• Title/Summary/Keyword: Exercise ECG test

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Effects on the Recovery of Motor Function, Change ECG and Troponin I According to Different Amounts Exercise in Ischemic Stroke Patients (운동적용 시간량이 허혈성 뇌졸중 환자의 운동기능회복과 심전도 및 Troponin I 에 미치는 영향)

  • Kim, Myung-Chul;Oh, Hyun-Ju
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.4
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    • pp.559-567
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    • 2010
  • Purpose : The purpose of this study is to investigate the effects of motor function recovery and change of the heart function factors(ECG & Troponin I) with ischemic stroke patients by different amounts(times) exercise. Methods : Forty-six consecutive chronic hemiparetic patients with cerebral infarct were randomly assigned to two groups: Group 1 (exercise time 60 minutes/day) and Group 2 (exercise time 120 minutes/day). Types of exercise included static bicycle, isokinetic exercise, and standing or gait exercise on a treadmill. Outcome measures included the level of motor recovery (Fugl-Meyer Scale, FMS) and heart function (ECG and Troponin I), and measurements were performed three times: pre-test, 8 weeks and 12 weeks. Results : There was a significantly different change of motor function recovery and ECG between two groups during treatment period. Especially there were significantly change period of pre-test to 8 weeks on ECG and pre-test to 12 weeks on motor function recovery. But Troponin I has no significantly different change between two groups during treatment period. Also there was no significantly different change of motor function recovery and ECG and Troponin I with between two groups during treatment period. Conclusion : The exercise program improved motor function and change ECG without Troponin I in two groups. The result of this study shows that no matter how different amounts of exercise to effect of motor function recovery and heart function test in chronic patients with cerebral infarct.

Development of Tight-fitting Upper Clothing for Measuring ECG -A Focus on Weft Reduction Rate and Subjective Assessment- (심전도 측정을 위한 밀착 의복 연구 -패턴 축소 및 주관적 평가를 중심으로-)

  • Jeong, Yeonhee;Yang, YoungMo
    • Journal of the Korean Society of Clothing and Textiles
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    • v.36 no.11
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    • pp.1174-1185
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    • 2012
  • This study develops tight-fitting upper clothing to measure electrocardiography (ECG) data. Taking into consideration the elasticity of the clothing, we made 4 experimental clothes by applying to each a weft reduction rate of 40%, 50%, 60%, and 70%. The 4 experimental clothes were used to measure resting ECG, exercise ECG, and post-exercise ECG for 4 men in their 20s. We compared clothing pressures using sensors on the human body and on a dressform. Subjective wear sensations of the 4 experimental clothes were evaluated using a subjective 7-point scale (with 7 being most excellent). We measured clothing pressures by using the air type pressure (AMI 3037-2) for upper and lower chest sensors in the developed tight-fitting upper clothing. The lower chest sensor showed that the clothing pressure on a human body and dressform changed consistently as the weft reduction rate decreased. The upper chest sensor showed inconsistent changes in clothing pressure as the weft reduction rate decreased. The wearing-test result for preliminary subjects showed that the lower chest sensor was more stable than the upper chest sensor; therefore, we inserted the sensor at the lower chest position before performing ECG. Except for Subject 4, the resting ECGs were stably measured for 3 subjects (Subject 1, Subject 2, and Subject 3) in all the developed clothes (A clothing, B clothing, C clothing, and D clothing). However, D clothing showed stable ECG values after exercise. The results of the experiment showed that we could measure ECG without difficulty using clothes with a weft reduction rate of 40% when the movement was not intense; however, tight-fitting upper clothing with a weft reduction rate of 70% was necessary to measure exercise ECG and post-exercise ECG values.

Overview of Exercise electrocardiogram in terms of insurance medicine (운동부하 검사의 보험의학적 이해와 의의)

  • Hyun, Hyeyun
    • The Journal of the Korean life insurance medical association
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    • v.32 no.1
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    • pp.15-20
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    • 2013
  • The exercise ECG test is a well-established, inexpensive, and non-invasive procedure for answering important clinical questions related to heart problems. The heart disease is directly led to mortality and serious issue to insurance medicine. Here is some evidence for interpretation of exercise ECG test results can determine prognosis of the heart disease.

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A Design of the Telemetry Transmitter for Monitoring Exercise Electrocardiogram (운동중의 심전도 모니터링을 위한 원격조정 송신기의 설계)

  • 권창옥;최준영
    • Journal of Biomedical Engineering Research
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    • v.3 no.2
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    • pp.113-118
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    • 1982
  • This paper presents a frequency modulated radio-telemetry, transmitter for monitoring and transmitting an exercise electrocardiogram (ECG) and respiration activity simultaneously on single carrier frequency in the standard FM broadcast band of 88-108 MHz. We have evaluated the performance of the FM telemetry transmitter which is proposed on the basis of an exercise ECG test in the treadmill.

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Cost-effectiveness of Myocardial Perfusion SPECT for Diagnosis of Coronary Artery Disease in Korea: Comparison with Exercise ECG and Coronary Angiography (우리 나라에서 관동맥질환을 진단하는 약물부하 심근관류 SPECT의 비용효과 성능: 운동부하심전도와 관동맥조영술과 비교)

  • Lee, Dong-Soo;Kang, Keon-Wook;Jang, Myung-Jin;Cheon, Gi-Jeong;Lee, Myoung-Mook;Chung, June-Key;Lee, Myung-Chul
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.3
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    • pp.207-221
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    • 2000
  • Purpose: Cost-effectiveness of myocardial SPECT for the diagnosis of coronary artery disease was investigated considering the present and amended costs of myocardial SPECT and exercise ECG in Korea. Materials and Methods: Four diagnostic tactics such as 1) coronary angiography (CAG) after exercise ECG, 2) CAG after myocardial SPECT, 3) direct CAG, and 4) CAG after myocardial SPECT following exercise ECG were chosen. Costs were calculated using the present costs of various tests and effects represented by Quality Adjusted Life Year (QALY) were estimated. Difference of QALY (${\Delta}QALY$) was calculated by subtracting QALY of diagnosed/treated cases from QALY of undiagnosed cases. $Cost/{\Delta}QALY$ was calculated and compared between four different tactics according to pre-test probability. Results: When pre-test probability was equal to or larger than 0.6, direct CAG was the most cost-effective. When pre-test probability was between 0.2 and 0.6, CAG after myocardial SPECT following exercise ECG was the most cost-effective. CAG after myocardial SPECT was the second most cost-effective. Cost-effectiveness was similar when the costs of exercise ECG were doubled or quadrupled. CAG after exercise ECG was always the least cost-effective. Conclusion: Myocardial SPECT with or without preceding exercise ECG was the most cost-effective method to diagnose coronary artery disease in the present or expected amended cost system.

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Comparative Evaluation of Exercise Effects of Motion-based Sports Game (체감형 스포츠 게임의 운동 효과 비교 평가)

  • Boo, Jae Hui;An, Ji Hyeon;Kim, Jeong Hyeon;Kim, Dong Keun;Park, Kyoung Shin
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.26 no.3
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    • pp.403-411
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    • 2022
  • A motion-based sports game uses a motion sensor or a camera to exercise based on body movements, and it is possible to obtain exercise effects such as improving physical strength while enjoying the game. In prior works, various studies such as usability evaluation has been conducted on motion-based sports games. However, there has been no discussion about how the exercise effect is exerted on users when experiencing motion-based sports games as individual or team play. This study compared the user's exercise effects by analyzing the user's ECG (Electrocardiogram) sensor and the Kinect sensor's skeletal information using Nintendo Switch game that is played individually and as a team. In this paper, the experimental design and method, the quantitative measurement results based on ECG and Kinect, and the results of the post-test subjective measurement are discussed.

A study on characteristics and physiological variables of chest pain induced by exercise test in angina suspected patients (협심증이 의심되는 환자에서 운동부하검사로 유발되는 흉통의 양상과 생리적 변인에 관한 연구)

  • Cho, Mi-Kyoung;Choe, Myoung-Ae
    • Journal of Korean Biological Nursing Science
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    • v.2 no.2
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    • pp.1-19
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    • 2000
  • The purpose of this study was to identify the characteristics and physiological variables of chest pain induced by exercise test in angina suspected patients. The subjects of this study consisted of 28 inpatients and outpatients aged between 40 and 75 who underwent treadmill test at exercise testing laboratory of S-University from January 2000 to June 2000. Subjects were interviewed with questionnaire regarding sociodemography, the past health history and history related to chest pain before the exercise test. Subjects were interviewed with questionnaire concerning quality, intensity, duration of chest pain induced by walking on the treadmill(Marquette, U.S.A. 1992) according to Bruce protocol following exercise test. Systolic and diastolic blood pressure were measured before, during and after the test, heart rate was determined by ECG. The results of this study were as follows ; 1) Quality of chest pain induced by exercise test were feeling stiffness 19(67.9%), heavy 10(36.0%), exploded 9(32.1%), crushing, suffocating, tight 8(28.6%), stuffy, prickly 7(25.0%), burning 6(21.4%), clasp 5(17.9%), cleaved, tensed, piercing 3(10.7%), perfectly fitting, sore 2(7.1%), tearing, tingling, ticklish, heartburn 1(3.6%). 2) Mean score of VAS(intensity of pain) following exercise test was $5.79{\pm}2.27$ and mean duration of chest pain after the test was $7.83{\pm}5.31$ minutes. 3) Sites of chest-pain induced by exercise test were middle site 11(39.3%), left-chest 10(35.6%), right-chest 6(21.5%). Radiation site of chest-pain was neck(18.0%), right flank site 1(3.6%), left shoulder & arm 2(7.1%) and back 1(3.6%). 4) Symptoms other than chest-pain induced by exercise test were dyspnea 21(75.6%), perspiration 14(50.4%), fatigue 12(43.2%), leg-pain 11(39.6%), dizziness 7(25.2%) anxiety toward chest-pain 3(10.8%), thirst 2(7.1%), and palpation, headache and tingling sensation of hand and leg 1(3.6%). 5) Mean MET(intensity of exercise) during the exercise test was $7.64{\pm}2.57$ and mean RPE(rating of perceived exertion) was $15.89{\pm}2.36$. Mean duration of exercise was $6.79{\pm}2.88$. 6) correlation coefficients between RPE and VAS was 0.500(p=0.003), those between MET and VAS was 0.287(p=0.069) and those between either depression or elevation of ST segment and VAS was 0.236(p=0.114). 7) There was a significant difference in mean systolic pressure between before and after the test as $146.29{\pm}28.18mmHg$ and $177.96{\pm}28.82mmHg$(t=-5.640, p=0.000), a significant difference in mean diastolic blood pressure between before and after the test as $84.85{\pm}15.07mmHg$ and $88.89{\pm}13.72mmHg$(t=-2.082, p=0.047), and there was a significant difference in mean heart-rate between before and after the test as $81.89{\pm}12.22/min$ and $160.68{\pm}21.77/min$(t=-21.255, p=0.000).

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Preceding Research for Estimating the Maximal Fat Oxidation Point through Heart Rate and Heart Rate Variability (심박 및 심박변화를 통한 최대 지방 연소 시점의 추정)

  • Sim, Myeong-Heon;Kim, Min-Yong;Yoon, Chan-Sol;Chung, Joo-Hong;Noh, Yeon-Sik;Park, Sung-Bin;Yoon, Hyung-Ro
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.61 no.9
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    • pp.1340-1349
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    • 2012
  • Increasing the oxidation of fat through exercise is the recommendable method for weight control. Preceding researches have proposed increase in the usage of fat during exercise in stabilized state and under maximum exertion through aerobic training. However, such researches require additional equipment for gas analysis in order to measure the caloric value or gas exchange of subjects during exercise. Such equipments become highly restrictive for those exercise and cause substantially higher cost. According to this, we have presented the method of estimating the maximal fat oxidation point through changes in LF & HF which reflects changes in heart rate and the autonomic nervous system in order to induce exercise for a less restrictive and efficient fat oxidation than existing methods. We have conducted exercise stress test on subject with similar exercise abilities, and have detected the changes in heart rate and changes in LF & HF by measuring changes in fat oxidation and measuring ECG signals at the same time through a gas analyzer. Changes in heart rate and HRV of the subjects during exercising was detected through only the electrocardiographic signals from exercising and detected the point of maximum fat oxidation that differs from person to person. The experiment was carried out 16 healthy males, and used Modified Bruce Protocol, which is one of the methods of exercise stress test methods that use treadmill. The fat oxidation amount during exercise of all the subjects showed fat oxidation of more than 4Fkcal/min in the exercise intensity from about 5 minutes to 10 minutes. The correlation between the maximal fat oxidation point obtained through gas analysis and the point when 60% starts to be relevant in the range from -0.01 to 0.01 seconds for values of R-R interval from changes in heart rate had correlation coefficients of 0.855 in Kendall's method and in Spearman's rho, it showed significant results of it being p<0.01 with 0.950, respectively. Furthermore, in the changes in LF & HF, we have determined the point where the normalized area value starts to become the same as the maximal fat oxidation point, and the correlation here showed 0.620 in Kendall and 0.780 in Spearma of which both showed significant results as p<0.01.

The Effects of the Walking Exercise on ST/HR Slope and QRS Vector in the Middle-Aged Men (운동부하 심전도를 이용한 중년 남성들의 걷기 운동이 ST/HR 경사 및 QRS 벡터에 미치는 영향)

  • Kim, Duk-Jung
    • Journal of Life Science
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    • v.20 no.1
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    • pp.71-76
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    • 2010
  • The purpose of this study was to investigate the changes of long term ECG response in a company with middle-aged male employees. Subjects were 60 men who were 40~55 years old. We enrolled 30 exercise group subjects into a 3-year exercise program. In measurement index, body composition was measured by % body fat and BMI. Exercise stress test analyses were measured using ST/HR slope and QRS vector. Statistical analysis was performed using analysis of repeated ANOVA. Results of this study were as follows: In ST/HR slope, the control group showed symptoms of ischemia after nine minutes of exercise. In the rest frontal axis of the QRS vector, the control group had a tendency towards right axis deviation. In the rest horizontal amplitude of the QRS vector, the control group had a tendency to show a significant decrease, but it was increased significantly in the exercise group. These findings suggest that inactive company workers was showed a decrease of exercise capacity, early diagnosis exercise-induced ST depression, and prolonged deviation of QRS vector, but that cardiac function could be elevated in active middle aged men through regular exercise program participation.

Characteristic Findings of Exercise ECG Test, Perfusion SPECT and Coronary Angiography in Patients with Exercise Induced Myocardial Stunning (게이트 심근관류 SPECT상 운동 유발성 기절심근을 보이는 환자의 운동부하 심전도, 관류 SPECT 및 심혈관 조영술 소견)

  • Ahn, Byeong-Cheol;Seo, Ji-Hyoung;Bae, Jin-Ho;Jeong, Shin-Young;Park, Hun-Sik;Lee, Jae-Tae;Chae, Shung-Chul;Lee, Kyu-Bo
    • The Korean Journal of Nuclear Medicine
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    • v.38 no.3
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    • pp.225-232
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    • 2004
  • Purpose : Transient wall motion abnormality and contractile dysfunction of the left ventricle (LV) can be observed in patients with coronary artery disease due to post-stress myocardial stunning. To understand clinical characteristics of stress induced LV dysfunction, we have compared the findings of exercise stress test, myocardial perfusion SPECT and coronary angiography between subjects with and without post-stress LV dysfunction. Materials and Methods : Among subjects who underwent exercise stress test, myocardial perfusion SPECT and coronary angiography within a month of interval, we enrolled 36 patients with post-stress LV election fraction (LVEF) was $\geq5%$ lower than rest (stunning group) and 16 patients with difference of post-stress and rest LVEF was lesser than 1 %(non-stunning group) for this study. Treadmill exercise stress gated myocardial perfusion SPECT was performed with dual head SPECT camera using 740 MBq Tc-99m MIBI and coronary angiography was also performed by conventional Judkins method. Results : Stunning group had a significantly higher incidence of hypercholesterolemia than non-stunning group(45.5 vs. 7.1%, p=0.01). Stunning group also had higher incidence of diabetes mellitus and lower incidence of hypertension, but these were not statistically significant. Stunning group had larger and more severe perfusion defect in stress perfusion myocardial SPECT than non-stunning group(extent 18.2 vs. 9.2%, p=0.029; severity 13.5 vs. 6.9, p=0.040). Stunning group also had higher degree of reversibility of perfusion defect, higher incidence of positive exercise stress test and higher incidence of having severe stenosis ($80{\sim}99%$) in coronary angiography than non-stunning group, but these were not statistically significant. In stunning group, all of 4 patients without perfusion defect had significant coronary artery stenosis and had received revascularization treatment. Conclusion : Patients with post-stress LV dysfunction had larger and more severe perfusion defect and severe coronary artery stenosis than patients without post-stress LV dysfunction. All of the patients without perfusion defect in stunning group had significant coronary artery stenosis and needed revascularization. Therefore, we suggest that invasive diagnostic procedures and therapeutic interventions might be needed in patients with post-stress LV dysfunction.