Patent Document ID: 20100145402
Application ID: 12667236
Patent Flag: 0

Claim One:
1. An adaptive CRT control system that achieves optimal AV delay and VV pacing intervals associated with temporal patterns of stroke volumes that internally represent the heart conditions, comprising: at least two implanted electrodes in patient's heart and at least one additional hemodynamic sensor able to indicate the stroke volume heartbeat after heartbeat; an input pre-processing stage synchronizer priority classifier that synchronizes on the sensed atrial event, classifies heart conditions and associates the learned optimal pacing intervals according to prioritized operational modes and learning schemes; a learning module that with the input stage synchronizer priority classifier processes the inputs of the implanted electrodes and hemodynamic sensor and using a reinforcement learning scheme learns to achieve and to associate optimal pacing intervals at each heart condition with temporal patterns of stroke volumes; an algorithmic micro-controller module that supervises the learning module and control a pulse generator module, and a pulse generator that delivers therapeutic stimulation to the patient heart.