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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
Detection of coronary artery disease with an electronic stethoscope 用电子听诊器检测冠状动脉疾病
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745596
S. Schmidt, C. Holst-Hansen, C. Graff, E. Toft, J. Struijk
A noninvasive method for detection of coronary artery disease (CAD) with an electronic stethoscope is proposed. Heart sounds recorded in clinical settings are often contaminated with background noise and noise caused by friction between the skin and the stethoscope. A method was developed to reduce the influence of the noise artifacts. The diastolic parts of the heart sounds were divided into multiple sub-segments, where noisy sub-segments were indentified as sub-segments with a low degree of stationarity or with a high energy level. The sub-segments not identified as noisy were analyzed with an autoregressive (AR) model, where the pole-magnitude of the 1st pole was used as a discriminating parameter. A test on 50 subjects showed that removal of the noisy sub-segments before analyses improved the diagnostic performance of the AR-model considerably, thereby reducing the influence of noise related to the use of a handhold stethoscope.
提出了一种用电子听诊器检测冠状动脉疾病(CAD)的无创方法。在临床环境中记录的心音经常受到背景噪声和皮肤与听诊器之间摩擦引起的噪声的污染。提出了一种减小噪声伪影影响的方法。心音的舒张部分被划分为多个亚段,其中嘈杂的亚段被确定为低平稳度或高能量水平的亚段。使用自回归(AR)模型对未识别为噪声的子段进行分析,其中第一极点的极点幅度用作判别参数。一项针对50名受试者的测试表明,在分析之前去除噪声子段大大提高了ar模型的诊断性能,从而减少了与使用手持听诊器相关的噪声的影响。
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引用次数: 35
The assessment of local arterial stiffness from ultrasound images 从超声图像评估局部动脉僵硬度
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745597
E. Bianchini, C. Giannarelli, F. Faita, K. Raimo, V. Gemignani, L. Ghiadoni, M. Demi
Local arterial stiffness of the superficial arteries can be evaluated by measuring the diameter change during the heart cycle from ultrasound data in conjunction with the local pulse pressure. In this work, such a system is introduced, and the obtained results on the common carotid artery are compared with those obtained by measuring the carotid to femoral pulse wave velocity (PWV) which can be considered to be the ldquogold standardrdquo technique for the evaluation of arterial stiffness. 14 healthy subjects and 14 hypertensive patients were involved in the study. Results show that a direct evaluation of local carotid stiffness, obtained by an appropriate video processing system, can discriminate between healthy and hypertensive patients as does the carotid-femoral PWV technique.
通过结合局部脉压和超声数据测量心脏周期内的直径变化,可以评估浅表动脉的局部动脉刚度。本文介绍了该系统,并将其在颈总动脉上得到的结果与测量颈动脉到股骨的脉冲波速度(PWV)得到的结果进行了比较,可以认为PWV是评估动脉刚度的黄金标准技术。研究对象为14名健康受试者和14名高血压患者。结果表明,通过适当的视频处理系统获得的局部颈动脉僵硬度的直接评估可以区分健康患者和高血压患者,正如颈动脉-股动脉PWV技术一样。
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引用次数: 14
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
AALIM: Multimodal mining for cardiac decision support 心脏决策支持的多模态挖掘
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745458
T. Syeda-Mahmood, F. Wang, D. Beymer, A. Amir, M. Richmond, S. Hashmi
Diagnostic decision support is still very much an art for physicians in their practices today due to lack of quantitative tools. AALIM is a decision support system for cardiology that exploits the consensus opinions of other physicians who have looked at similar patients, to present statistical reports summarizing possible diagnoses. The key idea behind our statistical decision support system is the search for similar patients based on the underlying multimodal data. In this paper, we describe the AALIM decision support system and the underlying multimodal similarity search used for cardiac data sets.
由于缺乏定量工具,诊断决策支持在今天的医生实践中仍然是一门艺术。AALIM是一个心脏病学决策支持系统,它利用其他看过类似患者的医生的一致意见,提出总结可能诊断的统计报告。我们的统计决策支持系统背后的关键思想是基于潜在的多模态数据搜索相似的患者。在本文中,我们描述了AALIM决策支持系统和用于心脏数据集的底层多模态相似性搜索。
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引用次数: 26
Electrocardiogram synthesis using a Gaussian combination model (GCM) 利用高斯组合模型(GCM)合成心电图
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745562
S. Parvaneh, M. Pashna
In this paper modifications to an algorithm for electrocardiogram (ECG) synthesis based on a combination of Gaussians to fit real ECG data have been proposed. A method is proposed for fitting algorithm assuming that constituent Gaussian functions in GCM model are independent. Desired period(s) of ECG were selected and the number of Gaussians in the morphologic model was determined. For ECG synthesis, a Gaussian was fitted around each of the extrema and minimized local error that is defined as local difference of real ECG and our model. The range of Gaussian fitting (place to put independent Gaussian) was determined using two methods: zero crossing method and minimum bank method. Results were presented based on the efficiency of determining the Gaussian parameters in terms of time for fitting and accuracy of model.
本文提出了一种基于高斯组合的心电图合成算法的改进,以拟合真实心电数据。提出了一种假设GCM模型中各高斯函数相互独立的拟合算法。选择心电图所需周期(s),确定形态学模型中的高斯数。在心电合成中,对每个极值和最小局部误差进行高斯拟合,并将其定义为实际心电与模型的局部差。采用过零法和最小库法确定高斯拟合的范围(独立高斯的放置位置)。基于高斯参数在拟合时间上的确定效率和模型的精度给出了结果。
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引用次数: 12
A new adaptive approach to remove baseline wander from ECG recordings using Madeline structure 利用Madeline结构自适应去除心电图记录基线漂移的新方法
Pub Date : 2007-09-01 DOI: 10.1109/CIC.2007.4745540
J. Mateo, C. Sánchez, C. Vayá, R. Cervigón, J. J. Rieta
Nowadays, there exist different approaches to cancel out noise effect and baseline drift in biomedical signals. However, none of them can be considered as completely satisfactory. In this work, an artificial neural network (ANN) based approach to cancel out baseline drift in electrocardiogram signals is presented. The system is based on a grown ANN allowing to optimize both the hidden layer number of nodes and the coefficient matrixes. These matrixes are optimized following the Window-Hoff Delta algorithm, offering much lower computational cost that the traditional back propagation algorithm. The proposed methodology has been compared with traditional baseline reduction methods (FIR, Wavelet and Adaptive LMS filtering) making use of cross correlation, signal to interference ratio and signal to noise ratio indexes. Obtained results show that the ANN-based approach performs better, with respect to baseline drift reduction and signal distortion at filter output, than traditional methods.
目前,针对生物医学信号中的噪声效应和基线漂移,存在不同的消除方法。然而,没有一个可以被认为是完全令人满意的。在这项工作中,提出了一种基于人工神经网络(ANN)的方法来消除心电图信号中的基线漂移。该系统基于一个成熟的人工神经网络,可以优化隐藏层节点数和系数矩阵。这些矩阵是根据Window-Hoff Delta算法进行优化的,与传统的反向传播算法相比,计算成本要低得多。利用互相关、信噪比和信噪比指标,将该方法与传统的基线降准方法(FIR、小波和自适应LMS滤波)进行了比较。结果表明,与传统方法相比,基于人工神经网络的方法在降低基线漂移和滤波器输出信号失真方面表现更好。
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引用次数: 12
期刊
2007 Computers in Cardiology
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