• Journal of Sensor Science and Technology
• /
• v.27 no.5
• /
• pp.340-344
• /
• 2018

Electrodes are an important part of electrocardiography (ECG); disposable electrodes have been extensively used. However, personal ECG monitoring devices for Internet of Things applications require reusable electrodes. As there have been no systematic studies on the characteristics of reusable electrodes to date, we conducted this study to assess the performance and feasibility of electrodes with different materials. We built reusable electrodes using twelve different metallic materials, including commonly used copper, silver, zinc, plating materials, chemically inert titanium, stainless steel, and aluminum. Each electrode was fabricated to a size of $5{\times}10mm$. Their characteristics such as offset, baseline drift, stabilization time, and chemical inertness were compared. A personal ECG monitoring system was used to test the manufactured electrodes. The performances of the Ag, Cu, and Zn electrodes were better than the performances of other electrodes. However, these materials may not be used owing to the chemical changes that occur when the electrodes are in contact with the skin, such as discoloration and corrosion, which deteriorate their electrical characteristics. Titanium, stainless steel, and aluminum are chemically stable. The titanium electrode showed the best performance among the three, and it is our recommendation as a material for manufacturing reusable electrodes.

• International Journal of Advanced Culture Technology
• /
• v.11 no.2
• /
• pp.310-314
• /
• 2023

In this paper, we show that the limitations of Holter monitoring and Wearable Electrocardiogarphy Devices and their arrhythmia detection. Sudden death caused by cardiovascular disease, often referred to as the "silent killer" due to its unpredictable nature, is a major health concern. Electrocardiography (ECG) is a basic diagnostic tool for detecting heart disease, but its limitations make it difficult to detect arrhythmia, a significant indicator of an irregular heart state. To address this limitation, a long-term continuous ECG recording device has been developed, Holter ECG device and wearable device. A significant number of studies have focused on the differences between Holter monitoring and wearable devices. The Holter tests were useful for detecting regularly occurring arrhythmias, whereas wearable patches were better at detecting random and infrequent arrhythmias. Wearable patches were effective in detecting episodes of arrhythmia and myocardial ischemia. Despite the concern, wearable devices had less signal loss than Holter monitoring and patients also preferred wearable devices over Holter monitoring due to convenience. These results could mean that the wearable devices can perfectly replace the Holter test.

• Journal of the Korean Society of Safety
• /
• v.30 no.2
• /
• pp.56-62
• /
• 2015

The purpose of this study was to identify the relationship between the index of Electrocardiography(LF/HF) and the occurrence of drowsiness driving while driving in a simulated situation. Participants were 31 undergraduate students with an experience in driving and they participated 30 minutes driving under enough sleep condition and 1 hour under the sleep deprivation condition. The Euro Truck Simulator II was used for driving simulation task and ECG and perceived drowsiness of each participants were measured during two driving conditions. Perceived sleepiness recorded by the checklist every 10 minutes and ECG data extracted before and after 15 seconds of every 10 minutes to verify the relationship between two variables. The results showed that the level of perceived sleepiness under sleep deprivation condition was higher than that under the enough sleep condition, and the level of LF/HF under sleep deprivation condition was lower than that under the enough sleep condition. In addition, the result of analysis of repeated measure ANOVA for ECG indicated that authentic sleepiness revealed in 20 minutes after the start of driving under the sleep deprivation condition. However, the result of perceived drowsiness indicated that authentic sleepiness revealed in 30 minutes after the start of driving. These result suggest that the time difference between biological and perceived response on drowsiness may be exist. Finally, the significant negative correlation between the LF/HF level and perceived drowsiness was observed. These findings suggest that ECG(LF/HF) can be an possible index to measure drowsiness driving.

• The Journal of the Korea institute of electronic communication sciences
• /
• v.14 no.6
• /
• pp.1257-1264
• /
• 2019

The traditional cuff-based method for BP(Blood Pressure) measurement is not suitable for continuous real-time BP measurement techniques. For this reason, the previous studies estimated various blood pressures by fusion with the electrocardiography (ECG) and photoplethysmogram (PPG) sensor signals. However, conventional techniques based on PPG bio-sensing measurement face many challenging issues such as noisy supply fluctuation, small pulsation, and drifting non-pulsatile. This paper proposed a novel BP estimation methods using PPG and ECG sensors, which can be derived from the relationship between PPG and ECG using PTT(Pulse Transit Time) and PWV(Pulse Wave Velocity). Unlike conventional height ratio features, which are extracted on the basis of the peaks in the PPG and ECG waveform. The proposed method can be reliably obtained even if there are missing peaks among the sensed PPG signal. The increased reliability comes from periodical estimation of the peak-to-peak interval time using ECG and PPG. After 250,000 times trials of the blood pressure measurement, the proposed estimation technique was verified with the accuracy of ±28.5% error, compared to a commercialized BP device.

• Childhood Kidney Diseases
• /
• v.27 no.2
• /
• pp.105-110
• /
• 2023

Purpose: To analyze electrocardiograms (ECGs) of patients with a salt-losing tubulopathy (SLT) and to determine the frequency and risk factors for long QT and arrhythmia. Methods: A total of 203 patients aged <19 years with SLT, specifically Bartter syndrome and Gitelman syndrome, who had a 12-lead ECG were included in this retrospective study. We analyzed the presence of an arrhythmia or prolonged corrected QT (QTc) on ECGs obtained for these patients. Demographic and laboratory data were compared between patients with abnormal and normal ECG findings. Results: Out of the 203 SLT patients, 38 (18.7%) underwent electrocardiography and 10 (40.0%) of 25 patients with inherited SLT had abnormal ECG findings, including prolonged QTc and arrhythmias. The abnormal ECG group had significantly lower serum potassium levels than the normal group (median [interquartile range]: 2.50 mmol/L [2.20-2.83] vs. 2.90 mmol/L [2.70-3.30], P=0.036), whereas other serum chemistry values did not show significant differences. The cutoff level for a significant difference in QTc interval was serum potassium level <2.50 mmol/L. One cardiac event occurred in a 13-year-old boy, who developed paroxysmal supraventricular tachycardia and underwent cardiac ablation. No sudden cardiac deaths occurred in this cohort. Conclusions: The incidence of ECG abnormalities in patients with inherited SLT was 40.0%, whereas the ECG screening rate was relatively low (18.7%). Therefore, we recommend ECG screening in patients with inherited SLT, especially in those with serum potassium level <2.50 mmol/L.

• Journal of Chest Surgery
• /
• v.57 no.2
• /
• pp.205-212
• /
• 2024

Background: Postoperative atrial fibrillation (A-fib) is a serious complication of cardiac surgery that is associated with increased mortality and morbidity. Traditional 24-hour Holter monitors have limitations, which have prompted the development of innovative wearable electrocardiogram (ECG) monitoring devices. This study assessed a patch-type wearable ECG device (MobiCARE-MC100) for monitoring A-fib in patients undergoing cardiac surgery and compared it with 24-hour Holter ECG monitoring. Methods: This was a single-center, prospective, investigator-initiated cohort study that included 39 patients who underwent cardiac surgery between July 2021 and June 2022. Patients underwent simultaneous monitoring with both conventional Holter and patchtype ECG devices for 24 hours. The Holter device was then removed, and patch-type monitoring continued for an additional 48 hours, to determine whether extended monitoring provided benefits in the detection of A-fib. Results: This 72-hour ECG monitoring study included 39 patients, with an average age of 62.2 years, comprising 29 men (74.4%) and 10 women (25.6%). In the initial 24 hours, both monitoring techniques identified the same number of paroxysmal A-fib in 7 out of 39 patients. After 24 hours of monitoring, during the additional 48-hour assessment using the patch-type ECG device, an increase in A-fib burden (9%→38%) was observed in 1 patient. Most patients reported no significant discomfort while using the MobiCARE device. Conclusion: In patients who underwent cardiac surgery, the mobiCARE device demonstrated diagnostic accuracy comparable to that of the conventional Holter monitoring system.

• Journal of Biomedical Engineering Research
• /
• v.3 no.2
• /
• pp.123-130
• /
• 1982

In this paper, Electrocardiography principles and design philosophy are discussed. 1-channel portable automatic ECG amplifier, GSM 110A has high reliability, performance and safety. It reveals that GSM 110A satisfies the IEC, VDE standards. Clinical tests are performed and proved its performance and ease of use.

• Clinical and Experimental Pediatrics
• /
• v.50 no.5
• /
• pp.462-468
• /
• 2007

Purpose : The purpose of this study was to analyze the changes of the late potential of Signal- averaged electrocardiography (SAECG) and Electrocardiography (ECG) parameters during follow up of those who had taken surgical repair of Tetralogy of Fallot (TOF). Methods : Nine patients who had taken surgical repair of TOF since 1985 checked SAECG and standard 12 leads ECG twice in 1999 and 2005 in Kyungpook national university hospital. We evaluated changes of QRS duration, QT interval and JT interval, QRS dispersion, QT dispersion and JT dispersion of standard 12 leads ECG and Filtered QRS (f-QRS), High frequency low amplitude potential (HFLA), Root mean square in terminal 40 ms (RMS) and Mean voltage in terminal 40 ms (MV) of SAECG between in 1999 and 2005. Results : There were significant decrease of JT dispersion ($101.11{\pm}50.11$ vs $71.11{\pm}22.61ms$, P< 0.05) and significant increase of HFLA ($24.67{\pm}13.19$ vs $32.89{\pm}14.21ms$, P<0.05). But there were no significant changes in other parameters. Conclusion : In repaired TOF patients, we evaluated ECG and SAECG to detect possible late complications such as tricuspid regurgitation, right ventricular enlargement, ventricualar arrythmia and sudden death. And there were significant changes of ECG and SAECG in some parameters (JT dispersion, HFLA). But to see the relationships between the changes of these parameters and the long term prognosis, we need to check more patients and longer follow-up.

• Journal of Korean Institute of Industrial Engineers
• /
• v.40 no.3
• /
• pp.325-332
• /
• 2014

High cognitive workload decreases a driver's ability of judgement and response in traffic situation and could result in a traffic accident. Electrocardiography (ECG) has been used for evaluation of drivers' cognitive workload; however, individual differences in ECG response corresponding to cognitive workload have not been fully considered. The present study developed an evaluation method of individual driver's cognitive workload based on ECG data, and evaluated its usefulness through an experiment in a driving simulator. The evaluation method developed by the present study determined the optimal ECG evaluation condition for individual participant by analysis of area under the receiver operating characteristic curve (AUC) for various conditions (total number of conditions = 144) in terms of four aspects (ECG measure, window span, update rate, and workload level). AUC analysis on the various conditions showed that the optimal ECG evaluation condition for each participant was significantly different. In addition, the optimal ECG evaluation condition could accurately detect changes in cognitive workload for 47% of the total participants (n = 15). The evaluation method proposed in the present study can be utilized in the evaluation of individual driver's cognitive workload for an intelligent vehicle.

• Proceedings of the KIEE Conference
• /
• 1991.07a
• /
• pp.905-907
• /
• 1991

One of the general methods to diagnose abnormalities of heart is stethoscopy. This method needs special skill and experiment of doctors and it lacks for objectivity. Electrocardiography(ECG) is another biomedical method which is commonly used to diagnoss abnormalities of heart. The development of PCG is required in recent years to improve objectivity of stethoscopy method. In this paper, PCG is implemented on personal computer and ECG is also included to help the analysis of PCG waveform. Time analysis is used so far, but in this paper the frequency analysis is also considered to improve the accuracy of disgonosis. As future research, recognition of PCG and ECG signal and the Expert System is required to improve the accuracy of diagnosis.