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2007 Computers in Cardiology最新文献

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Analysis of the heart rate variability and stratification of the risk of cardiac patients with Chagas’ disease 恰加斯病心脏病患者心率变异性及风险分层分析
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745523
M. Vizcardo, J. Jiménez, F. Moleiro, A. Marcano, A. Octavio, A. Rodriguez
According to the World wide Organization of the Health, the number of people infected with the Tri-panosoma Cruzi is considered between 16 and 18 million, causal agent of the Chagaspsila disease, and in 100 million the people exposed to the affectation risk. When concluding in 1983 a study longitudinal epidemiologist in patients with the disease evaluated every 3 years, the cardiac affectation: chronic Chagasic myocarditis (MCHC) increased from a 17% at the beginning of the study to a 49, 4% after 15 years. Previous studies of the variability of cardiac frequency in patients with the Chagaspsila disease, show alterations in the spectral indices of the HRV. We analyze the 24-hour heart rate by Holter recordings in 62 patients with ECG alterations (CH2), 32 patients without ECG alterations (CH1) who had positive serological findings for disease of Chagaspsila and 36 healthy subjects (control) matched for sex and age. We find a orthogonal base that is able to discriminate the groups from circadian profiles, control and CH2, and stratify the groups CH1.
据世界卫生组织称,感染克鲁兹三体病的人数被认为在1600万至1800万之间,这是恰加斯sila病的病因,1亿人中有1亿人面临感染风险。在1983年的一项研究中,纵向流行病学家每3年对该疾病患者进行一次评估,心脏病变:慢性Chagasic心肌炎(MCHC)从研究开始时的17%增加到15年后的49.4%。先前对Chagaspsila病患者心脏频率变异性的研究表明,HRV的频谱指数发生了变化。我们分析了62例心电图改变(CH2)患者、32例无心电图改变(CH1)且血清学结果阳性的chaspsila病患者和36例性别和年龄匹配的健康受试者(对照组)的24小时心率。我们发现了一个正交基,能够从昼夜节律剖面、对照和CH2中区分各组,并对CH1组进行分层。
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引用次数: 5
Decision support system for the practical implementation of the Chronic Heart Failure guidelines: The MyHeart approach 慢性心力衰竭指南实际实施的决策支持系统:MyHeart方法
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745420
C. Bescos, M. Harris, R. Bover, R. Schmidt, J. Pérez-Villacastín
Chronic Heart Failure (CHF) is the major cause for hospitalization in adults in western societies, mainly due to decompensation of patients. Active prevention, diagnosis, and personalized treatment contribute to the stabilization of chronic patients and the reduction of events. The approach of the EU FP6 MyHeart project is to collect daily vital body signs on CHF patients in an easy and comfortable way. The data is processed via a decision support system (DSS) and the platform gives instant recommendations to the user. The system also sends the information to the professionals for a better follow-up. The designed DSS is based on Bayesian networks (BN) and combines the accepted standardized clinical guidelines with the most advanced monitoring data in daily routine, in order to provide individualized recommendations to the patient in a concrete situation.
慢性心力衰竭(CHF)是西方成年人住院治疗的主要原因,主要是由于患者的代偿失调。积极预防、诊断和个性化治疗有助于稳定慢性患者和减少事件。欧盟FP6 MyHeart项目的方法是以一种简单舒适的方式收集CHF患者的日常生命体征。数据通过决策支持系统(DSS)进行处理,平台向用户提供即时建议。系统还将信息发送给专业人员,以便更好地跟进。设计的决策支持系统以贝叶斯网络(BN)为基础,结合公认的标准化临床指南和最先进的日常监测数据,在具体情况下为患者提供个性化的建议。
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引用次数: 4
Comparative analysis of the parameters affecting AED rhythm analysis algorithm applied to pediatric and adult Ventricular Tachycardia 影响儿童与成人室性心动过速AED节律分析算法参数的比较分析
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745511
E. Aramendi, U. Irusta, S. Ruiz de Gauna, J. Ruiz
In this study pediatric and adult Ventricular Tachycardia (VT) are used to test the efficiency of an AED analysis algorithm. Statistical assessment of the four significant parameters that define the shock-noshock classification algorithm has been performed. The following parameters are considered: Pulse Rate (PR), Waveform Power Ratio (WPR), and two morphological parameters, Baseline Content (BC) and Probability Distribution Width (PDW). A set of 76 adult and 55 pediatric shockable VT episodes is considered to measure the sensitivity of the classification algorithm originally developed for adult patients (100% for rapid adult VT). The sensitivity for the whole pediatric set is 96.36 %, but increases to 100% for the 1-8 years of age subgroup.
在这项研究中,儿童和成人室性心动过速(VT)被用来测试AED分析算法的效率。对定义冲击-非冲击分类算法的四个重要参数进行了统计评估。考虑以下参数:脉冲速率(PR),波形功率比(WPR),以及两个形态学参数,基线内容(BC)和概率分布宽度(PDW)。一组76例成人和55例儿童休克性室速发作被认为是衡量最初为成人患者开发的分类算法的敏感性(100%快速成人室速)。整个儿童组的敏感性为96.36%,但在1-8岁亚组中增加到100%。
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引用次数: 2
An improved method for unsupervised analysis of ECG beats based on WT features and J-means clustering 基于小波变换特征和j均值聚类的心电图无监督分析方法
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745552
J. Rodríguez-Sotelo, D. Cuesta-Frau, G. Castellanos-Domínguez
Clustering is advisable technique for analysis and interpretation of long-term ECG Holter records. As a non-supervised method, several challenges are posed due to factors such as signal length (very long duration), noise presence, dynamic behavior and morphology variability (different patient physiology and/or pathology). This work describes an improved version of the k-means clustering algorithm (J-means) for this task. In order to reduce the number of heartbeats to process, a preclustering stage is also employed. Dissimilarity measure calculation is based on the Dynamic Time Warping approach. To assess the validity of the proposed method, a comparative study is carried out, using k-means, k-medians, hk-means, and J-means. Heartbeat features are extracted by means of WT coefficients and trace segmentation. Best results were achieved by the J-means algorithm, which reduces the clustering error down to 4.5% while the critical error tends to the minimal value.
聚类是分析和解释长期动态心电图记录的一种可行的技术。作为一种非监督方法,由于信号长度(持续时间很长)、噪声存在、动态行为和形态学变化(不同的患者生理和/或病理)等因素,提出了一些挑战。这项工作描述了k-means聚类算法(J-means)的改进版本。为了减少需要处理的心跳数,还采用了预聚类阶段。不同度量的计算基于动态时间翘曲方法。为了评估所提出方法的有效性,我们使用k-means、k-median、hk-means和J-means进行了比较研究。通过小波变换系数和轨迹分割提取心跳特征。J-means算法效果最好,聚类误差降至4.5%,临界误差趋于最小。
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引用次数: 8
A novel heart rate variability index for evaluation of left ventricular function using five-minute electrocardiogram 一种新的心率变异性指标评价左心室功能使用五分钟心电图
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745525
S. Babaeizadeh, S.H. Zhou, X. Liu, W.Y. Hu, D. Feild, E. Helfenbein, R. Gregg, J. Lindauer
In this paper, we introduce a new index based on the frequency-domain analysis of heart rate variability, or more precisely, the power spectrum of the instant heart rate signal. This index, called VHFI, is defined as the very high frequency component of the power spectrum normalized to represent its relative value in proportion to the total power minus the very low frequency component. We tested VHFI on patients with known reduced left ventricular function and found that this index has the potential to be a useful tool for quick evaluation of left ventricular function.
在本文中,我们引入了一种基于心率变异性频域分析的新指标,或者更准确地说,是基于瞬时心率信号的功率谱。该指标称为VHFI,定义为归一化功率谱的高频分量,以表示其相对于总功率减去极低频分量的比例。我们对已知左心室功能降低的患者进行了VHFI测试,发现该指数有可能成为快速评估左心室功能的有用工具。
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引用次数: 8
Organization deterioration assessment from the surface ECG in the onset and termination of paroxysmal atrial fibrillation 阵发性心房颤动起止时体表心电图组织恶化评价
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745531
R. Alcaraz, J. J. Rieta
Recently, it has been suggested that many episodes of atrial fibrillation (AF) may be partially organized at the onset. Moreover, several clinical studies have demonstrated that an AF organization increase occurs prior to its spontaneous termination (paroxysmal AF), which could be used to predict the paroxysmal AF termination. However, although severals AF organization estimators based on invasive and non-invasive analysis have been proposed, the time course of organization in the first and last minutes of AF has not been quantified yet. Thereby, the aim of this work was to study the organization variations within the first and last minutes of paroxysmal AF episodes from surface ECG recordings making use of sample entropy. An organization decrease in the first minutes after AF onset and an increase within the last minute before spontaneous AF termination were obtained, these results were coincident with the conclusions presented in previous clinical works. Thus, it can be concluded that paroxysmal AF organization variations can be assessed from surface recordings without the need of invasive measurements.
最近,有研究表明,许多心房颤动(AF)发作可能在发病时部分有组织。此外,一些临床研究表明,房颤组织增加发生在其自发终止(阵发性房颤)之前,这可以用来预测阵发性房颤终止。然而,尽管已经提出了几种基于有创性和无创性分析的房颤组织估计方法,但房颤最初和最后几分钟的组织时间过程尚未被量化。因此,本研究的目的是利用样本熵,从体表心电图记录中研究阵发性心房颤动发作的第一和最后几分钟内的组织变化。AF发作后1分钟组织减少,AF自行终止前1分钟组织增加,这与以往临床工作的结论一致。因此,可以得出结论,阵发性心房颤动的组织变化可以从表面记录评估,而无需侵入性测量。
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引用次数: 0
Performance evaluation of 4D reconstruction methods for gated cardiac single photon emission computed tomography in obese patients 肥胖患者门控心脏单光子发射计算机断层扫描4D重建方法的性能评价
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745499
S. Sayeram, D. Lalush
The purpose of this study is to evaluate 4D reconstruction methods for the processing of gated cardiac single photon emission computed tomography (SPECT) images from obese patients. Clinical gated SPECT projection data were reconstructed using the ordered-sub sets expectation- maximization (OS-EM) and the 4D reseated block- iterative maximum a posteriori (RBI-MAP) reconstruction algorithms. The data were used to derive a relative distribution of quantitative tetrofosmin uptake ratios for the various organs. Using anthropometric data, body sizes were determined for a standard obese male and female NURBS-based cardiac torso (NCAT) phantom. Tetrofosmin uptake ratios were modeled in the obese phantoms and projection data were generated. Poisson noise was simulated, and the noisy data were reconstructed with OS-EM and 4D RBI-MAP. The projected and reconstructed data from the obese phantoms make for a realistic model of tetrofosmin uptake distribution. Qualitatively, 4D processing methods substantially improve visualization of cardiac motion in these very noisy images. We conclude that the tetrofosmin patient models provide a realistic, controllable test vehicle on which to evaluate 4D processing methods for gated cardiac SPECT. 4D processing methods improve the quality of gated SPECT images in obese patients, providing a usable representation of cardiac motion in these difficult-to-image patients.
本研究的目的是评估处理肥胖患者门控心脏单光子发射计算机断层扫描(SPECT)图像的4D重建方法。采用有序子集期望最大化(OS-EM)和四维重定位块迭代最大后验(RBI-MAP)重建算法重建临床门控SPECT投影数据。这些数据被用来推导出不同器官的定量四磷蛋白摄取比率的相对分布。使用人体测量数据,确定标准肥胖男性和女性基于nurbs的心脏躯干(NCAT)幻影的体型。在肥胖幻影中建立了四小龙蛋白摄取比模型,并生成了投影数据。模拟泊松噪声,利用OS-EM和4D RBI-MAP对噪声数据进行重构。从肥胖幻影中预测和重建的数据构成了一个现实的四角磷蛋白摄取分布模型。从质量上讲,4D处理方法大大提高了这些非常嘈杂的图像中心脏运动的可视化。我们认为,四磷蛋白患者模型为评估门控心脏SPECT的4D处理方法提供了一个现实的、可控的试验载体。4D处理方法提高了肥胖患者门控SPECT图像的质量,为这些难以成像的患者提供了可用的心脏运动表征。
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引用次数: 0
Model-based approach to the localization of infarction 基于模型的梗死定位方法
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745449
D. Farina, O. Dossel
A model-based approach to noninvasively determine the location and size of the infarction scar is proposed, that in addition helps to estimate the risk of arrhythmias. The approach is based on the optimization of an electrophysiological heart model with an introduced infarction scar to fit the multichannel ECG measured on the surface of the patient's thorax. This model delivers the distributions of transmembrane voltages (TMV) within the ventricles during a single heart cycle. The forward problem of electrocardiography is solved in order to obtain the simulated ECG of the patient. This ECG is compared with the measured one, the difference is used as the criterion for optimization of model parameters, which include the site and size of infarction scar.
提出了一种基于模型的无创方法来确定梗死疤痕的位置和大小,此外还有助于估计心律失常的风险。该方法是基于电生理心脏模型的优化,引入梗死疤痕,以适应在患者胸腔表面测量的多通道心电图。该模型提供了单个心脏周期内心室内跨膜电压(TMV)的分布。为了得到病人的模拟心电图,解决了心电图的正演问题。将该心电图与实测值进行比较,差异作为优化模型参数的标准,包括梗死疤痕的部位和大小。
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引用次数: 24
Assessment of myocardial damage in chronic chagasic patients using QRS slopes QRS斜率法评价慢性肝病患者心肌损害
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745588
E. Pueyo, E. Laciar, E. Anzuola, P. Laguna, R. Jané
In this study the slopes of the QRS complex are evaluated for determination of the degree of myocardial damage in chronic chagasic patients. Previous studies have demonstrated the ability of the slope indices to reflect alterations in the conduction velocity of the cardiac impulse. Results obtained in the present study show that chronic chagasic patients have significantly flatter QRS slopes as compared to healthy subjects. Not only that but the extent of slope lessening turns out to be proportional to the degree of myocardial damage caused by the disease. Additionally, when incorporating the slope indices into a classification analysis together with other indices indicative of the presence of ventricular late potentials obtained from high resolution electrocardiography, results show that the percentages of correct classification increase up to 62.5%, which means eight points above the percentages obtained prior to incorporation of the slope indices. It can be concluded that QRS slopes have great potential for assessing the degree of severity associated with Chagaspsila disease.
在这项研究中,QRS复合体的斜率被评估,以确定慢性chagasic患者的心肌损伤程度。先前的研究已经证明斜率指数能够反映心冲动传导速度的变化。本研究结果表明,与健康受试者相比,慢性恰加斯病患者的QRS斜率明显更平坦。不仅如此,坡度减小的程度与疾病对心肌的损害程度成正比。此外,当将斜率指数与高分辨率心电图显示的其他指示心室晚电位存在的指标一起纳入分类分析时,结果表明,正确分类的百分比提高了62.5%,比纳入斜率指数之前的百分比提高了8个百分点。由此可见,QRS斜率在评价桦尺蠖病的严重程度方面具有很大的潜力。
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引用次数: 6
Tissue response during staining and illumination of voltage-sensitive dye in rabbit myocardium 电压敏感染料染色和光照对兔心肌组织的影响
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745573
M. Nováková, K. Nogová, J. Bardoňová, I. Provazník
Voltage-sensitive dyes (VSDpsilas) undergo changes in their electronic structure, and consequently their fluorescence spectra, in response to changes in the surrounding electric field and are therefore used for recording of monophasic action potentials (MAPs) by optical method. S.-c. phototoxic effects of VSDs appear under intense illumination and include alterations in heart electrical signals. To examine putative side effects of VSD di-4-ANEPPS in rabbit hearts, we studied electrogram, mean coronary flow and formation of hydroxyl radicals in the control, staining and washout periods and during illumination. Possible ultrastructural changes were examined by electron microscopy. Rabbit myocardium is resistant to di-4-ANEPPS side effects during staining and also resistant to bleaching during intense illumination since only minor changes in ECG and no change in other parameters were observed.
电压敏感染料(VSDpsilas)随着周围电场的变化而改变其电子结构,从而改变其荧光光谱,因此通过光学方法用于记录单相动作电位(MAPs)。研究所。vsd的光毒性作用在强光照下出现,包括心脏电信号的改变。为了检验VSD -4- anepps对兔心脏可能的副作用,我们研究了对照组、染色和冲洗期以及光照期间的心电图、平均冠状动脉血流和羟基自由基的形成。电镜观察可能的超微结构变化。兔心肌在染色过程中对二-4- anepps的副作用有抵抗性,在强光下也能抵抗白化,因为心电图只有微小的变化,其他参数没有变化。
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引用次数: 1
期刊
2007 Computers in Cardiology
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