CN101972144A - Method for recording and analyzing electrocardiogram of arrhythmia - Google Patents

Method for recording and analyzing electrocardiogram of arrhythmia Download PDF

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Publication number
CN101972144A
CN101972144A CN201010517009.1A CN201010517009A CN101972144A CN 101972144 A CN101972144 A CN 101972144A CN 201010517009 A CN201010517009 A CN 201010517009A CN 101972144 A CN101972144 A CN 101972144A
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arrhythmia
traversal
wave group
template
qrs
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高杰
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Abstract

The invention relates to the technical field of analyzing and treating heart diseases on the basis of electrocardiograms, and particularly provides a method for recording and analyzing an electrocardiogram of arrhythmia. The method can provide a half-minute waveform superimposition diagram, and the development conditions of ventricle ectopia (VE) and supraventricular ectopia (SVE) can be seen clearly from the superimposition diagram and are differed from displayed colors and sounds of waveforms, operators can call and check waveform records before and after a certain ectopic beat at any time and can modify the waveform records; moreover, heart function can also be judged through sound, thereby analyzing the symptom of a patient with arrhythmia more accurately and effectively and providing guidance for treatment.

Description

A kind of electrocardiographic recorder analytical method of arrhythmia
Technical field
The present invention relates to utilize the technical field of ecg analysis treatment heart disease, specifically provide a kind of electrocardiographic recorder analytical method of arrhythmia.
Background technology
The electronic signal of the object skin surface that is caused by the electric potential field of heart is called as the ECG signal.These ECG signals show specific waveform, have reflected in time and in nature and the interior corresponding to heart of electrical activity of cardiac muscle.What the healthcare givers knew is that the skin that electrode is placed the patient, uses for doctor or other professionals to be used for real-time or follow-up visual analysis with perception ECG signal and demonstration.The interested lasting analysis that is based on continuous ECG signal of doctor, the cardiac electrical activity when it can reflect patient's normal activity also can reflect abnormal heartbeats, shows arrhythmia and dystopy abnormal activity heart signal.Arrhythmia used herein comprises anomalous beat such as ventricle ectopic beat and supraventricular beating.In particular, the healthcare givers wished in patient's normal electrical activity accumulation in period and analyzes a large amount of ECG signals, as 24 hours.Use these records of high-speed playback pattern recovery then, to determine the frequency and the feature of various heart signals.Therefore, known system realizes aforesaid operations, by reading the real-time ECG signal of record on the storage card, handles the signal that has write down then and is presented on the computer display screen, and with fast speed replay record, this rebroadcasting method is called the ambulatory electrocardiogram demonstration.
Usually, on behalf of the current potential of two sequences of ventricular depolarization and earliest period process of repolarization and time, the QRS wave group change, and the Q ripple is first downward ripple in the QRS wave group, the ripple on its front is undirected; The R ripple is first ripple that makes progress in the QRS wave group, the Q ripple of its front under can be undirected; The S ripple is along with the downward ripple ST after the R ripple: play the starting point to the T ripple from the terminal point of QRS wave group.The electric power output of normal heart, the characteristics that the rhythm of QRS wave group and shape are especially specific, still, when heart was subjected to unusual strain or other cardiac function problems, the electrocardiosignal waveform shows to be had more different with normal ECG.The heart rate and the rhythm and pace of moving things may be unsettled, may change to run through entire belt machine process.In addition, (the S-T section: one section horizontal line from the terminal point (J point) of QRS wave group to T ripple starting point is called the S-T section for size, shape, QRS wave group persistent period and S-T section, T is positioned at after the S-T section, it is a lower and long ripple when accounting for, it is that ventricular bipolar produces, the blunt circle of T ripple, longer when accounting for, begin slow rising from baseline, comparatively fast descend then, form the waveform that forelimb is long, hind leg is short) obviously be different from normal condition, these are called ectopic beat usually, the most important thing is ventricular ectopy VE and supraventricular dystopy SVE.Need know the number of times that VE and SVE show effect within a certain period of time when in general analyzing.
The analytical method of general analysis all provides template analysis, provides the ventricular ectopy of standard and the evaluation condition of supraventricular dystopy and other unusual waveforms in the template the inside, even the statistics of hour tabulation etc.But existing analytical system lacks to be browsed the stack of omnidistance data.
Summary of the invention
The present invention be directed to above deficiency, a kind of electrocardiographic recorder analytical method of arrhythmia is provided, it is in 128 sample rates, during 8 sampling precisions, in high-speed playback ECG data file process, by checking and listen to the occurrence frequency and the situation of chamber property and supraventricular arrhythmia under alternative sounds prompting and the different playback speeds, the algorithm of patient's ECG data by computer, carry out playback according to different playback speeds, and then on waveform Show Color and sound, distinguished, the operator can call the front and back waveform recording of checking a certain ectopic beat at any time and make amendment, and also can judge the cardiac function judgement by sound.
The technical solution used in the present invention is as follows:
A kind of electrocardiographic recorder analytical method of arrhythmia may further comprise the steps:
A, computer carry out the QRS waveforms detection with the ECG data that scans, and the result is referred in the template, generate template file;
B, traversal template file, and choose a time period and carry out the stack of QRS wave group;
In C, the ergodic process as run into ventricular ectopy VE and supraventricular dystopy SVE, then call audio files and by audio output device output, and the front and back wave form varies of pausing and judging whether to stop to travel through and checking this place for the user in 1 second;
D if, then check before and after this section wave group each section wave form varies and judge whether to continue traversal, as otherwise continue the traversal template file, after having traveled through template, turn back to the electrocardiogram browser interface.
When superposeing for the QRS wave group among the step B, synergetic waveform adopts different colors.
The synergetic time period of QRS wave group is 30 seconds among the step B.
The electrocardiographic recorder analytical method of a kind of arrhythmia of the present invention, the waveform stacking chart of half a minute can be provided, a situation arises can be clear that ventricular ectopy VE and supraventricular dystopy SVE in the stacking chart, on waveform Show Color and sound, distinguished, the operator can call the front and back waveform recording of checking a certain ectopic beat at any time and make amendment, and also can judge the cardiac function judgement by sound.
Compared with prior art, the present invention is by checking and listen to the occurrence frequency and the situation of chamber property and supraventricular arrhythmia under alternative sounds prompting and the different playback speeds, the algorithm of patient's ECG data by computer, carry out playback according to different playback speeds, and then on waveform Show Color and sound, distinguished, the operator can call the front and back waveform recording of checking a certain ectopic beat at any time and make amendment, also can judge the cardiac function judgement by sound, and then can analyze the symptom of patient's arrhythmia more accurately and effectively, be that direction is guided in treatment.
Description of drawings
Accompanying drawing 1 is the method flow diagram of the electrocardiographic recorder analytical method of a kind of arrhythmia of the present invention.
The specific embodiment
Be further described below in conjunction with the electrocardiographic recorder analytical method of specific embodiment a kind of arrhythmia of the present invention.
As shown in Figure 1, in existing electrocardiogram device, the ECG playback software in its computer carries out the QRS waveforms detection earlier after reading in ECG data, is referred to then in the concrete template, generates template file.The electrocardiographic recorder analytical method of a kind of arrhythmia of the present invention is on the basis of template file, according to certain playback speed traversal template file, chooses half a minute QRS wave group and superposes.During stack, RR (the R ripple durations of continuous two QRS ripples) standard deviation continuous 30 seconds under the normal rhythm is little,, there is very big difference the character of N (hole heartbeat), SVE (supraventricular heartbeat), VE (chamber property heartbeat) wave group, QRS width, RR interval etc., show according to different colors, if there is the RR lead to superpose according to lead etc.In the ergodic process as run into SVE or VE, then call audio files and export by audio output device, and the front and back wave form varies of pausing and judging whether to stop to travel through and checking this place for the user about 1 second, then check this section front and back wave group each section wave form varies in this way and judge whether to continue traversal, as otherwise continue the traversal template file, after having traveled through template, turn back to the electrocardiogram browser interface.
The electrocardiographic recorder analytical method of a kind of arrhythmia of the present invention, its traversal method is as follows:
Before traversal, the QRS wave group number m that sets each traversal is synergetic ecg wave form number, time when reading traversal then, if being set to 0 is under the default situations, the traversal speed of selecting is that scope is set is 0-8 to QRS wave group number m traversal speed of 1s traversal, if be set to n, then traversal speed is n QRS wave group number m of 1s traversal.In ergodic process, if run into chamber property or supraventricular waveform, system can sound accordingly, if the user does not select to stop traversal, system can travel through until the end of file, checks some data if desired midway, can the current traversal of premature termination and return the electrocardiogram browsing pages.
The electrocardiographic recorder analytical method of a kind of arrhythmia of the present invention, it is in 128 sample rates, during 8 sampling precisions, in high-speed playback ECG data file process, by the occurrence frequency and the situation of checking and listening chamber property and supraventricular arrhythmia under alternative sounds prompting and the different playback speeds, the algorithm of patient's ECG data, carry out playback according to different playback speeds and be proved to be efficient and simple method by computer.Present playback analytical method, major part are to classify as template, and hour tabulation and page or leaf scanning etc., this invention can be checked omnidistance SVE and VE a situation arises and make amendment, and then judge heart after sorting out template according to certain speed.
Above-described embodiment, the present invention specific embodiment a kind of more preferably just, the common variation that those skilled in the art carries out in the technical solution of the present invention scope and replacing all should be included in protection scope of the present invention.

Claims (3)

1. the electrocardiographic recorder analytical method of an arrhythmia may further comprise the steps:
A, computer carry out the QRS waveforms detection with the ECG data that scans, and the result is referred in the template, generate template file;
B, traversal template file, and choose a time period and carry out the stack of QRS wave group;
In C, the ergodic process as run into ventricular ectopy VE and supraventricular dystopy SVE, then call audio files and by audio output device output, and the front and back wave form varies of pausing and judging whether to stop to travel through and checking this place for the user in 1 second;
D if, then check before and after this section wave group each section wave form varies and judge whether to continue traversal, as otherwise continue the traversal template file, after having traveled through template, turn back to the electrocardiogram browser interface.
2. the electrocardiographic recorder analytical method of a kind of arrhythmia according to claim 1 is characterized in that, when superposeing for the QRS wave group among the described step B, synergetic waveform adopts different colors.
3. the electrocardiographic recorder analytical method of a kind of arrhythmia according to claim 1 is characterized in that, the synergetic time period of QRS wave group is 30 seconds among the described step B.
CN201010517009.1A 2010-10-19 2010-10-19 Method for recording and analyzing electrocardiogram of arrhythmia Pending CN101972144A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102397067A (en) * 2011-12-07 2012-04-04 秦皇岛市康泰医学系统有限公司 Method and system for performing superposition analysis on exercise load electrocardio waveforms
CN104586383A (en) * 2015-01-12 2015-05-06 北京世纪今科医疗器械有限公司 Electrocardiogram waveform classification method and device

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1393204A (en) * 2001-06-26 2003-01-29 陈士良 Cardioelectric spectrometer
US20040254613A1 (en) * 2001-11-21 2004-12-16 Cameron Health, Inc. Method for discriminating between ventricular and supraventricular arrhythmias
JP2007283098A (en) * 2006-04-17 2007-11-01 General Electric Co <Ge> Method and apparatus for analyzing and editing ecg form and time series
CN101801263A (en) * 2007-02-08 2010-08-11 心动力医疗公司 Monitoring physiological condition and detecting abnormalities

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1393204A (en) * 2001-06-26 2003-01-29 陈士良 Cardioelectric spectrometer
US20040254613A1 (en) * 2001-11-21 2004-12-16 Cameron Health, Inc. Method for discriminating between ventricular and supraventricular arrhythmias
JP2007283098A (en) * 2006-04-17 2007-11-01 General Electric Co <Ge> Method and apparatus for analyzing and editing ecg form and time series
CN101801263A (en) * 2007-02-08 2010-08-11 心动力医疗公司 Monitoring physiological condition and detecting abnormalities

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102397067A (en) * 2011-12-07 2012-04-04 秦皇岛市康泰医学系统有限公司 Method and system for performing superposition analysis on exercise load electrocardio waveforms
CN102397067B (en) * 2011-12-07 2014-12-03 康泰医学系统(秦皇岛)股份有限公司 Method and system for performing superposition analysis on exercise load electrocardio waveforms
CN104586383A (en) * 2015-01-12 2015-05-06 北京世纪今科医疗器械有限公司 Electrocardiogram waveform classification method and device

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Application publication date: 20110216