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2007 Computers in Cardiology最新文献

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Distant prediction of paroxysmal atrial fibrillation using HRV data analysis 利用HRV数据分析对阵发性心房颤动的远期预测
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745520
Y. Chesnokov, A. Holden, H. Zhang
The idea of this research is to determine how long in advance can we predict the onset of paroxysmal atrial fibrillation (PAF) from the HRV data. Having established such methods with great confidence it is possible to avert the PAF onset using pacing techniques, thus reliving patient pains.
这项研究的想法是确定我们可以从HRV数据提前多长时间预测阵发性心房颤动(PAF)的发作。有了这样的方法,有很大的信心,可以避免PAF发作使用起搏技术,从而减轻病人的痛苦。
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引用次数: 11
Development of a post-processing algorithm to classify rhythms detected as ventricular tachyarrhythmias by Implantable Cardioverter Defibrillators 一种后处理算法的发展,以区分由植入式心律转复除颤器检测到的室性心动过速
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745606
B. Gunderson, A.S. Patel, M.L. Brown, C. Swerdlow
Implantable Cardioverter-Defibrillators (ICD) detect ventricular tachycardia /fibrillation (VT/VF) using atrial (A) and ventricular (V) electrograms (EGMs). ICD algorithms discriminate VT/VF from supraventricular tachycardias (SVTs), but misclassify some SVTs as VT/VF. Clinicians review detected episodes to identify true SVT episodes and guide appropriate clinical action. A post-processing, expert-system algorithm was developed to classify tachyarrhythmias detected and stored in ICD memory. The algorithm was designed to diagnose rhythms with V EGM and/or timing of A/ V events. Rhythms that did not fulfill the criteria were classified as Unknown. The algorithm was tested using a dataset of 469 episodes. The algorithm correctly classified 80% of the episodes with 99% accuracy. This accuracy may be sufficient that physician review may be required only for Unknown episodes.
植入式心律转复除颤器(ICD)通过心房(A)和心室(V)心电图(EGMs)检测室性心动过速/颤动(VT/VF)。ICD算法将VT/VF与室上性心动过速(svt)区分开来,但将某些svt错误地分类为VT/VF。临床医生审查检测到的发作,以确定真正的SVT发作,并指导适当的临床行动。开发了一种后处理专家系统算法,对检测到的心动过速进行分类并存储在ICD存储器中。该算法被设计用于用V EGM和/或A/ V事件的时序诊断节律。不符合标准的节奏被归类为未知。该算法使用469集的数据集进行了测试。该算法正确分类了80%的剧集,准确率达到99%。这种准确性可能足以使医生复查可能只需要对未知的发作。
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引用次数: 1
Inverse solution electrocardiographic mapping of epicardial pacing correlates with three-dimensional electroanatomic mapping 心外膜起搏的逆解心电图与三维电解剖图的相关性
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745599
J. Sapp, F. Dawoud, J. Clements, M. Gardner, M. Basta, R. Parkash, B. Horáček
We hypothesized that the calculation of epicardial potentials from body-surface potential maps (BSPMs) could aid ablation of ventricular tachycardia (VT). BSPMs were recorded during epicardial catheter mapping and pacing in 2 patients. Single-beat epicardial maps were calculated by inverse solution using customized torso/cardiac geometry, discretized from a CT scan. During pacing from 48 epicardial sites, we observed stimulus-QRS delay (Stim-QRS) of 27 plusmn 7 ms and a difference between known pacing locations and calculated sites of earliest potential minima of 1.6 plusmn 1.4 cm. Pacing in scar and scar-border zones had longer Stim-QRS delay (51 plusmn 24 ms and 35 plusmn 23 ms, respectively, p=0.004), and greater distances between known pacing sites and known locations (3.0 plusmn 1.6 cm and 4.6 plusmn 2.0 cm, respectively, p=0.0004). BSPM with inverse solution mapping can identify sites of earliest epicardial activation and thus could have clinical utility.
我们假设,通过体表电位图(BSPM)计算心外膜电位有助于室性心动过速(VT)的消融。我们在对两名患者进行心外膜导管映射和起搏时记录了体表电位图。单次搏动的心外膜图是通过使用定制的躯干/心脏几何图形进行反解计算得出的,这些几何图形是从 CT 扫描中离散出来的。在 48 个心外膜部位起搏时,我们观察到刺激-QRS 延迟(Stim-QRS)为 27 加 7 毫秒,已知起搏位置与计算出的最早电位极值位置之间的差值为 1.6 加 1.4 厘米。在瘢痕区和瘢痕边界区起搏的 Stim-QRS 延迟时间更长(分别为 51 加仑 24 毫秒和 35 加仑 23 毫秒,p=0.004),已知起搏位置与已知位置之间的距离更大(分别为 3.0 加仑 1.6 厘米和 4.6 加仑 2.0 厘米,p=0.0004)。带有反向溶液映射的 BSPM 可确定最早激活心外膜的位置,因此具有临床实用性。
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引用次数: 2
Denoising of Heart Rate Variability signals during tilt test using independent component analysis and multidimensional recordings 利用独立分量分析和多维记录对倾斜试验中心率变异性信号进行降噪
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745506
F. Gimeno-Blanes, J. Rojo-Alvarez, J. Requena-Carrión, E. Everss, J. Hernandez-Ortega, F. Alonso-Atienza, A. García-Alberola
Vasovagal Syncope (VVS) represents the most frequent cause of loss of consciousness. Additionally to its clinical usefulness, the tilt test is a good quality physiological gold standard for the spectral analysis of Heart Rate Variability (HRV). Noise removal in HRV signals is problematic, due to the presence of ectopic beats and non-stationary short-term trends. Given current Tilt Test systems simultaneously record several physiological signals, we hypothesize that independent component analysis (ICA) may separate physiological from mostly-noise components, and denoising can be properly done. Four-dimensional recordings (HR, systolic/diastolic blood pressure, and ejection volume) were obtained during 50 Tilt Test. After ICA decomposition, a 5th order median filter was applied to the noisiest component, prior to signal reconstruction. In order to check the denoising performance, a gold-standard was made by manually removing ectopic beats and artifacts from the original signals by an expert. For comparison purposes, a 5th order median filter was also applied separately to the HR signal. The spectrum analysis showed that denoising of multidimensional recordings with ICA during Tilt Test yields HRV signals with lower distortion at HF band.
血管迷走神经性晕厥(VVS)是最常见的意识丧失原因。除了临床用途外,倾斜试验是心率变异性(HRV)光谱分析的高质量生理金标准。由于异位心跳和非平稳短期趋势的存在,HRV信号中的噪声去除是有问题的。鉴于目前的倾斜测试系统同时记录多个生理信号,我们假设独立分量分析(ICA)可以将生理信号从大多数噪声分量中分离出来,并且可以适当地进行去噪。在50 Tilt试验中获得四维记录(HR、收缩压/舒张压和射血量)。ICA分解后,在信号重构之前,对噪声最大的分量进行5阶中值滤波。为了检验去噪性能,专家通过人工去除原始信号中的异拍和伪影,制定了一个金标准。为了比较,我们还对HR信号单独应用了一个5阶中值滤波器。频谱分析表明,在倾斜测试过程中,用ICA对多维记录进行去噪,可以得到高频失真较低的HRV信号。
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引用次数: 3
An analysis of the errors in recorded heart rate and blood pressure in the ICU using a complex set of signal quality metrics 使用一套复杂的信号质量指标分析ICU中记录的心率和血压的误差
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745567
C. W. Hug, G. Clifford
We analyzed over 95,000 individual values of heart rate and blood pressure derived from 118,000 hours of electrocardiogram (ECG) and 71,000 hours of Arterial Blood Pressure (ABP) data from 1,071 patients using two methods. One method was a nursing-staff verified automatic measurement transmitted from the bedside monitor to central nursing station at intervals of 5 to 60 minutes. The other method involved re-deriving the estimates from continuous ECG and ABP waveforms using independent algorithms and a set of previously described signal quality metrics to reject noisy and untrustworthy data. Results demonstrate that after the removal of obvious artifactual derived HR and ABP estimates, the two measurement sources disagree, on average, by a clinically insignificant amount. Furthermore, after rejection of data using signal quality metrics, the error distribution curve significantly tightens. The clinically-verified BP values exhibit a small but significant bias towards overestimation, both as a function of time of day and as a function of day of the week. Differences in values between time of day and day of week were small but statistically significant. Inter-nurse differences are also described.
我们使用两种方法分析了来自1,071名患者的118,000小时心电图(ECG)和71,000小时动脉血压(ABP)数据的95,000多个个体心率和血压值。一种方法是由护理人员验证的自动测量数据,每隔5 ~ 60分钟从床边监视器传输到中央护理站。另一种方法涉及使用独立算法和一组先前描述的信号质量指标从连续ECG和ABP波形重新导出估计,以拒绝噪声和不可信的数据。结果表明,在去除明显的人工得出的HR和ABP估计值后,两个测量来源平均不一致,临床上不显著。此外,在使用信号质量指标拒绝数据后,误差分布曲线显着收紧。临床验证的血压值表现出小而显著的高估偏差,无论是作为一天的时间的函数还是作为一周中的一天的函数。一天中的时间和一周中的一天之间的值差异很小,但具有统计学意义。还描述了护士之间的差异。
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引用次数: 22
Determining risk factors for survival after LMCA stenosis with intelligent data analysis 用智能数据分析确定LMCA狭窄后生存的危险因素
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745419
P. Povalej, V. Kanič, P. Kokol
Coronary artery disease is one of the most frequent causes of premature deaths in Slovenia and also in most countries in the world. A ldquogold standardrdquo for treatment of left main coronary artery (LMCA) stenosis is still a surgical therapy; however percutanueous transluminal coronary angioplasty (PTCA) is much simpler for the patients and gives comparable short-term and mid-term results to surgical therapy. PTCA of LMCA stenosis is safe and technically demanding but long-term clinical outcomes are not yet defined. In this paper we present an intelligent data analysis method for inducing a decision tree that was able to outline some anticipated and also some relatively unexpected but useful risk factors for survival after PTCA.
冠状动脉疾病是斯洛文尼亚和世界上大多数国家过早死亡的最常见原因之一。治疗左主干冠状动脉(LMCA)狭窄的黄金标准仍然是手术治疗;然而,经皮腔内冠状动脉成形术(PTCA)对患者来说更简单,短期和中期效果与手术治疗相当。LMCA狭窄的PTCA是安全且技术要求高的,但长期临床结果尚未确定。在本文中,我们提出了一种智能数据分析方法,用于诱导决策树,该决策树能够概述一些预期的和一些相对意外的但有用的PTCA后生存风险因素。
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引用次数: 0
A model-based study of the influence of vaso-active drugs on pulse delays measured from the electrocardiogram 基于模型的血管活性药物对心电图测量的脉冲延迟影响的研究
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745502
X. Aubert, J. Muehlsteff
The use of ECG-based pulse delays as a surrogate of the arterial blood pressure has long been questioned, especially when the subject is given vaso-active drugs altering the vascular resistance. When measured from the ECG, pulse delays include two components: the vascular pulse transit time and cardiac pre-ejection period (PEP). This paper analyses the relationships of both vascular and cardiac components with the blood pressure. As there is no known equation ruling PEP, a lumped model of arterial circulation is used to study the dependencies between blood pressure and PEP. When the peripheral resistance varies PEP shows a direct correlation with the blood pressure, opposite to the inverse pulse transit time dependency. Real-life signal examples from intensive care unit patients are presented and discussed.
长期以来,使用心电图脉冲延迟作为动脉血压的替代品一直受到质疑,特别是当受试者服用血管活性药物改变血管阻力时。当从心电图测量时,脉冲延迟包括两个组成部分:血管脉冲传递时间和心脏射血前期(PEP)。本文分析了血管和心脏成分与血压的关系。由于PEP没有已知的方程,我们采用动脉循环的集总模型来研究血压与PEP的相关性。外周血阻力变化时,PEP与血压呈正相关关系,而与脉搏传递时间呈负相关关系。现实生活中的信号的例子,从重症监护病房的病人提出和讨论。
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引用次数: 2
The MyHeart project: A framework for personal health care applications MyHeart项目:个人医疗保健应用程序框架
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745440
M. Harris, J. Habetha
MyHeart is a so-called Integrated Project of the European Union aimed at developing intelligent systems for the prevention and monitoring of cardiovascular status. The approach of the MyHeart project is to monitor Vital Body Signs (VBS) with wearable technology, to process the measured data and to give the user (therapy) recommendations from the system. Using its broad base of technical and business expertise, four concepts adressing cardiac health have been developed and tested on a technical, business, realisability and usability level.
MyHeart是欧盟所谓的综合项目,旨在开发预防和监测心血管状况的智能系统。MyHeart项目的方法是用可穿戴技术监测生命体征(VBS),处理测量数据,并从系统中给用户(治疗)建议。利用其广泛的技术和业务专业知识基础,已开发并在技术、业务、可实现性和可用性层面上测试了解决心脏健康的四个概念。
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引用次数: 37
Optical recording of single cardiomyocyte transmembrane potential in Langendorff-perfused mouse hearts langendorff灌注小鼠心脏单个心肌细胞跨膜电位的光学记录
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745495
G. Bu, E. Berbari, M. Rubart
Spatial heterogeneity of action potential properties has been related to cardiac arrhythmogenesis. In this study we used laser scanning confocal microscopy in conjunction with the fast potentiometric dye ANNINE-6 to monitor changes in cardiomyocyte transmembrane potentials in Langendorff-perfused mouse hearts on a subcellular scale. Line-scan images from up to three neighboring cardiomyocytes were obtained during continuous electrical stimulation at 3 Hz. Fluorescence changes for each cardiomyocyte along the scan line were resolved from the corresponding line-scan image. Peak changes in fluorescence intensity during an action potential exceeded 20%. Signal-to-noise ratio of the optical signal was >20. Action potential durations were not significantly different between adjacent cardiomyocytes under our conditions. We conclude that this imaging technique can be used to investigate cell-to-cell repolarization heterogeneity in the intact heart.
动作电位性质的空间异质性与心律失常的发生有关。在这项研究中,我们使用激光扫描共聚焦显微镜结合快速电位测定染料ANNINE-6在亚细胞尺度上监测langendorff灌注小鼠心脏心肌细胞跨膜电位的变化。在连续的3hz电刺激下,从多达三个相邻的心肌细胞获得线扫描图像。从相应的线扫描图像中分辨出沿扫描线的每个心肌细胞的荧光变化。动作电位期间荧光强度的峰值变化超过20%。光信号信噪比>20。在我们的条件下,相邻心肌细胞之间的动作电位持续时间没有显著差异。我们得出结论,这种成像技术可用于研究完整心脏细胞间复极化异质性。
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引用次数: 2
Modelling conduction through the Purkinje ventricular junction and the short-QT syndrome associated with HERG mutation in the rabbit ventricles 模拟通过浦肯野心室交界处的传导和与兔心室HERG突变相关的短qt综合征
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745466
O. Aslanidi, R. Sleiman, H. Williamson, M. Boyett, H. Zhang
Remarkable differences in action potential properties between the Purkinje fibre and ventricular cells may lead to abnormalities in excitation conduction through the Purkinje-ventricular junction (PVJ) and arrhythmogenic behaviour. We develop a family of electrophysiologically detailed computer models for rabbit epicardial, midmyocardial and endocardial ventricular myocytes, as well as the rabbit Purkinje fibre cells, in order to simulate a realistic APD dispersion during conduction through the PVJ under normal conditions and under pathological conditions of the short QT syndrome associated with HERG N588K mutation.
浦肯野纤维和心室细胞之间动作电位特性的显著差异可能导致浦肯野-心室交界处(PVJ)的兴奋传导异常和致心律失常行为。我们为兔心外膜、心肌中、心内膜心室肌细胞以及兔浦肯野纤维细胞建立了一系列电生理学详细的计算机模型,以模拟正常条件下和与HERG N588K突变相关的短QT综合征病理条件下APD通过PVJ传导时的真实弥散。
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引用次数: 2
期刊
2007 Computers in Cardiology
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