A new approach to the diagnostic quality ambulatory ECG recordings

Y. Tsau, Xiangyu Jiang, Yue Yu, Tao Xu, Jianfang Chen, Bo Shi, Shu Yang, Shao-yang Liu
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Abstract

Electrocardiogram (ECG) monitoring and the P-QRS-T waveform and rhythmic analysis are essential for clinicians to understand the vital cardiac physiological functions of the subjects with cardiac problems or heavier cardiac load. This is becoming more significant as seniors are getting popular who often need clinical cardiovascular attention. We propose a new approach to ECG acquisition with the capability of recording, analyzing, and monitoring ECG and P-QRS-T waveform with the diagnostic quality during various activity states from resting to strenuous exercises without missing ECG signals. The approach is based on the digital technologies of pure digital medical amplifier (PDMA) featuring great input signal dynamic range (ISDR) and high immunity to various noises, as well as extensive use of digital filtering and parallel processing. The device can monitor ECG traces with up-to-moment P-QRS-T waveform measurements. It can be used as an all-in-one ECG device for diagnostic, monitoring, ambulatory, and stress testing purposes, and so has many new potential applications.
动态心电记录诊断质量的新方法
心电图(ECG)监测、P-QRS-T波形和节律分析对于临床医生了解有心脏问题或心脏负荷较重的受试者的重要心脏生理功能至关重要。随着老年人越来越受欢迎,他们经常需要临床心血管治疗,这一点变得更加重要。我们提出了一种新的ECG采集方法,能够记录、分析和监测从休息到剧烈运动的各种活动状态下的ECG和P-QRS-T波形,并具有诊断质量,而不会丢失ECG信号。该方法基于纯数字医用放大器(PDMA)的数字技术,具有输入信号动态范围大、抗各种噪声能力强的特点,并广泛应用了数字滤波和并行处理技术。该设备可以监测心电图跟踪最新的P-QRS-T波形测量。它可以作为一种集诊断、监测、动态和压力测试为一体的心电设备,因此具有许多新的潜在应用。
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