Low-cost paperless electrocardiograph for low-income countries, with derived V leads and a QRS detection algorithm.

IF 0.5 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tropical Doctor Pub Date : 2025-04-01 Epub Date: 2025-02-09 DOI:10.1177/00494755251318077
Peter Finch, Maclean Ndovie, Michael Rashid, David McCarty
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引用次数: 0

Abstract

A low-cost device capable of recording a full 12-lead electrocardiogram (ECG) is described using a commercially available analogue front end (ADS1293) and a microprocessor (ESP32) transmitting a signal by Bluetooth to a smartphone. Comparison of the measured V leads and V leads derived by vector analysis using a transverse plane 0° reference vector (lead I) showed significant cross-correlation both for traces acquired from 120 Blantyre patients (0.43) and from the historical PhysioNet ECG database (0.85) and also when a + 30° transverse plane vector (-aVR) was used (0.50 Blantyre, 0.83 PhysioNet). Good correlation was also found between the mean transverse axis vector for the synchronous PhysioNet data (r = 0.91) but not for the asynchronous Blantyre data (r = 0.13) perhaps as a result of the QRS detection algorithm employed.

用于低收入国家的低成本无纸化心电图仪,带有衍生V导联和QRS检测算法。
采用商用模拟前端(ADS1293)和微处理器(ESP32),通过蓝牙将信号传输到智能手机,描述了一种能够记录完整12导联心电图(ECG)的低成本设备。将测量到的V导联与使用横平面0°参考矢量(导联I)进行矢量分析得出的V导联进行比较,结果显示,从120名Blantyre患者(0.43)和从PhysioNet历史心电图数据库(0.85)获得的迹线以及使用+ 30°横平面矢量(-aVR)时(0.50 Blantyre, 0.83 PhysioNet)均存在显著的相互关联。同步PhysioNet数据的平均横轴矢量之间也发现了良好的相关性(r = 0.91),但异步Blantyre数据之间没有良好的相关性(r = 0.13),这可能是采用QRS检测算法的结果。
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来源期刊
Tropical Doctor
Tropical Doctor 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.20
自引率
0.00%
发文量
144
审稿时长
3 months
期刊介绍: The only journal written by and for health workers in low and middle-income countries, Tropical Doctor provides medical expertise and practical advice on how to apply current medical knowledge to the special circumstances of LMIC countries. This journal provides an ideal forum for sharing experiences and establishing best practice, aiding communication between medical professionals in different environments.
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