• Title/Summary/Keyword: Ambulatory ECG

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A 10-Lead Long Duration Ambulatory ECG Design -Minimizing power consumption-

  • Kim, Eung-Kyeu;Lee, Hoon-Kyeu
    • Journal of the Institute of Convergence Signal Processing
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    • v.16 no.1
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    • pp.29-34
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    • 2015
  • The ECG(Electrocardiograph) ambulatory test as called Holter is performed usually to diagnose several heart diseases causing different arrhythmias. This paper exposes the insights of the design of a 10-lead ambulatory ECG recorder. Reducing the size and minimizing the power consumption of the ECG recorder are crucial to allow long recording time without causing discomfort to the patient. This paper proposes lower hardware design and differential compression algorithm to extend the maximum 72 hours recording time in consideration of smaller and light-weighted recorder size. The performance results by newly introduced compression algorithm are shown and discussed.

The Relationship between Carotid Intima-Media Thickness and 24-hour Ambulatory ECG in Ischemic Stroke Patients (뇌경색 환자의 경동맥 초음파 검사와 24시간 홀터 검사와의 연관성 연구)

  • Kang, Ji-Suck;Park, Sung-Hwan;Song, Moon-Koo;Ahn, Young-Min;Ahn, Se-Young;Lee, Byung-Cheol
    • The Journal of Internal Korean Medicine
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    • v.30 no.2
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    • pp.422-430
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    • 2009
  • Background : Stroke is the second leading cause of death in Korea, following cancer. Stroke consists of ischemic and hemorrhagic stroke, and ischemic stroke can be largely classified as atherothrombotic stroke or embolic stroke. Carotid intima-media thickness (IMT) is an indicator of atherosclerosis used commonly as a screening test for abnormalities of the coronary artery. 24-hour ambulatory ECG is widely used to screen for underlying diseases that causes syncope, palpitation, arrhythmia, etc. Objectives : Since both carotid IMT and 24-hour ambulatory ECG are used to screen for cardiac problems, we endeavored to explore the correlation between carotid IMT and 24-hour ambulatory ECG of stroke patients. Methods : The records of ischemic stroke patients who were admitted to Kyunghee Medical Center Oriental Hospital ward from March 2006 to May 2009 were reviewed. 28 patients who had both carotid Doppler US and 24-hour ambulatory ECG test undertaken during their admission were analyzed. The relationship of abnormal ambulatory results and common carotid artery(CCA) IMT were statistically analyzed using Fisher's exact test and t-test. Results : The mean age of the abnormal ambulatory group was older than the normal group (74${\pm}$ 8.0 vs. 61${\pm}$12.1, p=0.0098). Although insignificant, the abnormal ambulatory group showed much thicker CCA-IMT than normal ambulatory group (2.l7${\pm}$ 1.16 vs. 1.51${\pm}$0.97. p=0.l389). Conclusion: No significant correlation was observed between abnormal ambulatory results and CCA-IMT. However, the difference in CCA-IMT between the two groups was too big to be ignored and further investigation with larger and better controlled trials are warranted.

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Noise Reduction and Estimating the Similarity of Ambulatory ECG Signals (이동형 심전도 신호의 잡음 제거 및 유사도 평가)

  • Shin, Seung-Won;Lee, Jeong-Whan;Lee, Kang-Hwi;Kim, Dong-Jun;Kim, Kyeong-Seop
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.57 no.3
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    • pp.507-513
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    • 2008
  • In this study, we develope an ambulatory ECG acquisition system by implementing a patch-style and wireless electrode. To alleviate the inherent noisy characteristics of the mobile signal, we apply a matched filter and concurrently detect R-peak values. Moreover, the measure for resolving shape distance is computed to estimate the relative similarity between two ECG signals and to decide whether the abnormal characteristics in ECG exist or not.

A Study on the Implementation of Ambulatory Monitoring System Using Wireless Data Communication Network (무선 데이터 통신망을 이용한 보행형 감시 시스템 개발에 관한 연구)

  • Go, Seong-Il;Kim, Yeong-Gil
    • Journal of Biomedical Engineering Research
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    • v.20 no.1
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    • pp.75-80
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    • 1999
  • Since a Holter monitor records a patients' ECG when he is in motion, it can monitor complex heart disease effectively. But it can not handle a sudden heart disease because the diagnosis process will be done only after 24 hours. So in this study, a model of ambulatory monitoring system using wireless data communication network is proposed. And a mobile ECG equipment and a doctors' terminal are developed for the proposed system implementation. As a result, we can evaluate that the proposed ambulatory monitoring system is suitable for the management of ambulatory patients who may be at risk form sudden cardiac abnormalities.

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Development of an Ambulatory Wearable System for Continuous Patient Monitoring (휴대용 심전도 모니터링 계측 시스템 개발에 관한 연구)

  • Park, Chan-Won;Jeon, Chan-Min
    • Proceedings of the KIEE Conference
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    • 2003.11c
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    • pp.920-923
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    • 2003
  • An wearable electrocardiogram (ECG) monitoring system is a widely used non-invasive diagnostic tool for ambulatory patient who may be at risk from latent life-threatening cardiac abnormalities. In this paper, we have a portable ECG monitoring system with conductive fiber which was characterized by the small-size and the low power consumption. The system consists of conductive fibers, one-chip microcontroller, ECG preprocessing circuit, and monitoring software to be able to record and analyze in PC. ECG preprocessing circuit is made of pre-amplifier with gain of 10, band-pass filter with bandwidth of 0.5-120Hz and 2.5V offset circuit for A/D conversion. ECG signals obtained by sensor are included with corrupted noises such as a baseline wandering, 60 Hz power noise and interference noise by body movement. For cancellation corrupted noises in signals obtained by conductive fiber, we used the wavelet decomposition of wavelet transforms in MATLAB toolbox.

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Estimation of Heart Rate Variability with an Android Smart Phone Platform (안드로이드 기반 스마트폰 연동 심박변이도 추정)

  • Kim, Jeong-Hwan;Shin, Seung-Won;Kim, Hyun-Tae;Yoon, Tae-Ho;Kim, Kyeong-Seop;Lee, Jeong-Whan;Eom, Gwang-Moon
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.61 no.6
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    • pp.865-871
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    • 2012
  • In this study, ambulatory electrocardiogram(ECG) signal and the rhythms of heart beats are visualized in terms of R-R intervals and Heart Rate Variability(HRV) in the environment of an android plaform. With this aim, Graphical User Interface(GUI) is implemented by executing multi-thread Java programming modules including ECG, heart-beats, tachogram and visualization unit. ECG signals are acquired in an android device by receiving the data from ambulatory ECG sensory system. Finite Impulse Response(FIR) filters are implemented to eliminate the baseline wandering noises contained in the ambulatory signals and DC-offset level in R-R interval data. With simulating the normal or stress emotional state of a subject, we can find the fact that HRV can be successfully estimated and visualized in an android smart phone platform.

A Design of the Ambulatory ECG Monitoring System for the Remote Automatic Diagnosis (원격자동진단을 위한 ambulatory 심전도모니터링 시스템의 설계)

  • 이경중
    • Journal of Biomedical Engineering Research
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    • v.12 no.4
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    • pp.277-284
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    • 1991
  • This study describes the ambulatory ECG monitoring system for the remote autom atic diagnosis. System: tlardware is based on one chip microcomputer(80c31) and its peripherals which consists of A/D, EPROM, RAM, LCD display and two preamplifiers, Power circuits, control logic circuits. A/D converted data were differentiated and low pass filtered. The detection of QRS complex and R point were accomplished by software algorithm based on adaptive threshold computed on low pass fi:leered signal. Rhythm analysis is performed by RR interval and average RR interval. The performance of QRS detection algorithm is evaluated by using MIT/BIH data base. Using this system, the trends of the arrythmia during the long term could be saved and displayed.

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Development of Holter Analysis System by Visual Programming (시각화 프로그래밍에 의한 Holter 분석 시스템 개발)

  • 이세진;이경중;윤형로
    • Journal of Biomedical Engineering Research
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    • v.18 no.1
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    • pp.45-50
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    • 1997
  • In this paper, we designed a Molter analysis system using the visual programming method It differs from the existing analysis system in that the various signal processing algorithms represented by icons were designed by GUI concept which provide unskilled user with easy and convenient analysis environment. In order to analyze ECG signal. we only select the icon representing an algorithm to be applied by mouse and arrange the selected icons upon the order to be jlrocessed on screen. As a result it provides a convenient usage and flexibility of analysis. Also, we can find the optimal algorithm for the ambulatory ECG analysis by comparing the several results obtained from the various analysis configuration.

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Frequency Responses of Ambulatory ECG Systems and Their Correction by a Compensation Circuit

  • Iwao, K.;Yokoi, A.;Suzuki, S.;Goto, T.;Doniwa, K.;Okajima, M.
    • Journal of Biomedical Engineering Research
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    • v.11 no.1
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    • pp.13-18
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    • 1990
  • Frequency responses of ambulatory electrocardiogram systems were measured. Phase shift was assessed by our improved Wagner's method. The characteristics of the systems were found much worse than that of ordinary ECG equipment both in gain and phase responses. The decay of -3dB in amplitude observed in 0.2Hz and the lead of 45 dog in phase was observed in 0.6Hz. In order to investigate which of these 2 responses play major role in generating false S -T deviation, mathe- matical filters were Composed in a computer and actual ECGs were fed. The false S-T deviation were found to be caused mostly by enormous lead in phase, and then, the compensation circuit to diminish the lead in phase was inserted in the commercial systemes. The compensated systems showed no false deviation in S-T segment.

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Development of Realtime ECG Analysis and Monitoring System (실시간 심전도 분석 및 모니터링 시스템 개발)

  • Jeong, Gu-Young;Yoon, Myoung-Jong;Yu, Kee-Ho
    • Journal of Institute of Control, Robotics and Systems
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    • v.15 no.4
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    • pp.406-412
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    • 2009
  • ECG is used on purpose to keep good health or monitor cardiac function of aged person as well as on purpose to diagnose the disease of heart patients. The ambulatory ECG monitoring system under guarantee of safety and accuracy is very efficient to prevent the progress of heart disease and sudden death. These systems can detect the temporary change of ECG that is very significant to diagnose heart disease such as myocardial ischemia, arrhyamia and cardiac infarction. In this paper, we describe the ECG signal analysis algorithm and measurement device for ECG monitoring. The authors designed a small-size portable ECG device that consisted of instrumentation amplifier, micro-controller, filter and RF module. The device measures ECG with four electrodes on the body and detects QRS complex and ST level change in realtime. Also it transmits the measured signals to the personal computer. The developed software for ECG analysis in personal computer has the function to detect the feature points and ST level changes.