简介:Prematureventricularcontraction(PVC)isthemostfrequentarrhythmiaencounteredinclinicalpractice.PVCmayoccurinhealthsubjects,whichisnotimminentlylife-threateningbutmayrequiretherapiestopreventfurtherproblems.So,thetimelyPVCrecognitionbecomesveryimportantfortheanalysisofelectrocardiogram(ECG),especiallyfortheremoteECGmonitoringusingmobilephones.Inthispaper,aconstructionmethodofpersonalizedECGtemplateandaPVCrecognitionmethodbasedontemplatematchingwerestudied.Firstly,weselected43ECGrecordingsfromtheMIT-BIHarrhythmiadatabase.Allrecordingsweredividedintotwodatasets(DS1fortrainingandDS2fortesting)andeachdatasetapproximatelycontainedthesameproportionofPVCbeats.Subsequently,foreachrecording(30min)inDS1,thefirst5minrecordingswereusedtoconstructthepersonalizedECGtemplateandthelast25minrecordingswereusedfortheR-wavepeaksdetectionandPVCrecognition,wherethetemplatematchingmethodwereused.ThevalidityoftheproposedmethodswastestedusingDS2.Theresultsshowedthat:1)highbeatdetectionaccuracywasachievedforbothPVCbeatsandnon-PVCbeats;2)thesensitivityandspecificityofPVCrecognitionwere99.11%and99.96%forthefirst5minrecordingsrespectively,99.17%and99.43%forthelast25minrecordingsrespectively.Alltheproposedmethodscanbereal-timeperformed,whichshowapromisingprospectfortheapplicationofECGmobilephones.
简介:Earlyrepolarizationisawell-described,commonelectrocardiographicvariant.Itwasinitiallyfelttobebenign,butinthelasttwentyyearsasuggestedalinkbetweenspecifictypesofearlyrepolarizationandsuddencardiacdeathhasemerged.ThisassociationwashasbeentermedtheJwavesyndromeandincludesboththehighriskearlyrepolarizationandBrugadaECGpatterns.Theoddsofearlyrepolarizationchangebeingassociatedwithpooroutcomesarestillexceedinglysmall.Nevertheless,theassociationofafairlyubiquitousECGfindingwithfatalornearfatalclinicaloutcomeshasraisedconcern.Howcanweidentifythetrulyhigh-riskpatients?IfapatienthasasignificantclinicaleventwithaconcerningECGrepolarizationpattern,whatshouldbedonenext?TheauthorsofthisreviewpresentcurrentinformationregardingtheEarlyRepolarizationandBrugadaSyndromesandhowtoproceedwithdiagnosis,management,andriskstratificationwhenearlyrepolarizationchangeisobservedonECG.
简介:AUTOMATICCLASSIFICATIONOFECGUSINGARTIFICIALNEURALNETWORKSAUTOMATICCLASSIFICATIONOFECGUSINGARTIFICIALNEURALNETWORKSC.L.Peng,Z....
简介:Recentinterestinmobile-basedhealthcarehasdrivensignificantdemandsonresearchingnon-contactelectrodesforelectrocardiogram(ECG)measurement.Whiletheconductivegelachievestherequirementinmakingagoodcontactbetweentheelectrodesandskin,severalproblemsappear.Agel-free,non-contactelectrodebasedoncapacitivecouplingtheorywasprovidedinthispaper,whichwasintegratedontheprintcircuitboard(PCB).TheexperimentalresultsshowedthatclearECGsignalscouldbeacquiredinthelaboratoryconditionsbycouplingtheelectrodestothechestofpatientsthroughcottonbelts.
简介:SignificanceofECGChangesinAcuteMyocardialInfarctionSTsegmentelevationisconsideredbymostasasignofanoccludedcoronaryarteryandmyocardialischemia.CoronaryarteryocclusionusuallyisthecauseoftheacuteinfarctioninthepatientwiththattypeofECG.PatientswithacutemyocardialinfarctionwhodonotshowSTsegmentelevationyetleaktroponin,stillhaveamyocardialinfarction.
简介:这份报纸基于嵌入的网server.The系统描述一个新ECG监视电视的方法和系统的开发与网络接口和嵌入的网服务器,由ECG录音机组成因特网网络和计算机,与操作浏览器/服务者(B/S)的系统,mode.TheECG录音机被ARM9(S3C2410X)设计并且嵌入操作系统(Linux).OnceECG录音机被连接了到因特网网络,医药专家能使用因特网存取ECG的服务器
简介:ECGisanimportanttoolfortheprimarydiagnosisofheartdiseases,whichshowstheelectrophysiologyoftheheart.Inourmethod,asinglematernalabdominalECGsignalistakenasaninputsignalandthematernalP-QRS-Tcomplexesoforiginalsignalisaveragedandrepeatedandtakenasareferencesignal.LMSandRLSadaptivefiltersalgorithmsareapplied.TheresultsshowedthatthefetalECGshavebeensuccessfullydetected.TheaccuracyofDaisydatabasewasupto84%ofLMSand88%ofRLSwhilePhysioNetwasupto98%and96%forLMSandRLSrespectively.
简介:Objective:Therandomizedcontrolledtrial(ClinicalTrials.govidentifierNCT02990741)willinvestigatewhethermorefrequentelectrocardiographic(ECG)recordingsandanalyseswithanautomatedECGsystemwouldimprovedetectionofatrialfibrillationcomparedwithasingleannualECGscreeninelderlyChineseincommunityhealthcenters.Design:Menandwomen(≥65years)willberandomizedintointensive(n=3500)andusual(n=3500)screeninggroups,andwithintheintensivescreeninggroupintointensivescreening(n=2625)andmoreintensivescreening(n=875)subgroups.ECGrecordingswillbeperformedwithanautomatedECGanalysissystem(AliveCorheartmonitor)at1yearintheusualscreeninggroup,at3,6,9,and12monthsintheintensivescreeningsubgroup,andat1,2,3,and4weeksand3,6,9,and12monthsinthemoreintensivescreeningsubgroup.Theprimaryoutcomeisthedetectionrateofatrialfibrillationbetweentheusualscreeninggroupandtheintensivescreeninggroup.Samplesizeestimationwasbasedonaprojecteddetectionrateofatrialfibrillationof2.0%byasingleECGrecordingat12months,animprovementof50%withmorefrequentECGrecordings,α=0.05,powerof80%,andaone-sidedtest.Conclusions:ThetrialwillprovideevidenceontheclinicaleffectivenessofmorefrequentECGrecordingsbyahandheldautomatedanalysissysteminthedetectionofatrialfibrillation.
简介:ObjectivesPhenotypicoverlapofBrugadasyndromewithtype3longQTsyndromeisobservedinsomecarriersofmutationsintheNachannelSCN5A.Concomitant-Brugadasyndromeand3typelongQTsyndromeassociatedwithsodiumchannelmutationwasreportedbefore,however,nodatashowedconcomitant-BrugadatypeandshortQTintervalelectrocardiogram(ECG)andrevealedtheassociated-genemutation.MethodsThedirectDNAsequencewasconducedtofindthemutation.Themutationwasreproducedinvitrousingsite-directedmutagenesisandcharacterizedusingthepatchclamptechniqueinthewhole-cellconfiguration.ResultsThepatientwiththefamilyhistoryofsuddendeathshowedBrugadaandshortQTintervalECG.SequenceofSCN5Aidentifiedamissensemutation,R689H,previouslyassociatedwithalongQTsyndrome.BiophysicalstudyshowedthattheR689Hfailedtogenerateanycurrentwhenheterolo-gouslyexpressedinHEKcells.ConclusionsOurfindingsindicateforthefirsttimethatcoexisted-BrugadatypeandshortQTintervalECGlinkedtothelossoffunctioninSCN5Amutation.