CN103599591B - A kind of method and system being detected pacemaker pacemaker impulse by electrocardiorecorder - Google Patents

A kind of method and system being detected pacemaker pacemaker impulse by electrocardiorecorder Download PDF

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CN103599591B
CN103599591B CN201310583743.1A CN201310583743A CN103599591B CN 103599591 B CN103599591 B CN 103599591B CN 201310583743 A CN201310583743 A CN 201310583743A CN 103599591 B CN103599591 B CN 103599591B
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pacemaker
pacemaker impulse
electrocardiorecorder
electrode
labelling
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CN103599591A (en
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张习光
邱飞
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BIOMEDICAL INSTRUMENTS Co Ltd
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BIOMEDICAL INSTRUMENTS Co Ltd
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Abstract

The present invention discloses a kind of method and system being detected pacemaker pacemaker impulse by electrocardiorecorder, and wherein, method comprises step: A, be connected on electrocardiorecorder by moveable exploring electrode; B, by described exploring electrode, labelling is carried out to the pacemaker impulse signal detected; C, go out the flase drop of pacemaker impulse signal and undetected situation according to described labelling automatic analysis; The flase drop that D, basis analyze and undetected situation adjustment exploring electrode position, and carry out offical record.The present invention to the detection position of the pacemaker impulse of cardiac pacemaker more accurately, effectively improves pacemaker and evaluates accuracy in detection and efficiency, reduce loss and false drop rate, avoids follow-up discovery and detects the situation generation unsuccessfully also needing again to detect.

Description

A kind of method and system being detected pacemaker pacemaker impulse by electrocardiorecorder
Technical field
The present invention relates to medical treatment electronic equipment field, particularly relate to a kind of method and system being detected pacemaker pacemaker impulse by electrocardiorecorder.
Background technology
In prior art, ambulatory electrocardiogram (ambulatory electrocardiograph, AECG) is advanced an idea for the electrocardiogram of the record body surface of long-time continuous in nineteen fifty-seven by U.S. Norman J.Holter, and dropped into Clinical practice in 1961.Through the development in more than 50 years and perfect, become at present the application of noinvasive electrocardio aided diagnosis technique field widely, one of the most conventional clinically Electrocardioscopy instrument.It can ECG information in the overall process (movable, have meal, work and study and sleep etc.) of (24 is little of a couple of days) continuous print record physical activity for a long time under different situations, can find the ND arrhythmia of conventional ECG and myocardial ischemia etc.
Cardiac pacemaker (cardiac pacemaker) is a kind of electronic therapeutic instrument be implanted in body, the electric pulse of energy is provided by battery by pulse generator granting, by the conduction of lead electrode, the cardiac muscle that stimulating electrode contacts, make heart excitement and shrink, thus reaching the object for the treatment of due to some arrhythmia caused heart dysfunction.
Carrying out one of most important means of tracking evaluation to cardiac pacemaker function is exactly that ambulatory electrocardiogram detects; In recent years, because cardiac pacemaker function becomes increasingly complex, the pacemaker impulse voltage amplitude of output is more and more lower, width is more and more narrow, also just more and more higher by the ambulatory electrocardiogram detection difficulty of body surface; Ambulatory electrocardiogram will improve the accuracy detecting pacemaker impulse, not only will improve detection sensitivity, and be to select electrode position accurately.Existing product raising detection sensitivity have certain extension and improvement, but for how to select accurately electrode position without any measure, can only to specifications in explanation go select, but often this optimum electrode position again because of people.
Therefore, prior art has yet to be improved and developed.
Summary of the invention
In view of above-mentioned the deficiencies in the prior art, the object of the present invention is to provide a kind of method and system being detected pacemaker pacemaker impulse by electrocardiorecorder, be intended to solve pacemaker pacemaker impulse in prior art and detect inaccurate problem.
Technical scheme of the present invention is as follows:
A method for pacemaker pacemaker impulse is detected by electrocardiorecorder, wherein,
A, moveable exploring electrode is connected on electrocardiorecorder;
B, by described exploring electrode, labelling is carried out to the pacemaker impulse signal detected;
C, go out the flase drop of pacemaker impulse signal and undetected situation according to described labelling automatic analysis;
The flase drop that D, basis analyze and undetected situation adjustment exploring electrode position, and carry out offical record.
The described method being detected pacemaker pacemaker impulse by DCG Recorder, wherein, in described step B, the mode of labelling comprises graphical indicia and/or voice mark.
Detected a system for pacemaker pacemaker impulse by electrocardiorecorder, wherein, comprising: moveable exploring electrode and the electrocardiorecorder be attached thereto; Also comprise:
Mark module, for carrying out labelling by described exploring electrode to the pacemaker impulse signal detected;
Analysis module, for going out the flase drop of pacemaker impulse signal and undetected situation according to described labelling automatic analysis;
Adjusting module, for adjusting exploring electrode position according to the flase drop analyzed and undetected situation, and carries out offical record.
The described system being detected pacemaker pacemaker impulse by electrocardiorecorder, wherein, the electrode tip of described exploring electrode is silver chloride electrode head.
The described system being detected pacemaker pacemaker impulse by electrocardiorecorder, wherein, the top of described exploring electrode is provided with the rubbery human body for being fixed exploring electrode by air pressure mode.
The described system being detected pacemaker pacemaker impulse by electrocardiorecorder, wherein, the surface of described silver chloride electrode head is provided with button Electrode connection post.
The described system being detected pacemaker pacemaker impulse by electrocardiorecorder, wherein, the mode of described labelling comprises graphical indicia and/or voice mark.
Beneficial effect: the present invention is by carrying out preview by exploring electrode to electrocardiogram in advance, then labelling is carried out to pacemaker impulse signal, thus analyze the flase drop of pacemaker impulse signal and undetected situation, then exploring electrode position is automatically adjusted according to flase drop and undetected situation, carry out offical record, pass through the present invention, more accurate to the detection position of the pacemaker impulse of cardiac pacemaker, effective raising pacemaker evaluates accuracy in detection and efficiency, reduce loss and false drop rate, avoid follow-up discovery and detect the situation generation unsuccessfully also needing again to detect.
Accompanying drawing explanation
Fig. 1 is the ambulatory electrocardiogram in a preferred embodiment of the present invention.
Fig. 2 is flase drop in the ambulatory electrocardiogram in a preferred embodiment of the present invention and undetected labelling schematic diagram.
Fig. 3 is the structural representation of the exploring electrode in the present invention.
Detailed description of the invention
The invention provides a kind of method and system being detected pacemaker pacemaker impulse by electrocardiorecorder, for making object of the present invention, technical scheme and effect clearly, clearly, the present invention is described in more detail below.Should be appreciated that specific embodiment described herein only in order to explain the present invention, be not intended to limit the present invention.
A kind of method being detected pacemaker pacemaker impulse by electrocardiorecorder provided by the present invention, it comprises step:
S101, moveable exploring electrode is connected on electrocardiorecorder;
S102, by described exploring electrode, labelling is carried out to the pacemaker impulse signal detected;
S103, go out the flase drop of pacemaker impulse signal and undetected situation according to described labelling automatic analysis;
The flase drop that S104, basis analyze and undetected situation adjustment exploring electrode position, and carry out offical record.
Pacemaker in the present embodiment refers to cardiac pacemaker, and it is a kind of electronic therapeutic instrument be implanted in body, carries out tracking evaluation and implement ambulatory electrocardiogram detection to cardiac pacemaker function.First, before carrying out ambulatory electrocardiogram detection, the exploring electrode of movement can be adopted to be connected on electrocardiorecorder, with preview electrocardiogram, then by electrocardiorecorder, labelling is carried out to the pacemaker impulse signal detected, labelling wherein can be graphical indicia and/or voice mark, then judges that the flase drop of pacemaker impulse signal or the position of undetected situation to exploring electrode adjust by automatic analysis, changes fixing adhesive electrode again and carry out offical record after finding an optimum position.Effectively improve pacemaker after adopting the present embodiment and evaluate accuracy in detection and efficiency, reduce loss, (or longer time) finds to detect the situation unsuccessfully needing again to detect afterwards to avoid detection 24 hours.
In the ambulatory electrocardiogram detected, as shown in Figure 1, wherein T1 refers to the pacemaker impulse signal labelling of electrocardiorecorder record, and T2 refers to ECG-QRS Wave, and T3 refers to pacemaker impulse vestige.Can be analyzed flase drop and undetected situation by above-mentioned information.This pacemaker impulse signal labelling is arranged on directly over pacemaker impulse vestige.
In the present embodiment, realized by the labelling of electrocardiorecorder record to the flase drop of pacemaker impulse signal or the analysis of undetected situation, as shown in Figure 2, in the figure, 1. have obvious pacemaker impulse vestige but there is no pacemaker impulse signal labelling, LCD graph scanning to time this without pacemaker impulse prompt tone, it is undetected that this situation belongs to pacemaker impulse, 2. put the T ripple position that pace-making pulse signal labelling is positioned at ecg wave form, belong to pacemaker impulse flase drop situation.
According to above-mentioned rule, when electrocardiogram there is pacemaker impulse vestige, now but there is no pacemaker impulse signal labelling, illustrate that this situation belongs to pacemaker impulse undetected, and when electrocardiogram occurring pacemaker impulse signal labelling, but there is not pacemaker impulse vestige in electrocardiogram, illustrate that this situation belongs to pacemaker impulse flase drop, specifically can analyze pacemaker impulse vestige and pacemaker impulse signal on electrocardiogram and mark whether to appear at correspondence position by graph scanning, judge whether to there is undetected and flase drop situation, specifically go out this undetected and flase drop situation by software automatic analysis, thus adjust electrode position according to undetected and flase drop situation, make undetected minimum with flase drop situation.
In addition, except this graphical indicia, pacemaker impulse signal labelling can also be set in the mode of voice mark, and judge whether to occur undetected and flase drop situation according to above-mentioned same method.
In the present embodiment when carrying out preview, namely in step S102, arrange under described electrocardiorecorder enters into high sampling rate pattern, such as, sample rate is arranged on 1024 times/second or more, thus realizes accurate recording.
A kind of system preferred embodiment being detected pacemaker pacemaker impulse by electrocardiorecorder provided by the present invention, it comprises:
Moveable exploring electrode and the electrocardiorecorder be attached thereto; Also comprise:
Mark module, for carrying out labelling by described exploring electrode to the pacemaker impulse signal detected;
Analysis module, for going out the flase drop of pacemaker impulse signal and undetected situation according to described labelling automatic analysis;
Adjusting module, for adjusting exploring electrode position according to the flase drop analyzed and undetected situation, and carries out offical record.
Realize accurately finding optimum electrode position by above-mentioned module, improve pacemaker and evaluate accuracy and efficiency, reduce loss and false drop rate.
In the present embodiment, as shown in Figure 3, the electrode tip of described exploring electrode is silver chloride electrode 200, thus reduces polarizing voltage.The top of this exploring electrode is provided with the rubbery human body 100 for being fixed exploring electrode by air pressure mode, and this air pressure suction type conveniently can move, adsorb.And electrode tip has less electrode contact point, improve positioning precision.
As shown in Figure 3, the surface of described silver chloride electrode 200 is provided with button Electrode connection post 300, and this button Electrode connection post 300 has the identical junction button of mornitoring electrode disposable with button, without the need to switching.State generally, this silver chloride electrode 200 is a semicircular electrode head, this silver chloride electrode 200 centre are connected with rubbery human body 100 by a connection piece, and this connector is a cylindrical structural, arranges described button Electrode connection post 300 on the surface of this semicircular electrode head.
In said system, the mode of labelling comprises graphical indicia and voice mark, certainly, also can be select one.The function of auditory tone cues will hommization more, more can reach the object of prompting doctor.
Equally, arrange under described electrocardiorecorder enters into high sampling rate pattern, such as, sample rate is arranged on 1024 times/second or more, thus realizes accurate recording.
In sum, the present invention is by carrying out preview by exploring electrode to electrocardiogram in advance, then labelling is carried out to pacemaker impulse signal, thus analyze the flase drop of pacemaker impulse signal and undetected situation, then exploring electrode position is automatically adjusted according to flase drop and undetected situation, carry out offical record, pass through the present invention, more accurate to the detection position of the pacemaker impulse of cardiac pacemaker, effective raising pacemaker evaluates accuracy in detection and efficiency, reduce loss and false drop rate, avoid follow-up discovery and detect the situation generation unsuccessfully also needing again to detect.
Should be understood that, application of the present invention is not limited to above-mentioned citing, for those of ordinary skills, can be improved according to the above description or convert, and all these improve and convert the protection domain that all should belong to claims of the present invention.

Claims (5)

1. detected a method for pacemaker pacemaker impulse by electrocardiorecorder, it is characterized in that,
A, moveable exploring electrode is connected on electrocardiorecorder;
B, by described electrocardiorecorder, labelling is carried out to the pacemaker impulse signal detected;
C, go out the flase drop of pacemaker impulse signal and undetected situation according to described labelling automatic analysis;
The flase drop that D, basis analyze and undetected situation adjustment exploring electrode position, and carry out offical record;
In described step B, the mode of labelling comprises graphical indicia and/or voice mark;
Exploring electrode is connected on electrocardiorecorder, preview electrocardiogram, when electrocardiogram there is pacemaker impulse vestige, now but there is no pacemaker impulse signal labelling, illustrate that this situation belongs to pacemaker impulse undetected, and when electrocardiogram occurring pacemaker impulse signal labelling, but there is not pacemaker impulse vestige in electrocardiogram, illustrate that this situation belongs to pacemaker impulse flase drop, analyze pacemaker impulse vestige and pacemaker impulse signal on electrocardiogram by graph scanning to mark whether to appear at correspondence position, judge whether to there is undetected and flase drop situation, specifically go out this undetected and flase drop situation by software automatic analysis.
2. realize a system for the method being detected pacemaker pacemaker impulse as claimed in claim 1 by electrocardiorecorder, it is characterized in that, comprising: moveable exploring electrode and the electrocardiorecorder be attached thereto.
3. system according to claim 2, is characterized in that, the electrode tip of described exploring electrode is silver chloride electrode head.
4. system according to claim 2, is characterized in that, the top of described exploring electrode is provided with the rubbery human body for being fixed exploring electrode by air pressure mode.
5. system according to claim 3, is characterized in that, the surface of described silver chloride electrode head is provided with button Electrode connection post.
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CN114983429A (en) * 2015-10-08 2022-09-02 深圳迈瑞生物医疗电子股份有限公司 Pace-making signal processing method and system and electrocardiogram monitor
CN107102218B (en) * 2016-02-19 2019-09-17 创领心律管理医疗器械(上海)有限公司 Pulse generating unit
CN109107041B (en) * 2018-07-13 2021-11-12 成都心吉康科技有限公司 Pace-making signal detection method and device and wearable health equipment

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CN2762752Y (en) * 2004-07-28 2006-03-08 王湘生 Digital distance transmission monitor for burying pacemaker

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US8838244B2 (en) * 2006-06-02 2014-09-16 Semiconductor Energy Laboratory Co., Ltd. Cardiac pacemaker device with circuits for monitoring residual capacity of battery
US8676315B2 (en) * 2011-07-26 2014-03-18 General Electric Company System and method of electrical current detection in electrophysiology study

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CN2762752Y (en) * 2004-07-28 2006-03-08 王湘生 Digital distance transmission monitor for burying pacemaker

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