respiratory disorder; and adjusting a therapy delivered by a patient-external device to the patient during patient sleep, the adjust

What is claimed is: 1. A method, comprising: acquiring data associated with a patient while the patient is awake, the data comprising respiration data indicative of a respiratory disorder; and adjusting a therapy delivered by a patient-external device to the patient during patient sleep, the adjustment based at least in part on the acquired data including the respiration data indicative of the respiratory disorder, the therapy comprising one or both of a respiratory therapy and a therapy to treat a sleep-related respiratory disorder associated with the respiratory disorder. 2. The method of claim 1, wherein the therapy comprises a positive airway pressure therapy. 3. The method of claim 1, wherein the therapy comprises a sleep disordered breathing therapy. 4. The method of claim 1, wherein the acquired data is acquired by an implantable cardiac rhythm management device. 5. The method of claim 1, wherein the therapy comprises a medication use or delivery therapy. 6. The method of claim 1, wherein adjusting the therapy comprises performing therapy titration using the acquired data. 7. The method of claim 1, further comprising detecting a pathological condition using the acquired data, and adjusting the therapy in response to the detected pathological condition. 8. The method of claim 1, wherein the acquired respiratory data indicative of the respiratory disorder is indicative of Cheyne-Stokes patterned breathing. 9. The method of claim 1, wherein the acquired data indicative of the respiratory disorder comprises one or more of breathing pattern data, breathing rate data, and transthoracic impedance data. 10. The method of claim 1, wherein the acquired data further comprises one or more of heart rate data, heart rate variability data, PR interval data, and cardiac arrhythmia data, and the therapy adjustment is further based on the acquired one or more of heart rate data, heart rate variability data, PR interval data, and cardiac arrhythmia data. 11. The method of claim 1, wherein the acquired data further comprises patient activity data, and the therapy adjustment is further based on the patient activity data. 12. The method of claim 1, wherein the respiratory disorder of the acquired respiratory data comprises a respiratory condition that occurs during non-sleep periods and results from the sleep-related respiratory disorder. 13. The method of claim 1, wherein the acquired data further comprises contextual data impacting the patient, and the therapy adjustment is further based on the contextual data impacting the patient. 14. The method of claim 1, wherein the acquired data indicates one or more of a rate of change of a respiratory condition associated with the respiratory disorder and an effect of the therapy in addressing the sleep-related respiratory disorder. 15. The method of claim 1, wherein the acquired data further comprises autonomic nervous system activity data, and the therapy adjustment is further based on the autonomic nervous activity data. 16. The method of claim 1, wherein the acquired data further comprises medication use data, and the therapy adjustment is further based on the medication use data. 17. The method of claim 1, wherein the acquired data further comprises one or both of blood pressure data and blood oxygen level data, and the therapy adjustment is further based on the one or both of blood pressure data or blood oxygen data. 18. A system, comprising: a data acquisition unit configured to acquire respiration data indicative of a respiratory disorder associated with a patient while the patient is awake; and a patient-external therapy delivery system configured to adjust a therapy delivered to the patient during patient sleep using the acquired respiration data indicative of the respiratory disorder, the therapy comprising one or both of a respiratory therapy and a therapy to treat a sleep-related respiratory disorder associated with the respiratory disorder. 19. The system of claim 18, wherein the data acquisition unit is further configured for implantation and to patient-internally monitor electrical cardiac activity of the patient. 20. The system of claim 18, wherein the data acquisition unit is further configured for implantation, to monitor electrical cardiac activity of the patient, and to deliver an electrical cardiac therapy to the patient. 21. The system of claim 18, wherein the therapy delivery system comprises a positive airway pressure device. 22. The system of claim 18, wherein the data acquisition unit is an implantable cardiac rhythm management device and the therapy delivery system comprises a positive airway pressure device. 23. The system of claim 18, wherein the therapy delivery system comprises a patient management system configured to communicate medication use data to the patient. 24. The system of claim 18, wherein the therapy delivery system comprises a drug delivery system. 25. The system of claim 18, wherein the data acquisition unit comprises one or more sensors for detecting a pathological condition, and wherein the acquired respiration data comprises a pathological respiration condition associated with the respiratory disorder. 26. The system of claim 18, wherein the data acquisition unit comprises a cardiac rhythm management device. 27. The system of claim 18, wherein the data acquisition unit comprises a respiratory therapy delivery device. 28. A system, comprising: means for acquiring data associated with a patient while the patient is awake, the data comprising respiration data indicative of a respiratory disorder; and means for adjusting a therapy delivered by a patient-external device to the patient during patient sleep, the adjustment based at least in part on the acquired data including the respiration data indicative of the respiratory disorder, the therapy comprising one or both of a respiratory therapy and a therapy to treat a sleep-related respiratory disorder associated with the respiratory disorder.