{"title":"Content-adaptive signal and data in pervasive cardiac monitoring","authors":"P. Augustyniak","doi":"10.1109/CIC.2005.1588232","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588232","url":null,"abstract":"Although the pervasive monitoring of patients at cardiac risk is widely recognized as a valuable tool, the content-dependent signal and data adaptability is rarely considered. Consequently the autonomy of wearable recorders is affected by the unnecessary computation and the wireless data carrier is wasted by the unwanted information. The thorough analysis of human ECG interpretation process and detailed studies of diagnostic procedures reveal that the adaptation of the perceptual strategy to the ECG content is an intuitive and common practice of cardiology experts. Considering human interpretation-derived directions we re-arranged a typical machine interpretation software to simulate the human reasoning. Several aspects of data are adjusted accordingly to the automatic rough estimate of the record contents: the interpretation process flow, the result priority, report content and frequency and the local sampling frequency of the ECG included","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126940102","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}
R. Fischer, G. Klein, B. Widiger, L. Hoy, C. Zywietz
{"title":"Discrimination between atrial flutter and atrial fibrillation by computing a flutter index","authors":"R. Fischer, G. Klein, B. Widiger, L. Hoy, C. Zywietz","doi":"10.1109/CIC.2005.1588039","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588039","url":null,"abstract":"We currently present the advanced development of our 12-lead ECG analyzing program HES. Recently our algorithm did not differentiate between atrial fibrillation or atrial flutter. Therefore, we now present a refined method for discrimination between atrial flutter and atrial fibrillation. The new approach contains two steps. In step one an algorithm has been developed that detects 'sawtooth'-like atrial flutter waves within a one second ECG data interval. This algorithm uses frequency domain measures after preprocessing the recorded data. The second step summarizes the results of step one applied to all 1s data segments by computing an atrial flutter index. The combination of step one and step two raises the total accuracy of the classification from 79.7% to 84.5%. The new algorithm was validated in 187 12 lead 10s resting ECGs, which were classified by an experienced cardiologist","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127865025","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}
Hj Bruns, A. Samol, P. Stolz, T. Schawe, F. Wenzelburger, T. Tjan, H. Scheld, G. Breithardt, T. Wichter, C. Vahlhaus
{"title":"Does body surface potential mapping (bspm) predict functional recovery in chronic ischemic myocardium after revascularization?","authors":"Hj Bruns, A. Samol, P. Stolz, T. Schawe, F. Wenzelburger, T. Tjan, H. Scheld, G. Breithardt, T. Wichter, C. Vahlhaus","doi":"10.1109/CIC.2005.1588073","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588073","url":null,"abstract":"Irreversibly dysfunctional myocardium is electrically characterized by decreased amplitudes and prolonged duration of local electrograms. We investigated whether ECGs from body surface correlate with epicardial electrograms. A 120-channel body surface potential mapping (BSPM) was performed in 24 patients before CABG. During CABG epicardial mapping was performed. For all BSPM leads the Q-amplitude and QR-duration were measured and correlated to epicardial electrogram characteristics. Q-wave-amplitude neighboring the area over the left scapula correlated well with epicardial amplitudes in scarred LAD. QR-duration caudal to V5,V6 correlated well with epicardial signal duration in scarred CxA, Q-amplitude in paramedian epigastric region correlated with epicardial amplitudes in scarred RCA. Epicardial electrogram characteristics can be estimated from body surface in patients with chronic ischemia","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131424764","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. Christé, L. Restier, M. Chahine, P. Chevalier, M. Pásek
{"title":"Effects of a persistent sodium current through mutated hnav1.5 sodium channels on intracellular ionic homeostasis in a ventricular cell model","authors":"G. Christé, L. Restier, M. Chahine, P. Chevalier, M. Pásek","doi":"10.1109/CIC.2005.1588278","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588278","url":null,"abstract":"In LQT3 patients, SCN5A mutations were found that lead to a small fraction of persistent hNav1.5 current. We explored the effects of such a change on the intracellular ionic homeostasis in a model of guinea-pig cardiac ventricular cell. At steady-state under 1 Hz stimulation, the presence of a persistent Na<sup>+</sup> current (I<sub>Nap</sub>) with g <sub>Nap</sub> 0.02 ms/cm<sup>2</sup> led to a prolongation of the action potential from 153 ms (control) to 223 ms and an increase of [Na <sup>+</sup>]i, diastolic and systolic [Ca<sup>2+</sup>]<sub>i</sub> and [Ca<sup>2+</sup>]<sub>SRup</sub> by 10%, 30%, 40% and 43%, respectively. These changes were larger at 3 Hz. Such intracellular Na<sup>+</sup> and Ca<sup>2+</sup> overload was not found when the action potential prolongation (to 222 ms at 1 Hz) was due to decreased I<sub>Kr</sub> and I<sub>Ks</sub> currents. The model with I<sub>Nap</sub> became arrhythmo genie when [K<sup>+</sup>]<sub>e</sub> was lowered from 5.4 to 5.0 mM, whereas control and low K<sup>+</sup> current models did not produce arrhythmias even when [K<sup>+</sup>]<sub>e</sub> was 2.5 mM","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"240 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126267844","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":"Confronting a cardiovascular system model with heart rate and blood pressure data","authors":"P. McSharry, M. Mcguinness, A. Fowler","doi":"10.1109/CIC.2005.1588169","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588169","url":null,"abstract":"The cardiovascular system may be investigated by observing fluctuations in the heart rate, blood pressure and rate of respiration. Its time evolution is governed by the baroreflex control mechanism, where the sympathetic and vagal nerves compete to increase and decrease the heart rate respectively. A nonlinear delay-differential equation model is constructed to describe this control mechanism and to explore the interactions between the heart rate and blood pressure. In this model, a time delay gives rise to the oscillations in the blood pressure known as Mayer waves. The model maintains an intrinsically stable heart rate in the absence of nervous control, and features baroreflex influence on both heart rate and peripheral resistance. The effect of respiratory sinus arrhythmia (RSA) is introduced using a sinusoidal driving component. Clinical recordings obtained by carefully controlling the rate and depth of respiration are used to test the suitability of the model for representing the complicated physiology of the cardiovascular system. The model is shown to be able to reproduce many of the empirical characteristics observed in these biomedical signals, including RSA, Mayer waves and synchronization. Key physiological parameters in the model, including the time delay and levels of sympathetic and vagal activity, could provide useful diagnostic information about the state of the cardiovascular system","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"129 19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114146938","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":"Improving accuracy of atrial fibrillation detection in lossy ECG streams","authors":"L. Kontothanassis, B. Logan","doi":"10.1109/CIC.2005.1588261","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588261","url":null,"abstract":"Continuous physiological monitoring is often the best available tool for detecting and treating asymptomatic, intermittent pathologies like Atrial Fibrillation. A particularly effective algorithm is based on the variance of inter-beat intervals. This algorithms relies on the detection of the QRS complex and is thus fairly robust to noise. Unfortunately, we find that the algorithm is very susceptible to lost data and can quickly degrade even when small parts of the ECG stream are missing. For home-based environments with small devices and wireless data transmission, data loss and noise are inevitable and as such an algorithm that is both robust to noise and lost data becomes necessary. In this paper we present a new Atrial Fibrillation detection algorithm that has the above stated desired qualities. We have run the original and the modified algorithms on a collection of patients from the Physionet database exhibiting Atrial Fibrillation. Even with data loss as little as 10% the original algorithm degrades rapidly and its output is only 2-3% similar to the no-loss case. The loss-conscious algorithm continues to provide output that is more than 90% similar to the no-loss case even for data loss rates as high as 30%","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121033941","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":"Diurnal changes of heart rate and sympatho-vagal activity for temporal patterns of transient ischemia","authors":"A. Smrdel, F. Jager","doi":"10.1109/CIC.2005.1588240","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588240","url":null,"abstract":"Using all 86 records of the long-term ST database we studied diurnal variations of ischemia and heart rate among patients exhibiting different temporal patterns of ischemia: salvo, periodic and sporadic pattern. The results show, that the incidence of ischemia increases during the morning interval. The decrease of sympathetic and vagal activity during ischemia is the most prominent for the sporadic group, while for the salvo group only minor changes were observed. The results support our hypothesis, that there are at least two distinct populations which differ according to mechanisms and temporal patterns of ischemia","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116562644","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}
R. Sameni, M. Shamsollahi, C. Jutten, M. Babaie-zadeh
{"title":"Filtering noisy ECG signals using the extended kalman filter based on a modified dynamic ECG model","authors":"R. Sameni, M. Shamsollahi, C. Jutten, M. Babaie-zadeh","doi":"10.1109/CIC.2005.1588283","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588283","url":null,"abstract":"In this paper an extended Kalman filter (EKF) has been proposed for the filtering of noisy ECG signals. The method is based on a modified nonlinear dynamic model, previously introduced for the generation of synthetic ECG signals. An automatic parameter selection method has also been suggested, to adapt the model with a vast variety of normal and abnormal ECG signals. The results show that the EKF output is able to track the original ECG signal shape even in the most noisiest epochs of the ECG signal. The proposed method may serve as an efficient filtering procedure for applications such as the noninvasive extraction of fetal cardiac signals from maternal abdominal signals","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122484472","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":"Automatic extraction of physiological features from vibro-acoustic heart signals: correlation with echo-doppler","authors":"G. Amit, N. Gavriely, J. Lessick, N. Intrator","doi":"10.1109/CIC.2005.1588096","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588096","url":null,"abstract":"The mechanical processes within the cardiovascular system produce low-frequency vibrations and sounds. These vibro-acoustic signals carry valuable physiological information that can be potentially used for cardiac monitoring. In this work, heart sounds, apical pulse, and arterial pulse signals were simultaneously acquired, along with electrocardiogram and echo-Doppler audio signals. Processing algorithms were developed to extract temporal and morphological feature from the signals. Spectral analysis was used to reconstruct the Doppler sonograms and estimate reference values. A good agreement was observed between systolic and diastolic time intervals estimated by both methods. Strong beat-to-beat correlations were shown both in rest and during pharmacological stress test. The results demonstrate the technological and medical feasibility of using automatic analysis of vibro-acoustic heart signals for continuous non-invasive monitoring of cardiac functionality","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"160 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122837021","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}
R. Młynarski, G. Ilczuk, E. Piłat, A. Wakulicz-Deja, W. Kargul
{"title":"Automated decision support and guideline verification in clinical practice","authors":"R. Młynarski, G. Ilczuk, E. Piłat, A. Wakulicz-Deja, W. Kargul","doi":"10.1109/CIC.2005.1588115","DOIUrl":"https://doi.org/10.1109/CIC.2005.1588115","url":null,"abstract":"Applying international guidelines in medical, including cardiological, therapies is a guarantee of safe and modern treatment. Unfortunately, standards are often not obeyed. In this paper we present an experimental software program based on rough sets methods. The main aim of this application is to improve patient care and help the decision process using guidelines verification. We concentrate on the practical aspects using these methods. Examples and clinical tests, which were based on real-life data of our patients, show that the accuracy of results reached on a large group of patients could be acceptable in clinical practice","PeriodicalId":239491,"journal":{"name":"Computers in Cardiology, 2005","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132607425","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}