The invention relates to cardiac-activity based prediction of a rapid drop in a patient's
blood pressure during
extracorporeal blood treatment. A proposed alarm apparatus (100) includes a primary beat morphology analysis unit (120), a
bank of
secondary analysis units (B2) and an alarm
generating unit (158). The primary beat morphology analysis unit (120) discriminates heart beats in a received basic electrocardiogram
signal (HECG), classifies each beat into one out of at least two different beat categories, and associates each segment of the
signal (HECG) with relevant event-type data. The event-type data and the basic electrocardiogram
signal (HECG) together form an enhanced electrocardiogram signal (ECGCL), based upon which the primary beat morphology analysis unit (120) determines whether one or more secondary signal analyses should be performed. Depending on the enhanced electrocardiogram signal's (ECGCL) properties, the
bank of
secondary analysis units (B2) performs none, one or more of up to at least two different types of secondary analyses, and for each analysis performed produces a respective test signal (PHRV, PEBC, PHRT)—The alarm
generating unit (158) receives the test signals (PHRV, PEBC, PHRT), and triggers an
alarm signal (α) indicative of an estimated rapid
blood pressure decrease, if at least one alarm criterion is fulfilled.