CN107874752B - Method and device for realizing multi-lead electrocardio measurement - Google Patents

Method and device for realizing multi-lead electrocardio measurement Download PDF

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CN107874752B
CN107874752B CN201610867043.9A CN201610867043A CN107874752B CN 107874752 B CN107874752 B CN 107874752B CN 201610867043 A CN201610867043 A CN 201610867043A CN 107874752 B CN107874752 B CN 107874752B
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lead
mode
lead mode
additional
standard multi
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CN107874752A (en
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沈东雪
张在阳
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Edan Instruments Inc
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Edan Instruments Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]

Abstract

The present disclosure discloses a method and apparatus for implementing multi-lead electrocardiographic measurement. The method comprises the following steps: acquiring electrocardiogram data according to the configured standard multi-lead mode to obtain electrocardiogram data corresponding to the standard multi-lead mode; switching the standard multi-lead mode to the additional lead mode; acquiring the electrocardiogram data in the additional lead mode to obtain the electrocardiogram data corresponding to the additional lead mode; and integrating the electrocardiogram data corresponding to the standard multi-lead mode and the additional lead mode. Therefore, the additional multi-lead electrocardio measurement is additionally carried out on the basis of the standard multi-lead mode, namely, the electrocardio data acquisition under the additional lead mode is carried out to obtain two pieces of electrocardio data, and then the electrocardio data of the multi-lead electrocardio measurement is output dynamically.

Description

Method and device for realizing multi-lead electrocardio measurement
Technical Field
The present disclosure relates to the field of medical electrocardiographic techniques, and in particular, to a method and an apparatus for implementing multi-lead electrocardiographic measurement.
Background
With the development of medical technology, 12-lead electrocardiographic measurement is often performed to meet the examination requirements of various diseases. The 12-lead electrocardiograph measurement aims at the myocardium covering the anterior inferior wall, and cannot fully cover other positions of the heart.
On the basis of 12-lead electrocardiogram measurement, for example, when the myocardial infarction of the posterior wall is suspected, 3 leads of the posterior wall are additionally needed; when a right ventricular disorder is suspected, an additional 3 right chest leads are needed, thus totaling 18 leads.
The currently widely used electrocardiograph is a 12-lead electrocardiograph, and when a multi-lead electrocardiograph measurement with 18 leads is required, even beyond 12 leads, only when the conventional 12-lead electrocardiograph measurement is completed, the chest lead V1-V3 electrodes are respectively connected with and derived three leads of V3R, V4R and V5R, and the V4, V5 and V6 electrodes are respectively connected with the V7, V8 and V9 leads, so that electrocardiograph data are recorded once again.
After 12-lead electrocardiographic measurement and additional 6-lead electrocardiographic measurement are carried out, the obtained two pieces of electrocardiographic data are respectively printed to obtain two electrocardiographic reports, and manual modification is further carried out on the basis of the two electrocardiographic reports to obtain an electrocardiographic report of 18-lead electrocardiographic measurement.
Therefore, in the existing multi-lead electrocardiographic measurement, the conventional multi-lead electrocardiographic measurement, namely 12-lead electrocardiographic measurement, can be automatically realized, and electrocardiographic data corresponding to other multi-lead electrocardiographic measurement depends on manual modification of an operator, so that a corresponding electrocardiographic report can be obtained.
Therefore, the conventional multi-lead electrocardiographic measurement has the limitation that electrocardiographic data of the multi-lead electrocardiographic measurement cannot be automatically obtained when additional multi-lead electrocardiographic measurement is performed based on the conventional multi-lead electrocardiographic measurement.
Disclosure of Invention
In order to solve the technical problem that the electrocardio data of the multi-lead electrocardio measurement cannot be automatically obtained when the additional multi-lead electrocardio measurement is carried out based on the conventional multi-lead electrocardio measurement in the related technology, the disclosure provides a method and a device for realizing the multi-lead electrocardio measurement.
A method of implementing multi-lead electrocardiography, comprising:
acquiring electrocardiogram data according to the configured standard multi-lead mode to obtain electrocardiogram data corresponding to the standard multi-lead mode;
switching the standard multi-lead mode to an additional lead mode;
acquiring the electrocardiogram data in the additional lead mode to obtain the electrocardiogram data corresponding to the additional lead mode;
and integrating the electrocardiogram data corresponding to the standard multi-lead mode and the additional lead mode.
In one exemplary embodiment, the step of switching the standard multi-lead mode to an additional lead mode comprises:
receiving an instruction for acquiring additional lead electrocardiogram data;
switching from the standard multi-lead mode to the additional lead mode in accordance with the instructions.
In one exemplary embodiment, before the step of switching the standard multi-lead mode to the additional lead mode, the method further comprises:
and generating an instruction for acquiring additional lead electrocardiogram data according to the patient information.
In one exemplary embodiment, before the step of switching the standard multi-lead mode to the additional lead mode, the method further comprises:
judging whether the electrocardiogram data corresponding to the standard multi-lead mode has abnormal electrocardiogram data, if so, judging whether the abnormal electrocardiogram data exists in the electrocardiogram data corresponding to the standard multi-lead mode
And generating the instruction for acquiring the additional lead electrocardiogram data.
In one exemplary embodiment, the step of integrating the electrocardiographic data corresponding to the standard multi-lead mode and the additional lead mode comprises:
determining a multi-lead electrocardiogram template according to the additional lead mode;
and integrating the electrocardiogram data corresponding to the standard multi-lead mode and the additional lead mode through the multi-lead electrocardiogram template.
In one exemplary embodiment, the step of integrating the electrocardiographic data corresponding to the standard multi-lead mode and the additional lead mode through the multi-lead electrocardiographic template includes:
extracting the electrocardiogram data corresponding to each lead in the electrocardiogram data corresponding to the standard multi-lead mode and the additional lead mode;
and placing the electrocardiogram data corresponding to the standard multi-lead mode in the multi-lead electrocardiogram template, and correspondingly storing the electrocardiogram data corresponding to each lead in the additional lead mode in the multi-lead electrocardiogram template according to the storage initial position and the space length of each lead so as to obtain an electrocardiogram data file by combination.
In one exemplary embodiment, after the step of switching the standard multi-lead mode to the additional lead mode, the method further comprises:
matching the patient information in the standard multi-lead mode with the patient information in the additional lead mode, judging whether the patient information is consistent with the patient information in the standard multi-lead mode, and if not, judging whether the patient information is consistent with the patient information in the additional lead mode
Updating the patient information in the additional lead mode to the patient information in the standard multi-lead mode.
In one exemplary embodiment, after the step of switching the standard multi-lead mode to the additional lead mode, the method further comprises:
detecting whether all leads are in a falling state, if so, entering the step of matching the patient information in the standard multi-lead mode with the patient information in the additional lead mode, and if not, entering the step of matching the patient information in the standard multi-lead mode with the patient information in the additional lead mode
Waiting for all leads in the standard multi-lead mode to enter a dropped state.
An apparatus for performing multi-lead electrocardiographic measurements, comprising:
the standard multi-lead acquisition module is used for acquiring the electrocardiogram data according to a configured standard multi-lead mode to obtain the electrocardiogram data corresponding to the standard multi-lead mode;
a switching module for switching the standard multi-lead mode to an additional lead mode;
the additional lead acquisition module is used for acquiring the electrocardiogram data in the additional lead mode to obtain the electrocardiogram data corresponding to the additional lead mode;
and the integration module is used for integrating the electrocardiogram data corresponding to the standard multi-lead mode and the additional lead mode. .
In one exemplary embodiment, the switching module includes:
the command receiving unit is used for receiving a command for acquiring additional lead electrocardiogram data;
a mode switching unit for switching from the standard multi-lead mode to the additional lead mode according to the instructions.
In one exemplary embodiment, the integration module includes:
the template determining unit is used for determining a multi-lead electrocardiogram template according to the additional lead mode;
and the data integration unit is used for integrating the electrocardiogram data corresponding to the standard multi-lead mode and the additional lead mode through the multi-lead electrocardiogram template.
The technical scheme provided by the embodiment of the disclosure can have the following beneficial effects:
in the implementation of the multi-lead electrocardiographic measurement, firstly, electrocardiographic data acquisition is carried out according to a configured standard multi-lead mode to obtain electrocardiographic data corresponding to the standard multi-lead mode, then the standard multi-lead mode is switched to an additional lead mode to carry out electrocardiographic data acquisition in the additional lead mode to obtain electrocardiographic data corresponding to the additional lead mode, therefore, the multi-lead electrocardiographic measurement is additionally added on the basis of the standard multi-lead mode, namely, the electrocardiographic data acquisition in the additional lead mode is carried out to obtain two pieces of electrocardiographic data, the two pieces of electrocardiographic data are integrated, the electrocardiographic data of the multi-lead electrocardiographic measurement are automatically output, and therefore, when the additional multi-lead electrocardiographic measurement is carried out based on the conventional multi-lead electrocardiographic measurement, manual modification of an operator is not needed any more, and the efficiency is improved.
It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the disclosure.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments consistent with the invention and together with the description, serve to explain the principles of the invention.
FIG. 1 is a flow chart illustrating a method of implementing multi-lead electrocardiography measurements according to an exemplary embodiment;
FIG. 2 is a flow chart depicting details of the step of switching the standard multi-lead mode to the additional lead mode in the corresponding embodiment of FIG. 1;
FIG. 3 is a flow chart illustrating a method of performing multi-lead electrocardiography according to another exemplary embodiment;
FIG. 4 is a flowchart illustrating details of steps performed on electrocardiographic data corresponding to the integrated standard multi-lead mode and the additional lead mode in the corresponding embodiment of FIG. 1;
FIG. 5 is a flowchart illustrating details of a step of integrating electrocardiographic data corresponding to a standard multi-lead mode and an additional lead mode via a multi-lead electrocardiographic template in accordance with the corresponding embodiment of FIG. 4;
FIG. 6 is a flow chart illustrating a method of implementing multi-lead electrocardiography measurements according to another exemplary embodiment;
FIG. 7 is a flow chart illustrating a method of implementing multi-lead electrocardiography measurements according to another exemplary embodiment;
FIG. 8 is a block diagram illustrating an apparatus for performing multi-lead electrocardiography measurements according to an exemplary embodiment;
FIG. 9 is a block diagram illustrating details of a switch module in a corresponding embodiment of FIG. 8;
FIG. 10 is a block diagram illustrating details of the integration module shown in the corresponding embodiment of FIG. 8;
FIG. 11 is a block diagram illustrating an apparatus for performing multi-lead electrocardiography measurements according to another exemplary embodiment.
Detailed Description
Reference will now be made in detail to the exemplary embodiments, examples of which are illustrated in the accompanying drawings. When the following description refers to the accompanying drawings, like numbers in different drawings represent the same or similar elements unless otherwise indicated. The embodiments described in the following exemplary embodiments do not represent all embodiments consistent with the present invention. Rather, they are merely examples of apparatus and methods consistent with certain aspects of the invention, as detailed in the appended claims.
FIG. 1 is a flow chart illustrating a method of implementing multi-lead electrocardiography measurements according to an exemplary embodiment. The method for realizing multi-lead electrocardiograph measurement, as shown in fig. 1, may include the following steps.
In step 110, the electrocardiographic data is acquired according to the configured standard multi-lead mode, so as to obtain electrocardiographic data corresponding to the standard multi-lead mode.
Wherein the standard multi-lead mode is used for controlling the current electrocardio-data acquisition to be realized by using the conventional multi-lead electrocardio-measurement. The conventional multi-lead electrocardiographic measurement, also called as standard multi-lead electrocardiographic measurement of electrocardiographic equipment, is a main function configured in advance by electrocardiographic equipment, in other words, for electrocardiographic equipment, all leads are connected, so that the conventional multi-lead electrocardiographic measurement is realized.
In one exemplary embodiment, a conventional multi-lead electrocardiographic measurement is a 12-lead electrocardiographic measurement; of course, it is understood that in other exemplary embodiments, conventional multi-lead electrocardiography measurements may be 9-lead electrocardiography measurements, etc., which are not listed herein.
The electrocardio data acquisition is carried out under the configured standard multi-lead mode, and the electrocardio data corresponding to the standard multi-lead mode can be output. For example, taking 12-lead electrocardiographic measurement as an example, 12-channel electrocardiographic waveforms are obtained and sequentially displayed on a display interface as I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5 and V6 waveforms, and corresponding lead symbols are respectively marked.
The obtained electrocardiographic data is waveform data corresponding to the 12-channel electrocardiographic waveforms.
In an exemplary embodiment, the acquisition of the electrocardiographic data in the standard multi-lead mode includes acquisition of the electrocardiographic data, a waveform display process corresponding to the electrocardiographic data, and caching of the electrocardiographic data.
Specifically, along with the acquisition of electrocardiographic data in the standard multi-lead mode, electrocardiographic waveforms are displayed on an interface of an electrocardiographic device according to the acquired electrocardiographic data, and corresponding lead symbols are marked for each electrocardiographic waveform.
In addition, after the acquisition of the electrocardiographic data reaches the preset acquisition time, the acquired electrocardiographic data is cached in a memory according to a certain format and is cached together with corresponding patient information, the acquisition start time, the acquisition time and other information.
In an exemplary embodiment, before the electrocardiographic data acquisition is performed in a standard multi-lead mode, whether the total electrocardiographic signal noise of each lead is lower than a threshold value or not is detected, and if yes, the electrocardiographic data acquisition is performed, so that the accuracy of electrocardiographic data acquisition is ensured, and the interference of noise is avoided.
In the implementation of the multi-lead electrocardiographic measurement, firstly, the electrocardiographic data acquisition in the standard multi-lead mode is performed through the configured standard multi-lead mode, so that the implementation of the multi-lead electrocardiographic measurement can be performed based on the electrocardiographic data acquisition in the standard multi-lead mode.
In step 130, the standard multi-lead mode is switched to the additional lead mode.
It should be noted that the configured lead patterns include, on one hand, the standard multi-lead pattern and, on the other hand, the additional lead pattern. And, for the additional lead mode, according to the kind of multi-lead electrocardiograph measurement realized by the final end, it can be only one additional lead mode, and also can be multiple additional lead modes.
For example, assuming that only 18-lead electrocardiographic measurements need to be realized, when the multi-lead electrocardiographic measurement in the standard multi-lead mode is 12-lead electrocardiographic measurement, the additional lead mode will be only a lead mode in which 6 additional lead acquisitions are additionally performed; if 16 lead electrocardiography measurements are also to be taken into account, the additional lead patterns also include a lead pattern in which an additional 4 additional lead acquisitions are made.
The additional lead mode is used to control the performance of additional lead electrocardiographic measurements. And switching the additional lead mode based on the standard multi-lead mode according to the multi-lead electrocardiogram measurement which is required to be realized currently.
It can be understood that, in the multi-lead electrocardiography measurement to be realized, the difference value between the number of leads involved and the number of leads involved in the standard multi-lead mode is the number of leads involved in the additional lead mode.
After the electrocardiographic data acquisition in the standard multi-lead mode is realized in the step 110, the switching between the standard multi-lead mode and the additional lead mode may be performed automatically or manually by an operator, which is not limited herein.
In an exemplary embodiment, for the automatic switching from the standard multi-lead mode to the additional lead mode, on one hand, the patient information can be identified to determine whether the electrocardiographic measurement of the additional lead is needed, so as to trigger the automatic switching from the standard multi-lead mode to the additional lead mode.
On the other hand, the automatic switching from the standard multi-lead mode to the additional lead mode can be triggered by identifying abnormal electrocardiogram data in the electrocardiogram data corresponding to the standard multi-lead mode.
In step 150, the electrocardiographic data is acquired in the additional lead mode to obtain electrocardiographic data corresponding to the additional lead mode.
Wherein the electrocardiographic data acquisition is performed in the additional lead mode after switching to the additional lead mode by step 130.
The specific implementation of the electrocardiographic data acquisition in the additional lead mode may include guidance for accessing the additional electrode and acquisition of the second electrocardiographic data.
In an exemplary embodiment, after switching from the standard multi-lead mode to the additional lead mode, guidance for accessing the additional electrodes is performed through a display interface in the electrocardiograph device, for example, the name of the electrode to be connected is displayed in the display interface of the electrocardiograph device.
Specifically, according to the switched additional lead mode, prompt information of the electrode to be connected is generated and displayed, and further for an operator, the additional electrode can be smoothly and accurately accessed according to the displayed prompt information of the electrode to be connected.
For example, in the continuous completion of 18-lead electrocardiographic measurement, taking the multi-lead electrocardiographic measurement corresponding to the standard multi-lead mode as 12-lead electrocardiographic measurement as an example, when the standard multi-lead mode is switched to the additional lead mode, the electrocardiographic device prompts through the display interface to continuously complete 18-lead electrocardiographic measurement and displays the prompt information of the electrode to be connected.
Specifically, in the display interface, the leads to be connected are directly displayed, and an operator can directly move the corresponding electrodes, so that the searching process of additional leads by the operator is omitted, convenience and rapidness are realized, and the working efficiency of the operator is improved.
For example, the operator may apply V1, V2, and V3 electrodes to the V3R, V4R, and V5R positions, respectively and sequentially, of the patient's right chest; v4, V5 and V6 were added to the patient's back at positions V7, V8 and V9, respectively and sequentially.
After the additional electrode is accessed, when the waveform is detected to be stable, namely the total electrocardiosignal noise of each lead is lower than a threshold value, the second time of electrocardio data acquisition is started, and after the preset acquisition time is reached, the obtained electrocardio data is cached in a memory according to a certain format.
Similar to the first time of acquiring the electrocardiogram data, the corresponding information such as the start time, the acquisition duration, the patient information and the like are cached.
For another example, in the continuous completion of 15-lead electrocardiographic measurement, taking the standard multi-lead electrocardiographic measurement as twelve-lead electrocardiographic measurement as an example, when the standard multi-lead electrocardiographic measurement is switched to the additional lead mode, the electrocardiograph apparatus prompts to continuously complete 15-lead electrocardiographic measurement through the display interface and displays the prompt information of the electrode to be connected.
According to the prompt information of the electrode to be connected, the operator accesses 3 additional electrodes to the patient. Respectively and sequentially connecting V1, V2 and V3 electrodes to the positions of V3R, V4R and V5R of the right chest of the patient; at the same time, the display interface in the electrocardiogram equipment displays the waveform.
When the waveform is detected to be stable, the acquisition of the electrocardiograph data for the second time is started, and then the electrocardiograph data is cached in the memory according to a certain format after the preset acquisition time is reached.
For another example, in the continuous completion of 16-lead electrocardiographic measurement, taking the multi-lead electrocardiographic measurement corresponding to the standard multi-lead mode as 12-lead electrocardiographic measurement as an example, when the standard multi-lead mode is switched to the additional lead mode, the electrocardiographic device prompts through the display interface to continuously complete 16-lead electrocardiographic measurement, and displays the prompt information of the electrode to be connected.
According to the prompt information of the electrode to be connected, the operator continues to access 4 additional electrodes to the patient, so that the electrocardio data acquisition of 4 additional leads is facilitated.
V1, V2, V3 and V4 electrodes were added to the V3R, V4R, V5R and V7 positions, respectively and sequentially; meanwhile, the display interface in the electrocardiogram equipment displays the waveform, and the second acquisition of the electrocardiogram data is realized through the process, so that the electrocardiogram data is finally obtained.
In step 170, electrocardiographic data corresponding to the standard multi-lead mode and the additional lead mode is integrated.
As described above, two pieces of electrocardiographic data are obtained by performing electrocardiographic data acquisition in the standard multi-lead mode and electrocardiographic data acquisition in the additional lead mode, and therefore, the two pieces of electrocardiographic data need to be integrated to obtain one electrocardiographic data file.
Through the process, the electrocardiogram equipment can automatically process the electrocardiogram data for the multi-lead electrocardiogram measurement which needs to be carried out, does not need to depend on manual modification of an operator after printing out two electrocardiogram reports, and also carries out complete information storage for a patient, namely, can directly store a final complete electrocardiogram data file, and avoids the problem that the final electrocardiogram data file cannot be obtained in the existing multi-lead electrocardiogram measurement, but only can store two electrocardiogram reports which are obtained by respectively printing two electrocardiogram data.
In an exemplary embodiment, after the electrocardiographic data corresponding to the standard multi-lead mode and the additional lead mode is integrated through the multi-lead electrocardiographic template, an electrocardiographic data file is obtained, and related attribute information is further integrated in the electrocardiographic data file, so that the detailed information can be printed and output conveniently.
The attribute information comprises inspection information, equipment information, measurement diagnosis information and the like, and is aggregated with the integrated electrocardiogram data into a file, so that an operator can conveniently manage and check medical records, the efficiency of subsequent printing of electrocardiogram reports can be improved, and the printing time is saved.
In the process of printing the electrocardiogram data file, firstly, initialization setting is carried out to obtain output setting information, wherein the output setting information comprises information such as printing speed, gain, recording format and the like, so that an electrocardiogram waveform can be recorded on printing paper according to the output setting information.
In an exemplary embodiment, different print formats will be determined based on the different types of multi-lead electrocardiographic measurements taken, so as to ensure accurate output of electrocardiographic reports.
For example, for an 18 lead electrocardiographic report, the recording format may include, but is not limited to: 6 × 3, 6 × 3+1R, 6 × 2+6 × 1+2R, and 12 × 1+6 × 1.
When the record format in the output setup information is 6 × 3, 3 sets of waveforms will be printed on the same page of report, each set of 6 lead waveforms, the first set being I, II, III, aVR, aVL, aVF from top to bottom, the second set being V1, V2, V3, V4, V5, V6 from top to bottom, and the third set being V3R, V4R, V5R, V7, V8, V9 from top to bottom.
And for each lead, the waveform of the last preset length, for example, the last 3.3 seconds, is stored in the corresponding position in the multi-lead electrocardiogram template, and the start-stop moment of the waveform is marked. For example, if the recording time of a lead is 10 seconds, the mark is 6.7 seconds to 10.0 seconds.
In an exemplary embodiment, after the electrocardiographic data is integrated, a corresponding waveform is displayed in a display interface. In this case, the electrocardiographic report can be printed from the specified print start point by selecting the waveform segment on the display interface.
Here, similarly to the above, the last waveform of the predetermined length is still accumulated backward.
As another example, for a 16 lead electrocardiographic report, the recording format may include, but is not limited to: 4 x 4 and 4 x 4+ 1R.
When the record format in the output setting information is 4 × 4, 4 sets of waveforms are printed on the same page of report, each set including 4 lead waveforms, the first set including I, II, III, and V3R from top to bottom, the second set including aVR, aVL, aVF, and V4R from top to bottom, the third set including V1, V2, V3, and V5R from top to bottom, and the fourth set including V4, V5, V6, and V7 from top to bottom.
And for each lead, sequentially storing the last 2.5-second waveform into a corresponding position in the multi-lead electrocardiogram template, and marking the start and stop moments of the waveforms. For example, if the recording time of a lead is 10 seconds, the mark is 7.5 seconds to 10 seconds.
As another example, for a 15 lead electrocardiographic report, the recording format may include, but is not limited to: 3 × 5, 3 × 5+1R, 6+9, 6+6+3, 6+6+ 1R.
When the record format in the output setup information is 6+6+3, 3 sets of waveforms will be printed on the same page of report, the first 2 sets including 6 lead waveforms and the last set including 3 lead waveforms. The first group is I, II, III, aVR, aVL and aVF from top to bottom, the second group is V1, V2, V3, V4, V5 and V6 from top to bottom, and the third group is V3R, V4R and V5R from top to bottom.
And for each lead, sequentially storing the last 3.3 second waveform into a corresponding position in the multi-lead electrocardiogram template, and marking the start and stop moments of the waveforms. For example, if the recording time of a lead is 10 seconds, the mark is 6.7 seconds to 10 seconds.
It can be understood that the price of the full-lead electrocardiograph devices produced at home and abroad in the current market is very expensive, so that the multi-lead electrocardiograph measurement, such as the 18-lead electrocardiograph measurement, cannot be widely applied clinically, or cannot be conveniently and rapidly performed clinically, and further, the patient cannot be evaluated in all directions.
The multi-lead electrocardio measurement method can adaptively carry out the multi-lead electrocardio measurement of required types according to the requirement of the electrocardio measurement, does not need to purchase new equipment, and increases the cost additionally, thereby improving the comprehensiveness of the electrocardio measurement and improving the efficiency of the electrocardio measurement on the one hand.
In an exemplary embodiment, before performing electrocardiographic data acquisition in the standard multi-lead mode, i.e. in the embodiment corresponding to fig. 1, before step 110, the method for implementing multi-lead electrocardiographic measurement further includes the following steps.
Determining a corresponding lead mode according to the patient information, wherein the lead mode is a children lead mode or a standard multi-lead mode.
And when the lead mode is a child lead mode, carrying out electrocardio data acquisition in the child lead mode to obtain electrocardio data corresponding to the child mode.
Wherein patient information records age and/or examination items, so that the corresponding lead pattern can be determined from the patient information.
And when the lead mode is a children lead mode, guiding the children lead mode in a display interface of the electrocardiogram equipment. In one exemplary embodiment, the child lead mode guidance includes a prompt to access 9 leads and an indication of electrodes to be connected so that the operator can follow the child lead mode instructions to perform electrocardiographic data acquisition in the child lead mode.
Through the process, the multi-lead electrocardio measurement can be adaptive to various patients, so that the accuracy of the multi-lead electrocardio measurement is ensured, and the efficiency of the electrocardio measurement is improved.
In an exemplary embodiment, the electrocardiographic data acquired in the child lead mode is recorded and cached according to a preset recording format, for example, a recording format of 6+3, or 3 × 3+1R, so that an operator can print out a final electrocardiographic report and realize ordered storage of the electrocardiographic data.
Fig. 2 is a flowchart illustrating a description of details of step 130 according to an example embodiment. This step 130, as shown in FIG. 2, may include the following steps.
In step 131, an instruction to perform additional lead electrocardiographic data acquisition is received.
In the multi-lead electrocardiographic measurement, along with the completion of electrocardiographic data acquisition in the multi-lead mode, an instruction for additional lead electrocardiographic data acquisition is received.
The instruction for acquiring the additional lead electrocardiographic data may be generated by a certain module in the electrocardiographic device according to the patient information, or may be generated by a module in the electrocardiographic device identifying abnormal electrocardiographic data in the electrocardiographic data, or may be obtained by other methods, which is not limited herein.
In step 133, the standard multi-lead mode is switched to the additional lead mode according to the instructions.
The standard multi-lead mode and the additional lead mode are automatically switched according to the received instruction, so that the second time of electrocardio data acquisition in the electrocardiogram equipment can be continuously and automatically carried out after the first time of electrocardio data acquisition is finished, and the continuity in the multi-lead electrocardio measurement is ensured.
Therefore, intelligent detection of additional lead mode switching is realized, on one hand, when an operator is difficult to judge whether additional lead electrocardio data acquisition is needed, quick judgment and switching are intelligently realized, and misjudgment is avoided.
In an exemplary embodiment, before the step 130, the multi-lead electrocardiography measuring method further includes the following steps.
And generating an instruction for acquiring additional lead electrocardiogram data according to the patient information.
The patient information is used for providing detailed information of the patient, for example, the patient information includes information such as patient identification, patient name, birth date, telephone, address, examination type, examination item and medical history, and provides auxiliary information for the multi-lead electrocardiographic measurement.
In an exemplary embodiment, the sources of patient information may include, but are not limited to, the following:
(1) manual input by an operator in an electrocardiogram device;
(2) the operator inputs the code by scanning the bar code;
(3) the operator obtains the information through an identity card or a social security card;
(4) the operator downloads the stored patient information in the electrocardiogram equipment.
After the patient information is obtained from either source, the patient information is cached for subsequent use.
Reading the content of the patient information, judging whether additional lead electrocardio data acquisition is carried out or not according to the examination items and/or the medical history contained in the read patient information, if so, generating an instruction for carrying out the additional lead electrocardio data acquisition, and if not, printing the electrocardio data corresponding to the standard multi-lead mode and outputting an electrocardio report.
In an exemplary embodiment, when the examination item in the read patient information includes the multi-lead electrocardiographic measurement with the number of leads more than the number corresponding to the standard multi-lead electrocardiographic measurement, an instruction for acquiring additional lead electrocardiographic data is generated, and the acquisition of additional lead electrocardiographic data is continued.
For example, when the standard multi-lead electrocardiographic measurement is 12-lead electrocardiographic measurement, when the lead information to be examined in the examination item in the read patient information contains more than 12-lead multi-lead electrocardiographic measurement, an instruction for acquiring additional lead electrocardiographic data is generated.
In another exemplary embodiment, the preset field is configured according to the condition for which a multi-lead electrocardiographic measurement is desired.
Correspondingly, reading the patient information, matching the patient information with the preset field, and generating an instruction for acquiring additional lead electrocardiogram data when the field matched with the preset field exists in the patient information.
And the preset fields of the configuration comprise fields of rear wall abnormality, right wall abnormality, infarction, ST abnormality and the like.
By the method, multi-lead electrocardiographic measurement is carried out in an electrocardiograph device in a self-adaptive mode according to the medical history, and further multi-lead electrocardiographic measurement can be carried out on a patient who needs to carry out omnibearing cardiac detection urgently, and the evolution degree of the previous disease string of the patient can be accurately evaluated.
FIG. 3 illustrates a method for performing multi-lead electrocardiography measurements, according to an exemplary embodiment. The method for realizing multi-lead electrocardiograph measurement, as shown in fig. 3, may include the following steps.
In step 210, it is determined whether abnormal electrocardiographic data exists in the electrocardiographic data corresponding to the standard multi-lead mode, if so, the process proceeds to step 230, and if not, the process proceeds to step 250.
After the acquisition of the electrocardiographic data in the standard multi-lead mode is realized by the embodiment corresponding to fig. 1, the abnormal electrocardiographic data in the obtained electrocardiographic data is judged.
As described above, the electrocardiographic data corresponds to a certain waveform, that is, abnormal electrocardiographic data existing in the electrocardiographic data can be determined by identifying an abnormal waveform.
In an exemplary embodiment, after the step 110 in the embodiment corresponding to fig. 1 completes the acquisition and buffering of the electrocardiographic data, the buffered electrocardiographic data is extracted, and whether any abnormal waveforms such as ST-segment abnormality, T-wave abnormality, pathological Q-wave and the like exist in the waveform corresponding to the electrocardiographic data, for example, when a deep-concave inverted T-wave or a T-wave towering or abnormal Q-wave exists in the V1 waveform and the V2 waveform, an instruction for acquiring additional lead electrocardiographic data is generated.
In step 230, instructions are generated to perform additional lead electrocardiographic data acquisition.
In step 250, the electrocardiographic data corresponding to the standard multi-lead mode is printed and output as an electrocardiographic report.
Through the process, additional lead electrocardio data can be acquired in a self-adaptive manner according to actual conditions in standard multi-lead electrocardio measurement, so that the comprehensiveness and accuracy of electrocardio examination are ensured.
FIG. 4 is a flowchart illustrating a description of details of step 170 according to an exemplary embodiment. This step 170, as shown in fig. 4, includes the following steps.
In step 171, a multi-lead electrocardiographic template is determined from the additional lead patterns.
In the electrocardiogram equipment, one or more multi-lead electrocardiogram templates are correspondingly provided for one or more multi-lead electrocardiogram measurements according to the requirements of the multi-lead electrocardiogram measurements.
For example, in an electrocardiogram device, multi-lead electrocardiographic measurement realized by all leads of the electrocardiogram device is 12-lead electrocardiographic measurement, and an 18-lead electrocardiographic template is configured in advance for supporting 18-lead electrocardiographic measurement, so that when the additional electrocardiographic measurement of 6 leads is carried out according to an additional lead mode, the currently used 18-lead electrocardiographic template can be determined.
In addition, one or more of a 9-lead electrocardiogram template, a 15-lead electrocardiogram template and a 16-lead electrocardiogram template can be pre-configured, so that the electrocardiogram equipment can adaptively support various multi-lead electrocardiogram measurements.
In step 173, the electrocardiographic data corresponding to the standard multi-lead mode and the additional lead mode is integrated by the multi-lead electrocardiographic template.
After the multi-lead electrocardiographic template used in step 171 is determined, in step 173, the electrocardiographic data obtained by the first electrocardiographic acquisition and the electrocardiographic data obtained by the second electrocardiographic acquisition are filled under the action of the multi-lead electrocardiographic template, so that the two electrocardiographic data are integrated to obtain one electrocardiographic data file.
Fig. 5 is a flowchart illustrating a description of details of step 173 according to an exemplary embodiment. This step 173, as shown in FIG. 5, may include the following steps.
In step 1731, the electrocardiographic data corresponding to each lead in the electrocardiographic data corresponding to the standard multi-lead mode and the additional lead mode is extracted.
As described in the embodiment corresponding to fig. 1, the acquisition of the electrocardiographic data is realized in the standard multi-lead mode and the additional lead mode, and the obtained electrocardiographic data is cached respectively.
Accordingly, after determining the multi-lead electrocardiographic template used in step 130 in the embodiment corresponding to fig. 1, electrocardiographic data corresponding to the standard multi-lead mode and the additional lead mode are extracted from the cache.
It can be understood that both standard multi-lead electrocardiographic measurement and additional lead electrocardiographic data acquisition are realized by a plurality of leads, and therefore, the acquired electrocardiographic data is composed of electrocardiographic data corresponding to each lead in order.
Therefore, among the extracted electrocardiographic data, electrocardiographic data corresponding to each lead is further specified.
In step 1733, the electrocardiographic data corresponding to the standard multi-lead mode is placed in the multi-lead electrocardiographic template, and the electrocardiographic data corresponding to each lead in the additional lead mode is correspondingly stored in the multi-lead electrocardiographic template according to the storage starting position and the space length of each lead so as to obtain an electrocardiographic data file through combination.
First, it should be noted that, for the standard multi-lead mode or the additional lead mode, each lead has a corresponding segment of data in the corresponding electrocardiographic data, that is, the electrocardiographic data corresponding to each lead can be obtained from the electrocardiographic data obtained by acquiring the electrocardiographic data.
Therefore, the integration between the electrocardiographic data corresponding to the standard multi-lead mode and the electrocardiographic data corresponding to the additional lead mode is a process of integrating the electrocardiographic data corresponding to each lead.
Specifically, on one hand, because the electrocardiographic data corresponding to the standard multi-lead mode is complete, that is, the electrocardiographic data corresponding to the multi-lead mode completely exists in the to-be-performed multi-lead electrocardiographic measurement as an integral part, the electrocardiographic data of each lead does not need to be taken out and integrated respectively, and the electrocardiographic data of each lead is directly filled in the multi-lead electrocardiographic template.
On the other hand, because the electrocardiographic data corresponding to the additional lead mode is data supplement additionally realized in the standard multi-lead mode, and for electrocardiographic data acquisition realized in the additional lead mode, each lead is a multi-lead electrocardiographic measurement which is relatively realized aiming at electrocardiographic data acquisition in the standard multi-lead mode and exists as a missing lead.
Therefore, compared with the standard multi-lead mode, the electrocardiographic data corresponding to each lead needs to be scattered and stored in the multi-lead electrocardiographic template according to the storage initial position and the space length of each lead, so that the electrocardiographic data of each lead in the additional lead mode and the electrocardiographic data corresponding to the standard multi-lead mode are integrated.
Through the process, the storage initial position and the space length of each lead are marked in the multi-lead electrocardiogram template, so that accurate filling of all electrocardiogram data can be directly realized, simplicity and feasibility are realized, and the completeness and the accuracy of the electrocardiogram data filling can be ensured.
FIG. 6 illustrates a method of performing multi-lead electrocardiography measurements, according to an exemplary embodiment. The method for implementing multi-lead electrocardiography measurement, after step 130, as shown in fig. 6, may include the following steps.
In step 310, patient information in the standard multi-lead mode and patient information in the additional lead mode are matched, whether the patient information is consistent or not is judged, if not, step 330 is carried out, and if yes, no processing is carried out.
For the electrocardiographic data acquisition in the standard multi-lead mode and the electrocardiographic data acquisition in the additional lead mode, because patient information is respectively acquired, the consistency of the patient information in the standard multi-lead mode and the patient information in the additional lead mode needs to be checked, the patient information in the standard multi-lead mode is ensured to be consistent with the patient information in the additional lead mode, and the accuracy of a finally generated electrocardiographic data file and a printed electrocardiographic report is further ensured.
In step 330, the patient information in the additional lead mode is updated to the patient information in the standard multi-lead mode.
When the patient information in the standard multi-lead mode is judged to be inconsistent with the patient information in the additional lead mode through matching, the patient information needs to be corrected.
It can be understood that the electrocardiographic data acquisition in the standard multi-lead mode is the first electrocardiographic data acquisition in the multi-lead electrocardiographic measurement, and the corresponding patient information is obtained by the operator of the electrocardiograph device in various ways, so that the possibility of errors is very low.
The electrocardiographic data acquisition in the additional lead mode is the second electrocardiographic data acquisition in the multi-lead electrocardiographic measurement, the corresponding patient information continues to be acquired by using the first electrocardiographic data, and at the moment, the possibility of error of the acquired patient information is relatively high, so that when the two are not consistent, the patient information in the additional lead mode needs to be corrected to the patient information in the standard multi-lead mode, so as to ensure the consistency of the electrical data in the multi-lead electrocardiographic measurement center.
FIG. 7 illustrates a method of performing multi-lead electrocardiography measurements, according to an exemplary embodiment. After step 130, as shown in fig. 7, the method for implementing multi-lead electrocardiography further includes the following steps.
In step 410, it is detected whether all leads are in a dropped state, if yes, step 310 is entered, and if no, step 430 is entered.
After the switching from the standard multi-lead mode to the additional lead mode is realized through step 130 in the corresponding embodiment of fig. 1, it can be determined that a second time of electrocardiographic data acquisition is currently required.
Therefore, whether the first electrocardio data acquisition is finished or not is evaluated according to whether all leads are in a falling state or not, and when the first electrocardio data acquisition is determined to be finished or the second electrocardio data acquisition is to be carried out, the consistency of the patient information is firstly checked so as to ensure the accuracy of data storage in the electrocardiogram equipment.
In step 430, wait for all leads in the standard multi-lead mode to enter the dropped state.
Through the process, the end of the acquisition of the electrocardiograph data in the standard multi-lead mode is accurately detected, and the imminent start of the acquisition of the electrocardiograph data in the additional lead mode can be accurately sensed, so that the orderliness in the multi-lead electrocardiograph measurement is ensured, and preparation is made for the acquisition of the electrocardiograph data in the additional lead mode.
The following are embodiments of the apparatus of the present disclosure, which may be used to implement the above-mentioned embodiments of the method for implementing multi-lead electrocardiography of the present disclosure. For details not disclosed in the embodiments of the device disclosed in the present disclosure, please refer to the embodiments of the method for implementing multi-lead electrocardiography measurement disclosed in the present disclosure.
FIG. 8 is a block diagram illustrating an apparatus for performing multi-lead electrocardiography measurements according to an exemplary embodiment. The device for realizing multi-lead electrocardiographic measurement, as shown in fig. 8, includes but is not limited to: a standard multi-lead acquisition module 610, a switching module 630, an additional lead acquisition module 650, a template determination module 670, and an integration module 690.
And the standard multi-lead acquisition module 610 is used for acquiring the electrocardiogram data according to the configured standard multi-lead mode to obtain the electrocardiogram data corresponding to the standard multi-lead mode.
A switching module 630 for switching the standard multi-lead mode to the additional lead mode.
The additional lead acquisition module 650 is configured to acquire electrocardiographic data in an additional lead mode to obtain electrocardiographic data corresponding to the additional lead mode.
And the integration module 670 is used for integrating the electrocardiographic data corresponding to the standard multi-lead mode and the additional lead mode.
Fig. 9 is a block diagram illustrating a description of details of a switching module in accordance with an example embodiment. The switching module 630, as shown in fig. 9, may include, but is not limited to: an instruction receiving unit 631, and a mode switching unit 633.
And the instruction receiving unit 631 is used for receiving an instruction for acquiring additional lead electrocardiogram data.
A mode switching unit 633 for switching from the standard multi-lead mode to the additional lead mode according to the instruction.
Fig. 10 is a block diagram illustrating details of the integration module shown in the corresponding embodiment of fig. 8. The integrating module 670, as shown in fig. 10, includes but is not limited to: a template determination unit 671 and a data integration unit 673.
A template determination unit 671 for determining multi-lead electrocardiographic templates according to the additional lead modes.
And the data integration unit 673 is used for integrating the electrocardiogram data corresponding to the standard multi-lead mode and the additional lead mode through the multi-lead electrocardiogram template.
In an exemplary embodiment, the apparatus for implementing multi-lead electrocardiography further includes, but is not limited to: a patient information identification module. The patient information identification module is used for generating an instruction for acquiring additional lead electrocardiogram data according to the information content of the patient.
Fig. 11 is a block diagram illustrating an apparatus for performing multi-lead electrocardiography according to an exemplary embodiment, which further includes but is not limited to: an exception determination module 710 and an instruction generation module 730.
The abnormal judgment module 710 is configured to judge whether abnormal electrocardiographic data exists in the electrocardiographic data corresponding to the standard multi-lead mode, if so, notify the instruction generation module 730, and if not, do no processing.
And the instruction generating module 730 is used for generating an instruction for acquiring additional lead electrocardiogram data.
It will be understood that the invention is not limited to the precise arrangements described above and shown in the drawings and that various modifications and changes may be made without departing from the scope thereof. The scope of the invention is limited only by the appended claims.

Claims (11)

1. A method for realizing multi-lead electrocardiographic measurement is characterized by comprising the following steps:
acquiring electrocardiogram data according to the configured standard multi-lead mode to obtain electrocardiogram data corresponding to the standard multi-lead mode;
switching the standard multi-lead mode to an additional lead mode and displaying leads to be connected so that an operator moves the corresponding electrode;
acquiring the electrocardiogram data in the additional lead mode to obtain the electrocardiogram data corresponding to the additional lead mode;
and integrating the electrocardiogram data corresponding to the standard multi-lead mode and the additional lead mode.
2. The method of claim 1, wherein the step of switching the standard multi-lead mode to an additional lead mode comprises:
receiving an instruction for acquiring additional lead electrocardiogram data;
switching from the standard multi-lead mode to the additional lead mode in accordance with the instructions.
3. The method of claim 2, wherein prior to the step of switching the standard multi-lead mode to an additional lead mode, the method further comprises:
and generating an instruction for acquiring additional lead electrocardiogram data according to the patient information.
4. The method of claim 2, wherein prior to the step of switching the standard multi-lead mode to an additional lead mode, the method further comprises:
judging whether the electrocardiogram data corresponding to the standard multi-lead mode has abnormal electrocardiogram data, if so, judging whether the abnormal electrocardiogram data exists in the electrocardiogram data corresponding to the standard multi-lead mode
And generating the instruction for acquiring the additional lead electrocardiogram data.
5. The method of claim 1, wherein the step of integrating the electrocardiographic data corresponding to the standard multi-lead mode and the additional lead mode comprises:
determining a multi-lead electrocardiogram template according to the additional lead mode;
and integrating the electrocardiogram data corresponding to the standard multi-lead mode and the additional lead mode through the multi-lead electrocardiogram template.
6. The method of claim 5, wherein the step of integrating the electrocardiographic data corresponding to the standard multi-lead pattern and the additional lead pattern via the multi-lead electrocardiographic template comprises:
extracting the electrocardiogram data corresponding to each lead in the electrocardiogram data corresponding to the standard multi-lead mode and the additional lead mode;
and placing the electrocardiogram data corresponding to the standard multi-lead mode in the multi-lead electrocardiogram template, and correspondingly storing the electrocardiogram data corresponding to each lead in the additional lead mode in the multi-lead electrocardiogram template according to the storage initial position and the space length of each lead so as to obtain an electrocardiogram data file by combination.
7. The method of claim 1, wherein after the step of switching the standard multi-lead mode to an additional lead mode, the method further comprises:
matching the patient information in the standard multi-lead mode with the patient information in the additional lead mode, judging whether the patient information is consistent with the patient information in the standard multi-lead mode, and if not, judging whether the patient information is consistent with the patient information in the additional lead mode
Updating the patient information in the additional lead mode to the patient information in the standard multi-lead mode.
8. The method of claim 7, wherein after the step of switching the standard multi-lead mode to an additional lead mode, the method further comprises:
detecting whether all leads are in a falling state, if so, entering the step of matching the patient information in the standard multi-lead mode with the patient information in the additional lead mode, and if not, entering the step of matching the patient information in the standard multi-lead mode with the patient information in the additional lead mode
Waiting for all leads in the standard multi-lead mode to enter a dropped state.
9. An apparatus for performing multi-lead electrocardiographic measurements, comprising:
the standard multi-lead acquisition module is used for acquiring the electrocardiogram data according to a configured standard multi-lead mode to obtain the electrocardiogram data corresponding to the standard multi-lead mode;
the switching module is used for switching the standard multi-lead mode to an additional lead mode and displaying leads to be connected so that an operator can move the corresponding electrode;
the additional lead acquisition module is used for acquiring the electrocardiogram data in the additional lead mode to obtain the electrocardiogram data corresponding to the additional lead mode;
and the integration module is used for integrating the electrocardiogram data corresponding to the standard multi-lead mode and the additional lead mode.
10. The apparatus of claim 9, wherein the switching module comprises:
the command receiving unit is used for receiving a command for acquiring additional lead electrocardiogram data;
a mode switching unit for switching from the standard multi-lead mode to the additional lead mode according to the instructions.
11. The apparatus of claim 9, wherein the integration module comprises:
the template determining unit is used for determining a multi-lead electrocardiogram template according to the additional lead mode;
and the data integration unit is used for integrating the electrocardiogram data corresponding to the standard multi-lead mode and the additional lead mode through the multi-lead electrocardiogram template.
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