• Title/Summary/Keyword: Premature contraction

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Personalized Specific Premature Contraction Arrhythmia Classification Method Based on QRS Features in Smart Healthcare Environments

  • Cho, Ik-Sung
    • Journal of IKEEE
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    • v.25 no.1
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    • pp.212-217
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    • 2021
  • Premature contraction arrhythmia is the most common disease among arrhythmia and it may cause serious situations such as ventricular fibrillation and ventricular tachycardia. Most of arrhythmia clasification methods have been developed with the primary objective of the high detection performance without taking into account the computational complexity. Also, personalized difference of ECG signal exist, performance degradation occurs because of carrying out diagnosis by general classification rule. Therefore it is necessary to design efficient method that classifies arrhythmia by analyzing the persons's physical condition and decreases computational cost by accurately detecting minimal feature point based on only QRS features. We propose method for personalized specific classification of premature contraction arrhythmia based on QRS features in smart healthcare environments. For this purpose, we detected R wave through the preprocessing method and SOM and selected abnormal signal sets.. Also, we developed algorithm to classify premature contraction arrhythmia using QRS pattern, RR interval, threshold for amplitude of R wave. The performance of R wave detection, Premature ventricular contraction classification is evaluated by using of MIT-BIH arrhythmia database that included over 30 PVC(Premature Ventricular Contraction) and PAC(Premature Atrial Contraction). The achieved scores indicate the average of 98.24% in R wave detection and the rate of 97.31% in Premature ventricular contraction classification.

Classification of Premature Ventricular Contraction using Error Back-Propagation

  • Jeon, Eunkwang;Jung, Bong-Keun;Nam, Yunyoung;Lee, HwaMin
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.12 no.2
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    • pp.988-1001
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    • 2018
  • Arrhythmia has recently emerged as one of the major causes of death in Koreans. Premature Ventricular Contraction (PVC) is the most common arrhythmia that can be found in clinical practice, and it may be a precursor to dangerous arrhythmias, such as paroxysmal insomnia, ventricular fibrillation, and coronary artery disease. Therefore, we need for a method that can detect an abnormal heart beat and diagnose arrhythmia early. We extracted the features corresponding to the QRS pattern from the subject's ECG signal and classify the premature ventricular contraction waveform using the features. We modified the weighting and bias values based on the error back-propagation algorithm through learning data. We classify the normal signal and the premature ventricular contraction signal through the modified weights and deflection values. MIT-BIH arrhythmia data sets were used for performance tests. We used RR interval, QS interval, QR amplitude and RS amplitude features. And the hidden layer with two nodes is composed of two layers to form a total three layers (input layer 0, output layer 3).

Prognosis of Full-Thickness Skin Defects in Premature Infants

  • Moon, Hyung Suk;Burm, Jin Sik;Yang, Won Yong;Kang, Sang Yoon
    • Archives of Plastic Surgery
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    • v.39 no.5
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    • pp.463-468
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    • 2012
  • Background In the extremities of premature infants, the skin and subcutaneous tissue are very pliable due to immaturity and have a greater degree of skin laxity and mobility. Thus, we can expect wounds to heal rapidly by wound contraction. This study investigates wound healing of full-thickness defects in premature infant extremities. Methods The study consisted of 13 premature infants who had a total of 14 cases of full-thickness skin defects of the extremities due to extravasation after total parenteral nutrition. The wound was managed with intensive moist dressings with antibiotic and anti-inflammatory agents. After wound closure, moisturization and mild compression were performed. Results Most of the full-thickness defects in the premature infants were closed by wound contraction without granulation tissue formation on the wound bed. The defects resulted in 3 pinpoint scars, 9 linear scars, and 2 round hypertrophic scars. The wounds with less granulation tissue were healed by contraction and resulted in linear scars parallel to the relaxed skin tension line. The wounds with more granulation tissue resulted in round scars. There was mild contracture without functional abnormality in 3 cases with a defect over two thirds of the longitudinal length of the dorsum of the hand or foot. The patients' parents were satisfied with the outcomes in 12 of 14 cases. Conclusions Full-thickness skin defects in premature infants typically heal by wound contraction with minimal granulation tissue and scar formation probably due to excellent skin mobility.

R Wave Detection and Advanced Arrhythmia Classification Method through QRS Pattern Considering Complexity in Smart Healthcare Environments (스마트 헬스케어 환경에서 복잡도를 고려한 R파 검출 및 QRS 패턴을 통한 향상된 부정맥 분류 방법)

  • Cho, Iksung
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.17 no.1
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    • pp.7-14
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    • 2021
  • With the increased attention about healthcare and management of heart diseases, smart healthcare services and related devices have been actively developed recently. R wave is the largest representative signal among ECG signals. R wave detection is very important because it detects QRS pattern and classifies arrhythmia. Several R wave detection algorithms have been proposed with different features, but the remaining problem is their implementation in low-cost portable platforms for real-time applications. In this paper, we propose R wave detection based on optimal threshold and arrhythmia classification through QRS pattern considering complexity in smart healthcare environments. For this purpose, we detected R wave from noise-free ECG signal through the preprocessing method. Also, we classify premature ventricular contraction arrhythmia in realtime through QRS pattern. The performance of R wave detection and premature ventricular contraction arrhythmia classification is evaluated by using 9 record of MIT-BIH arrhythmia database that included over 30 premature ventricular contraction. The achieved scores indicate the average of 98.72% in R wave detection and the rate of 94.28% in PVC classification.

Premature Contraction Arrhythmia Classification through ECG Pattern Analysis and Template Threshold (ECG 패턴 분석과 템플릿 문턱값을 통한 조기수축 부정맥분류)

  • Cho, Ik-sung;Cho, Young-Chang;Kwon, Hyeog-soong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.20 no.2
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    • pp.437-444
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    • 2016
  • Most methods for detecting arrhythmia require pp interval, diversity of P wave morphology, but it is difficult to detect the p wave signal because of various noise types. Therefore it is necessary to use noise-free R wave. In this paper, we propose algorithm for premature contraction arrhythmia classification through ECG pattern analysis and template threshold. For this purpose, we detected R wave through the preprocessing method using morphological filter, subtractive operation method. Also, we developed algorithm to classify premature contraction wave pattern using weighted average, premature ventricular contraction(PVC) and atrial premature contraction(APC) through template threshold for R wave amplitude. The performance of R wave detection, PVC classification is evaluated by using 6 record of MIT-BIH arrhythmia database that included over 30 PVC and APC. The achieved scores indicate the average of 99.77% in R wave detection and the rate of 94.91%, 95.76% in PVC and APC classification.

Assessment of Premature Ventricular Contraction Arrhythmia by K-means Clustering Algorithm

  • Kim, Kyeong-Seop
    • Journal of the Korea Society of Computer and Information
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    • v.22 no.5
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    • pp.65-72
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    • 2017
  • Premature Ventricular Contraction(PVC) arrhythmia is most common abnormal-heart rhythm that may increase mortal risk of a cardiac patient. Thus, it is very important issue to identify the specular portraits of PVC pattern especially from the patient. In this paper, we propose a new method to extract the characteristics of PVC pattern by applying K-means machine learning algorithm on Heart Rate Variability depicted in Poinecare plot. For the quantitative analysis to distinguish the trend of cluster patterns between normal sinus rhythm and PVC beat, the Euclidean distance measure was sought between the clusters. Experimental simulations on MIT-BIH arrhythmia database draw the fact that the distance measure on the cluster is valid for differentiating the pattern-traits of PVC beats. Therefore, we proposed a method that can offer the simple remedy to identify the attributes of PVC beats in terms of K-means clusters especially in the long-period Electrocardiogram(ECG).

Premature Ventricular Contraction Classification through R Peak Pattern and RR Interval based on Optimal R Wave Detection (최적 R파 검출 기반의 R피크 패턴과 RR간격을 통한 조기심실수축 분류)

  • Cho, Ik-sung;Kwon, Hyeog-soong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.22 no.2
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    • pp.233-242
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    • 2018
  • Previous works for detecting arrhythmia have mostly used nonlinear method such as artificial neural network, fuzzy theory, support vector machine to increase classification accuracy. Most methods require higher computational cost and larger processing time. Therefore it is necessary to design efficient algorithm that classifies PVC(premature ventricular contraction) and decreases computational cost by accurately detecting feature point based on only R peak through optimal R wave. For this purpose, we detected R wave through optimal threshold value and extracted RR interval and R peak pattern from noise-free ECG signal through the preprocessing method. Also, we classified PVC in realtime through RR interval and R peak pattern. The performance of R wave detection and PVC classification is evaluated by using 9 record of MIT-BIH arrhythmia database that included over 30. The achieved scores indicate the average of 99.02% in R wave detection and the rate of 94.85% in PVC classification.

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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Pharmacological Effects of Extract of Bufonis Yenenum (섬수(Bufonis Yenenum) 추출물의 약리작용)

  • 김영훈;정성학;김종학;최재묵;지준환;강재구;박종구;김제학;조희재
    • Biomolecules & Therapeutics
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    • v.9 no.1
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    • pp.51-54
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    • 2001
  • Bufonis Venenum is a toad venom and its main components are bufadienolides, namely resibufogenin, bufalin and cinobufagin. The desensitizing effect of Bufonis Venenum is useful for the treatment of the premature ejaculation in Chinese medicine. But, minor components of Bufonis Venenum cause problems such as topical burring, pain, and erectile dysfunction. To clarify and eliminate the components responsible for these side effects, we prepared two extracts of Bufonis Venenum with either 70% ethanol or ethylacetate and tested their pharmacological effects. The extract of Bufonis Venenum with 70% ethanol produced pain response in rat hind paw, and exhibited contraction of rabbit corpus cavernosal muscle in vitro. On the other hand, the ethylacetate extract did not cause pain and smooth muscle contraction. The desensitizing effect of the ethylacetate extract was similar to that of the 70% ethanol extract. In conclusion, these results show that the extract of Bufonis Venenum with ethylacetate does not have the components causing side effects and deserve further study for therapeutic potential in premature ejaculation in men.

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A Case Report of a Premature Ventricular Contraction Patient with Dizziness and Chest Discomfort Using Gagam-Samryoungbeakchul-san (조기심실수축으로 현훈 및 흉부 불편감을 호소하는 환자에 대한 가감삼령백출산의 효과 증례보고 1례)

  • Cho, Jae-hyun;Hong, Min-na;Park, Hye-lim;Choi, Jin-yong;Bae, Go-eun;Lee, In;Kwon, Jung-nam;Han, Chang-woo;Kim, So-yeon;Choi, Jun-yong;Park, Seong-ha;Yun, Young-ju;Hong, Jin-woo
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.796-805
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    • 2016
  • Objective: To examine the effects of Gagam-Samryoungbeakchul-san (加減 蔘苓白朮散) on a premature ventricular contraction patient with dizziness and chest discomfort. Methods: A patient diagnosed with premature ventricular contraction was treated with herbal medicine and acupuncture. The period of admission was 15 days, and we measured the electrocardiogram before and after treatment. We evaluated the improvement in symptoms by Global Assessment (G/A), and checked the pulse rate by oximetry three times a day. We estimated the efficacy of treatment by analyzing the relationship between the average pulse rate and symptoms. Results: After Gagam-Samryoungbeakchul-san treatment and acupuncture therapy, the average pulse rate increased from 36.5 to 58. This increase in average pulse rate was accompanied by a reduction in dizziness of 40%, chest discomfort of 30%, and frequency of bigeminy in the electrocardiogram. Conclusions: This case report confirmed the effectiveness of Gagam-Samryoungbeakchul-san on premature ventricular contraction, but further study is warranted.