CN114424944B - Method for quickly identifying atrioventricular block, terminal equipment and storage medium - Google Patents

Method for quickly identifying atrioventricular block, terminal equipment and storage medium Download PDF

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CN114424944B
CN114424944B CN202111666331.5A CN202111666331A CN114424944B CN 114424944 B CN114424944 B CN 114424944B CN 202111666331 A CN202111666331 A CN 202111666331A CN 114424944 B CN114424944 B CN 114424944B
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interval
heart beat
atrioventricular block
intervals
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CN114424944A (en
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金德发
钟玉秋
刘学义
徐拥军
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Nalong Health Technology Co ltd
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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]
    • A61B5/346Analysis of electrocardiograms
    • A61B5/349Detecting specific parameters of the electrocardiograph cycle
    • 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]
    • A61B5/346Analysis of electrocardiograms
    • A61B5/349Detecting specific parameters of the electrocardiograph cycle
    • A61B5/352Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
    • 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]
    • A61B5/346Analysis of electrocardiograms
    • A61B5/349Detecting specific parameters of the electrocardiograph cycle
    • A61B5/353Detecting P-waves
    • 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]
    • A61B5/346Analysis of electrocardiograms
    • A61B5/349Detecting specific parameters of the electrocardiograph cycle
    • A61B5/36Detecting PQ interval, PR interval or QT interval
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271Specific aspects of physiological measurement analysis
    • A61B5/7282Event detection, e.g. detecting unique waveforms indicative of a medical condition

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  • Life Sciences & Earth Sciences (AREA)
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Abstract

The invention relates to a method for quickly identifying atrioventricular block, terminal equipment and a storage medium, wherein the method comprises the following steps: identifying the P wave position, the Q wave position and the R wave position in the heart beat according to the electrocardio data, and calculating PR interval, PP interval and RR interval of each heart beat; judging whether characteristics of each type of atrioventricular block are met according to PR intervals, PP intervals and RR intervals, and constructing an auxiliary identification diagram of the atrioventricular block of a corresponding type according to heart beats meeting the characteristics; the atrioventricular block identification is performed by the atrioventricular block auxiliary identification map. The heart beat characteristics are characterized by the visualized auxiliary identification graphic, and the constructed different types of auxiliary identification graphic can help doctors to quickly identify atrioventricular block.

Description

Method for quickly identifying atrioventricular block, terminal equipment and storage medium
Technical Field
The invention relates to the field of electrocardiogram recognition, in particular to a method for rapidly recognizing atrioventricular block, terminal equipment and a storage medium.
Background
Arrhythmia analysis is the most daily work content of doctors in dynamic electrocardiogram diagnosis, with the increasing popularization of Holter equipment, more and more dynamic reports need to be diagnosed, and the improvement of diagnosis efficiency becomes an important target pursued by current dynamic electrocardiogram analysis software research and development manufacturers, wherein the provision of a convenient tool for arrhythmia analysis is a very effective approach.
After the electrocardiographic data is usually imported into the software from Holter, the software performs a pre-analysis on the electrocardiographic data, but the current software pre-analysis result on the market does not reflect arrhythmia related to atrioventricular block, which has very important significance in dynamic electrocardiographic business, especially three-degree atrioventricular block, and serious death is caused, so that a method for rapidly identifying the atrioventricular block is needed.
Disclosure of Invention
In order to solve the problems, the invention provides a method for quickly identifying atrioventricular block, terminal equipment and a storage medium.
The specific scheme is as follows:
a method for rapid identification of atrioventricular block comprising the steps of:
S1: identifying the P wave position, the Q wave position and the R wave position in the heart beat according to the electrocardio data, and calculating PR interval, PP interval and RR interval of each heart beat;
S2: judging whether a plurality of continuous heartbeats meet the following conditions: PR intervals of each heart beat are larger than PR interval threshold values, and if the PR intervals exist, a primary atrioventricular block auxiliary identification diagram is constructed according to the PR intervals;
s3: judging whether a plurality of continuous heartbeats meet the following two conditions, if so, constructing a secondary I-type atrioventricular block auxiliary identification diagram according to PR intervals and RR intervals;
(1) The PR interval of the next heart beat is larger than the PR interval of the previous heart beat, and the time that the PR interval of the next heart beat exceeds the PR interval of the previous heart beat gradually decreases along with the increase of the heart beat sequence number;
(2) The RR interval of the next heart beat is smaller than the RR interval of the last heart beat, and the RR interval of the last heart beat is larger than the RR interval of other heart beats in a plurality of continuous heart beats;
s4: judging whether a plurality of continuous heartbeats meet the following two conditions, if so, constructing a secondary II type or high atrioventricular block auxiliary identification diagram according to PR intervals and PP intervals;
(1) The PP intervals are the same for all heartbeats;
(2) The R-wave can be identified in the first heart beat, and the R-wave is not identified in one or more heart beats following the first heart beat;
S5: judging whether a plurality of continuous heartbeats meet the following conditions: the PP intervals of all heartbeats are the same, the RR intervals of all heartbeats are the same, and the PP intervals are smaller than the RR intervals; if so, constructing a three-degree atrioventricular block auxiliary identification graph according to the PP interval and the RR interval;
S6: the atrioventricular block identification is performed by the atrioventricular block auxiliary identification map.
Further, the construction method of the auxiliary identification graph for the once atrioventricular block is as follows: and (3) representing PR intervals and PR interval thresholds of each heart beat in a plurality of continuous heart beats meeting the S2 condition by a transverse line segment representing the PR interval length, longitudinally arranging all PR interval representing line segments and PR interval threshold representing line segments according to the heart beat sequence in a head-end alignment mode, and distinguishing the part exceeding the PR interval threshold representing line segments from the part not exceeding the PR interval threshold representing line segments in the PR interval representing line segments by adopting different colors.
Further, the construction method of the secondary I-type atrioventricular block auxiliary identification chart comprises the following steps: PR intervals of each heart beat in the continuous plurality of heart beats meeting the S3 condition are represented by transverse line segments representing PR interval lengths, all PR interval representing line segments are longitudinally arranged according to the sequence of the heart beats in a head-end alignment mode, and the part exceeding the PR interval representing line segment of the last heart beat in the PR interval representing line segment of the next heart beat is distinguished from the part not exceeding the PR interval representing line segment of the last heart beat by adopting different colors; the RR interval of each heart beat in the continuous plurality of heart beats is represented by a transverse line segment representing the length of the RR interval, and all the RR interval representing line segments are longitudinally arranged according to the sequence of the heart beats in a head end alignment mode; the PR interval represents the alignment of the line segment with the PR interval represents the line segment with the heart beat.
Further, the method further comprises taking a plurality of continuous heartbeats meeting the condition S3 as a conduction period, and making all the representation line segments corresponding to each conduction period pass through a rectangular frame; the distinction is made by filling the rectangular box with different background colors for different conduction periods.
Further, the construction method of the secondary II type or high-level atrioventricular block auxiliary identification graph comprises the following steps: p wave positions of each heart beat in the continuous plurality of heart beats meeting the S4 condition are represented by a plurality of transversely arranged vertical lines, and the distance between the connected vertical lines represents the PP interval length; and (3) representing the RP interval of the heart beat of the R wave by a transverse line segment representing the length of the PR interval, aligning the head end of the PR interval representing line segment with a vertical line corresponding to the heart beat, and connecting the connected vertical lines representing the PP interval, which are not corresponding to the heart beat of the R wave, by a line segment with different colors from the PR interval representing line segment.
Further, the construction method of the three-degree atrioventricular block auxiliary identification graph comprises the following steps: the P wave positions of each heart beat in the continuous plurality of heart beats meeting the S5 condition are represented by a plurality of transversely arranged vertical lines, and the length of marked lines for connecting the P wave positions to represent the vertical lines is used for representing the PP interval length; simultaneously, the R wave positions of each heart beat in the continuous plurality of heart beats are represented by a plurality of transversely arranged vertical lines, and the length of a marked line connecting the R wave positions to the vertical lines is used for representing the RR interval length; the PP interval indicates that the reticle is longitudinally aligned with the RR interval indicates that the reticle is head-end aligned.
Further, the PP interval indication reticle and the RR interval indication reticle are indicated by different colors.
An atrioventricular block fast identification terminal device comprising a processor, a memory and a computer program stored in said memory and executable on said processor, said processor implementing the steps of the method according to an embodiment of the invention when said computer program is executed.
A computer readable storage medium storing a computer program which, when executed by a processor, implements the steps of the method described above for embodiments of the present invention.
According to the technical scheme, the heart beat characteristics are represented through the visualized auxiliary identification graphic, and the constructed different types of auxiliary identification graphic can help doctors to quickly identify atrioventricular block.
Drawings
Fig. 1 is a flowchart of a first embodiment of the present invention.
Fig. 2 is a schematic diagram showing the identification of the auxiliary identification of the one-degree atrioventricular block in the embodiment.
Figure 3 is a schematic diagram showing identification of secondary type i atrioventricular block assistance in this embodiment.
Figure 4 is a schematic diagram showing identification of secondary type ii and high-level atrioventricular block assistance in this embodiment.
Fig. 5 is a schematic diagram showing identification assistance in three-dimensional atrioventricular block in this embodiment.
Detailed Description
For further illustration of the various embodiments, the invention is provided with the accompanying drawings. The accompanying drawings, which are incorporated in and constitute a part of this disclosure, illustrate embodiments and together with the description, serve to explain the principles of the embodiments. With reference to these matters, one of ordinary skill in the art will understand other possible embodiments and advantages of the present invention.
The invention will now be further described with reference to the drawings and detailed description.
Embodiment one:
The embodiment of the invention provides a method for quickly identifying atrioventricular block, as shown in fig. 1, which is a flow chart of the method for quickly identifying atrioventricular block, and comprises the following steps:
S1: the P-wave position, Q-wave position and R-wave position are identified from the electrocardiographic data, and PR interval, PP interval and RR interval of each heart beat are calculated.
The PP interval is the time interval between two P waves in the current heart beat and the next heart beat, and the RR interval is the time interval between R waves in two QRS waves in the current heart beat and the next heart beat. PP intervals are typically used to calculate ventricular rate, RR intervals are typically used to calculate atrial rate, and both are normally identical.
The PR interval is the time interval from the start of the P wave to the start of the QRS wave, which varies with age, with the greater the age or the slower the heart rate, the longer the PR interval.
S2: judging whether a plurality of continuous heartbeats meet the following conditions: the PR interval for each heart beat is greater than the PR interval threshold, and if present, a primary atrioventricular block auxiliary identification map is constructed from the PR intervals.
The first-degree atrioventricular block is characterized by an extension of the atrioventricular conduction time, i.e., an RP interval greater than a PR interval threshold, and based on this principle, the method for constructing a graph for assisting in identifying a first-degree atrioventricular block is set in this embodiment as follows: and (3) representing PR intervals and PR interval thresholds of each heart beat in a plurality of continuous heart beats meeting the S2 condition by a transverse line segment representing the PR interval length, longitudinally arranging all PR interval representing line segments and PR interval threshold representing line segments according to the heart beat sequence in a head-end alignment mode, and distinguishing the part exceeding the PR interval threshold representing line segments from the part not exceeding the PR interval threshold representing line segments in the PR interval representing line segments by adopting different colors.
In this embodiment, for convenience of observation, the line segment representing the PR interval threshold is represented by a first color (green), the portion of the PR interval representing line segment that does not exceed the PR interval threshold is represented by a second color (blue), and the portion of the PR interval representing line segment that exceeds the PR interval threshold is represented by a third color (red), so that it can be clearly obtained whether the PR interval in the electrocardiographic data exceeds the PR interval threshold, as shown in fig. 2. Further, if the PR interval threshold is exceeded, the portion of the line segment that is indicated is not significantly available for highlighting in an equally magnified fashion.
The PR interval threshold is generally set to different values according to differences in ages, and is set to 210ms for adults in this embodiment.
S3: judging whether a plurality of continuous heartbeats meet the following two conditions, and if so, constructing a secondary I-type atrioventricular block auxiliary identification diagram according to PR intervals and RR intervals:
(1) The PR interval of the next heart beat is larger than the PR interval of the previous heart beat, and the time that the PR interval of the next heart beat exceeds the PR interval of the previous heart beat gradually decreases along with the increase of the heart beat sequence number;
(2) The RR interval of the next heart beat is smaller than the RR interval of the last heart beat, and the RR interval of the last heart beat is larger than the RR interval of other heart beats in a plurality of continuous heart beats.
The two conditions are characterized by a two degree type I atrioventricular block, namely, the PR interval is gradually prolonged and the prolonged part is gradually shortened, the RR interval of the last heart beat is prolonged to represent the shedding of the QRS wave, and a conduction period is formed from the PR interval to the shedding of the QRS wave.
Based on the characteristics of the second degree type i atrioventricular block, the method for constructing the second degree type i atrioventricular block auxiliary identification map in the embodiment is set as follows: PR intervals of each heart beat in the continuous plurality of heart beats meeting the S3 condition are represented by transverse line segments representing PR interval lengths, all PR interval representing line segments are longitudinally arranged according to the sequence of the heart beats in a head-end alignment mode, and the part exceeding the PR interval representing line segment of the last heart beat in the PR interval representing line segment of the next heart beat is distinguished from the part not exceeding the PR interval representing line segment of the last heart beat by adopting different colors; the RR interval of each heart beat in the continuous plurality of heart beats is represented by a transverse line segment representing the length of the RR interval, and all the RR interval representing line segments are longitudinally arranged according to the sequence of the heart beats in a head end alignment mode; the PR interval represents the alignment of the line segment with the PR interval represents the line segment with the heart beat.
For the sake of convenience of observation in this embodiment, a portion of the next cardiac PR interval that does not exceed the last cardiac PR interval is represented by a second color, a portion of the next cardiac PR interval that exceeds the last cardiac PR interval is represented by a third color, and an RR interval representation line segment is represented by the second color. As shown in fig. 3, it is apparent that the length of the line segment of the portion exceeding the last cardiac PR interval, which is represented by the third color, gradually decreases with an increase in cardiac cycle.
Further, the method further comprises taking a plurality of continuous heartbeats meeting the condition S3 as a conduction period, and making all the representation line segments corresponding to each conduction period pass through a rectangular frame; to distinguish between different conduction periods, the distinction is made by filling the rectangular box with different background colors for different conduction periods, as shown in fig. 3.
S4: judging whether a plurality of continuous heartbeats meet the following two conditions, if so, constructing a secondary II type or high atrioventricular block auxiliary identification diagram according to PR intervals and PP intervals:
(1) The PP intervals are the same for all heartbeats;
(2) The R-wave can be identified in the first heart beat, and the R-wave is not identified in one or more heart beats following the first heart beat.
The two conditions are characterized by two-degree II type or high atrioventricular block, namely the PR interval is constant, the P wave can not be seen only after the PR interval is not downloaded, the QRS wave can not be seen, and the PP interval is constant.
Based on the characteristics of the second degree ii or high atrioventricular block, the method for constructing the second degree ii or high atrioventricular block auxiliary identification chart in the embodiment comprises the following steps: p wave positions of each heart beat in the continuous plurality of heart beats meeting the S4 condition are represented by a plurality of transversely arranged vertical lines, and the distance between the connected vertical lines represents the PP interval length; and (3) representing the RP interval of the heart beat of the R wave by a transverse line segment representing the length of the PR interval, aligning the head end of the PR interval representing line segment with a vertical line corresponding to the heart beat, and connecting the connected vertical lines representing the PP interval, which are not corresponding to the heart beat of the R wave, by a line segment with different colors from the PR interval representing line segment.
In this embodiment, the PR interval is represented by a line segment in the second color, and the line segment connecting the connected vertical lines is represented by a third color, as shown in FIG. 4. As can be seen in fig. 4, when there is only one heart beat in which no R wave is identified, a second degree type ii atrioventricular block is indicated; when there are two heartbeats where no R wave is identified, a high (3:1) atrioventricular block is indicated; when there are three heartbeats where no R wave is identified, a high (4:1) atrioventricular block is indicated.
The PR interval representation line segment in the first heart beat PP interval indicates that the R wave can be identified in the heart beat, and the R wave is not identified in the subsequent heart beat, which indicates that the QRS wave is shed.
S5: judging whether a plurality of continuous heartbeats meet the following conditions: the PP intervals of all heartbeats are the same, the RR intervals of all heartbeats are the same, and the PP intervals are smaller than the RR intervals; if present, a three-degree atrioventricular block assistance identification map is constructed from the PP interval and the RR interval.
The three-degree atrioventricular block is characterized by no correlation between the P wave and the QRS wave, each maintaining its own rhythm, i.e., PP interval and RR interval, and by a very high Yu Xinshi rate, i.e., PP interval less than RR interval.
Based on the characteristics of the three-degree atrioventricular block, the construction method for setting the three-degree atrioventricular block auxiliary identification graph in the embodiment comprises the following steps: the P wave positions of each heart beat in the continuous plurality of heart beats meeting the S5 condition are represented by a plurality of transversely arranged vertical lines, and the length of marked lines for connecting the P wave positions to represent the vertical lines is used for representing the PP interval length; simultaneously, the R wave positions of each heart beat in the continuous plurality of heart beats are represented by a plurality of transversely arranged vertical lines, and the length of a marked line connecting the R wave positions to the vertical lines is used for representing the RR interval length; the PP interval indicates that the reticle is longitudinally aligned with the RR interval indicates that the reticle is head-end aligned.
The PP interval representation reticle and RR interval representation reticle in this embodiment are represented by different colors, as shown in fig. 5.
S6: the atrioventricular block identification is performed by means of the constructed auxiliary identification map of all atrioventricular blocks.
By the method of the embodiment, the heart beat characteristics are characterized through the visualized auxiliary identification graphic, and the constructed different types of auxiliary identification graphic can help doctors to quickly identify atrioventricular block.
Embodiment two:
The invention also provides a terminal device for quickly identifying atrioventricular block, which comprises a memory, a processor and a computer program stored in the memory and capable of running on the processor, wherein the steps in the method embodiment of the first embodiment of the invention are realized when the processor executes the computer program.
Further, as an executable scheme, the atrioventricular block rapid identification terminal device may be a computing device such as a desktop computer, a notebook computer, a palm computer, a cloud server, etc. The atrioventricular block rapid identification terminal device may include, but is not limited to, a processor, a memory. It will be appreciated by those skilled in the art that the above-described constituent structures of the atrioventricular block quick identification terminal device are merely examples of the atrioventricular block quick identification terminal device, and are not limiting of the atrioventricular block quick identification terminal device, and may include more or fewer components than those described above, or may combine certain components, or different components, such as the atrioventricular block quick identification terminal device may further include an input output device, a network access device, a bus, etc., to which embodiments of the present invention are not limited.
Further, as an executable scheme, the Processor may be a central processing unit (Central Processing Unit, CPU), other general purpose Processor, digital signal Processor (DIGITAL SIGNAL Processor, DSP), application SPECIFIC INTEGRATED Circuit (ASIC), field-Programmable gate array (Field-Programmable GATE ARRAY, FPGA) or other Programmable logic device, discrete gate or transistor logic device, discrete hardware components, etc. The general purpose processor may be a microprocessor or the processor may be any conventional processor or the like that is the control center of the atrioventricular block quick identification terminal device, with various interfaces and lines connecting the various parts of the overall atrioventricular block quick identification terminal device.
The memory may be used to store the computer program and/or module, and the processor may implement various functions of the atrioventricular block quick identification terminal device by running or executing the computer program and/or module stored in the memory and invoking data stored in the memory. The memory may mainly include a storage program area and a storage data area, wherein the storage program area may store an operating system, at least one application program required for a function; the storage data area may store data created according to the use of the cellular phone, etc. In addition, the memory may include high-speed random access memory, and may also include non-volatile memory, such as a hard disk, memory, plug-in hard disk, smart memory card (SMART MEDIA CARD, SMC), secure Digital (SD) card, flash memory card (FLASH CARD), at least one disk storage device, flash memory device, or other volatile solid-state storage device.
The present invention also provides a computer readable storage medium storing a computer program which when executed by a processor implements the steps of the above-described method of an embodiment of the present invention.
The module/unit of the atrioventricular block fast identification terminal device integration may be stored in a computer readable storage medium if implemented in the form of a software functional unit and sold or used as a stand alone product. Based on such understanding, the present invention may implement all or part of the flow of the method of the above embodiment, or may be implemented by a computer program to instruct related hardware, where the computer program may be stored in a computer readable storage medium, and when the computer program is executed by a processor, the computer program may implement the steps of each of the method embodiments described above. Wherein the computer program comprises computer program code which may be in source code form, object code form, executable file or some intermediate form etc. The computer readable medium may include: any entity or device capable of carrying the computer program code, a recording medium, a U disk, a removable hard disk, a magnetic disk, an optical disk, a computer Memory, a Read-Only Memory (ROM), a random access Memory (RAM, random Access Memory), a software distribution medium, and so forth.
While the invention has been particularly shown and described with reference to a preferred embodiment, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the spirit and scope of the invention as defined by the appended claims.

Claims (5)

1. A method for rapid identification of atrioventricular block comprising the steps of:
S1: identifying the P wave position, the Q wave position and the R wave position in the heart beat according to the electrocardio data, and calculating PR interval, PP interval and RR interval of each heart beat;
S2: judging whether a plurality of continuous heartbeats meet the following conditions: PR intervals of each heart beat are larger than PR interval threshold values, and if the PR intervals exist, a primary atrioventricular block auxiliary identification diagram is constructed according to the PR intervals; the construction method of the auxiliary identification graph for the once atrioventricular block comprises the following steps: the PR interval and PR interval threshold values of each heart beat in a plurality of continuous heart beats meeting the S2 condition are represented by transverse line segments representing PR interval lengths, all PR interval representing line segments and PR interval threshold value representing line segments are longitudinally arranged according to the heart beat sequence in a head-end alignment mode, and the part exceeding the PR interval threshold value representing line segments and the part not exceeding the PR interval threshold value representing line segments in the PR interval representing line segments are distinguished by adopting different colors;
s3: judging whether a plurality of continuous heartbeats meet the following two conditions, if so, constructing a secondary I-type atrioventricular block auxiliary identification diagram according to PR intervals and RR intervals;
(1) The PR interval of the next heart beat is larger than the PR interval of the previous heart beat, and the time that the PR interval of the next heart beat exceeds the PR interval of the previous heart beat gradually decreases along with the increase of the heart beat sequence number;
(2) The RR interval of the next heart beat is smaller than the RR interval of the last heart beat, and the RR interval of the last heart beat is larger than the RR interval of other heart beats in a plurality of continuous heart beats;
The construction method of the secondary I-type atrioventricular block auxiliary identification graph comprises the following steps: PR intervals of each heart beat in the continuous plurality of heart beats meeting the S3 condition are represented by transverse line segments representing PR interval lengths, all PR interval representing line segments are longitudinally arranged according to the sequence of the heart beats in a head-end alignment mode, and the part exceeding the PR interval representing line segment of the last heart beat in the PR interval representing line segment of the next heart beat is distinguished from the part not exceeding the PR interval representing line segment of the last heart beat by adopting different colors; the RR interval of each heart beat in the continuous plurality of heart beats is represented by a transverse line segment representing the length of the RR interval, and all the RR interval representing line segments are longitudinally arranged according to the sequence of the heart beats in a head end alignment mode; PR interval representing line segment and PR interval representing line segment are aligned by heart beat;
s4: judging whether a plurality of continuous heartbeats meet the following two conditions, if so, constructing a secondary II type or high atrioventricular block auxiliary identification diagram according to PR intervals and PP intervals;
(1) The PP intervals are the same for all heartbeats;
(2) The R-wave can be identified in the first heart beat, and the R-wave is not identified in one or more heart beats following the first heart beat;
The construction method of the secondary II type or high-level atrioventricular block auxiliary identification graph comprises the following steps of: p wave positions of each heart beat in the continuous plurality of heart beats meeting the S4 condition are represented by a plurality of transversely arranged vertical lines, and the distance between the connected vertical lines represents the PP interval length; the RP interval of the heart beat of the R wave is represented by a transverse line segment representing the length of the PR interval, the head end of the PR interval representing line segment is aligned with a vertical line corresponding to the heart beat, and connected vertical lines which are not corresponding to the heart beat of the R wave and represent the PP interval are connected by line segments with different colors from the PR interval representing line segment;
S5: judging whether a plurality of continuous heartbeats meet the following conditions: the PP intervals of all heartbeats are the same, the RR intervals of all heartbeats are the same, and the PP intervals are smaller than the RR intervals; if so, constructing a three-degree atrioventricular block auxiliary identification graph according to the PP interval and the RR interval; the construction method of the three-degree atrioventricular block auxiliary identification graph comprises the following steps: the P wave positions of each heart beat in the continuous plurality of heart beats meeting the S5 condition are represented by a plurality of transversely arranged vertical lines, and the length of marked lines for connecting the P wave positions to represent the vertical lines is used for representing the PP interval length; simultaneously, the R wave positions of each heart beat in the continuous plurality of heart beats are represented by a plurality of transversely arranged vertical lines, and the length of a marked line connecting the R wave positions to the vertical lines is used for representing the RR interval length; the PP interval represents the longitudinal arrangement of the marked lines in a head-end alignment mode with the RR interval represents the marked lines;
S6: the atrioventricular block identification is performed by the atrioventricular block auxiliary identification map.
2. The method for rapid identification of atrioventricular block according to claim 1, wherein: the method further comprises the steps of taking a plurality of continuous heartbeats meeting the condition S3 as a conduction period, and making all the representation line segments corresponding to each conduction period pass through a rectangular frame; the distinction is made by filling the rectangular box with different background colors for different conduction periods.
3. The method for rapid identification of atrioventricular block according to claim 1, wherein: the PP interval represents the reticle and the RR interval represents the reticle by different colors.
4. An atrioventricular block fast identification terminal device, characterized by: comprising a processor, a memory and a computer program stored in the memory and running on the processor, which processor, when executing the computer program, carries out the steps of the method according to any one of claims 1 to 3.
5. A computer-readable storage medium storing a computer program, characterized in that: the computer program, when executed by a processor, implements the steps of the method according to any one of claims 1 to 3.
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