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2007 Computers in Cardiology最新文献

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Time series calculation of heart rate using multi rate FIR filters 使用多速率FIR滤波器的时间序列心率计算
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745542
M. Risk, D. Ślȩzak, P. Turjanski, A. Panelli, R. Taborda, G. Marshall
The spectral analysis of heart rate variability, based on the Fourier transform, needs even sampled data. The objectives of this study were to develop an interpolation method based on multi rate FIR filters, and then to implement this method for parallel processing machines. A total of three data sets were used: a) simulated heart rate with an IPFM model, b) autonomic blockage database (both pharmacological and postural), and c) long term Holter studies (recordings of 24 hours). Spectral analysis, for the three data sets, was processed for both interpolation using FIR filters and cubic splines, the results for Bland and Altman analysis for low frequency band, showed a difference of -47plusmn131 ms2; then for the high frequency band, the difference was 3plusmn48 ms2. The presented method of time series calculation, using FIR filters, probed to be equivalent for both simulated and real data, and is suitable for parallel programming implementation.
基于傅里叶变换的心率变异性频谱分析需要均匀采样数据。本研究的目的是建立一种基于多速率FIR滤波器的插值方法,并将该方法应用于并行加工机床。总共使用了三个数据集:A) IPFM模型模拟心率,b)自主神经阻塞数据库(药理学和体位学),c)长期霍尔特研究(24小时记录)。对三个数据集进行了光谱分析,分别使用FIR滤波器和三次样条进行插值处理,对低频波段进行Bland和Altman分析的结果显示差异为-47plusmn131 ms2;对于高频波段,差异为3plusmn48 ms2。本文提出的时间序列计算方法采用FIR滤波器,对模拟数据和实际数据具有等效性,适合于并行编程实现。
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引用次数: 4
A temporal search engine for a massive multi-parameter clinical information database 海量多参数临床信息数据库的时态搜索引擎
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745566
L. Lehman, T. H. Kyaw, G. Clifford, R. Mark
We describe a novel search engine that is capable of rapid execution of queries concerning changes in the gradients and absolute (and relative) values of multiple irregularly sampled and asynchronous physiological parameters over many time scales. The search engine enables search criteria for multiple physiological parameters using gradient bounds, rates of change, and threshold breeches over various time scales. Multiple signals can be searched and combined in a Boolean manner to form complex queries. Pre-computed ranges and multi-scale gradients are used to significantly reduce the search time for locating temporal events. We have implemented the search engine in MATLAB and tested the algorithm on a massive multi-parameter intensive care unit database (MIMIC II). To illustrate the use of our search approach, a set of numerical search criteria were developed by clinicians to locate evidence for important pathophysiological conditions.
我们描述了一种新的搜索引擎,它能够快速执行有关多个不规则采样和异步生理参数在许多时间尺度上的梯度和绝对(和相对)值变化的查询。搜索引擎使用梯度边界、变化率和阈值在各种时间尺度上实现多种生理参数的搜索标准。多个信号可以以布尔方式进行搜索和组合,形成复杂的查询。使用预先计算的范围和多尺度梯度来显著减少定位时间事件的搜索时间。我们已经在MATLAB中实现了搜索引擎,并在一个大型多参数重症监护病房数据库(MIMIC II)上测试了该算法。为了说明我们的搜索方法的使用,临床医生开发了一套数值搜索标准,以定位重要病理生理条件的证据。
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引用次数: 3
Multisite field potential recordings and analysis of the impulse propagation pattern in cardiac cells culture 心肌细胞培养中多位点场电位记录及脉冲传播模式分析
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745437
S. Jacquir, S. Binczak, M. Rossé, D. Vandroux, G. Laurent, P. Athias, J. Bilbault
To provide further insights into the impulse propagation between cardiac myocytes, we performed multiparametric studies of excitation spread with cellular resolution in confluent monolayers of cultured cardiomyocytes (CM). Simultaneous paired intracellular recordings of action potentials in two individual CM revealed slight periodic spontaneous advances/delays in the interspike time lag. Multisite field potential recordings performed with microelectrode arrays (MEA) confirmed random and iterative cycle-to-cycle changes in the direction of excitation spread. These local spontaneous variations in the cardiac impulse propagation pathways may be a safety process protecting against microscopically discontinuous conduction, and abnormality of this natural process could contribute to the genesis of some heart arrhythmias.
为了进一步了解心肌细胞之间的脉冲传播,我们在培养的心肌细胞(CM)的融合单层中进行了细胞分辨率的兴奋传播多参数研究。在两个个体CM中同时配对的细胞内动作电位记录显示在峰间时间滞后中有轻微的周期性自发提前/延迟。用微电极阵列(MEA)进行的多位点场电位记录证实了激励传播方向的随机和迭代周期变化。这些局部自发变化的心冲动传播途径可能是一个安全的过程,以防止微观上的传导不连续,这种自然过程的异常可能有助于一些心律失常的发生。
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引用次数: 2
Ultrasound echocardiographic assessment of transmural inhomogeneity of the left ventricular contraction during the heart cycle 心脏周期中左心室收缩跨壁不均匀性的超声心动图评价
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745611
N. Bachner, D. Adam, M. Leitman, Z. Vered
Functional echocardiographic imaging, based on speckle tracking, has recently gained widespread use. It provides valuable clinical information, but only the longitudinal or circumferential strains are provided. Assessing these measures across the wall has immense diagnostic information. The purpose of this study was to employ a novel technique that allows measuring the left ventricular transmural kinematics in normal subjects. A novel smoothing technique was developed for a speckle tracking imaging program, called 2D-strain, to achieve spatial transmural resolution analysis, and then applied to standard echocardiographic cines. The results show heterogeneity of the left ventricular rotation and circumferential strain across the wall, with large values for the inner layer, and smaller ones for the outer layer. Using standard echocardiography, transmural analysis is feasible, and it may provide early diagnosis of different pathologies that were difficult to attain before.
基于斑点跟踪的功能超声心动图成像最近得到了广泛的应用。它提供了有价值的临床信息,但只提供了纵向或周向应变。在墙上评估这些措施有大量的诊断信息。本研究的目的是采用一种新的技术来测量正常受试者的左心室跨壁运动学。为斑点跟踪成像程序开发了一种新的平滑技术,称为2D-strain,以实现空间跨壁分辨率分析,然后应用于标准超声心动图。结果显示左心室旋转和周向应变在心室壁上的不均匀性,内层应变大,外层应变小。使用标准超声心动图,跨壁分析是可行的,它可以提供早期诊断不同的病理是难以达到以前。
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引用次数: 3
Atrio-Ventricular Junction behaviour during Atrial Fibrillation 心房颤动期间的房室连接行为
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745547
P. Bonizzi, V. Zarzoso, Olivier Meste
Up to now the functioning of the Atrio-Ventricular Junction (AVJ) during Atrial Fibrillation (AF) is still not completely understood. To shed some light on the AVJ behavior during AF episodes, this study analyses the existence of a possible relationship between the occurrence of a heart beat and the power of the atrial activity (AA) preceding this heart beat in an electrocardiogram (ECG) signal. AA power is measured in the interval of the ECG between the onset of the heart beat under analysis and the ending of the previous heart beat (T-Q interval). Our analysis has shown a difference in the distributions of AA power versus cardiac cycle length (RR interval on the ECG) between healthy and pathological subjects. In particular, a negative trend between these two parameters is discovered in pathological subjects. This negative relation shows a possible coherence between power arriving at the AVJ and the triggering of the heart beat, which is in line with the assumptions made in the quantitative model for the ventricular response during AF by Cohen.
到目前为止,心房颤动(AF)时房室连接(AVJ)的功能仍未完全了解。为了阐明房颤发作时AVJ的行为,本研究分析了心跳的发生与心跳前心电图信号中心房活动(AA)的强度之间可能存在的关系。AA功率是在被分析的心跳开始和前一次心跳结束之间的心电图间隔(T-Q间隔)中测量的。我们的分析表明,在健康和病理受试者之间,AA功率与心周期长度(ECG上的RR间隔)的分布存在差异。特别是,在病理受试者中发现这两个参数之间呈负向趋势。这种负相关表明到达AVJ的功率与触发心跳之间可能存在一致性,这与Cohen在房颤期间心室反应定量模型中所做的假设一致。
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引用次数: 3
Electrocardiographic imaging of myocardial infarction using heart vector analysis 心肌梗死的心电图成像应用心脏矢量分析
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745563
M. Ghasemi, A. Jalali, H. Sadabadi, M. Atarod, H. Golbayani, P. Ghorbanian, A. Ghaffari
Hypothesis/Objective: The aim of this study is to characterize the location and extent of moderate to large, relatively compact infarcts using ECG evidence. Method: In this paper, we proposed a method on the basis of vectorcardiography which assumes that heart vector is proportional to relevant active depolarization area(s). To examine our ideas, we used the normal VCG which includes the information of location, amplitude, and direction of heart vector at any instant. The model based comparison of cases under study and relevant normal VCGs gives region i.e. segment(s) and depth i.e. extent of myocardial infarction. Results and Conclusion: We evaluated the method on CinC/Physionet Challenge 2007 database. In our final entry the scores of EPD equal to 32 (ranked 3rd), SO equal to 0.933 (ranked 3rd) and CED equal to 1 (ranked 1st) are achieved. It also ranked the third among the other methods proposed to CinC/Physionet Challenge 2007.
假设/目的:本研究的目的是利用心电图证据确定中度至大面积、相对致密性梗死的位置和程度。方法:本文提出了一种基于心脏矢量图的方法,该方法假设心脏矢量与相关的主动去极化面积成正比。为了验证我们的想法,我们使用了包含心脏矢量在任何时刻的位置、幅度和方向信息的正常VCG。该模型基于研究病例与相关正常vcg的比较,给出心肌梗死的区域(即节段)和深度(即范围)。结果与结论:在CinC/Physionet Challenge 2007数据库中对该方法进行了评价。我们最终的成绩是EPD = 32(排名第3),SO = 0.933(排名第3),CED = 1(排名第1)。它也在2007年CinC/Physionet挑战赛提出的其他方法中排名第三。
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引用次数: 6
Classifying ischemic events using a Bayesian inference Multilayer Perceptron and input variable evaluation using automatic relevance determination 使用贝叶斯推理多层感知器对缺血事件进行分类,并使用自动相关性确定输入变量评估
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745482
M.G. Smyrnakis, D.J. Evans
In this paper we present a Bayesian inference Multilayer Perceptron (MLP) which was used to classify the events of the Long Term ST Database (LTSTDB) as ischaemic or non-ischaemic episodes with an accuracy of 89.1%, sensitivity of 82.3% and specificity of 91.2% when the accuracy of the winning paper was 90.7%. The Automatic Relevance Determination (ARD) method was used to identify which of the extracted features that were used as input in the Bayesian inference MLP were the most important with respect to the models performance. ARD indicated that DeltaT, a combination of the ST deviation and the duration of the episode, inspired from Langley et al., was the most important feature for determining Ischaemic episodes, given the data. A simple MLP which had as input variable of only DeltaT was trained to verify the results of the ARD method. The classification accuracy was 85.8% on the test set. We can conclude from the results that the most important extracted feature was DeltaT.
在本文中,我们提出了一个贝叶斯推理多层感知器(MLP),用于将长期ST数据库(LTSTDB)的事件分类为缺血或非缺血发作,准确度为89.1%,灵敏度为82.3%,特异性为91.2%,而获奖论文的准确性为90.7%。使用自动关联确定(ARD)方法来识别提取的特征中哪些作为贝叶斯推理MLP的输入对模型性能最重要。ARD指出,从Langley等人那里得到启发,DeltaT是ST差和发作持续时间的结合,是确定缺血发作的最重要特征。为了验证ARD方法的结果,我们训练了一个输入变量仅为delta的简单MLP。在测试集上的分类准确率为85.8%。从结果可以看出,提取的最重要的特征是delta。
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引用次数: 7
Location of myocardium at risk in comparison between single photon emission computed tomography, magnetic resonance imaging and electrocardiography 单光子发射计算机断层扫描、磁共振成像和心电图对危险心肌位置的比较
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745408
Joey F. A. Ubachs, A. Gorgels, E. Hedstrom, H. Arheden, R. Selvester, S. Knippenberg, G. Wagner, H. Engblom
The aim of the present study was to test the hypothesis that perfusion SPECT, estimation of regional wall thickening using MRI and the distribution of ST changes on the admission ECG display similar localization of the MaR in patients with reperfused first-time MI. Eleven patients with first-time MI with ST-elevation underwent percutaneous coronary intervention (PCI), SPECT imaging within 3 hours of the PCI and Cardiac MRI the day after admission. All images were presented in polar plots and compared with polar plots generated from the initial ECG's, based upon ST-changes. Comparison of the displays reveals similarity of location of myocardium at risk by all three methods in 73% of the patients, between SPECT and ECG in 91% of the patients, and between SPECT and wall thickening by MRI in 73% of the patient.
本研究的目的是验证灌注SPECT、MRI对区域壁增厚的估计以及入院心电图上ST段变化的分布在再灌注的首次心肌梗死患者中显示相似的MaR定位的假设。11例首次心肌梗死伴ST段抬高的患者接受了经皮冠状动脉介入治疗(PCI),在PCI后3小时内进行了SPECT成像,并在入院后第二天进行了心脏MRI。所有图像均以极坐标图呈现,并与基于st线变化的初始ECG生成的极坐标图进行比较。对比显示,73%的患者在所有三种方法中有危险的心肌位置相似,91%的患者在SPECT和ECG之间相似,73%的患者在SPECT和MRI壁增厚之间相似。
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引用次数: 0
Investigating the role of ventricular repolarization morphology in surface ECGs for identifying patients with a history of drug-induced arrhythmias 探讨表面心电图中心室复极形态学在鉴别药物性心律失常患者中的作用
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745490
J. Couderc, S. Kaab, M. Hinterseer, S. McNitt, X. Xia, A. Fossa, B. Beckmann, S. Polonsky, W. Zareba
Assessing the propensity of an individual to drug-induced arrhythmias when exposed to a QT-prolonging drug is challenging because baseline QT prolongation has limited predictive value. In this study, we investigated the role of computerized ECG parameters quantifying T-wave morphology for the identification of individuals who developed drug-induced torsades de pointes (TdPs). In 34 patients, 5-minute digital ECGs have been acquired at baseline and during sotalol challenge. Seventeen of these patients had a history of drug-induced TdPs. We identified specific baseline features of the T-waves common to patients with history of TdPs. The sotalol-induced changes of T-wave morphologies were also different between the two groups suggesting that ECGs may provide relevant information for the identification of patients with an increased propensity to TdPs.
当暴露于QT延长药物时,评估个体药物性心律失常的倾向是具有挑战性的,因为基线QT延长的预测价值有限。在这项研究中,我们研究了计算机化心电图参数量化t波形态学在识别药物性点扭转(TdPs)患者中的作用。在34例患者中,在基线和索他洛尔治疗期间获得了5分钟数字心电图。其中17例患者有药物性tdp病史。我们确定了有tdp病史的患者共同的t波的特定基线特征。两组间索他罗诱导的t波形态学变化也不同,提示心电图可能为tdp倾向增加的患者的识别提供相关信息。
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引用次数: 2
Non-invasive determination of electromechanical time intervals of cardiac cycle using abdominal ECG and Doppler ultrasound signals from fetal hearts 利用胎儿心脏腹部心电图和多普勒超声信号无创测定心脏周期的机电时间间隔
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745571
A. Khandoker, Y. Kimura, T. Ito, M. Palaniswami
Fetal ECG and Doppler ultrasound signals provide clinically significant information concerning the physiological state of a fetus. In this study, we propose a non-invasive system to recognize the timings of fetal cardiac events on the basis of analysis of fetal ECG and Doppler ultrasound signal together. Fetal ECG was extracted from transabdominal ECG (10 normal subjects, 38-41 weeks of gestation) using blind source separation with the reference signal. Multiresolution wavelet analysis enabled the frequency contents of the Doppler signals to be linked to the opening and closing of the heartpsilas valves (Aortic and mitral). The time intervals from R peak of fetal ECG to opening and closing of aortic valve were found to be 99.16plusmn22.07 (msec) and 222.70plusmn21.83 (msec) respectively. The time intervals from R peak to opening and closing of mitral valve were found to be 305.32plusmn22.71 (msec) and 37.84plusmn18.23 (msec) respectively.
胎儿心电图和多普勒超声信号提供有关胎儿生理状态的临床重要信息。在本研究中,我们提出了一种基于胎儿心电图和多普勒超声信号分析的无创系统来识别胎儿心脏事件的时间。采用盲源分离与参考信号提取经腹心电图(10例,孕38 ~ 41周)胎儿心电图。多分辨率小波分析使多普勒信号的频率内容与心脏瓣膜(主动脉瓣和二尖瓣)的打开和关闭联系起来。胎儿心电图R峰至主动脉瓣开启和关闭的时间间隔分别为99.16plusmn22.07 (msec)和222.70plusmn21.83 (msec)。R峰至二尖瓣开启和关闭的时间间隔分别为305.32plusmn22.71 (msec)和37.84plusmn18.23 (msec)。
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引用次数: 9
期刊
2007 Computers in Cardiology
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