• Title/Summary/Keyword: 심전도장애

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The Skinny on Wide QRS Complexes (심전도 증례 토론 - QRS군 확장의 내막(內幕) -)

  • Lee, Shin-Whi
    • The Journal of the Korean life insurance medical association
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    • v.27 no.2
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    • pp.61-65
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    • 2008
  • 보험 청약자의 심전도에서 볼 수 있는 widened QRS 군은 심실내전도장애, 조기흥분증후군, 좌심비대, 심실성 조율, 고칼륨혈증, 심실성 율동 등으로 인해 나타난다. 임상정보와 기본적인 심전도 판독기술로 감별진단을 할 수 있다. 심실내 전도장애는 전형적인 심전도 소견을 확인한 후 보다 광범위한 전도계 질환과(또는) 심근을 침범하는 질환을 동반하고 있음을 의미하는 심전도 소견이 있는지 자세히 검토하여 위험평가를 하도록 한다.

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Clinical Usefulness of Digital ECG Recorder in Dogs : 4 Cases (디지털 심전도기의 임상적 적용 예 : 4 증례)

  • Moon, Hyeong-Sun;Lee, Seung-Gon;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.218-224
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    • 2007
  • Digital electrocardiogram (ECG) recorders are rapidly replacing to conventional paper ECG recorders. Digital ECG recorders have several advantages over conventional type ECG recorders, including better capability for data storage, better portability and better applicability in clinical settings. In this study, we presented 4 case studies related to cardiac rhythm disturbances, which were diagnosed and managed using a digital ECG recorder.

Adaptive Detection of Unusual Heartbeat According to R-wave Distortion on ECG Signal (심전도 신호에서 R파 왜곡에 따른 적응적 특이심박 검출)

  • Lee, SeungMin;Ryu, ChunHa;Park, Kil-Houm
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.9
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    • pp.200-207
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    • 2014
  • Arrhythmia electrocardiogram signal contains a specific unusual heartbeat with abnormal morphology. Because unusual heartbeat is useful for diagnosis and classification of various diseases, such as arrhythmia, detection of unusual heartbeat from the arrhythmic ECG signal is very important. Amplitude and kurtosis at R-peak point and RR interval are characteristics of ECG signal on R-wave. In this paper, we provide a method for detecting unusual heartbeat based on these. Through the value of the attribute deviates more from the average value if unusual heartbeat is more certainly, the proposed method detects unusual heartbeat in order using the mean and standard deviation. From 15 ECG signals of MIT-BIH arrhythmia database which has R-wave distortion, we compare the result of conventional method which uses the fixed threshold value and the result of proposed method. Throughout the experiment, the sensitivity is significantly increased to 97% from 50% using the proposed method.

HRV analysis Under Color Environment (생체 환경에서의 HRV 분석)

  • 정우석;정민영;양길태;양선호;김연희;송철규;김남균
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2001.05a
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    • pp.190-193
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    • 2001
  • 본 연구는 색채환경이 정상인의 심전도에 미치는 영향을 정량적으로 분석하여 색채 환경이 인체에 미치는 영향을 규명하고자 하였다. 피험자는 색맹을 가지고 있지 않고 인지기능에 장애가 없는 정상 성인 남, 여 50명을 대상으로 하였다. 색채환경의 제시는 암실에서 백색 광원에 채색 필터를 사용하여 제시하였다. 피검자는 6가지 색채 환경 안에서 심전도를 측정하였으며, HRV 분석을 하였다. HF/LF의 비를 비교 분석하여 본 결과, 남자는 녹색에서 색채 자극전보다 자극후가 HF/LF의 비가 0.508(p<0.07) 상승한 것을 볼 수 있었으며, 여자는 파랑색에서 색채자극전보다 자극후 HF/LF의 비가 0.677상승한 것을 볼 수 있었다. 이는 남자는 녹색에서 여자는 파랑색에서 더욱 편안함과 안락감을 느끼게 된다는 것을 의미한다. 따라서 본연구의 결과는 색채 환경이 인체에 미치는 영향을 규명함으로써 좀 더 편안한 색채 환경의 설계에 도움을 줄 것으로 기대된다.

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Electrocardiographic Findings in School Children (국민학생 및 중학생의 심전도 소견)

  • Jun, Jin-Gon;Kim, Jeong-Lan;Park, Jae-Hong
    • Journal of Yeungnam Medical Science
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    • v.4 no.2
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    • pp.23-27
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    • 1987
  • Mass electrocardiographic (ECG) examination was performed on 13,801 children (male 7,526 and female 6,275) of elementary and middle school in Taegu from May 1. 1986. to April 30. 1987. We read their ECG according to the "Pediatric Electrocardiography." The results were as following; The Incidence of ECG abnormality was 1.05%(male 1.3% and female 0.75%). Fifty eight children (0.42%) had atrial and ventricular hypertrophy; two right atrial hypertrophy, five left atrial hypertrophy, thirty five fight ventricular hypertrophy and sixteen left ventricular hypertrophy respectively. Ectopic beats occurred in 25 children (0.18%) ; They were atrial in 12 children, ventricular in 8 children and junctional in 5 children. There were 62 children (0.45%) of conduction disturbance ; They were first degree atrioventricular (A-V) block in 21 children, type I second degree A-V block in 1 child, A-V dissociation in 1 child, right bundle branch block in 36 children, left bundle branch block in 1 child and WPW syndrome in 2 children. Nonspecific ST, T changes and sinus tachycardia were found in 3 and one children respectively.

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Phase Image Analysis in Conduction Disturbance Patients (심실내 전도장애 환자에서의 $^{99m}Tc$-RBC Gated Blood-Pool Scintigraphy을 통한 Phase Image Analysis)

  • Kwak, Byeng-Su;Choi, Si-Wan;Kang, Seung-Sik;Park, Ki-Nam;Lee, Kang-Wook;Jeon, Eun-Seok;Park, Chong-Hun
    • The Korean Journal of Nuclear Medicine
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    • v.28 no.1
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    • pp.44-51
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    • 1994
  • It is known that the normal His-Purkinje system provides for nearly synchronous activation of right (RV) and left (LV) ventricles. When His-Purkinje conduction is abnormal, the resulting sequence of ventricular contraction must be correspondingly abnormal. These abnormal mechanical consequences were difficult to demonstrate because of the complexity and the rapidity of it's events. To determine the relationship of the phase changes and the abnormalities of ventricular conduction, we performed phase image analysis of $^{99m}Tc$-RBC gated blood pool scintigrams in patients with intraventricular conduction disturbances (24 complete left bundle branch block (C-LBBB), 15 complete right bundle branch block (C-RBBB), 13 Wolff-Parkinson-White syndrome (WPW), 10 controls). The results were as follows; 1) The ejection fraction (EF), peak ejection rate (PER), and peak filling rate (PFR) of LV in gated blood pool scintigraphy (GBPS) were significantly lower in patients with C-LBBB than in controls ($44.4{\pm}13.9%$ vs $69.9{\pm}4.2%,\;2.48{\pm}0.98$ vs $3.51{\pm}0.62,\;1.76{\pm}0.71$ vs $3.38{\pm}0.92$, respectively, p<0.05). 2) In the phase angle analysis of LV, Standard deviation (SD), width of half maximum of phase angle (FWHM), and range of phase angle were significantly increased in patients with C-LBBB than in controls ($20.6{\pm}18.1$ vs $8.6{\pm}1.8,\;22.5{\pm}9.2$ vs $16.0{\pm}3.9,\;95.7{\pm}31.7$ vs $51.3{\pm}5.4$, respectively, p<0.05). 3) There was no significant difference in EF, PER, PFR between patients with the Wolff-parkinson-White syndrome and controls. 4) Standard deviation and range of phase angle were significantly higher in patients with WPW syndrome than in controls ($10.6{\pm}2.6$ vs $8.6{\pm}1.8$, p<0.05, $69.8{\pm}11.7$ vs $51.3{\pm}5.4$, p<0.001, respectively), however, there was no difference between the two groups in full width of half maximum. 5) Phase image analysis revealed relatively uniform phase across the both ventricles in patients with normal conduction, but markedly delayed phase in the left ventricle of patients with LBBB. 6) In 13 cases of WPW syndrome, the site of preexcitation could be localized in 10 cases (77%) by phase image analysis. Therefore, it can be concluded that phase image analysis can provide an accurate noninvasive method to detect the mechanical consequences of a wide variety of abnormal electrical activation in ventricles.

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The Design of Feature Selecting Algorithm for Sleep Stage Analysis (수면단계 분석을 위한 특징 선택 알고리즘 설계)

  • Lee, JeeEun;Yoo, Sun K.
    • Journal of the Institute of Electronics and Information Engineers
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    • v.50 no.10
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    • pp.207-216
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    • 2013
  • The aim of this study is to design a classifier for sleep stage analysis and select important feature set which shows sleep stage well based on physiological signals during sleep. Sleep has a significant effect on the quality of human life. When people undergo lack of sleep or sleep-related disease, they are likely to reduced concentration and cognitive impairment affects, etc. Therefore, there are a lot of research to analyze sleep stage. In this study, after acquisition physiological signals during sleep, we do pre-processing such as filtering for extracting features. The features are used input for the new combination algorithm using genetic algorithm(GA) and neural networks(NN). The algorithm selects features which have high weights to classify sleep stage. As the result of this study, accuracy of the algorithm is up to 90.26% with electroencephalography(EEG) signal and electrocardiography(ECG) signal, and selecting features are alpha and delta frequency band power of EEG signal and standard deviation of all normal RR intervals(SDNN) of ECG signal. We checked the selected features are well shown that they have important information to classify sleep stage as doing repeating the algorithm. This research could use for not only diagnose disease related to sleep but also make a guideline of sleep stage analysis.

Design and Implementation of Electrocardiogram Data Interpretation system using AdaBoost Algorithm (AdaBoost 알고리즘을 이용한 심전도 정보 판독 시스템의 설계 및 구현)

  • Lim, Myung-Jae;Hong, Jin-Kyoung;Kim, Kyu-Ho;Choi, Mi-Lim
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.10 no.2
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    • pp.129-134
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    • 2010
  • Diseases such as cardiovascular illnesses, according to the National Statistical Office opened reveals that 600-800 people were killed, blood pressure, arteriosclerosis, heart disease, stroke, etc. will be a flow of blood disorders that occur in cardiovascular illnesses today are fulfilling the Master / Slave samangryulin disease appears high. Died of cardiovascular disease also told them the correct first aid survival when patients are accounted for approximately 40% of emergency rapid response is required. Therefore, this paper, the weak classifier in the AdaBoost algorithm to generate a strong classifier by combining effects throughout the analysis to measure the ECG, and cardiovascular disease that occurred to you as soon as the emergency management system that can deliver on the proposed Desk was. The electrocardiogram data measured by the ZigBee-based sensors, communication devices and emergency transport for emergency alarms in the determination and monitoring of the management desk by providing health services to enable the delivery was fast.

PVC Detection Based on the Distortion of QRS Complex on ECG Signal (심전도 신호에서 QRS 군의 왜곡에 기반한 PVC 검출)

  • Lee, SeungMin;Kim, Jin-Sub;Park, Kil-Houm
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.40 no.4
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    • pp.731-739
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    • 2015
  • In arrhythmia ECG signal, abnormal beat that has various abnormal shape depending on the generation site and conduction disorders is included and it is very important to diagnose heart disease such as arrhythmia. In this paper, we propose a PVC abnormal beat detection algorithm associated with ventricular disease. The PVC abnormal beat is characterized by distortion of the QRS complex occurs among the components of the ECG signal. Therefore it is possible to detect PVC abnormal beat according to the degree of distortion of the QRS complex. First, quantify the distortion of the QRS complex by using the potential of the R-peak, kurtosis and period. By using the mean and standard deviation, PVC abnormal beat is detected depending on the degree of distortion from the normal beat. The proposed algorithm can detect the average over 98% of the AAMI-V class type abnormal beat associated with ventricular disease in MIT-BIH arrhythmia database.