• Title/Summary/Keyword: 부정맥 진단

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Development of Holter ECG Monitor with Improved ECG R-peak Detection Accuracy (R 피크 검출 정확도를 개선한 홀터 심전도 모니터의 개발)

  • Junghyeon Choi;Minho Kang;Junho Park;Keekoo Kwon;Taewuk Bae;Jun-Mo Park
    • Journal of the Institute of Convergence Signal Processing
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    • v.23 no.2
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    • pp.62-69
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    • 2022
  • An electrocardiogram (ECG) is one of the most important biosignals, and in particular, continuous ECG monitoring is very important in patients with arrhythmia. There are many different types of arrhythmia (sinus node, sinus tachycardia, atrial premature beat (APB), and ventricular fibrillation) depending on the cause, and continuous ECG monitoring during daily life is very important for early diagnosis of arrhythmias and setting treatment directions. The ECG signal of arrhythmia patients is very unstable, and it is difficult to detect the R-peak point, which is a key feature for automatic arrhythmias detection. In this study, we develped a continuous measuring Holter ECG monitoring device and software for analysis and confirmed the utility of R-peak of the ECG signal with MIT-BIH arrhythmia database. In future studies, it needs the validation of algorithms and clinical data for morphological classification and prediction of arrhythmias due to various etiologies.

Assessment of PVC (Premature Ventricular Contraction) Arrhythmia by R-R Interval in ECG (심전도 R-R 간격 정보를 이용한 심실조기수축 부정맥 검출)

  • Yoon, Tae-Ho;Lee, Sun-Ju;Kim, Kyeong-Seop;Lee, Jeong-Whan
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.2 no.2
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    • pp.15-21
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    • 2009
  • This paper proposes a novel algorithm to assess the abnormal heart beats such as PVC (Premature Ventricular Contraction) and its subsequent RUNs. Our Arrhythmic detection scheme is based on only the R-R Interval features extracted from ECG waveforms and MIT-BIH arrhythmia database is evaluated to validate the efficiency of our algorithm in terms of sensitivity, specificity, FPR(%) and FNR(%).

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Arrhythmia Classification using GAN-based Over-Sampling Method and Combination Model of CNN-BLSTM (GAN 오버샘플링 기법과 CNN-BLSTM 결합 모델을 이용한 부정맥 분류)

  • Cho, Ik-Sung;Kwon, Hyeog-Soong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.26 no.10
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    • pp.1490-1499
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    • 2022
  • Arrhythmia is a condition in which the heart has an irregular rhythm or abnormal heart rate, early diagnosis and management is very important because it can cause stroke, cardiac arrest, or even death. In this paper, we propose arrhythmia classification using hybrid combination model of CNN-BLSTM. For this purpose, the QRS features are detected from noise removed signal through pre-processing and a single bit segment was extracted. In this case, the GAN oversampling technique is applied to solve the data imbalance problem. It consisted of CNN layers to extract the patterns of the arrhythmia precisely, used them as the input of the BLSTM. The weights were learned through deep learning and the learning model was evaluated by the validation data. To evaluate the performance of the proposed method, classification accuracy, precision, recall, and F1-score were compared by using the MIT-BIH arrhythmia database. The achieved scores indicate 99.30%, 98.70%, 97.50%, 98.06% in terms of the accuracy, precision, recall, F1 score, respectively.

Classification of Premature Ventricular Contraction Arrhythmia by Kurtosis Analysis (첨도치 해석을 통한 심실조기수축 부정맥 검출)

  • Kim, Kyeong-Seop;Kim, Jeong-Hwan
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2013.07a
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    • pp.355-356
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    • 2013
  • 심장의 활동을 전기적 변위로 표현되는 심전도 신호는 심장병 진단에 중요한 임상적 파라미터들을 제공한다. 특히 심전도 신호에서 P, QRS Complex,, T 특징점들로 대표되는 파형 변곡점들의 시간상 위치와 크기 및 형태학적 모양은 심장의 이상 리듬을 나타내는 부정맥여부를 검출하는데 핵심적인 역할을 한다. 본 연구에서는 특히 QRS complex 구간에 대한 첨도치의 연산 해석을 통하여 정상적인 심전도 리듬과 심실조기수축 부정맥 리듬을 구분하는 방법을 제시하고 또한 스마트폰을 기반으로 하는 심전도 모니터링 시스템에 적용하고자 하였다.

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Early postoperative arrhythmias after open heart surgery of pediatric congenital heart disease (소아 선천성 심장병 개심술 후 발생한 조기 부정맥)

  • Choi, Hee-Joung;Kim, Yeo-Hyang;Cho, Joon-Yong;Hyun, Myung-Chul;Lee, Sang-Bum;Kim, Kyu-Tae
    • Clinical and Experimental Pediatrics
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    • v.53 no.4
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    • pp.532-537
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    • 2010
  • Purpose : Early postoperative arrhythmias are a major cause of mortality and morbidity after open heart surgery in the pediatric population. We evaluated the incidence and risk factors of early postoperative arrhythmias after surgery of congenital heart disease. Methods : From January 2002 to December 2008, we retrospectively reviewed the medical records of the 561 patients who underwent cardiac surgery in Kyungpook National University Hospital. We analyzed patients' age and weight, occurrence and type of arrhythmia, cardiopulmonary bypass (CPB) time, aortic cross clamp (ACC) time, and postoperative electrolyte levels. Results : Arrhythmias occurred in 42 of 578 (7.3%) cases of the pediatric cardiac surgery. The most common types of arrhythmia were junctional ectopic tachycardia (JET) and accelerated idioventricular rhythm (AIVR), which occurred in 17 and 13 cases, respectively. The arterial switch operation (ASO) of transposition of the great arteries (TGA) had the highest incidence of arrhythmia (36.4%). Most cases of cardiac arrhythmia showed good response to management. Patients with early postoperative arrhythmias had significantly lower body weight, younger age, and prolonged CPB and ACC times ($P$<0.05) than patients without arrhythmia. Although the mean duration of ventilator care and intensive care unit stay were significantly longer ($P$<0.05), the mortality rate was not significantly different among the 2 groups. Conclusion : Early postoperative arrhythmias are a major complication after pediatric cardiac surgery; however, aggressive and immediate management can reduce mortality and morbidity.

Inherited Malignant Ventricular Tachyarrhythmia in a German Shepherd (져먼 셰퍼드종 개에서 발생한 유전성 악성 심실성 부정맥증)

  • Lee, Joon-Seok;Lee, Seung-Gon;Park, In-Chul;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.23 no.3
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    • pp.329-333
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    • 2006
  • A 9-month-old neutered male German Shepherd dog was referred with the primary complaint of episodic collapse. Apparent abnormal findings were not observed in physical examination, routine biochemistry, and diagnostic imaging studies. In the 12-lead surface ECG after collapse, the dog showed frequent ventricular premature contractions (VPCs) with torsade de pointes. The frequency of VPCs was reduced after lidocaine infusion. Based on the history, findings in event recordings oi the ECG and lidocaine response test, the dog was diagnosed as inherited malignant ventricular tachyarrhythmia. Although the dog was initially responded to oral sotalol therapy, the dog was died suddenly. This report described the first case of malignant ventricular tachyarrhythmia of German Sheperd in Korea.

The Development of 12 channel ECG Measurement and Arrhythmia Discrimination System with High Performance Medical Analog Front-End(AFE) (고성능 의료용 아날로그 프론트 엔드(AFE)를 이용한 12채널 심전도 획득 및 부정맥 판단 시스템 개발)

  • Ko, Hyun-Chul;Lee, SeungHwan;Heo, JungHyun;Lee, Jeong-Jick;Choi, Woo-Hyuk;Choi, Sung-Hwan;Shin, TaeMin;Yoon, Young-Ro
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.4
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    • pp.2217-2224
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    • 2014
  • This paper deals with system development which measures 12 channel ECG using medical analog front end(AFE) and discriminates arrythmia through signal analysis. Recently, occurrences of cardiac arrest have been increased. So the need of system that diagnoses an arrythmia which results in cardiac arrest is increasing. There are some drawbacks of conventional 12 channel ECG system that it occupies bulk and consists of complicated circuit. To improve those, we made up the system composed of medical AFE, algorithm for discriminating arrythmia and DSP for signal processing. This system can be monitored 12 channel ECG waveforms and the discriminant analysis result of arrhythmia through 7" LCD and received the input through touch pannel. In this study, we conducted normal operation test about output signal of ECG simulator(normal/abnormal ECG signal) to verify the implemented system and performance evaluation of the optimization process for applying arrhythmia algorithm to an embedded environment.