• Title/Summary/Keyword: 심장주기

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Variation of parameters according to cardiac cycle length, evaluated by TDI in children (소아에서 심장 주기 시간 변화에 따른 조직 도플러 지표들의 변화양상)

  • Lee, Chang-Hyun;Kim, Jae-Kwang;Jin, Hyun-Seung;Park, Kie-Young;Kim, Bong-Seong;Han, Myung-Ki
    • Clinical and Experimental Pediatrics
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    • v.52 no.3
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    • pp.339-345
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    • 2009
  • Purpose : This study aimed to determine the variation in parameters according to cardiac cycle length (CL; time interval between the QRS peaks on ECG) in children by using the conventional pulsed Doppler and tissue Doppler imaging echocardiography. Methods : Eighteen children with an anatomically normal heart were enrolled for the study. All children were examined by conventional and pulsed Doppler echocardiography at Gangneung Asan hospital between July 2006 and June 2007. We measured the CLs, mitral inflow velocities (E,A) and tissue Doppler imaging (TDI) parameters (s', e', a') from apical 4-chamber view. The TDI parameters were measured at the lateral (Lat) and septal (Sep) part of the mitral valve. All parameters were measured at 6 to 18 consecutive beats from each child. We then evaluated the linear correlation between CL and each parameter. Results : The mean age was $3.6{\pm}0.5$ years (M:F=8:10). There were significantly negative linear correlations between CL and A, Lat s', Lat a', Sep s', Sep e', Sep a' (P<0.01). There were significantly positive linear correlations between CL and E/A, Lat e'/a', Sep e'/a' (P<0.01). However, the E and Lat e' were not correlated with CL (P=0.229 and 0.221, respectively). Conclusion : This study showed that the values of the left ventricular functional parameters were changed according to CL. From our results, it is imperative to carefully examine beat-to-beat variations in children.

Extraction of Myocardial Infarction by Consecutive Image Analysis in B-mode Echocardiogram (B-모드 심초음파도의 연속 영상 분석에 의한 심근경색증 추출)

  • Son, Kweon;Cho, Sung-Mok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.7 no.6
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    • pp.1116-1121
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    • 2006
  • We studied on some techniques which are able to discriminate the difference between normal and infarcted myocardium by consecutive image analysis in B-mode echocardiogram. In order to analyze two-dimensional echocardiogram, we presented inter-frame and intra-frame analysis method throughout the complete heart cycle in closed-chest human and proposed new analysis parameters which are named HGE and LT. The analysis technique using the proposed parameters revealed quantitatively dominant features between normal and infarcted regions. The infarcted areas yield regions of higher intensity throughout the entire cardiac cycle, but normal tissue demonstrates greater variability throughout the entire cardiac cycle. Hence, we could verify that these parameters varying over the entire cardiac cycle are good indicators for the state of myocardium.

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Self-gated MR cardiac CINE imaging (셀프 동기를 이용한 심장자기공명 씨네영상법)

  • Kim, Pan-Ki;Park, Jin-Ho;Ahn, Chang-Beom
    • Proceedings of the KIEE Conference
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    • 2011.07a
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    • pp.2039-2040
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    • 2011
  • 자기공명영상에서 심장의 기능을 진단에 필요한 심장 영상을 얻기 위해서는 심장의 움직임을 모니터 할 수 있는 ECG나 pulse oximeter 등의 장비로 동기를 맞추어 주기위한 트리거 신호가 필요하다. 본 논문은 심장의 움직임을 다른 장비의 도움 없이 동기화하여 자기공명 심장 영상을 재구성하는 새로운 방법을 나선주사영상기법에 적용하여 제안하였다.

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심근경색 병변에 따른 심실의 전기역학적 특성 분석

  • Baek, Dong-Geun;Im, Gi-Mu
    • Proceeding of EDISON Challenge
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    • 2017.03a
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    • pp.656-661
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    • 2017
  • 이 연구의 목적은 심근경색의 발생 위치와 그 부피에 따른 심실의 여러 가지 생리학적인 특성들을 분석하는 데에 있다. 우리는 심근경색의 발생 사례를 총 8가지로 분류하여 각 병변의 발생 위치와 부피를 달리 하였으며 대조군으로 정상 상태의 심장을 두어 기준 값으로부터 각 사례 별로 전체 심장 대비 심근경색 부위가 차지하는 비율, 압력-부피 선도, 1회 박출량(SV), 분당 심박출량(CO), ATP 소모율, 박출 효율(EF), 1주기의 1ATP 당 소모한 일의 양(SW/ATP) 등을 조사하였다. 또한 본 연구는 심근경색의 발생 위치와 부피에 따른 이의 심각성을 나타내고자 했기 때문에, 각 사례 별로 압력-부피 선도, 들의 변화율 및 세포가 괴사한 정도에 따른 수치 변화율을 퍼센트(%)로 표시하여 그 정도를 조사하였다. 심근경색을 가진 심장은 그렇지 않은 심장에 비해서, ATP 소모량이나 EF의 경우 각 사례 마다 상이한 결과를 가지기는 하지만, 대체적으로 더 적은 1주기 일량(SW) 및 1회 박출량(SV) 분포를 보였으며 SW/ATP의 값은 거의 일괄적으로 감소하였음을 확인하였는데, 이는 심실의 효율이 정상 심장에 비해서 떨어졌음을 의미한다. 결과적으로, 본 연구는 심근경색의 생리학적 특징들을 재확인함과 동시에 임상적으로 확인할 수 없는 특징들의 수학적인 분석과 더불어 심근경색의 공간 특징적인 현상들을 밝히고 있다.

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심근조영심초음파에서 심장의 움직임을 보정한 비침습적 심근관류모델의 정량적 평가

  • 이재훈;김희중;정남식;임세중;김기황
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2003.09a
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    • pp.49-49
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    • 2003
  • 목적 : 심초음파는 비침습적이므로 반복적으로 정확히 심질환의 경과를 관찰하여 치료효과 및 수술시기를 정할 수 있는 검사로서 임상적으로 매우 유용하다. 실시간 심근조영심초음파에 의한 time intensity 평가는 부위별로 수행됨으로 연속적으로 위치하는 관심영역이 intensity에 있어 심장의 움직임 변화에 영향을 받는다. Time intensity 곡선의 최적의 곡선맞춤을 위해 주기적인 심장 운동 매개변수를 조합해 기존의 모델을 보정한 안정적인 측정방법을 제시한다. 방법 : 심장의 운동에 의한 특징적인 정보를 설명하기 위해 기존의 문헌에 제시된 지수 함수에 주어진 심박수로 만들어진 시간에 관한 일반적인 정형파 함수를 추가한다. C(t) = A[1 - exp($\beta$t)] + Dsine(2$\pi$ft + $\theta$) C(t): videointensity A: plateau videointensity (blood volume) $\beta$: capillary blood velocity (rate constant of rise in videointensity) t: pulsing interval (ms) D: displacement from the periodic variance of the curve (estimated motion field from the ejection point for the ratio between systole and diastole) f: heart rate $\theta$: transit time issue A $\times$ $\beta$ : myocardial blood flow 관상동맥의 관류 데이터에 대한 실험이 펄스간격에 대한 비디오 세기로 수행되었다. 그리고 이러한 결과들이 the sum of squares due to error, R square, root mean squared error로 평가되었다. 결과 : 실험결과, 주기적인 심장의 움직임과 심박출 시점으로부터의 변위를 잘 기술하고 곡선에서의 측정 점들이 예측된 심장 움직임에 따라 성공적으로 표시되었다. 뿐만 아니라 보정된 모델이 현저한 적합도의 향상을 보여주었다. 결론 : 제시된 접근방법은 각각의 측정에서 심장 운동 영역의 변화에 독립적이며 측정 시점에 의해 영향받지 않고 심근 관류의 안정적인 측정이 가능하다. 심장의 움직임에 관한 매개변수를 조합한 모델로 곡선접합을 수행함으로써 관류의 정량적 정보를 좀더 정확하게 얻을 수 있으며 임상적 이용을 가능하게 할 것으로 기대된다.

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Detection of Radial Pulse Wave by Photoplethysmogram (광전용적맥파를 이용한 요골동맥 맥파 검출)

  • 정동근;김광년;연규선;최병철;서덕준
    • Journal of Life Science
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    • v.13 no.1
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    • pp.42-46
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    • 2003
  • Photoplethysmogram is widely used to measure heart rate and arterial blood oxygen saturation in human. This paper describes radial pulse waves recorded by photoplethysmogram with 940 nm wavelength infra red light. Radial pulse waves were varied according to the recording site. When recorded on the skin over radial artery, the radial pulse wave was inverted, comparing to the photoplethysmogram at fingertip. The mechanism of inverted pulse wave seemed to be caused by the change of the blood volume in the subcutaneous tissue between radial artery and the skin, which was reduced during systolic period and increased during diastolic period of the cardiac cycle. These results suggest that radial arterial wall may reflect infra red ray.

The Optimal respiration training based work-related stress relief system (최적 호흡 훈련기반 업무 스트레스 완화 시스템)

  • Lee, Yangwoo;Whang, MinCheol
    • Science of Emotion and Sensibility
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    • v.17 no.2
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    • pp.85-90
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    • 2014
  • The purpose of the study is to develop self-management system that people can enhance physical and psychological health through repeating by themselves to relieve work-related stress. The regular respiration can help homeostasis of heart to maintain. Also the effect can be stabilized from irregular heart rhythm by work-related stress. People have optimal respiration cycle to stabilize heart rhythm and repeat training using their RSP(respiration) time including expiration and inhalation. This system is not only offering optimal respiration training service but also finding optimal respiration cycle. The adults who have stress from work participated in verification experiment. This study expects to help those people who are workers related to call center jobs in emotional labor can relieve their stress. It can also help to enhance their own health and increase their work efficiency.

The Motion Artifact Reduction using Periodic Moving Average Filter (주기적 이동평균필터를 이용한 동잡음 제거)

  • Lee, Jun-Yeon
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.4
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    • pp.75-82
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    • 2012
  • The Photoplethysmogram is a similar periodic signal that synchronized to a heartbeat. In this paper, we propose a periodic moving average filter that use similarity of Photoplethysmogram. This filtering method has the average value of each samples through separating the cycle of PPG signal. If there are some motion artifacts in continuous PPG signal, disjoin the signal based on cycle. And then, we made these signals to have same cycle by coordinating the number of sample. After arrange these cycles in 2 dimension, we put the average value of each samples from starting till now. So, we can eliminate the motion artifacts without damaged PPG signal.

Performance Improvement of Cardiac Disorder Classification Based on Automatic Segmentation and Extreme Learning Machine (자동 분할과 ELM을 이용한 심장질환 분류 성능 개선)

  • Kwak, Chul;Kwon, Oh-Wook
    • The Journal of the Acoustical Society of Korea
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    • v.28 no.1
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    • pp.32-43
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    • 2009
  • In this paper, we improve the performance of cardiac disorder classification by continuous heart sound signals using automatic segmentation and extreme learning machine (ELM). The accuracy of the conventional cardiac disorder classification systems degrades because murmurs and click sounds contained in the abnormal heart sound signals cause incorrect or missing starting points of the first (S1) and the second heart pulses (S2) in the automatic segmentation stage, In order to reduce the performance degradation due to segmentation errors, we find the positions of the S1 and S2 pulses, modify them using the time difference of S1 or S2, and extract a single period of heart sound signals. We then obtain a feature vector consisting of the mel-scaled filter bank energy coefficients and the envelope of uniform-sized sub-segments from the single-period heart sound signals. To classify the heart disorders, we use ELM with a single hidden layer. In cardiac disorder classification experiments with 9 cardiac disorder categories, the proposed method shows the classification accuracy of 81.6% and achieves the highest classification accuracy among ELM, multi-layer perceptron (MLP), support vector machine (SVM), and hidden Markov model (HMM).

The Motion Artifact Reduction from the PPG based on EWMA (지수가중 이동평균 기반의 PPG 신호 동잡음 제거)

  • Lee, Jun-Yeon
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.183-190
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    • 2013
  • The Photoplethysmogram is a similar periodic signal that synchrinized to a heartbeat. In this paper, we propose a exponential weight moving average filter that use similarity of Photoplethysmogram. This filtering method has the average value of each samples through separating the cycle of PPG signal. If there are some motion artifacts in continuous PPG signal, disjoin the signal based on cycle. And then, we made these signals to have same cycle by coordinating the number of sample. After arrange these cycles in 2 dimension, we put the average value of each samples from starting till now. So, we can eliminate the motion artifacts without damaged PPG signal.