J. Ng, H. Subacius, D. Johnson, A. Kadish, J. Goldberger
{"title":"Effect of body characteristics on thoracic attenuation of intra-cardiac electrical activity recorded on the surface electrocardiogram","authors":"J. Ng, H. Subacius, D. Johnson, A. Kadish, J. Goldberger","doi":"10.1109/CIC.2005.1588019","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588019","url":null,"abstract":"The objective of this study was to determine the effect of body characteristics on the electrical transfer function of the human thorax. Twenty patients undergoing electrophysiologic study were enrolled. Unipolar stimuli were applied in the right ventricular apical and posterioseptal areas. XYZ surface ECGs and unipolar intra-cardiac electrograms of the pacing impulses were recorded and signal-averaged. The intracardiac-to-surface transfer functions were modeled and compared with body characteristics. Physical dimensions, respiratory measures obtained by spirometry, and age correlated with magnitude intercepts and slopes of the modeled transfer functions in all three directions. The phase transfer functions were correlated with physical dimensions in the Y and Z directions. The effect of body characteristics on the frequency dependency of attenuation and phase has implications on the use of surface ECG and body surface mapping","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125470367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Pinna, R. Maestri, E. Gobbi, S. Capomolla, C. Campana, A. Di Lenarda, M. Emdin, D. Andrews, M. L. La Rovere, P. Johnson, A. Mortara, P. Sleight
{"title":"Prevalence and persistence of breathing disorders in chronic heart failure patients: preliminary results from home telemonitoring in the HHH study","authors":"G. Pinna, R. Maestri, E. Gobbi, S. Capomolla, C. Campana, A. Di Lenarda, M. Emdin, D. Andrews, M. L. La Rovere, P. Johnson, A. Mortara, P. Sleight","doi":"10.1109/CIC.2005.1588047","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588047","url":null,"abstract":"In this paper we present preliminary results of the European Community multicountry trial HHH (Home or Hospital in Heart Failure), which assessed the prevalence and persistence of nocturnal breathing disorders in mild-to-moderate CHF patients. All subjects (465) carried out a baseline respiratory recording in the hospital, followed by 12 recordings (one per month) at home. The latter were totally self-managed by the patients, and data were transmitted to the referring hospital through telephone lines. We found that 43% of the patients had a periodic breathing pattern (PB, waxing and waning of ventilation with or without apneas) during the night lasting >1 hour, and the apnea-hypopnea index (AHI) was >5 events/hour in 51% of them. During the 1-year follow-up, a PB>1 hour and an AHI>5 events/hour were persistent (i.e., occurred in >50% of the recordings) in 43% and 52% of the patients. These findings confirm the high prevalence of nocturnal breathing disorders in CHF patients and show that in a large proportion of patients they tend to persist over time","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125429421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The U wave explained as an intrinsic part of repolarization","authors":"J. Kors, H. V. van Eck, G. van Herpen","doi":"10.1109/CIC.2005.1588044","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588044","url":null,"abstract":"In the ECG the U wave follows the T, which is considered to reflect ventricular repolarization. Several hypotheses about the genesis of the U wave have been put forward, but a satisfactory explanation is still outstanding. We present a simple digital model of the left ventricle that simulates the formation of the U wave on the basis of known electrophysiological processes responsible for the electrical sources in the myocardium, and of the physical laws, embodied in the lead vector concept, which link the potentials in or on the body to these sources. The repolarization waves constructed by the model reproduce the natural aspects of a T wave followed by a U wave. The creation of a U wave appears to be conditional on small voltage differences between the tail ends of the action potentials assigned to the myocardial cells. No fundamental demarcation exists between U wave and preceding Twave","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"228 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122043166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Estimating cardiac output from arterial blood pressurewaveforms: a critical evaluation using the MIMIC II database","authors":"J. Sun, A. Reisner, M. Saeed, R. Mark","doi":"10.1109/CIC.2005.1588095","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588095","url":null,"abstract":"Cardiac output (CO) estimation using arterial blood pressure (ABP) waveforms has been an active area of physiology research over the past century. However, the effectiveness of the estimators has not been extensively studied in a clinical setting. In this paper, we evaluate 11 well-known CO estimators using clinical radial ABP waveforms from the multi-parameter intelligent monitoring for intensive care II (MIMIC II) database, using thermodilution CO (TCO) as reference for comparison. We compare estimations to 988 TCO measurements in 84 patients, totaling 165 hours of ABP waveforms sampled at 125 Hz. As a necessary step for producing absolute CO estimates, we also present 3 methods of calibrating the estimators, each tailored towards a different use model. The results show that the standard deviation of error between TCO and the best CO estimators is approximately 1 L/min for absolute CO estimates. For relative estimates without calibration, the best CO estimator has 18% error at 1 standard deviation","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128477302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. van der Putten, E.T. van der Velde, W. Dijk, T. Maikoe, R. Hoekema
{"title":"Implementation of the cards data standards in five dutch university medical centres","authors":"N. van der Putten, E.T. van der Velde, W. Dijk, T. Maikoe, R. Hoekema","doi":"10.1109/CIC.2005.1588103","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588103","url":null,"abstract":"This study describes the first user experience at the cardiology departments of the University Medical Centres of Rotterdam, Leiden, Groningen, Utrecht and Nijmegen with the implementation of the CARDS data standards in their cardiology information systems. The main aim of this study was to identify problems in the use of the CARDS data standards. This study is focused on the data standards for PCI procedures. The CARDS PCI data definitions were analyzed and were compared with the data definitions in the local information systems. On average, the majority, about 75%, of all CARDS data fields (total number: 113 data fields) were already available in the local information systems. About 7% of the variables revealed definition differences. The implementation of the PCI CARDS data standards in our clinical systems revealed no significant problems","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129789747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Li, J. Schneider, M. Yamamoto, I. Greener, H. Dobrzynski, K. Clarke, M. Boyett
{"title":"A detailed 3D model of the rabbit right atrium including the sinoatrial node, atrioventricular node, surrounding blood vessels and valves","authors":"J. Li, J. Schneider, M. Yamamoto, I. Greener, H. Dobrzynski, K. Clarke, M. Boyett","doi":"10.1109/CIC.2005.1588173","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588173","url":null,"abstract":"We used multiple techniques to generate a three-dimensional anatomical model of the rabbit right atrium with the sinoatrial node (SAN) and atrioventricular node (AVN). The model includes the right atrium, SAN, AVN, part of right ventricle, aorta with aortic valve, superior vena cava, inferior vena cava, coronary sinus, tricuspid valve, part of mitral valve, fossa ovalis and central fibrous body. The tendon of Todaro and right and left sinoatrial ring bundles were highlighted as landmarks","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129954098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Applying independent component analysis to heart rate and blood pressure variations","authors":"H.W. Chili, C. Hsu","doi":"10.1109/CIC.2005.1588167","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588167","url":null,"abstract":"The variations of heart rate (HR) and blood pressure (BP) reflect autonomic control. Most studies used spectral analysis and time-domain statistics to assess autonomic functions. Such methods provide some parameters to represent sympathetic and vagal activities. Independent component analysis (ICA) is a statistical signal processing method for blind separation. Assume that HR and BP pressure variations are linearly composed by some independent hidden signals and these hidden signals represent some meaningful physiological signals such as cardiac nervous outflow and hormonal level. Applying ICA to HR and BP variations signals will be expected to extract these hidden signals. In this study, the HR and BP variations data of six subjects were measured and the beat-to-beat RR intervals, systolic BP, and diastolic BP were considered as the mixed signals to be decomposed. The results from ICA showed that these signals were decomposed to noise component, dominate oscillation component and slow-changed component. Dominate oscillation component is similar to the spectral component observed from traditional spectral analysis but show a de-noised form. The physiological meaning of slow-changed component remains to be further studied. This study shows that ICA will be helpful for HR and BP variation analysis","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121282644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Public health alert system for health networks: application to cardiology","authors":"W.M. de Arantes, C. Verdier","doi":"10.1109/CIC.2005.1588057","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588057","url":null,"abstract":"The authors propose a system that allows healthcare professionals like physicians and nurses to define medical alerts from patient and environmental data by using fuzzy linguistic variables. Such variables are associated to three importance levels (very important, important or less important) indicating their relative importance in the context and can be developed separately from alerts. Each time a predefined alert is activated by the system, it has two quality indicators which are used for filtering: an 0 to 1 applicability level stating how much the patient is concerned and a trust level indicating its reliability and calculated according to the amount of information that is available at the moment. Finally, lack of information, very common in medical records, is treated transparently thanks to the new concept of modifier, which allows to express the influence variables have on each other by means of a weighted oriented graph","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125752173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Gedzelman, Michel Simonet, Delphine Bernhard, G. Diallo, Patrick Palmer
{"title":"Building an ontology of cardio-vascular diseases for concept-based information retrieval","authors":"S. Gedzelman, Michel Simonet, Delphine Bernhard, G. Diallo, Patrick Palmer","doi":"10.1109/CIC.2005.1588085","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588085","url":null,"abstract":"Word-based information retrieval (IR) suffers from several drawbacks which the semantic Web initiative aims at overcoming through the use of ontologies. The European project Noesis (WWW.noesis-eu.org) is currently developing a concept-based approach to IR with cardio-vascular diseases as an application domain. For this purpose, an ontology of CV diseases had to be built. We present the process of its construction and its possible usages","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114287422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Rose, A. Lalande, E. Bourennane, P. Walker, O. Bouchot, E. Steinmetz, L. Legrand, Y. Voisin, Y.E. Wolf, F. Brunotte
{"title":"Automatic detection of vessel wall contours from cine-MRI for aortic compliance determination","authors":"J. Rose, A. Lalande, E. Bourennane, P. Walker, O. Bouchot, E. Steinmetz, L. Legrand, Y. Voisin, Y.E. Wolf, F. Brunotte","doi":"10.1109/CIC.2005.1588124","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588124","url":null,"abstract":"The aortic compliance is defined as the relative change of aortic cross-sectional area divided by the change in arterial pressure. Magnetic resonance imaging (MRI) can be used to evaluate aortic compliance. A knowledge of the aortic contour is essential to determine the aortic area. To prevent important intra-and inter-observer variability, the aortic contours are detected automatically. This work consists in extracting automatically the aortic contour at different phases of the cardiac cycle. An automatic edge detection making use of a Haralick filter and graph searching allows the estimation of aortic cross-sectional area on MR images, from which the aortic compliance is derived","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114464907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}