TWI677320B - Electrocardiogram diagnosis suggestion method - Google Patents

Abstract

An electrocardiogram diagnosis suggestion method includes the following steps: first measuring a first electrocardiogram of a user, storing a first electrocardiogram, measuring a second electrocardiogram of the user, storing a second electrocardiogram, and comparing the first electrocardiogram of the user The difference from the second electrocardiogram and according to the comparison result, a graphical output interface is displayed to provide medical advice for the user's reference.

Description

Recommended methods for ECG diagnosis

The invention relates to a method for recommending diagnosis of electrocardiogram. In particular, there is a personally recommended method for electrocardiogram diagnosis.

With the advancement of science and technology and the advancement of medical technology, human life expectancy has gradually increased. At present, China has gradually entered an aging society, and the proportion of the elderly population has been increasing year by year. Heart disease has also become one of the top stealth killers of the silver-haired.

Arrhythmia is a very common symptom of heart-related diseases, and monitoring of heart-related diseases is an important issue for the elderly. At present, the detection of heart rate / ECG is mainly monitored by ECG measurement equipment. Traditionally, a wet electrode containing electrolyte is adhered to the chest as the connection between the skin and the machine to measure the heart rate / ECG.

However, because everyone is born with a different constitution, they often rely on traditional ECG comparison methods, interpret ECGs, and use them as a basis for disease diagnosis, and often make inappropriate judgments. How to effectively and correctly interpret the ECG of each user will help to detect the changes of the body early and achieve the preventive effect of related diseases more effectively.

In view of this, the present invention discloses a method for recommending diagnosis of an electrocardiogram, which can effectively adjust the comparison standard of the electrocardiogram according to the different physique of each user, and then correctly interpret the meaning of the electrocardiogram, so as to detect and prevent related diseases early.

According to one embodiment disclosed by the present invention, a method for diagnosing and recommending an electrocardiogram includes the following steps. First, measure a first electrocardiogram of a user, store the first electrocardiogram, and measure a second of the user. The electrocardiogram, the second electrocardiogram is stored, the difference between the first electrocardiogram and the second electrocardiogram of the user is compared, and a graphical output interface is displayed according to the comparison result.

The method for diagnosing and recommending the electrocardiogram of the present invention further includes judging whether the first electrocardiogram is normal according to the user's body mass. It can be judged by a qualified doctor, judged by the user's long-term measurement records, or based on big data. Judgment without departing from the spirit and scope of the present invention.

In one embodiment, the method for diagnosing and recommending an electrocardiogram of the present invention further includes updating the second electrocardiogram to the first electrocardiogram when the second electrocardiogram is judged to be normal for the next measurement comparison.

In one embodiment, the first electrocardiogram and the second electrocardiogram may be stored in a handheld electronic device, such as a mobile phone or a tablet computer, or a cloud server.

In one embodiment, the graphical output interface includes a measurement waveform output interface.

In one embodiment, the graphical output medium contains a comprehensive judgment Output interface.

In one embodiment, the graphical output interface includes a graphical output interface for each judgment result.

In one embodiment, the graphical output interface includes a measurement result to comprehensively describe the output interface.

In one embodiment, the graphical output medium includes an abnormally marked block.

In one embodiment, the ECG diagnosis suggestion method further includes selecting a lead, selecting a first selection block, selecting a second selection block, and displaying a stacked first block in a stacked display block. The selection block and the second selection block. Therefore, the method for diagnosing and recommending electrocardiograms disclosed in the present invention can facilitate users to perform electrocardiogram measurement, and provides a simple and easy-to-understand graphical interface and correct measurement data. It can provide users with follow-up medical advice, and at the same time, it is convenient for doctors to quickly understand the data during user measurement and effectively improve the quality of medical treatment.

100‧‧‧ ECG diagnosis recommended method

110 ~ 180‧‧‧step

200‧‧‧ Graphic output interface

210‧‧‧Measurement waveform output interface

212‧‧‧First ECG waveform

214‧‧‧Second ECG waveform

220‧‧‧ Comprehensive judgment output interface

222‧‧‧No change display block

224‧‧‧Display block without change

226‧‧‧Subject to change

228‧‧‧ Obvious changes show the block

229‧‧‧ suggest follow-up text block

230‧‧‧ Graphic output interface for each judgment result

240‧‧‧Measurement result comprehensive description output interface

310‧‧‧ Anomaly block

410‧‧‧Lead selection area

420‧‧‧First choice block

430‧‧‧Second Choice Block

440‧‧‧ Superimposed display block

In order to make the above and other objects, features, advantages, and embodiments of the present disclosure more comprehensible, the description of the accompanying drawings is as follows: FIG. 1 is a method for recommending an electrocardiogram diagnosis according to an embodiment of the present invention. schematic diagram.

FIG. 2 is a schematic diagram of a graphical output interface of the ECG diagnosis suggestion method according to FIG. 1.

FIG. 3 is a schematic diagram of abnormal labeling of the graphical output interface of the ECG diagnosis suggestion method according to FIG. 1.

FIG. 4 is a schematic diagram of the superimposed display of the graphical output interface of the ECG diagnosis suggestion method according to FIG. 1.

The following is a detailed description with examples and the accompanying drawings, but the examples provided are not intended to limit the scope covered by this disclosure, and the description of the structure operation is not used to limit the order of its implementation. Any recombination of components The structure and the devices with the same effect are all the scope covered by this disclosure. In addition, the drawings are for illustrative purposes only, and are not drawn to the original dimensions. In order to facilitate understanding, the same elements or similar elements in the following description will be described with the same symbols.

In addition, the terms used throughout the specification and the scope of patent applications, unless otherwise specified, usually have the ordinary meaning of each term used in this field, the content disclosed here, and the special content. . Certain terms used to describe this disclosure are discussed below or elsewhere in this specification to provide additional guidance to those skilled in the art on the description of this disclosure.

Regarding the "first", "second", ..., etc. used herein, they do not specifically refer to the order or order, nor are they used to limit the present invention. They are only used to distinguish elements described in the same technical terms. Or just operate.

Secondly, the terms "including", "including", "having", "containing" and the like used in this article are all open-ended terms, which means including but not limited to.

FIG. 1 is a schematic diagram of a method for recommending diagnosis of an electrocardiogram according to an embodiment of the present invention. As shown in the figure, an electrocardiogram diagnosis recommendation method 100 includes the following steps. In step 110, a first electrocardiogram of a user is measured, and in step 120, the first electrocardiogram is stored. And step 130 is to judge whether the first electrocardiogram is normal according to the user's body mass, which can be judged through the analysis of big data, or judged by the user's long-term medical and diagnostic records, or by a Qualified doctors make judgments based on the user's physical quality. For example, if an athlete usually has a heartbeat of about 40 beats per minute, when the heartbeat measured in the first electrocardiogram is 40 beats, it is judged as normal.

Then, in step 140, when the user measures the electrocardiogram again in the future, a second electrocardiogram can be obtained, and in step 150, the second electrocardiogram is stored. Next, the method 100 for electrocardiogram diagnosis and recommendation of the present invention proceeds to step 160 to compare the difference between the first electrocardiogram and the second electrocardiogram of the user. Then, in step 170, a graphical output interface 200 is displayed according to the aforementioned comparison result. Among them, when the aforementioned athlete is also showing a heartbeat of about 40 in the second electrocardiogram, the electrocardiogram diagnosis and recommendation method 100 according to the present invention can still judge it as normal, so as to meet the physical quality characteristics of the athlete.

Referring to FIG. 2 at the same time, it is a schematic diagram showing a graphical output interface 200 according to the ECG diagnosis suggestion method of FIG. 1. As shown in the figure, the graphical output interface 200 can conveniently and clearly display the measurement results of the user, and the user can quickly understand the difference between the measurement result of the electrocardiogram and the first electrocardiogram. The electrocardiogram diagnosis suggestion method 100 of the present invention can further show the differences in color and graphics on the graphical output interface 200 according to the differences from the first electrocardiogram. At the same time, color, brightness, graphics, and text descriptions can be used to suggest subsequent processing methods for users, so that users can determine whether to seek medical treatment, or need to re-measure to determine the subsequent processing methods.

The graphical output interface 200 includes a measurement waveform output interface 210, and the measurement waveform output interface 210 includes a first electrocardiogram waveform 212 and a second electrocardiogram waveform 214. The first electrocardiogram waveform 212 is the aforementioned first electrocardiogram. Part of the measurement waveform, and the second electrocardiogram waveform 214 is the corresponding measurement waveform of the second electrocardiogram for comparison between the user and the medical staff.

In addition, the graphical output interface 200 may further include a comprehensive judgment output interface 220 and a graphical output interface 230 for each judgment result.

Each judgment result graphical output interface 230 may be a circular display area surrounded by a plurality of fan-shaped display blocks, and each fan-shaped display block represents a judgment of an electrocardiogram measurement result. In some embodiments, it may have the following fan-shaped representation blocks, but the present invention is not limited thereto.

Heart-shaped fan-shaped display block

When the difference between the heart rate in the second ECG and the heart rate in the first ECG is greater than 20 bpm (Beat Per Minute), the fan-shaped display block representing the heart rate will be highlighted, for example, with high brightness or high chroma. Color rendering, such as bright red. If the difference between the heart rate in the second electrocardiogram and the heart rate in the first electrocardiogram is less than 20 bpm, it can be represented by light red, light green, or other colors to distinguish it from situations with differences. However, the present invention is not limited to this. If the user's heartbeat is in the first ECG, it is a normal heart rate, for example, between 60 and 120 bpm. If the heart rate in the second ECG is not If you are in this zone, you can also remind users by highlighting them.

Sector display of Rhythm

When the heart rate in the second electrocardiogram shows a non-sinus rhythm or P wave does not appear, the fan-shaped display block representing the heart rhythm will be highlighted, for example, in a high-brightness or high-chroma color Rendering, such as bright red. Conversely, it can be expressed in light red, light green, or other colors.

Fan interval for PR interval

When the PR interval in the second ECG is greater than the PR interval in the first ECG by about 30 ms (milli second; milliseconds), the PR interval in the second ECG gradually becomes longer, or only P appears in the second ECG If the QRS complex does not appear in the wave, the fan-shaped display block representing the PR interval will be highlighted, for example, it will be displayed in a high brightness or high chroma color, such as bright red. Conversely, it can be expressed in light red, light green, or other colors.

Fan-shaped display block of QRS duration

When the QRS interval in the second ECG is greater than the QRS interval in the first ECG by about 5 to 20 ms, a new right bundle branch block (RBBB; Right Bundle Branch Block) waveform characteristic appears, or a new left The waveform characteristics of the Left Bundle Branch Block (LBBB), the fan-shaped display block representing the QRS interval will be highlighted, for example, it will be displayed in a high brightness or high chroma color, such as bright red. Conversely, it can be expressed in light red, light green, or other colors.

Fan-shaped display block of QTc interval

When the QTc interval in the second ECG is greater than the first ECG When the QTc interval is about 20ms or the QTc interval is greater than 470ms, the fan-shaped display block representing the QTc interval will be highlighted, for example, in a high-brightness or high-chroma color, such as bright red. Conversely, it can be expressed in light red, light green, or other colors. Among them, the aforementioned QTc = QT / √ (RR interval).

Fan-shaped display area of Axis

When the difference between the angle of the heart in the second electrocardiogram and the angle of the heart in the first electrocardiogram is greater than 30 degrees, for example, greater than 60 degrees, the fan-shaped display block representing the axis will be highlighted, for example, with high brightness or high chroma. Color rendering, such as bright red. Conversely, it can be expressed in light red, light green, or other colors.

Fan-shaped display block of Early Atrial Contraction (PAC)

When the early atrial contraction does not appear in the first ECG, and the early atrial contraction waveform appears in the second ECG; compared with the number of early atrial contractions that appear in the first ECG, more than twice as many Or when two or more consecutive early atrial contraction waveforms appear in the second electrocardiogram, the fan-shaped display block representing the early atrial contraction will be highlighted, for example, in a high-brightness or high-chroma color, such as bright red. Conversely, it can be expressed in light red, light green, or other colors. In addition, if Supraventricular Arrhythmia occurs, for example, if there are two consecutive PACs, the Summary of Changes on the left side of the fan-shaped display block further notes "Couplet PACs", and if three consecutive PACs appear "Triplet PACs", if there are more than four consecutive PACs, note "atrial arrhythmia".

Ventricular early contraction (Premature ventricular contraction; PVC) sector display block

When there is no early ventricular contraction in the first electrocardiogram and a waveform of early ventricular contraction in the second electrocardiogram; compared to the number of early ventricular contractions in the first electrocardiogram, more than twice as many early ventricular contractions occur When there are two consecutive early ventricular contractions in the second electrocardiogram; or two early ventricular contractions with different waveforms, a fan-shaped display block representing early ventricular contractions will be highlighted, such as a high Bright or high-chroma colors such as bright red. Conversely, it can be expressed in light red, light green, or other colors. In addition, if ventricular arrythmia occurs, for example, if there are two consecutive PVCs, the Summary of Changes on the left side of the fan-shaped display block further notes "Couplet PVCs", and if there are three consecutive PVCs, note " Triplet PVCs ", if there are more than four consecutive PVCs, note" ventricular arrhythmia ".

Fan-shaped display block for ST elevation

When compared to the first ECG, the new ST period rises and the voltage difference between two adjacent leads other than the V2-V3 lead in the second ECG is greater than a predetermined voltage, for example, 0.01 to 0.2 mV; Or if the V2-V3 lead in the second ECG is greater than a predetermined voltage, such as 0.015 to 0.25 mV, the sector display block representing the rise in the ST period will be highlighted, for example, with high brightness or high saturation. Color rendering, such as bright red. Conversely, it can be expressed in light red, light green, or other colors.

Fan-shaped display block with ST depression

When compared to the first ECG, a new ST period drop appears in the second ECG. The voltage difference between two adjacent leads is greater than a predetermined voltage, for example, when it is 0.01 to 0.1 mV, it means that the ST period is decreased. The fan-shaped display block will be highlighted, for example, it will be displayed in a high brightness or high chroma color, such as bright red. Conversely, it can be expressed in light red, light green, or other colors.

Fan-shaped display block of Abnormal Q waves

In the second ECG, a new Q wave appears in the V2-V3 lead for more than a predetermined time, for example, 0.01 to 0.05 seconds; or in the second ECG, a new one appears in some lead groups The Q wave is greater than a predetermined time, for example, 0.01 to 0.06 seconds and greater than a predetermined voltage, for example, 0.01 to 0.2 mV. The fan-shaped display block representing the abnormal Q wave will be highlighted, for example, with high brightness or high chroma. Color rendering, such as bright red. Conversely, it can be expressed in light red, light green, or other colors.

T wave sector display block

In the second electrocardiogram, when a new T wave is inverted or a new T wave is normally and inverted alternately, the fan-shaped display block representing the T wave will be highlighted, for example, in high brightness or high chroma colors, such as Bright red and so on. Conversely, it can be expressed in light red, light green, or other colors.

Voltage changes

When compared to the first ECG, in the second ECG, the total change of R waves plus S waves in limb leads is greater than 10% or R waves plus S waves in chest leads The change of the total sum is greater than 10%, and the fan-shaped display block representing the voltage change will be highlighted, for example, it will be displayed in a high brightness or high chroma color, such as bright red. Otherwise, it can be light red, light green Color or other colors.

Atrial fibrillation sector display block

When the waveform of atrial fibrillation appears in the second electrocardiogram, the fan-shaped display block representing the atrial fibrillation will be highlighted, for example, it will be displayed in a high brightness or high chroma color, such as bright red. Conversely, it can be expressed in light red, light green, or other colors.

With the highlighted sector, users can quickly find possible diseases or symptoms on the body, effectively understand the changes in the body, to facilitate subsequent medical treatment or continuous observation, and reduce unexpected accidents.

In addition, the comprehensive judgment output interface 220 is used to provide the user with a comprehensive judgment result, which may include multiple display blocks, each of which represents the result of the comprehensive judgment with different colors or brightness, such as a display block without change. 222 can be displayed in green, while no change display block 224 is displayed in yellow, possible change display block 226 is displayed in orange, and obvious change display block 228 is displayed in red, which respectively represent After the comprehensive judgment, the recommendations made by the electrocardiogram diagnosis recommendation method 100 of the present invention.

In an embodiment, the comprehensive judgment output interface 220 further includes a suggestion for subsequent processing text block 229. When the display is possible to show the changeless display block 224, the user is recommended to perform measurement again to further determine the results of each inspection result. Correctness. When the display shows a possible change in the display block 226, the user is suggested to consider seeking the assistance of a doctor. When the display shows a clearly changed display block 228, it is suggested that the user should immediately seek the assistance of a doctor.

In an embodiment, the graphical output interface 200 of the ECG diagnosis suggestion method 100 of the present invention further includes a comprehensive description output of the measurement results. The interface 240 is based on the measurement results to explain the actual measurement data of the abnormal items for the user's reference, and can provide doctors with information about the abnormal items and the contents, so as to facilitate the remedy.

Further referring to FIG. 3, it is a schematic diagram showing the abnormal labeling of the graphical output interface of the ECG diagnosis suggestion method according to FIG. As shown in the figure, the graphical output interface can further include an abnormality marking block 310, which can automatically mark the waveform differences for users or doctors to interpret, greatly increasing the accuracy of the diagnosis, for example, Figure 3 The heart rate difference position shown in is indicated as an abnormality display block 310.

In addition, please refer to FIG. 4, which is a schematic diagram showing the superimposed display of the graphical output interface of the ECG diagnosis recommendation method according to FIG. 1. As shown in the figure, when a doctor or a user wants to perform an electrocardiogram comparison, firstly, a lead may be selected. Refer to the lead selection area 410 in the figure. Then, the graphical output interface outputs the selected lead electrocardiogram, and further, in the selected lead electrocardiogram, a first selection block 420 and a second selection block 430 are selected. At this time, in a superimposed display block 440, the waveforms of the superimposed first selection block 420 and the second selection block 430 are displayed, so that the user or the doctor can compare the specific conditions and go one step further. To increase the accuracy of the diagnosis.

Various output interfaces in the graphical output interface 200 of the electrocardiogram diagnosis suggestion method 100 of the present invention can be integrated into one screen for easy reference by the user, or can be displayed on multiple screens separately to display each item in detail. Data and graphics do not depart from the spirit and scope of the present invention.

In one embodiment, the electrocardiogram diagnosis suggestion method 100 of the present invention further includes a step 180. When the second electrocardiogram is judged to be normal, it may be The second electrocardiogram is updated to the first electrocardiogram, which is used as a judgment criterion for the next measurement, which is helpful for users to make comparisons.

In one embodiment, the first electrocardiogram and the second electrocardiogram measured by the electrocardiogram diagnosis suggestion method 100 of the present invention may be stored in a handheld electronic device, such as a mobile phone or a tablet computer, neither of which Depart from the spirit and scope of the present invention.

In one embodiment, the first electrocardiogram and the second electrocardiogram measured by the electrocardiogram diagnosis suggestion method 100 of the present invention may be stored in a cloud server or a desktop computer without departing from the scope of the present invention. Spirit and scope.

In summary, the method for diagnosing and recommending electrocardiograms disclosed in the present invention can facilitate the measurement of electrocardiograms by users, and provides a simple and easy-to-understand graphical interface and correct measurement data, which not only allows users to understand their physical condition , It can provide users with follow-up medical advice, and at the same time, it is convenient for doctors to quickly understand the user's measurement data and effectively improve the quality of medical treatment.

Although this disclosure has been disclosed as above in the form of implementation, it is not intended to limit this disclosure. Any person with ordinary knowledge in the field can make various changes and modifications without departing from the spirit and scope of this disclosure. Therefore, this disclosure The scope of protection shall be determined by the scope of the attached patent application.

Claims (5)

An electrocardiogram diagnosis suggestion method includes: measuring a first electrocardiogram of a user; storing the first electrocardiogram; measuring a second electrocardiogram of the user; storing the second electrocardiogram; comparing the first of the user The difference between the electrocardiogram and the second electrocardiogram; and according to the comparison result, displaying a graphical output interface, wherein the graphical output interface includes: a measurement waveform output interface, including the measurement waveform of the first electrocardiogram and the second ECG measurement waveform; a comprehensive judgment output interface, including a plurality of display blocks, displaying the judgment results in color; a judgment output graphical output interface, including, a plurality of fan-shaped display blocks surrounded A circular display area, each of which is a sector-shaped display area, representing a judgment of an electrocardiogram measurement result; a comprehensive description of the measurement result output interface to display the actual measurement data of abnormal items; and an abnormal indication area Block to mark the differences in the waveform. The method for diagnosing an electrocardiogram according to claim 1, further comprises judging whether the first electrocardiogram is normal according to the body mass of the user through big data analysis. The method for diagnosing electrocardiograms described in claim 2 further includes updating the second electrocardiogram to the first electrocardiogram when the second electrocardiogram is determined to be normal. The method for diagnosing an electrocardiogram according to claim 1, wherein the first electrocardiogram and the second electrocardiogram are stored in a handheld electronic device or a cloud server, and the handheld electronic device includes a mobile phone or a tablet computer. The method for recommending electrocardiogram diagnosis according to claim 1, further comprising: selecting a lead; selecting a first selection block; selecting a second selection block; and displaying the overlapped display block in a superimposed display block. The first selection block and the second selection block.