CHARLES DAVID GOTTLIEB
Medical Practice in Penn Wynne, PA
License number
Pennsylvania MD028896E
Category
Medicine
Type
Medical Physician and Surgeon
Address
Address
Penn Wynne, PA 19096
Personal information
See more information about CHARLES DAVID GOTTLIEB at radaris.comName
Address
Phone
160 Woodhaven Dr, Pittsburgh, PA 15228
2231 Disston St, Philadelphia, PA 19149
40 Overbrook Pkwy, Wynnewood, PA 19096
Professional information
Method Of Using Endocardial Impedance For Assessing Tissue Heating During Ablation
US Patent:
5562721, Oct 8, 1996
Filed:
May 10, 1995
Appl. No.:
8/438326
Inventors:
Francis E. Marchlinski - Bala Cynwyd PA
David S Schwartzman - Philadelphia PA
Mark S. Mirotznik - Silver Spring MD
Kenneth R. Foster - Haverford PA
Charles D. Gottlieb - Wynnewood PA
Isaac Chang - Philadelphia PA
David S Schwartzman - Philadelphia PA
Mark S. Mirotznik - Silver Spring MD
Kenneth R. Foster - Haverford PA
Charles D. Gottlieb - Wynnewood PA
Isaac Chang - Philadelphia PA
Assignee:
University of Pennsylvania - Philadelphia PA
Philadelphia Heart Institute - Philadelphia PA
Catholic University of America - Washington DC
Philadelphia Heart Institute - Philadelphia PA
Catholic University of America - Washington DC
International Classification:
A61B 1739, A61N 105
US Classification:
607 99
Abstract:
A method of locating infarcted myocardial tissue in a beating heart includes the step of inserting an impedance measuring tip of a catheter into the chamber of the beating heart, particularly the left or right ventricle, and measuring the impedance of the endocardium at various locations within the chamber of the beating heart. The values measured are compared to impedance values with a predetermined range of values to identify an infarcted area of myocardium and distinguish such area from normal myocardium. The measurements are also compared to a range of values for an infarction border zone. In accordance with the invention, the infarction border zone may be located. The infarction border zone is a significant source of arrhythmia, and particularly of ventricular tachycardia. Further, in accordance with the methods of the present invention, the risk of arrhythmia in a beating heart may be substantially reduced or eliminated by ablating endocardium within the infarction border zone utilizing the same catheter tip. Impedance measurements may also be utilized to assess the adequacy of the electrode-tissue contact, particularly in a fluid filled body organ or cavity.
Method Of Using Endocardial Impedance For Determining Electrode-Tissue Contact
US Patent:
5673704, Oct 7, 1997
Filed:
May 28, 1996
Appl. No.:
8/654197
Inventors:
Francis E. Marchlinski - Bala Cynwyd PA
David S. Schwartzman - Philadelphia PA
Mark S. Mirotznik - Silver Spring MD
Kenneth R. Foster - Haverford PA
Charles D. Gottlieb - Wynnewood PA
Isaac Chang - Philadelphia PA
David S. Schwartzman - Philadelphia PA
Mark S. Mirotznik - Silver Spring MD
Kenneth R. Foster - Haverford PA
Charles D. Gottlieb - Wynnewood PA
Isaac Chang - Philadelphia PA
International Classification:
A61B 1739, A61N 105
US Classification:
128739
Abstract:
A method of locating infarcted myocardial tissue in a beating heart includes the step of inserting an impedance measuring tip of a catheter into the chamber of the beating heart, particularly the left or right ventricle, and measuring the impedance of the endocardium at various locations within the chamber of the beating heart. The values measured are compared to impedance values with a predetermined range of values to identify an infarcted area of myocardium and distinguish such area from normal myocardium. The measurements are also compared to a range of values for an infarction border zone. In accordance with the invention, the infarction border zone may be located. The infarction border zone is a significant source of arrhythmia, and particularly of ventricular tachycardia. Further, in accordance with the methods of the present invention, the risk of arrhythmia in a beating heart may be substantially reduced or eliminated by ablating endocardium within the infarction border zone utilizing the same catheter tip. Impedance measurements may also be utilized to assess the adequacy of the electrode-tissue contact, particularly in a fluid filled body organ or cavity.