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An automatic procedure to convert ECGs from graph paper to digital signals 一个自动程序转换心电图从图纸到数字信号
Pub Date : 2002-09-22 DOI: 10.1109/CIC.2002.1166758
M. Paterni, A. Belardinelli, A. Benassi, C. Carpeggiani, M. Demi
Today most commercial equipment already provides ECG signals in a digital form and allow their registration in a local archive. However, the recovery of past ECGs from graph paper is still needed since ECGs are a valuable source of information regarding the clinical history of a patient and, consequently, it is very useful to have all the ECG recordings of the same patient in the same digital archive for subsequent analyses and comparisons. In this paper we propose a new method to convert ECGs from graph paper to digital signals. First a digital image of the ECG on graph paper is obtained with a flatbed scanner (600 dpi) and then a line detection procedure is used to detect and locate the ECG trace. The first order absolute moment (FOAM) is used as a mathematical operator to highlight the ECG trace with a ridge and the ECG signal is subsequently located at the top of the ridge with a multi-resolution approach.
今天,大多数商用设备已经以数字形式提供心电信号,并允许他们在本地存档中注册。然而,由于心电图是关于患者临床病史的宝贵信息来源,因此,将同一患者的所有心电图记录保存在同一数字档案中以供后续分析和比较,这是非常有用的,因此,仍然需要从图纸上恢复过去的心电图。本文提出了一种将心电图从图纸转换为数字信号的新方法。首先用平板扫描器(600 dpi)在方格纸上获得心电数字图像,然后用线路检测程序检测心电轨迹并定位。利用一阶绝对矩(FOAM)作为数学算子,用脊线突出心电信号,然后用多分辨率方法将心电信号定位在脊线的顶部。
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引用次数: 7
Uniform pacemaker and ICD information system in the Netherlands 荷兰统一的起搏器和ICD信息系统
Pub Date : 2002-09-22 DOI: 10.1109/CIC.2002.1166788
C. Hooijschuur, W. Dijk, W. van der Velde, B. Sanon, C. Ammeraal, W. Dassen, H. Spruijt
In the Netherlands the Central Pacemaker Patient Registry (CPPR) collects information of pacemaker and ICD (implantable cardio defibrillator) patients from all 109 Dutch hospitals. Many pacemaker clinics use a computer to store their implant and follow-up data in a database. Because the devices are getting more and more complex more clinical data is needed for optimal use of the device. Since 1989 databases have been developed by several pacemaker industries and some clinics use databases developed themselves. When using these databases you depend on individual persons for support and update of the database. In order to improve the accuracy of received data and to ensure continuity a uniform pacemaker and ICD information system is developed where data is checked, after which it is sent to the central registry by e-mail and where support is guaranteed by the NPRF.
在荷兰,中央心脏起搏器患者登记处(CPPR)收集了来自所有109家荷兰医院的心脏起搏器和植入式心脏除颤器患者的信息。许多心脏起搏器诊所使用计算机将植入物和随访数据存储在数据库中。由于设备变得越来越复杂,需要更多的临床数据来优化使用设备。自1989年以来,几个起搏器行业开发了数据库,一些诊所使用自己开发的数据库。在使用这些数据库时,您依赖于个人对数据库的支持和更新。为了提高所收到数据的准确性和确保连续性,在检查数据的地方开发了统一的起搏器和疾病分类信息系统,之后通过电子邮件将数据发送到中央登记处,并由国家预防犯罪基金保证提供支持。
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引用次数: 3
A comparison of methods for estimating endocardial potentials from a noncontact probe 非接触式探头估计心内膜电位方法的比较
Pub Date : 2002-09-22 DOI: 10.1109/CIC.2002.1166770
R. Throne, L. Olson, G. Bu, J. Windle
In this paper we compare zero and first order Tikhonov and Generalized Eigensystem (GES) regularization for estimating the endocardial potentials from measured potentials on a noncontact probe. In all cases, the Composite Residual Error and Smoothing Operator (CRESO) was used to estimate the regularization parameter In this limited study the use of higher order regularization produced larger average correlation coefficients between the estimated and measured endocardial electrograms.
本文比较了零阶和一阶吉洪诺夫正则化和广义本征系统正则化在非接触探针上测量心内膜电位估计中的应用。在所有情况下,使用复合残差和平滑算子(CRESO)来估计正则化参数。在这项有限的研究中,使用高阶正则化在估计的心内膜电图和测量的心内膜电图之间产生较大的平均相关系数。
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引用次数: 0
Development of an experimental method for long-term electrocardiographic recordings in a heart failure rabbit model 建立心力衰竭兔模型长期心电图记录的实验方法
Pub Date : 2002-09-22 DOI: 10.1109/CIC.2002.1166776
S. Schuckers, P. Raphisak, T. Yan, M. Schuckers
A method has been developed where the electrocardiogram (ECG) is monitored continuously using implantable monitors in a doxorubicin rabbit model of heart failure. The primary goal is to devise strategies to detect and analyze changes in the ECG as the disease develops. Doxorubicin was injected weekly in four rabbits at two different doses, 2 mg/kg and 4 mg/kg per week. Two control rabbits received saline injections. The ECG was continuously tracked and recorded (1000 samples per sec) for three control and up to ten treatment weeks. Data was produced 180 MB per ECG channel per day per rabbit, totaling around 200 GB for the study. Eleven classic heart rate variability (HRV) parameters were derived for every usable 5-minute segment for the entire period of the recordings. A new visualization technique was designed The results graphically show changes in the circadian rhythm in treatment group with a general loss in circadian rhythm and decrease in HRV.
已经开发了一种方法,在阿霉素兔心力衰竭模型中使用植入式监测器连续监测心电图(ECG)。主要目标是设计策略来检测和分析疾病发展时心电图的变化。4只家兔每周注射2 mg/kg和4 mg/kg两种不同剂量的阿霉素。2只对照兔接受生理盐水注射。连续跟踪和记录心电图(每秒1000个样本)3个对照组和10个治疗周。每只家兔每天每个ECG通道产生180mb的数据,研究数据总量约为200gb。11个经典的心率变异性(HRV)参数为整个记录期间的每一个可用的5分钟片段导出。我们设计了一种新的可视化技术,结果显示了治疗组昼夜节律的变化,昼夜节律普遍丧失,HRV下降。
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引用次数: 3
High-secured cardiac imaging network: Imaging CardioWeb Institute 高安全性心脏成像网络:imaging CardioWeb Institute
Pub Date : 2002-09-22 DOI: 10.1109/CIC.2002.1166779
O. Blagosklonov, E. Itti, R. Sabbah, P. Guiderdoni, M. Meignan, J. Cardot, R. Itti
This project - Imaging Cardio Web Institute (ICWI) - was presented for the first time to nuclear cardiology scientific community in 2000. The very first aim of the project was to provide a support for a multi-centric study. Actually this initiative of French medical imaging specialists is extended to other European countries. This network provides European cardiologists and medical imaging specialists with high security level communication procedures for transfer and storage of medical imaging data.
该项目-成像心脏网络研究所(ICWI) -于2000年首次向核心脏病学科学界提出。该项目的最初目的是为多中心研究提供支持。实际上,法国医学成像专家的这项倡议已扩展到其他欧洲国家。该网络为欧洲心脏病专家和医学成像专家提供了传输和存储医学成像数据的高安全性通信程序。
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引用次数: 1
Cardiovascular risk functions, and their practical relevance: to be trusted or not to be trusted 心血管风险函数及其实际意义:值得信任还是不值得信任
Pub Date : 2002-09-22 DOI: 10.1109/CIC.2002.1166832
A. Conti, A. Conti, G. Gensini
The practical reliability of the 20% risk threshold is examined, as fixed by the Italian Health Ministry using the European Joint Task Force(JES) 'chart of coronary risk'. Two different risk functions, one derived from the Framingham study and one from the PROCAM study, are compared. The comparison has been carried out in a homogeneous way. The data base is represented by 4584 Italian subjects (2067 males, 2517 females) on primary prevention, who participated in the RAI (Registro ANCE Ipertensione) study. The results show that there are 131 subjects (out of 271; 48.3%) who have a larger that 20% risk using the JES/Framingham algorithm, but are below threshold using the PROCAM one. Although any cut introduces a subjective measure, the choice of different risk functions is relevant in a high percentage of borderline cases, thus changing the status from 'high risk' to lower risk and vice versa.
意大利卫生部利用欧洲联合工作队(JES)确定了20%风险阈值的实际可靠性。"冠心病风险图表"比较了两个不同的风险函数,一个来自Framingham研究,另一个来自PROCAM研究。这种比较是以同质的方式进行的。该数据库由4584名意大利初级预防受试者(2067名男性,2517名女性)代表,他们参加了RAI (Registro ANCE Ipertensione)研究。结果表明,271名受试者中有131名;48.3%),使用JES/Framingham算法的风险大于20%,但使用PROCAM算法的风险低于阈值。尽管任何削减都引入了主观衡量标准,但在很大比例的边缘情况下,选择不同的风险函数是相关的,从而将状态从“高风险”改变为低风险,反之亦然。
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引用次数: 1
Multifractal analysis of the day and night characteristics of heart rate variability 多重分形分析昼夜心率变异性特征
Pub Date : 2002-09-22 DOI: 10.1109/CIC.2002.1166799
S. Ramchurn, A. Murray
The RR heart rate variability characteristics of normal subjects were studied to compare the multifractal characteristics during day and night. The RR intervals were obtained from 24-hour digital Holter ECG recordings of normal subjects, starting at midday. Each 24 hour period was split into 4 blocks of 6-hour which were analysed separately. The overnight period was fully contained in the third block, between midnight to 6 a.m. The 6-hour blocks were analysed using a wavelet transform multifractal formalism. Each spectrum peaked between the Hurst exponent (h) limits of 0.07 and 0.29. In one subject the overnight spectrum did not have a consistent overnight peak and could not be analysed. In the subjects with well-defined spectral peaks, the overnight peak position of h tended to be greater than that for any of the other three 6-hour periods, indicating that the fractal characteristics of the RR intervals differ during the overnight sleep period.
研究正常人RR心率变异性特征,比较白天和夜间的多重分形特征。RR间期从正常受试者的24小时数字动态心电图记录中获得,从中午开始。每24小时被分成4块,每块6小时分别进行分析。从午夜到早上6点的第三个时段完全被控制住了。使用小波变换多重分形形式化分析6小时块。各光谱在赫斯特指数(h)极限0.07 ~ 0.29之间达到峰值。在一名受试者中,夜间光谱没有一致的夜间峰值,无法分析。在光谱峰明确的被试中,h的夜间峰值位置往往大于其他3个6小时时段,说明夜间睡眠期间RR间隔的分形特征不同。
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引用次数: 6
Early effect of the suppression of the smoking habit on the heart rate variability 抑制吸烟习惯对心率变异性的早期影响
Pub Date : 2002-09-22 DOI: 10.1109/CIC.2002.1166800
J. Guerrero, M. Segarra, J.F. Chorro, M. Bataller, A. Rosado, J. Espí
Smoking habit induces alterations on cardiovascular parameters, but its suppression produces immediate effects on these parameters. This work studies the modification of the HRV parameters in habitual smokers during two 24-hour period. Fourteen habitual smokers were monitored in usual conditions (Group 1) and in the next 24 hours without smoking (Group 2). Diurnal and nocturnal periods were studied In general, parameters decrease for Group 2, except in case of parasympathetic influence on heart rate variability, related with HF band, which is higher than Group 1 in both periods. The results obtained during the abstention show an increment of the vagal component in nocturnal period and a decrement in heart rate for both periods. Only time related parameters show significant differences between Group 1 and Group 2 in both nocturnal and diurnal periods. These results demonstrate the immediate recovering of cardiovascular parameters after smoking cessation.
吸烟习惯引起心血管参数的改变,但抑制吸烟对这些参数产生直接影响。本文研究了习惯吸烟者HRV参数在两个24小时内的变化。在正常情况下(第1组)监测14名习惯性吸烟者,并在接下来的24小时内不吸烟(第2组)。研究了白天和夜间时间段。总的来说,除了副交感神经对心率变异性的影响(与HF波段相关)外,第2组的参数降低,在两个时间段均高于第1组。禁食期间的结果显示迷走神经成分在夜间增加,而心率在两个时期都下降。组1和组2在夜间和白天只有时间相关参数有显著差异。这些结果表明,戒烟后心血管参数立即恢复。
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引用次数: 0
The dimension of 2D and 3D Poincare plots obtained from 24 hour ECG registrations 24小时心电配准的二维和三维庞加莱图的维数
Pub Date : 2002-09-22 DOI: 10.1109/CIC.2002.1166807
J. Haaksma, J. Brouwer, W. Dijk, W. Dassen, D. V. van Veldhuisen
The dimension is a basic concept in non linear dynamics. The box counting dimension (BCD) is one of the methods that is available to determine the dimension. We studied the dimension of the heartrate signal in both 2 and 3D Poincare plots in a group of twenty five post myocardial infarction (MI) patients together with an age and sex matched control group. The average BCD from the normal subjects based on a 2D first return plot was 1.46/spl plusmn/0.09, while in the infarction group this was significantly lower: 1.34/spl plusmn/0.17 (p=0.003). Excluding ectopic data from the analysis caused large changes in the resulting dimension.
维数是非线性动力学中的一个基本概念。盒数尺寸(BCD)是确定尺寸的一种可用方法。我们研究了25例心肌梗死(MI)后患者的二维和三维庞加莱图的心率信号维度以及年龄和性别匹配的对照组。根据2D首次回归图,正常受试者的平均BCD为1.46/spl plusmn/0.09,而梗死组的BCD明显较低:1.34/spl plusmn/0.17 (p=0.003)。从分析中排除异位数据会导致结果维度发生很大变化。
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引用次数: 0
Surface-ECG atrial activity extraction via blind source separation: spectral validation 基于盲源分离的表心电心房活动提取:光谱验证
Pub Date : 2002-09-22 DOI: 10.1109/CIC.2002.1166845
J. Millet-Roig, J. J. Rieta, V. Zarzoso, A. Cebrián, F. Castells, C. Sánchez, R. García‐Civera
The isolation of atrial activity (AA) from the surface electrocardiogram (ECG) remains a challenging unsolved problem. Different methods based on the ventricular activity (VA) cancellation have been proposed, validated from the performance obtained over synthesized AF recordings where the AA is known. This performance is measured by comparison (e.g. correlation and quadratic error) of real and estimated AA lead by lead. Other methods estimate one AA as a global contribution of all leads, and so, performance can not be computed in the same way. In this case, the present work explores this problem from a spectral-domain perspective. Several AA extracted from real atrial fibrillation (AF) and atrial flutter (AFL) patients have been analyzed. A spectral analysis reveals the existence of characteristic patterns.
心房活动(AA)与体表心电图(ECG)的分离仍然是一个具有挑战性的尚未解决的问题。已经提出了基于心室活动(VA)取消的不同方法,并从已知AA的合成AF记录中获得的性能进行了验证。这种性能是通过比较(例如相关性和二次误差)实际和估计的铅。其他方法估计一个AA作为所有潜在客户的整体贡献,因此,性能不能以同样的方式计算。在这种情况下,本研究从光谱域的角度探讨了这个问题。本文对真实心房颤动(AF)和心房扑动(AFL)患者提取的几个AA进行了分析。光谱分析揭示了特征模式的存在。
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引用次数: 8
期刊
Computers in cardiology
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