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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CN101972144A
CN101972144A CN 201010517009 CN201010517009A CN101972144A CN 101972144 A CN101972144 A CN 101972144A CN 201010517009 CN201010517009 CN 201010517009 CN 201010517009 A CN201010517009 A CN 201010517009A CN 101972144 A CN101972144 A CN 101972144A
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waveform
ecg
template
recording
method
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高杰
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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

一种心率失常的心电图记录分析方法 One kind of arrhythmia recording electrocardiogram analysis

技术领域 FIELD

[0001] 本发明涉及利用心电图分析治疗心脏疾病的技术领域,具体是提供一种心率失常的心电图记录分析方法。 [0001] The present invention relates to an electrocardiogram analysis Field heart disease treatment, particularly to provide a method for analyzing electrocardiograph arrhythmia.

背景技术 Background technique

[0002] 由心脏的电势场引发的物体皮肤表层的电子信号,被称为ECG信号。 [0002] Electronic signals induced skin surface of the object by the potential field of the heart is called an ECG signal. 这些ECG信号显示特定的波形,在时间上和性质上反映了和心肌内电活动相一致的心脏状况。 The ECG signal waveform display particular, in terms of time and reflect on nature and the myocardium electrical activity consistent with a heart condition. 医疗人员熟知的是,把电极置于患者的皮肤以感知ECG信号并显示,以用于实时或者后续的视觉分析,供医生或者其他专业人员使用。 Medical personnel is well known that the electrodes placed on the patient's skin to sense ECG signals and displaying, in real time or for subsequent visual analysis, for doctors or other professionals. 医生感兴趣的是基于连续ECG信号的持续分析,它能反映患者正常活动时的心脏电活动,也能反映异常心跳,显示心律失常和异位活动的异常心脏信号。 The doctor is interested in continuing the analysis of continuous ECG signal based on the electrical activity of the heart can reflect the normal activities of the patient, but also to reflect abnormal heartbeat, display abnormal cardiac arrhythmia signal and ectopic activity. 这里使用的心律失常包括异常搏动如心室异位搏动和室上性搏动。 Arrhythmia used herein include abnormal beats such as a ventricular ectopic beats and ventricular beats. 更具体的说, 医疗人员希望在患者的正常电活动时期积累并分析大量的ECG信号,如24小时。 More specifically, the medical staff want to accumulate and analyze large amounts of ECG signal, such as 24-hour period in patients with normal electrical activity. 然后用高速回放模式重现这些记录,以确定各种心脏信号的频率和特征。 Then high-speed playback mode to reproduce these records to determine the frequency and characteristics of the various cardiac signals. 因此,已知的系统实现上述操作,通过读取存储卡上记录实时的ECG信号,然后处理已记录的信号并显示在电脑显示屏上,以较快速度重播记录,这种重播方法称为动态心电图显示。 Thus, known systems to achieve the above operation, recording the real-time ECG signal by reading the memory card, and then the processed signal is recorded and displayed on the computer screen at a faster speed replay recorded, this reproducing method is called dynamic ECG.

[0003] 通常,QRS波群代表两心室除极和最早期复极过程的电位和时间变化,Q波是QRS 波群中第一个向下的波,其前面无向上的波;R波是QRS波群中第一个向上的波,其前面可以无向下的Q波;S波是随着R波之后的向下波ST :起自QRS波群之终点至T波之起点。 [0003] Generally, two representatives of the QRS ventricular depolarization and the potential and time most early repolarization process, Q wave of the QRS complex is a downward wave, the wave front without upward; R & lt waves are QRS complex up the first wave front can be no downward Q wave; S wave is a wave with the downwardly following the R-wave ST: starting from the end to the beginning of the QRS complex of the T wave. 正常心脏的电力输出,QRS波群的节奏和形状尤其特定的特点,但是,当心脏受到异常的劳损或者其他心脏功能问题时,心电信号波形显示与正常心电图有更多的不同。 The power output of the normal heart rhythm and the shape of the QRS complex, especially a particular feature, however, when the strain of the heart by cardiac abnormalities or other functional problems, ECG waveform display with different more normal ECG. 心率和节律可能是不稳定的,可能变化贯穿整个带机过程。 Heart rate and rhythm may be unstable and may change throughout the entire process with a machine. 此外,大小、形状、QRS波群持续时间和ST段(ST段:自QRS波群的终点(J点)至T波起点的一段水平线称为ST段,T位于ST段之后,是一个比较低而占时较长的波,它是心室复极所产生的,T波钝圆,占时较长,从基线开始缓慢上升,然后较快下降,形成前肢较长、后肢较短的波形)明显不同于正常状态,这些通常叫做异位搏动,最重要的是心室异位VE和室上性异位SVE。 In addition, the duration of the size, shape, QRS wave group and ST segment (ST segment: from the end point (point J) QRS wave group horizontal period to the starting point of the T wave ST segment called, then T is positioned ST segment is a relatively low accounted for when the longer wave, which is generated by the ventricular repolarization, T wave rounded, when accounting for longer, and gradually increase from baseline, and then drop rapidly form a longer forelimb, hindlimb shorter waveform) significantly Unlike a normal state, which often called ectopic beat, the most important is the VE and ventricular ectopic ventricular ectopic SVE. 一般来说分析时需要知道VE和SVE在一定时间内发作的次数。 SVE and VE need to know the number of episodes within a certain time when the general analysis.

[0004] 一般分析的分析方法都提供有模板分析,在模板里面提供标准的心室异位和室上性异位及其他异常波形的鉴定条件,甚至小时列表的统计资料等。 [0004] analysis of the general analysis are provided with a template analysis, provided the ectopic and other abnormal waveform identification of conditions and standard of ectopic ventricular chamber inside the template, and even a list of statistics for hours and so on. 但是,现有分析系统缺少对全程数据的叠加浏览。 However, analysis of existing systems lack the overlay view of the entire data.

发明内容 SUMMARY

[0005] 本发明是针对以上不足,提供一种心率失常的心电图记录分析方法,其针对在128 采样率、8位采样精度时,在高速回放ECG数据文件过程中,通过不同声音提示和不同回放速度下查看和听取室性和室上性心律失常的发生频率和状况,把病人的ECG数据通过计算机的算法,按照不同的回放速度进行回放,进而从波形显示颜色和声音上加以区分,操作者可以随时调用查看某一异位搏动的前后波形记录及进行修改,也可以通过声音来判断心脏 [0005] The present invention is directed to the above shortcomings, there is provided a method for analyzing ECG recordings arrhythmia, its sampling rate for the 128, 8-bit sampling accuracy, high-speed playback during the ECG data file, different voice prompts and different playback See speed and listen supraventricular and ventricular arrhythmias frequency and condition of the patient ECG data, played back in accordance with different playback speeds by a computer algorithm, and thus the display to distinguish the colors and sounds from the waveform, the operator may call at any time to view a waveform record before and after the ectopic beats and modified, can be judged by the heart sound

3功能判断。 3 function judgment.

[0006] 本发明采用的技术方案如下: [0006] The present invention employs the following technical solutions:

[0007] 一种心率失常的心电图记录分析方法,包括以下步骤: [0007] Analysis Method electrocardiograph arrhythmia, comprising the steps of:

[0008] A、计算机将扫描到的心电图数据进行QRS波形检测,并将结果归类到模板中,生成模板文件; [0008] A, the computer will scan electrocardiogram QRS Detection data, and the results are classified into the template to generate a template file;

[0009] B、遍历模板文件,并选取一个时间段进行QRS波群叠加; [0009] B, traverse the template file, and selecting a time segment of the QRS complex superposition;

[0010] C、遍历过程中如遇到心室异位VE和室上性异位SVE,则调用声音文件并通过声音输出设备输出,并停顿1秒供用户判断是否停止遍历并查看该处的前后波形变化; [0010] C, as encountered during traversal of the ectopic ventricular ectopic SVE and VE chamber, and a sound file is called by the sound output device, and a pause for one second and the user determines whether to stop traversing the front view of a waveform where Variety;

[0011] D、如果是,则查看该段前后波群各段波形变化并判断是否继续遍历,如否则继续遍历模板文件,直至遍历完模板后返回到心电图浏览界面。 [0011] D, and if so, to see the waveform change section before and after each segment of the wave group and determine whether to continue to traverse, as otherwise continue to traverse the template file, return to the ECG browser interface After the template until traversal.

[0012] 步骤B中对于QRS波群叠加时,叠加的波形采用不同的颜色。 [0012] Step B in respect to the QRS complex superposition waveform superimposed different colors.

[0013] 步骤B中QRS波群叠加的时间段为30秒。 Period [0013] Step B QRS complex superposition is 30 seconds.

[0014] 本发明的一种心率失常的心电图记录分析方法,能够提供了半分钟的波形叠加图,在叠加图中可以很清楚地看到心室异位VE和室上性异位SVE的发生情况,从波形显示颜色和声音上加以区分,操作者可以随时调用查看某一异位搏动的前后波形记录及进行修改,也可以通过声音来判断心脏功能判断。 [0014] A heart rate disorders invention ECG recording analysis method capable of providing a waveform overlay half a minute, in FIG overlay can clearly see the VE and ventricular ectopic ventricular ectopic occurrence of the SVE, waveform on the display to distinguish colors and sounds, the operator can always call the waveform before and after recording and a modified ectopic beats, heart function may be determined by a sound judgment.

[0015] 与现有技术相比,本发明通过不同声音提示和不同回放速度下查看和听取室性和室上性心律失常的发生频率和状况,把病人的ECG数据通过计算机的算法,按照不同的回放速度进行回放,进而从波形显示颜色和声音上加以区分,操作者可以随时调用查看某一异位搏动的前后波形记录及进行修改,也可以通过声音来判断心脏功能判断,进而能够更加准确有效的分析出患者心率失常的症状,为治疗指引方向。 [0015] Compared with the prior art, the present invention is viewed through different voice prompts to listen to different playback speed and the frequency and condition of supraventricular and ventricular arrhythmias, the patient ECG data through a computer algorithm, according to different playback speed playback, and further to distinguish from the color and sound waveform display, the operator can see at any time invoke a longitudinal ectopic beat waveform record and modify cardiac function may be determined by determining the sound, and thus can be more accurately and efficiently the analysis of the symptoms of arrhythmias, for the treatment guidelines direction.

附图说明 BRIEF DESCRIPTION

[0016] 附图1为本发明的一种心率失常的心电图记录分析方法的方法流程图。 [0016] The method of analysis of a recording of ECG heart disorders Figure 1 is a flowchart of the present invention. 具体实施方式 detailed description

[0017] 下面结合具体实施例对本发明的一种心率失常的心电图记录分析方法作进一步的描述。 [0017] below with reference to one specific embodiment of the present invention, disorders of heart rate recording ECG analysis method is further described.

[0018] 如附图1所示,在现有的心电图装置中,其计算机中的ECG回放软件读入心电图数据后先进行QRS波形检测,然后归类到具体的模板中,生成模板文件。 [0018] As shown later, in the conventional ECG apparatus, the ECG playback software in the computer reads a first ECG reference data for detecting QRS waveforms, and then classified into a specific template, the template generated file. 本发明的一种心率失常的心电图记录分析方法是在模板文件的基础上,按照一定的回放速度遍历模板文件,选取半分钟QRS波群进行叠加。 ECG recordings of heart rate analysis method of the present invention is based on the malfunction of the template file, the playback speed in accordance with a certain traverse the template file, select the QRS complexes are superimposed half a minute. 叠加时,正常节律下连续30秒的RR (连续两个QRS波的R波时长)标准差不大,N (窦性心搏)、SVE (室上性心搏)、VE (室性心搏)波群的性质、QRS宽度、RR间期等有很大的区别,按照不同的颜色进行显示,如果有RR提前量按照提前量进行叠加等。 Superimposed, RR for 30 seconds under normal rhythm (when the R-wave two QRS continuous wave length) small standard deviation, N (sinus beats), SVE (supraventricular beat), VE (ventricular beat) waves the nature of the group, QRS width, RR interval like a big difference, is displayed in a different color, if there is to be superimposed in accordance with the RR advance advance the like. 遍历过程中如遇到SVE或者VE,则调用声音文件并通过声音输出设备输出,并停顿1秒左右供用户判断是否停止遍历并查看该处的前后波形变化,如是则查看该段前后波群各段波形变化并判断是否继续遍历,如否则继续遍历模板文件,直至遍历完模板后返回到心电图浏览界面。 The SVE encountered during traversal or VE, the sound file is called by the sound output device, and a pause of about 1 second for the user to see through and determines whether to stop thereat before and after the waveform change, in the case of the front view of the segment of each wave group waveform segment changes and determine whether to continue to traverse, as otherwise continue to traverse the template file, return to the ECG after the browser interface until you have traversed template.

[0019] 本发明的一种心率失常的心电图记录分析方法,其遍历方法如下: [0019] A heart rate disorders invention ECG recording analysis method traversal follows:

4[0020] 在遍历前,设置好每次遍历的QRS波群个数m即叠加的心电波形个数,然后读取遍历时的时间,如果设置为0即默认情况下,选择的遍历速度为Is遍历一次QRS波群个数m 遍历速度设置范围为0-8,如果设置为n,则遍历速度为Is遍历η次QRS波群个数m。 4 [0020] before the traversal, the number of set electrocardiographic waveform QRS wave number m of each iteration, i.e., superimposed, then read traversal time, i.e., if set to 0 by default, select traversal speed is a traversal of the QRS complex number m of traversal speed is set in the range of 0-8, if set to n, the speed of traversal is traversed η times the number m of the QRS complex. 在遍历过程中,如果遇到室性或者室上性波形,系统会相应的发出声音,如果用户不选择停止遍历,系统会遍历直至文件结束,如果需要中途查看某些数据,可以提前终止当前遍历并返回心电图浏览页面。 In the traversal process, if you encounter supraventricular or ventricular waveform, the system will sound appropriate, if the user does not choose to stop traversal, the system will traverse until the end of the file, if you need some way to view the data, you can terminate the current traverse advance and return to the ECG through the pages.

[0021] 本发明的一种心率失常的心电图记录分析方法,其针对在128采样率,8位采样精度时,在高速回放ECG数据文件过程中,通过不同声音提示和不同回放速度下查看和听室性和室上性心律失常的发生频率和状况,把病人的ECG数据通过计算机的算法,按照不同的回放速度进行回放被证明是很有效的方法。 [0021] A heart rate disorders invention ECG recording analysis method 128 for listening to the sampling rate, 8-bit sampling accuracy, see through different voice prompts and different playback speeds in high-speed playback and process the ECG data files supraventricular and ventricular arrhythmias and frequency conditions, the patient's ECG data, playback proved to be a very effective method in different playback speed by a computer algorithm. 目前的回放分析方法,大部分是归类为模板, 小时列表及页扫描等,该发明在归类模板后,可以按照一定的速度查看全程的SVE和VE的发生情况及进行修改,进而判断心脏状况。 The current playback analytical methods, most of which are classified as a template, and page list hours scanning the invention in the classified template, you can view the occurrence of SVE and VE full and modified in accordance with a certain speed, and then judge the heart situation.

[0022] 以上所述的实施例,只是本发明较优选的具体实施方式的一种,本领域的技术人员在本发明技术方案范围内进行的通常变化和替换都应包含在本发明的保护范围内。 [0022] Example embodiments described above, but a more preferred embodiment of the present invention, changes and substitutions typically skilled in the art will be within the technical scope of the present invention it should be included in the scope of the present invention Inside.

5 5

Claims (3)

  1. 一种心率失常的心电图记录分析方法,包括以下步骤:A、计算机将扫描到的心电图数据进行QRS波形检测,并将结果归类到模板中,生成模板文件;B、遍历模板文件,并选取一个时间段进行QRS波群叠加;C、遍历过程中如遇到心室异位VE和室上性异位SVE,则调用声音文件并通过声音输出设备输出,并停顿1秒供用户判断是否停止遍历并查看该处的前后波形变化;D、如果是,则查看该段前后波群各段波形变化并判断是否继续遍历,如否则继续遍历模板文件,直至遍历完模板后返回到心电图浏览界面。 A method for recording ECG arrhythmia analysis, comprising the steps of: A, computer data scanned ECG QRS waveform detection, and the results are classified into the template to generate a template file; B, traverse the template file, and select a time segment of the QRS complex superposition; C, as encountered during traversal of the ectopic ventricular ectopic SVE and VE chamber, and a sound file is called by the sound output device, and a pause for one second and the user determines whether to stop traversing See where the waveform before and after; D, and if so, to see the waveform change section before and after each segment of the wave group and determine whether to continue to traverse, as otherwise continue to traverse the template file, return to the ECG browser interface after the template until traversal.
  2. 2.根据权利要求1所述的一种心率失常的心电图记录分析方法,其特征在于,所述步骤B中对于QRS波群叠加时,叠加的波形采用不同的颜色。 According to claim 1. A recording ECG arrhythmia analysis method as claimed in claim, wherein the step B respect to the QRS complex superposition waveform superimposed different colors.
  3. 3.根据权利要求1所述的一种心率失常的心电图记录分析方法,其特征在于,所述步骤B中QRS波群叠加的时间段为30秒。 According to claim 1. A recording ECG arrhythmia analysis method as claimed in claim, wherein the time period of the step B QRS complex superposition is 30 seconds.
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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

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CN101801263A (en) * 2007-02-08 2010-08-11 心动力医疗公司 Monitoring physiological condition and detecting abnormalities

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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
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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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