CN115778399A - ST segment offset display method and device, electronic equipment and storage medium - Google Patents

ST segment offset display method and device, electronic equipment and storage medium Download PDF

Info

Publication number
CN115778399A
CN115778399A CN202211032570.XA CN202211032570A CN115778399A CN 115778399 A CN115778399 A CN 115778399A CN 202211032570 A CN202211032570 A CN 202211032570A CN 115778399 A CN115778399 A CN 115778399A
Authority
CN
China
Prior art keywords
rectangle
value
edge
current value
segment
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN202211032570.XA
Other languages
Chinese (zh)
Other versions
CN115778399B (en
Inventor
李冰
杨勇
袁红连
杨建楠
王欢
尹秋菊
孙丽花
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Contec Medical Systems Co Ltd
Original Assignee
Contec Medical Systems Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Contec Medical Systems Co Ltd filed Critical Contec Medical Systems Co Ltd
Priority to CN202211032570.XA priority Critical patent/CN115778399B/en
Publication of CN115778399A publication Critical patent/CN115778399A/en
Application granted granted Critical
Publication of CN115778399B publication Critical patent/CN115778399B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Landscapes

  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)

Abstract

The application discloses a method, a device, equipment and a medium for displaying ST segment offset, wherein the method comprises the following steps: acquiring an electrocardiosignal, and determining a reference value and a current value of an ST segment in the electrocardiosignal relative to a zero potential difference value; displaying a first bending column diagram and a second bending column diagram in a first rectangular coordinate system based on the reference value and the current value; the length ratio of the distance between the left and right edges of the first transverse rectangle in the first bending column diagram to the distance between the left and right edges of the second transverse rectangle in the second bending column diagram is the ratio of the reference value to the current value; the ordinate corresponding to one of the upper and lower edges of the first longitudinal rectangle in the first bending bar graph is zero, the ordinate corresponding to the other edge is a reference value, the ordinate corresponding to one of the upper and lower edges of the second longitudinal rectangle in the second bending bar graph is a reference value, and the ordinate corresponding to the other edge is a current value. According to the method and the device, the ST segment offset is displayed longitudinally and transversely, and the ST segment offset is visually displayed.

Description

ST segment offset display method and device, electronic equipment and storage medium
Technical Field
The present application relates to the field of cardiac analysis technologies, and in particular, to a method and an apparatus for displaying ST segment offset, an electronic device, and a computer-readable storage medium.
Background
Electrical shock waves beat the heart muscle, which are conducted through the patient's body and can be measured with electrodes attached to the patient's skin. Electrodes on different sides of the heart can measure activity at different sites in the myocardium. The Electrocardiograph (ECG) shows the voltage between electrode pairs (leads) in different directions. Therefore, the electrocardiosignals can display the whole heart rate, the weakness of the cardiac muscle at different parts of the cardiac muscle and the like, and can be used for measuring and diagnosing the abnormal condition of the cardiac rhythm.
When the cardiac muscle of a patient is ischemic or injured, the ST wave part in the electrocardiosignal of the affected lead is shifted, that is, the affected lead may have the ST wave shifted upward from the zero potential difference line, and the other leads may be shifted downward. The physician can identify which myocardial disease is at higher risk by determining the values of the affected lead offsets, and thus pay closer attention to them.
The flat line from the end of QRS complex to the beginning of T wave in ST segment reflects that all parts of ventricle are excited and all parts are in depolarization state, so there is no potential difference. ST-segment shift is an important change seen in myocardial ischemia. The degree of offset and its shape are diagnostically important. In the related art, the ST-segment deviation can be displayed by numerical values, which is not intuitive enough, and it is not easy to quickly see whether the symptom is worsening or improving. In addition, different offset states can be displayed in a superposition mode through bar graphs or bar graphs and the like, only one graphical difference in the longitudinal direction is obvious, and no feature is displayed in the transverse direction, so that the method is not comprehensive and visual. In addition, ST segment deviation can be displayed through a trend graph connected by a broken line, the ST segment deviation is flexible display of ST values, and the extreme processing is not carried out on the characteristics, so that some characteristics are not easy to see from the graph.
Therefore, how to intuitively display the ST segment offset is a technical problem to be solved by those skilled in the art.
Disclosure of Invention
The application aims to provide a method and a device for displaying ST-segment offset, electronic equipment and a computer readable storage medium, which can intuitively display the ST-segment offset.
In order to achieve the above object, the present application provides a method for displaying ST segment offset, including:
acquiring an electrocardiosignal, and determining a reference value and a current value of an ST segment in the electrocardiosignal relative to a zero potential difference value; wherein the ST segment is located between the QRS complex and the T wave;
displaying a first bending column diagram and a second bending column diagram in a first rectangular coordinate system based on the reference value and the current value;
the first bending column diagram comprises a first transverse rectangle and a first longitudinal rectangle, the second bending column diagram comprises a second transverse rectangle and a second longitudinal rectangle, the left edge of the first longitudinal rectangle is overlapped with the left edge of the first transverse rectangle, and the right edge of the second longitudinal rectangle is overlapped with the right edge of the second transverse rectangle;
the distance between the left edge of the first longitudinal rectangle and the right edge of the second longitudinal rectangle is a first preset value, the distance between the right edge of the first transverse rectangle and the left edge of the second transverse rectangle is a second preset value, the first preset value is greater than the second preset value, and the length ratio of the distance between the left edge and the right edge of the first transverse rectangle to the distance between the left edge and the right edge of the second transverse rectangle is the ratio of the reference value to the current value;
the vertical coordinate that an border in the upper and lower border of first vertical rectangle corresponds is zero, the vertical coordinate that another border corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second vertical rectangle corresponds is the benchmark value, the vertical coordinate that another border corresponds is the current value, the vertical coordinate that an border in the upper and lower border of first horizontal rectangle corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second horizontal rectangle corresponds is the current value.
When the reference value and the current value are both larger than zero, the ordinate corresponding to the lower edge of the first longitudinal rectangle is zero, the ordinate corresponding to the upper edge of the first longitudinal rectangle is the reference value, and the ordinate corresponding to the upper edge of the first transverse rectangle is the reference value;
if the reference value is smaller than the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the reference value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the current value, and the ordinate corresponding to the upper edge of the second transverse rectangle is the current value;
if the reference value is equal to the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is equal to the ordinate corresponding to the lower edge of the first longitudinal rectangle, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the current value, and the ordinate corresponding to the upper edge of the second transverse rectangle is the current value;
if the reference value is greater than the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the current value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the reference value, and the ordinate corresponding to the lower edge of the second transverse rectangle is the current value.
Under the condition that the reference value and the current value are both smaller than zero, the ordinate corresponding to the upper edge of the first longitudinal rectangle is zero, the ordinate corresponding to the lower edge of the first longitudinal rectangle is the reference value, and the ordinate corresponding to the lower edge of the first transverse rectangle is the reference value;
if the reference value is greater than the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the current value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the reference value, and the ordinate corresponding to the lower edge of the second transverse rectangle is the current value;
if the reference value is equal to the current value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is equal to the ordinate corresponding to the upper edge of the first longitudinal rectangle, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the current value, and the ordinate corresponding to the lower edge of the second transverse rectangle is the current value;
if the reference value is smaller than the current value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the reference value, and the ordinate corresponding to the upper edge of the second transverse rectangle is the current value.
Wherein, still include:
calculating an absolute value of a difference value between the reference value and the current value, and determining the distance between the upper edge and the lower edge of the first transverse rectangle and the distance between the upper edge and the lower edge of the second transverse rectangle based on the absolute value; wherein the distance between the upper and lower edges is less than the absolute value.
The acquiring of the electrocardiosignal and the determining of the reference value and the current value of the ST segment in the electrocardiosignal relative to the zero potential difference value comprise:
acquiring electrocardiosignals from a plurality of leads, and determining a reference value and a current value of an ST segment in each electrocardiosignal relative to a zero potential difference value;
correspondingly, the displaying a first bending column diagram and a second bending column diagram in a first rectangular coordinate system based on the reference value and the current value includes:
determining a display area of each lead in a first rectangular coordinate system, and displaying a corresponding first bending column graph and a corresponding second bending column graph in each display area based on a reference value and a current value of a corresponding ST segment relative to a zero potential difference value.
Wherein, still include:
obtaining current values of ST sections in electrocardiosignals of a target lead at a plurality of time points relative to a zero potential difference value, and determining a reference value of the ST sections in the electrocardiosignals of the target lead relative to the zero potential difference value;
displaying the rectangular blocks corresponding to the current values in a second rectangular coordinate system; the horizontal axis of the second rectangular coordinate system corresponds to the current value of the ST segment, the longitudinal axis of the second rectangular coordinate system corresponds to the current value of the ST segment, the length of each rectangular block is a third preset value, the spacing distance between the rectangular blocks at adjacent time points is a fourth preset value, and the longitudinal coordinate of the upper edge of each rectangular block is the corresponding current value;
determining a reference line in the second rectangular coordinate system based on the reference value of the ST segment in the electrocardiosignal of the target lead relative to the zero potential difference value;
constructing an offset rectangle corresponding to each rectangular block based on the datum line and the upper edge of each rectangular block, and marking the offset rectangles in a preset mode; wherein the offset rectangle is used for identifying the offset between the current value and the reference value.
The abscissa of one of the upper edge and the lower edge of the offset rectangle is the same as the abscissa of the upper edge of the corresponding rectangular block, the other edge of the offset rectangle is overlapped with the reference line, the abscissa of the left edge of the offset rectangle is the same as the abscissa of the left edge of the corresponding rectangular block, or the abscissa of the right edge of the rectangular block is the same as the abscissa of the right edge of the rectangular block, and the abscissa of the right edge of the offset rectangle is the same as the abscissa of the right edge of the rectangular block.
To achieve the above object, the present application provides an ST-segment offset display device, comprising:
the first acquisition module is used for acquiring the electrocardiosignals and determining the reference value and the current value of the ST segment in the electrocardiosignals relative to the zero potential difference value; wherein the ST segment is located between the QRS complex and the T wave;
the first display module is used for displaying a first bending column diagram and a second bending column diagram in a first rectangular coordinate system based on the reference value and the current value;
the first bending column diagram comprises a first transverse rectangle and a first longitudinal rectangle, the second bending column diagram comprises a second transverse rectangle and a second longitudinal rectangle, the left edge of the first longitudinal rectangle is overlapped with the left edge of the first transverse rectangle, and the right edge of the second longitudinal rectangle is overlapped with the right edge of the second transverse rectangle;
the distance between the left edge of the first longitudinal rectangle and the right edge of the second longitudinal rectangle is a first preset value, the distance between the right edge of the first transverse rectangle and the left edge of the second transverse rectangle is a second preset value, the first preset value is greater than the second preset value, and the length ratio of the distance between the left edge and the right edge of the first transverse rectangle to the distance between the left edge and the right edge of the second transverse rectangle is the ratio of the reference value to the current value;
the vertical coordinate that an border in the upper and lower border of first vertical rectangle corresponds is zero, the vertical coordinate that another border corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second vertical rectangle corresponds is the benchmark value, the vertical coordinate that another border corresponds is the current value, the vertical coordinate that an border in the upper and lower border of first horizontal rectangle corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second horizontal rectangle corresponds is the current value.
To achieve the above object, the present application provides an electronic device including:
a memory for storing a computer program;
a processor for implementing the steps of the display method of the ST-segment offset when executing the computer program.
To achieve the above object, the present application provides a computer-readable storage medium having stored thereon a computer program which, when executed by a processor, implements the steps of the display method of ST-segment offsets as described above.
According to the scheme, the ST-segment offset display method provided by the application comprises the following steps: acquiring an electrocardiosignal, and determining a reference value and a current value of an ST segment in the electrocardiosignal relative to a zero potential difference value; wherein the ST segment is located between the QRS complex and the T wave; displaying a first bending column diagram and a second bending column diagram in a first rectangular coordinate system based on the reference value and the current value; the first bending column diagram comprises a first transverse rectangle and a first longitudinal rectangle, the second bending column diagram comprises a second transverse rectangle and a second longitudinal rectangle, the left edge of the first longitudinal rectangle is overlapped with the left edge of the first transverse rectangle, and the right edge of the second longitudinal rectangle is overlapped with the right edge of the second transverse rectangle; the distance between the left edge of the first longitudinal rectangle and the right edge of the second longitudinal rectangle is a first preset value, the distance between the right edge of the first transverse rectangle and the left edge of the second transverse rectangle is a second preset value, the first preset value is greater than the second preset value, and the length ratio of the distance between the left edge and the right edge of the first transverse rectangle to the distance between the left edge and the right edge of the second transverse rectangle is the ratio of the reference value to the current value; the vertical coordinate that an border in the upper and lower border of first vertical rectangle corresponds is zero, the vertical coordinate that another border corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second vertical rectangle corresponds is the benchmark value, the vertical coordinate that another border corresponds is the current value, the vertical coordinate that an border in the upper and lower border of first horizontal rectangle corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second horizontal rectangle corresponds is the current value.
The ST-segment offset display method can display the offset condition of the reference value and the current value of the ST segment longitudinally, and can display the offset condition of the current value and the reference value of the ST segment transversely, in order to check the offset more conveniently, the vertical coordinate corresponding to the upper edge or the lower edge of the second longitudinal rectangle in the second bending column diagram is the reference value of the ST segment instead of extending to the zero potential value on the horizontal coordinate, so that medical workers can sense the difference more omnidirectionally, judge the abnormal condition more comprehensively and more easily, and pay close attention to the related abnormal condition. The application also discloses a display device of the ST-segment offset, an electronic device and a computer readable storage medium, and the technical effects can be realized.
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 application.
Drawings
In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present application, and for those skilled in the art, other drawings can be obtained according to the drawings without creative efforts. The accompanying drawings, which are included to provide a further understanding of the disclosure and are incorporated in and constitute a part of this specification, illustrate embodiments of the disclosure and together with the description serve to explain the disclosure without limiting the disclosure. In the drawings:
FIG. 1 is a typical cardiac electrical signal of a normal, healthy person;
FIGS. 2A and 2B are, respectively, cardiac electrical signals that differ from the typical cardiac electrical signals of FIG. 1;
FIGS. 3A and 3B are exemplary user interfaces numerically displaying ST segment offset values for multiple leads;
FIG. 4 is an exemplary user interface of a monitor displaying a baseline and current cardiac signal for three different leads;
FIG. 5 is a flow diagram illustrating a method of displaying ST segment offsets in accordance with an exemplary embodiment;
FIGS. 6-14 are diagrams illustrating a first orthogonal coordinate system for displaying ST-segment offsets for individual leads, respectively, in accordance with an exemplary embodiment;
FIG. 15 is a diagram illustrating a first rectangular coordinate system for displaying ST segment offsets for multiple leads simultaneously, in accordance with an exemplary embodiment;
FIG. 16 is a flowchart illustrating another method of displaying ST segment offsets in accordance with an exemplary embodiment;
FIGS. 17-19 are diagrams illustrating a second cartesian coordinate system for displaying an ST-segment trend plot of a target lead, according to an exemplary embodiment;
fig. 20 is a block diagram illustrating a display apparatus of an ST-segment offset according to an exemplary embodiment;
FIG. 21 is a block diagram illustrating an electronic device in accordance with an exemplary embodiment.
Detailed Description
The technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the drawings in the embodiments of the present application. It is to be understood that the embodiments described are only a few embodiments of the present application and not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present application. In addition, in the embodiments of the present application, "first", "second", and the like are used for distinguishing similar objects, and are not necessarily used for describing a specific order or a sequential order.
Fig. 1 shows an ecg signal 100 of a heartbeat in a normal ecg signal of a healthy person, which includes a P-wave, a Q-wave, an R-wave, an S-wave, and a T-wave. The P-wave represents atrial depolarization, where the initial portion of the P-wave reflects primarily right atrial depolarization and the terminal portion reflects primarily left atrial depolarization. As can be seen, the Q wave is a downwardly shifted wave after the P wave. A typical Q wave represents cardioseptal depolarization. The R-wave is the first upwardly shifted wave after the P-wave, which represents early ventricular depolarization. The S-wave is the first negatively-shifted wave after the R-wave, which represents late ventricular depolarization. The T-wave is generally convex, slightly rounded, and slightly asymmetric. The T wave represents repolarization of the ventricles. The QRS complex 110 begins at the start of the Q wave and ends at the end of the S wave. The QRS complex 110 represents the duration of ventricular depolarization.
Generally, there is little or no electrical activity along the zero-potential-difference line 112 during the PR segment 114 and ST segment 116 of the electrocardiosignal 100. The PR segment 114 begins at the end of the P wave and ends at the beginning of the QRS complex. During the PR segment, electrical pulses are conducted from the AV node through the conducting tissue (bundle support and purkinje fibers) to the ventricle. Thus, the PR segment 114 corresponds to the time it takes for an electrical pulse to reach the ventricles from the AV node. Most of the delay of the PR segment 114 occurs at the AV node. The ST segment 116 begins at the end of the S-wave and ends at the beginning of the T-wave. During ST segment 116, atrial cells relax and the ventricles contract, and thus electrical activity may not be visible. In other words, as previously indicated, ST waves 116 are normally zero potential difference.
In normal conditions, the ST segment is close to an equipotential line, downward deviation should not exceed 0.05 mV, upward deviation in limb leads should not exceed 0.1mV, and V1, V2 and V3 in unipolar precordial leads can reach 0.2-0.3 mV; rarely above 0.1mv in the V4, V5 leads. In any normal precordial cascade, the ST drop should not be less than 0.05 mv. If the height is higher or lower than the above range, the electrocardiogram belongs to abnormal electrocardiogram.
ST-segment shift is an important change seen in myocardial ischemia. The degree of offset and its shape are diagnostically important. ST segment elevation occurs when myocardial damage is located epicardially, or when damage spreads from the endocardial side to the epicardial side (transmural myocardial damage). When there is only endocardial side damage (endocardial sub-myocardial damage), the electrocardiogram taken at the body surface shows a drop in ST segment.
Fig. 2A and 2B show electrocardiographic signals 210 and 212 representing one heartbeat, respectively, which are different from the "typical" electrocardiographic signal 100. As shown in fig. 2A and 2B, the ST segment 116 may appear to be raised (fig. 2A) or lowered (fig. 2B) in the vertical direction from the zero-potential-difference line 112. ST elevation or depression may be caused by heart injury, ventricular wall tumors, variant angina, pericarditis, myocardial ischemia, or other conditions. The skilled artisan will appreciate from the description herein that the elevation of the ST segment in fig. 2A and the depression of the ST segment in fig. 2B may still occur for the same patient when detected by different leads.
Fig. 2A and 2B also show the location of the respective J point 214 and ST point 216. The J point 214 is the junction of the QRS complex 110 and the ST segment 116. ST point 216 defines a selected time period from J point 214 at which the amplitude of the ST segment is measured. For example, typically the ST segment is measured at a location approximately "1/16R-R interval" after J, where R-R interval is the interval between heartbeats or the distance from a selected point on the cardiac electrical signal of one heartbeat to the corresponding point on the cardiac electrical signal of the next heartbeat. For example, in the case of a heart rate of about 60 beats per minute, this corresponds to 60 milliseconds after the J point. Generally, the ST point 216 is selected to be between about 40 milliseconds and about 80 milliseconds after the J point.
As shown in fig. 2A and 2B, the ST-segment offset 218 is the vertical distance between the zero-potential-difference line 112 and the ST point 216. The voltage (vertical distance) between the zero potential difference line 112 and the ST point 216 is typically in the order of microvolts. However, typically the ECG signal is recorded on strip chart paper (not shown), the scale recorded is typically 1cm/mV, and the ST segment is typically read in millimeters, where 1mm equals 0.1mV.
The shift values in millimeters for the ST segment are typically displayed in the ecg signal area of the monitor or in a separate ST parameter area. For example, FIG. 3A is a user interface 300 for a monitor (not shown) in which ST segment offset values (in millimeters) for a plurality of leads are displayed. However, the method of viewing the numerical values on user interface 300 is not the easiest or fastest method to integrate information for several leads (e.g., leads I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, and V6) and determine whether there is myocardial ischemia and the likely location of myocardial ischemia.
As shown in fig. 3A, such a display may be overly cluttered, which may make it difficult to quickly obtain important or critical information from the user interface 300. Moreover, the typical user interface 300 that provides numerical information of the current ST segment offset value does not provide information that can help the user determine whether myocardial ischemia is improving or worsening because it does not display any initial or baseline ST segment offset values. As shown in fig. 3B, providing this information, in turn, makes the user interface 300 of fig. 3 more cluttered because it requires 24 values to be displayed instead of 12. In fig. 3B, the user interface 300 displays the initial ST-segment offset (in parenthesis) and the current ST-segment offset.
ST-segment deviation can also be represented by overlaying a baseline cardiac signal on the current cardiac signal. For example, FIG. 4 is a user interface 400 of a monitor (not shown) showing baseline and current cardiac electrical signals for three different leads (e.g., lead II, aVR, V1). In the example of fig. 4, the baseline electrocardiographic signal is indicated by a dashed line, and the current electrocardiographic signal is indicated by a solid line. The user may manually determine the ST-segment offsets for the three leads by comparing the baseline and current cardiac electrical signals, or may automatically calculate the ST-segment offsets for the cardiac electrical signals and display them in their respective areas, as in user interface 300 of fig. 3. A disadvantage of overlapping the baseline ecg signal and the current ecg signal is that the display pattern is typically relatively small and cluttered, as shown in figure 4. Thus, such displays typically display only a few leads of the cardiac electrical signal waveforms, and do not provide, in conjunction with the digital data display, little or no trend information, e.g., no indication of whether the ST segment excursion is currently becoming larger or smaller.
In the graphical representation method for the real-time ST offset condition of the single lead or the complex lead, the offset value is only displayed longitudinally, but is not displayed in any transverse direction, and in order to more comprehensively represent the ST offset, the ST offset condition is illustrated from the longitudinal direction and the transverse direction.
The embodiment of the application discloses a method for displaying ST segment offset, which is used for visually displaying the ST segment offset.
Referring to fig. 5, a flowchart illustrating a method for displaying ST-segment offsets according to an exemplary embodiment, as shown in fig. 5, includes:
s101: acquiring an electrocardiosignal, and determining a reference value and a current value of an ST segment in the electrocardiosignal relative to a zero potential difference value; wherein the ST segment is located between the QRS complex and the T wave;
s102: displaying a first bending column diagram and a second bending column diagram in a first rectangular coordinate system based on the reference value and the current value;
the left edge of the first longitudinal rectangle is overlapped with the left edge of the first transverse rectangle, and the right edge of the second longitudinal rectangle is overlapped with the right edge of the second transverse rectangle;
the distance between the left edge of the first longitudinal rectangle and the right edge of the second longitudinal rectangle is a first preset value, the distance between the right edge of the first transverse rectangle and the left edge of the second transverse rectangle is a second preset value, the first preset value is greater than the second preset value, and the length ratio of the distance between the left edge and the right edge of the first transverse rectangle to the distance between the left edge and the right edge of the second transverse rectangle is the ratio of the reference value to the current value;
the vertical coordinate that an border in the upper and lower border of first vertical rectangle corresponds is zero, the vertical coordinate that another border corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second vertical rectangle corresponds is the benchmark value, the vertical coordinate that another border corresponds is the current value, the vertical coordinate that an border in the upper and lower border of first horizontal rectangle corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second horizontal rectangle corresponds is the current value.
Referring to fig. 6, in the embodiment of the present application, a rectangular coordinate system, that is, a first rectangular coordinate system is used to represent the shift amount of the ST segment, and a vertical axis represents a potential value, the first rectangular coordinate system includes two left-right arranged bending column diagrams, that is, a first bending column diagram and a second bending column diagram, and the first bending column diagram and the second bending column diagram respectively represent the current value of the ST segment and the reference value of the ST segment of a certain lead.
The first bending column diagram is a column diagram bent to the right and comprises a first transverse rectangle and a first longitudinal rectangle, and the left edge of the first longitudinal rectangle is overlapped with the left edge of the first transverse rectangle. The second bending column diagram is a column diagram bent leftwards and comprises a second transverse rectangle and a second longitudinal rectangle, and the right edge of the second longitudinal rectangle is overlapped with the right edge of the second transverse rectangle.
The interval between the left edge of the first longitudinal rectangle in the first bending column diagram and the right edge of the second longitudinal rectangle in the second bending column diagram is a first preset value, the interval between the right edge of the first transverse rectangle in the first bending column diagram and the left edge of the second transverse rectangle in the second bending column diagram is a second preset value, and the second preset value is smaller than the first preset value, for example, the second preset value may be 10% of the first preset value. The length ratio between the distance of the left and right edges of the first transverse rectangle (i.e. the length of the first transverse rectangle in the horizontal direction) and the distance of the left and right edges of the second transverse rectangle (i.e. the length of the second transverse rectangle in the horizontal direction) is the ratio of the reference value of the ST segment to the current value of the ST segment. For example, if the ratio of the reference value of the ST segment to the current value of the ST segment is 1:2, the length of the first transverse rectangle in the horizontal direction is 30% of the first preset value, and the length of the first transverse rectangle in the horizontal direction is 60% of the first preset value.
The ordinate corresponding to one of the upper and lower edges of the first longitudinal rectangle in the first bending bar graph is zero, the ordinate corresponding to the other edge is a reference value, the ordinate corresponding to one of the upper and lower edges of the second longitudinal rectangle in the second bending bar graph is a reference value, and the ordinate corresponding to the other edge is a current value. The distance between the other edge of the upper edge and the lower edge of the second longitudinal rectangle and the other edge of the upper edge and the lower edge of the first longitudinal rectangle on the ordinate is the deviation value of the ST segment, and for the second longitudinal rectangle, the ordinate corresponding to one edge of the upper edge and the lower edge is the reference value instead of extending to zero, so that the ST segment deviation value can be displayed more intuitively.
Further, the first bending column diagram and the second bending column diagram may be represented by the same filling color, or may be represented by different filling colors for better intuition, and this embodiment is not particularly limited. For example, in order to highlight the current value of the ST segment, the first bending bar graph adopts a light color system, and the second bending bar graph adopts a dark color system.
In addition, in order to more clearly display the shape of the column, the vertical and horizontal portions of the column have certain thicknesses, and the transverse thickness and the longitudinal thickness (that is, the distance between the upper and lower edges of the transverse rectangle and the distance between the left and right edges of the longitudinal rectangle) may be different, but may also be the same for the sake of the beautiful appearance of the figure, and this embodiment is not particularly limited. For example, the distance between the upper and lower edges of the transverse rectangle and the distance between the left and right edges of the longitudinal rectangle are both 10% of the first preset value.
In order to maintain the extreme shape of the first folded bar graph, the distance between the upper and lower edges of the first transverse rectangle needs to be smaller than the ST-segment reference value. Further, as a preferred embodiment, the present embodiment further includes: calculating an absolute value of a difference value between the reference value and the current value, and determining the distance between the upper edge and the lower edge of the first transverse rectangle and the distance between the upper edge and the lower edge of the second transverse rectangle based on the absolute value; wherein the distance between the upper and lower edges is less than the absolute value. In a specific implementation, in order to maintain the extreme shape of the bent histogram of the second bent histogram, the distance between the upper and lower edges of the first transverse rectangle needs to be smaller than the ST-segment offset value, i.e. the absolute value of the difference between the ST-segment reference value and the current ST-segment value.
In the following description of the present embodiment, the first preset value is regarded as the unit "1", and the ST-stage reference value is V ST Standard Current value of ST segment is V ST Current The second preset value is A% of the first preset value, the first bending bar graph adopts a light color system, the second bending bar graph adopts a dark color system, and the distance between the upper edge and the lower edge of the transverse rectangle is the same as the distance between the left edge and the right edge of the longitudinal rectangle.
If V ST Standard =V ST Current And if the second preset value is 5%, the distance between the left and right edges of the first transverse rectangle and the distance between the left and right edges of the second transverse rectangle are both 47.5%, as shown in fig. 7.
If V ST Standard ≠V ST Current Then, the ratio of the distance of the left and right edges of the first transverse rectangle to the unit "1" is:
Figure BDA0003818041880000121
the ratio of the distance of the left and right edges of the second transverse rectangle to the unit "1" is:
Figure BDA0003818041880000122
a second preset value of 5%, V ST Standard =1.4mv,V ST Current =2.0mV, the ratio of the distance of the left and right edges of the first transverse rectangle to the unit "1" is (1-5%) × 1.4/(1.4 + 2.0) ≈ 39%, and the ratio of the distance of the left and right edges of the second transverse rectangle to the unit "1" is (1-5%) × 2.0/(1.4 + 2.0) ≈ 56%, as shown in fig. 8, according to the above calculation formula.
Specifically, under the condition that the reference value and the current value are both greater than zero, the ordinate corresponding to the lower edge of the first longitudinal rectangle is zero, the ordinate corresponding to the upper edge of the first longitudinal rectangle is the reference value, and the ordinate corresponding to the upper edge of the first transverse rectangle is the reference value. If the reference value is smaller than the current value, the ordinate corresponding to the lower edge of the second vertical rectangle is the reference value, the ordinate corresponding to the upper edge is the current value, and the ordinate corresponding to the upper edge of the second horizontal rectangle is the current value, as shown in fig. 9. If the reference value is equal to the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is equal to the ordinate corresponding to the lower edge of the first longitudinal rectangle, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the current value, and the ordinate corresponding to the upper edge of the second transverse rectangle is the current value, as shown in fig. 10. If the reference value is greater than the current value, the ordinate corresponding to the lower edge of the second vertical rectangle is the current value, the ordinate corresponding to the upper edge is the reference value, and the ordinate corresponding to the lower edge of the second horizontal rectangle is the current value, as shown in fig. 11.
And under the condition that the reference value and the current value are both smaller than zero, the ordinate corresponding to the upper edge of the first longitudinal rectangle is zero, the ordinate corresponding to the lower edge of the first longitudinal rectangle is the reference value, and the ordinate corresponding to the lower edge of the first transverse rectangle is the reference value. If the reference value is greater than the current value, the ordinate corresponding to the lower edge of the second vertical rectangle is the current value, the ordinate corresponding to the upper edge is the reference value, and the ordinate corresponding to the lower edge of the second horizontal rectangle is the current value, as shown in fig. 12. If the reference value is equal to the current value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is equal to the ordinate corresponding to the upper edge of the first longitudinal rectangle, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the current value, and the ordinate corresponding to the lower edge of the second transverse rectangle is the current value, as shown in fig. 13. If the reference value is smaller than the current value, the ordinate corresponding to the upper edge of the second vertical rectangle is the current value, the ordinate corresponding to the lower edge is the reference value, and the ordinate corresponding to the upper edge of the second horizontal rectangle is the current value, as shown in fig. 14.
As a preferred embodiment, the acquiring the electrocardiographic signal and determining the reference value and the current value of the ST segment relative to the zero potential difference value in the electrocardiographic signal includes: acquiring electrocardiosignals from a plurality of leads, and determining a reference value and a current value of an ST segment in each electrocardiosignal relative to a zero potential difference value; correspondingly, the displaying a first bending column diagram and a second bending column diagram in a first rectangular coordinate system based on the reference value and the current value includes: determining a display area of each lead in a first rectangular coordinate system, and displaying a corresponding first bending column graph and a corresponding second bending column graph in each display area based on a reference value and a current value of a corresponding ST segment relative to a zero potential difference value.
In a specific implementation, the first and second inflection column diagrams corresponding to the leads may be displayed in the same rectangular coordinate system, as shown in fig. 15, and the first and second inflection column diagrams corresponding to the leads I, II, III, aVR, aVL, aVF are displayed in the same rectangular coordinate system. It should be noted that the manner of selecting the leads is not only one illustrated, but also one or any plural number of leads of I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6 in the standard twelve leads may be selected for display, and may be set according to user's attention or customization.
The ST-segment offset display method provided by the embodiment of the application can display the offset condition of the reference value and the current value of the ST segment longitudinally and can also display the offset condition of the current value and the reference value of the ST segment transversely, and in order to check the offset more conveniently, the vertical coordinate corresponding to the upper edge or the lower edge of the second longitudinal rectangle in the second bending column diagram is the reference value of the ST segment instead of extending to the zero potential value on the horizontal coordinate, so that medical workers can sense the difference more omnidirectionally, judge the abnormal condition more comprehensively and more easily, and pay close attention to the related abnormal condition.
The embodiment of the application discloses a method for displaying ST segment offset, which specifically comprises the following steps:
referring to fig. 16, a flowchart illustrating another method for displaying ST-segment offsets according to an exemplary embodiment is shown, as shown in fig. 16, including:
s201: obtaining current values of ST sections in electrocardiosignals of a target lead at a plurality of time points relative to a zero potential difference value, and determining a reference value of the ST sections in the electrocardiosignals of the target lead relative to the zero potential difference value;
s202: displaying the rectangular blocks corresponding to the current values in a second rectangular coordinate system; the horizontal axis of the second rectangular coordinate system corresponds to the current value of the ST segment, the longitudinal axis of the second rectangular coordinate system corresponds to the current value of the ST segment, the length of each rectangular block is a third preset value, the spacing distance between the rectangular blocks at adjacent time points is a fourth preset value, and the longitudinal coordinate of the upper edge of each rectangular block is the corresponding current value;
s203: determining a reference line in the second rectangular coordinate system based on the reference value of the ST segment in the electrocardiosignal of the target lead relative to the zero potential difference value;
s204: constructing an offset rectangle corresponding to each rectangular block based on the datum line and the upper edge of each rectangular block, and marking the offset rectangles in a preset mode; wherein the offset rectangle is used for identifying the offset between the current value and the reference value.
In this embodiment, a second rectangular coordinate system is used to display a trend graph of the ST segment of a certain lead (i.e. the target lead), and the horizontal axis of the second rectangular coordinate system corresponds to time and the vertical axis of the second rectangular coordinate system corresponds to the current value of the ST segment of the target lead. Different rectangular blocks are used for representing current values of the ST segments of the target lead at different time points, the ordinate of the upper edge of each rectangular block is the current value of the ST segment at the corresponding time point, the length of each rectangular block in the horizontal direction is a third preset value, and the height of each rectangular block in the vertical direction is a fixed value which can be set, for example, 0.5cm, or set according to the third preset value, for example, set to be one fifth or one fourth of the third preset value, or set by self-definition according to the preference of a user, which is not specifically limited in this embodiment. The distance between the rectangular blocks corresponding to adjacent time points is a fourth preset value, and the fourth preset value may be equal to or unequal to the third preset value, which is not specifically limited in this embodiment. If the third predetermined value is equal to the fourth predetermined value and is equal to W, the length of the horizontal axis of the second rectangular coordinate system is L, and the current value ST, i.e., the number of rectangular blocks, is N, then W = L/(2N-1), as shown in fig. 17.
The connecting lines in fig. 17 indicate the tendency of the current value of ST, and may be set as solid lines or broken lines (broken lines in fig. 17). The connecting line is from the crossing point of the upper edge of the rectangular block and the right edge as the starting point, the size of the current value of the current ST segment and the current value of the next ST segment is compared, if the next is bigger, the connecting line is drawn from the starting point to the positive direction parallel to the longitudinal axis, if the next is smaller, the connecting line is drawn from the starting point to the negative direction parallel to the longitudinal axis, and after the connecting line is drawn to reach the height of the upper edge of the rectangular block corresponding to the current value of the next ST segment, the connecting line is drawn along the positive direction of the horizontal axis until the left side of the upper edge of the rectangular block corresponding to the current value of the next ST segment is connected.
Further, drawing an offset rectangle representing the ST-segment offset value, firstly determining a reference line representing the ST-segment reference value of the target lead in a second rectangular coordinate system, then constructing an offset rectangle corresponding to each rectangular block based on the reference line and the upper edge of each rectangular block, and marking the offset rectangle in a preset manner, for example, by shading. The larger the area of the offset rectangle is, the larger the time period offset is, and attention should be paid.
As a possible embodiment, one of the upper and lower edges of the offset rectangle has the same abscissa as that of the upper edge of the corresponding rectangular block, and the other edge of the offset rectangle coincides with the reference line, and the left edge of the offset rectangle has the same abscissa as that of the left edge of the corresponding rectangular block. In a specific implementation, as shown in fig. 18, if the current ST-segment value is smaller than the reference ST-segment value, the abscissa of the lower edge of the offset rectangle is the same as the abscissa of the upper edge of the corresponding rectangular block, and is the current ST-segment value, and the upper edge coincides with the reference line, that is, the abscissa of the upper edge is the reference ST-segment value. The abscissa of the left edge of the offset rectangle is the same as the abscissa of the left edge of the corresponding rectangular block.
As another possible embodiment, one of the upper and lower edges of the offset rectangle has the same abscissa as that of the upper edge of the corresponding rectangular block, and the other edge of the offset rectangle coincides with the reference line, and has the same abscissa as that of the right edge of the previous rectangular block of the corresponding rectangular block, and the right edge of the offset rectangle has the same abscissa as that of the right edge of the corresponding rectangular block. In a specific implementation, as shown in fig. 19, if the current ST-segment value is smaller than the reference ST-segment value, the abscissa of the lower edge of the offset rectangle is the same as the abscissa of the upper edge of the corresponding rectangular block, and is the current ST-segment value, and the upper edge coincides with the reference line, that is, the abscissa of the upper edge is the reference ST-segment value. The abscissa of the right edge of the offset rectangle is the same as the abscissa of the right edge of the corresponding rectangular block.
Therefore, in the present embodiment, the current value and the reference value of the ST are subjected to extremization processing, so that the change of the ST is more easily highlighted, and the graphic display of the ST is more meaningful.
The following describes a display device of ST-segment offset according to an embodiment of the present application, and the display device of ST-segment offset described below and the display method of ST-segment offset described above may be referred to each other.
Referring to fig. 20, a block diagram of a display apparatus for ST-segment offset according to an exemplary embodiment is shown, as shown in fig. 20, including:
a first obtaining module 100, configured to obtain an electrocardiographic signal, and determine a reference value and a current value of an ST segment in the electrocardiographic signal with respect to a zero potential difference; wherein the ST segment is located between the QRS complex and the T wave;
a first display module 200, configured to display a first bending column diagram and a second bending column diagram in a first rectangular coordinate system based on the reference value and the current value;
the first bending column diagram comprises a first transverse rectangle and a first longitudinal rectangle, the second bending column diagram comprises a second transverse rectangle and a second longitudinal rectangle, the left edge of the first longitudinal rectangle is overlapped with the left edge of the first transverse rectangle, and the right edge of the second longitudinal rectangle is overlapped with the right edge of the second transverse rectangle;
the distance between the left edge of the first longitudinal rectangle and the right edge of the second longitudinal rectangle is a first preset value, the distance between the right edge of the first transverse rectangle and the left edge of the second transverse rectangle is a second preset value, the first preset value is greater than the second preset value, and the length ratio of the distance between the left edge and the right edge of the first transverse rectangle to the distance between the left edge and the right edge of the second transverse rectangle is the ratio of the reference value to the current value;
the vertical coordinate that an border in the upper and lower border of first vertical rectangle corresponds is zero, the vertical coordinate that another border corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second vertical rectangle corresponds is the benchmark value, the vertical coordinate that another border corresponds is the current value, the vertical coordinate that an border in the upper and lower border of first horizontal rectangle corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second horizontal rectangle corresponds is the current value.
The ST-segment offset display device provided by the embodiment of the application can display the offset condition of the reference value and the current value of the ST segment longitudinally, and can display the offset condition of the current value and the reference value of the ST segment transversely, in order to check the offset more conveniently, the vertical coordinate corresponding to the upper edge or the lower edge of the second longitudinal rectangle in the second bending column diagram is the reference value of the ST segment, but not a zero potential value extending to the horizontal coordinate, so that medical workers can sense the difference more omnidirectionally, judge the abnormal condition more comprehensively and more easily, and pay close attention to the related abnormal condition.
On the basis of the above embodiment, as a preferred implementation manner, when both the reference value and the current value are greater than zero, a vertical coordinate corresponding to a lower edge of the first vertical rectangle is zero, a vertical coordinate corresponding to an upper edge of the first vertical rectangle is the reference value, and a vertical coordinate corresponding to an upper edge of the first horizontal rectangle is the reference value;
if the reference value is smaller than the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the reference value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the current value, and the ordinate corresponding to the upper edge of the second transverse rectangle is the current value;
if the reference value is equal to the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is equal to the ordinate corresponding to the lower edge of the first longitudinal rectangle, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the current value, and the ordinate corresponding to the upper edge of the second transverse rectangle is the current value;
if the reference value is greater than the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the current value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the reference value, and the ordinate corresponding to the lower edge of the second transverse rectangle is the current value.
On the basis of the foregoing embodiment, as a preferred implementation manner, when both the reference value and the current value are less than zero, a vertical coordinate corresponding to an upper edge of the first longitudinal rectangle is zero, a vertical coordinate corresponding to a lower edge of the first longitudinal rectangle is the reference value, and a vertical coordinate corresponding to a lower edge of the first transverse rectangle is the reference value;
if the reference value is greater than the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the current value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the reference value, and the ordinate corresponding to the lower edge of the second transverse rectangle is the current value;
if the reference value is equal to the current value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is equal to the ordinate corresponding to the upper edge of the first longitudinal rectangle, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the current value, and the ordinate corresponding to the lower edge of the second transverse rectangle is the current value;
if the reference value is smaller than the current value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the reference value, and the ordinate corresponding to the upper edge of the second transverse rectangle is the current value.
On the basis of the above embodiment, as a preferred implementation, the method further includes:
a first determining module, configured to calculate an absolute value of a difference between the reference value and the current value, and determine a distance between upper and lower edges of the first transverse rectangle and the second transverse rectangle based on the absolute value; wherein the distance between the upper and lower edges is less than the absolute value.
On the basis of the foregoing embodiment, as a preferred implementation manner, the first obtaining module 100 is specifically configured to: acquiring electrocardiosignals from a plurality of leads, and determining a reference value and a current value of an ST segment in each electrocardiosignal relative to a zero potential difference value;
correspondingly, the first display module 200 is specifically configured to: determining a display area of each lead in a first rectangular coordinate system, and displaying a corresponding first bending column graph and a corresponding second bending column graph in each display area based on a reference value and a current value of a corresponding ST segment relative to a zero potential difference value.
On the basis of the above embodiment, as a preferred implementation, the method further includes:
the second acquisition module is used for acquiring current values of ST-segment relative to zero potential difference values in the electrocardiosignals of the target lead at a plurality of time points and determining a reference value of the ST-segment relative to the zero potential difference values in the electrocardiosignals of the target lead;
the second display module is used for displaying the rectangular blocks corresponding to the current values in a second rectangular coordinate system; the horizontal axis of the second rectangular coordinate system corresponds to the current value of the ST segment, the longitudinal axis of the second rectangular coordinate system corresponds to the current value of the ST segment, the length of each rectangular block is a third preset value, the spacing distance between the rectangular blocks at adjacent time points is a fourth preset value, and the longitudinal coordinate of the upper edge of each rectangular block is the corresponding current value;
the second determination module is used for determining a reference line in the second rectangular coordinate system based on the reference value of the ST segment in the electrocardiosignal of the target lead relative to the zero potential difference value;
the building module is used for building an offset rectangle corresponding to each rectangular block based on the datum line and the upper edge of each rectangular block, and marking the offset rectangles in a preset mode; wherein the offset rectangle is used to identify an offset between the current value and the reference value.
In addition to the above-described embodiment, as a preferable mode, an abscissa of one of upper and lower edges of the offset rectangle is the same as an abscissa of an upper edge of the corresponding rectangular block, and the other edge is overlapped with the reference line, an abscissa of a left edge of the offset rectangle is the same as an abscissa of a left edge of the corresponding rectangular block, or an abscissa of a right edge of the previous rectangular block of the corresponding rectangular block is the same, and an abscissa of a right edge of the offset rectangle is the same as an abscissa of a right edge of the corresponding rectangular block.
With regard to the apparatus in the above-described embodiment, the specific manner in which each module performs the operation has been described in detail in the embodiment related to the method, and will not be elaborated here.
Based on the hardware implementation of the program module, and in order to implement the method according to the embodiment of the present application, an electronic device is further provided in the embodiment of the present application, and fig. 21 is a structural diagram of an electronic device according to an exemplary embodiment, as shown in fig. 21, the electronic device includes a physiological parameter acquisition module, a memory, a processor, a first display module, a power module, and the like.
A physiological parameter acquisition module: the device is used for collecting at least one physiological parameter of a monitored patient, wherein the collected physiological parameter at least comprises electrocardiosignals and can also comprise non-invasive blood pressure (NIBP), blood oxygen (SPO 2), invasive Blood Pressure (IBP), end-tidal carbon dioxide (CO 2), cardiac Output (CO), pulse rate, body temperature and the like. The physiological parameter collecting module is in communication connection with the processing module through a Peripheral Interface by UART (Universal Asynchronous Receiver/Transmitter), USB (Universal Serial Bus), I2C (Inter-Integrated Circuit) and SPI (Serial Peripheral Interface). For the monitored patient, besides the physiological parameters collected by the physiological parameter collecting module, the monitored patient also includes the conventional information of the patient, such as name, bed number, medical history, patient ID (Identity document), information of the attending physician, and the like.
The memory is used to store various types of data to support the operation of the electronic device. Examples of such data include: any computer program for operating on an electronic device.
It will be appreciated that the memory can be either volatile memory or nonvolatile memory, and can include both volatile and nonvolatile memory. Among them, the nonvolatile Memory may be a Read Only Memory (ROM), a Programmable Read Only Memory (PROM), an Erasable Programmable Read-Only Memory (EPROM), an Electrically Erasable Programmable Read-Only Memory (EEPROM), a magnetic random access Memory (FRAM), a magnetic random access Memory (Flash Memory), a magnetic surface Memory, an optical Disc, or a Compact Disc Read-Only Memory (CD-ROM); the magnetic surface storage may be disk storage or tape storage. Volatile Memory can be Random Access Memory (RAM), which acts as external cache Memory. By way of illustration and not limitation, many forms of RAM are available, such as Static Random Access Memory (SRAM), synchronous Static Random Access Memory (SSRAM), dynamic Random Access Memory (DRAM), synchronous Dynamic Random Access Memory (SDRAM), double Data Rate Synchronous Dynamic Random Access Memory (DDRSDRAM), enhanced Synchronous Dynamic Random Access Memory (ESDRAM), enhanced Synchronous Dynamic Random Access Memory (Enhanced DRAM), synchronous Dynamic Random Access Memory (SLDRAM), direct Memory (DRmb Access), and Random Access Memory (DRAM). The memories described in the embodiments of the present application are intended to comprise, without being limited to, these and any other suitable types of memory.
The processor interacts information with other devices, and is used for executing the display method of the ST segment offset provided by one or more technical schemes when running the computer program. And the computer program is stored on the memory.
The method disclosed in the embodiments of the present application may be applied to a processor, or may be implemented by a processor. The processor may be an integrated circuit chip having signal processing capabilities. In implementation, the steps of the above method may be performed by integrated logic circuits of hardware in a processor or instructions in the form of software. The processor may be a general purpose processor, a DSP (Digital Signal processing), or other programmable logic device, discrete gate or transistor logic device, discrete hardware components, or the like. The processor 2 may implement or perform the methods, steps and logic blocks disclosed in the embodiments of the present application. A general purpose processor may be a microprocessor or any conventional processor or the like. The steps of the method disclosed in the embodiments of the present application may be directly implemented by a hardware decoding processor, or implemented by a combination of hardware and software modules in the decoding processor. The software modules may be located in a storage medium located in a memory where a processor reads the programs in the memory and in combination with its hardware performs the steps of the method as previously described.
When the processor executes the program, corresponding processes in the methods of the embodiments of the present application are implemented, and for brevity, are not described herein again.
A first display module: for display of relevant data. Touch screens and non-touch screens can be used, including LCD, LPD, OLED, etc., and when the non-touch screen is used, display information or control instructions can be input through other input devices, such as buttons, knobs, membrane keys, physical keys, mouse, etc. When the touch screen is used, a user inputs different information according to different gestures through related protocols. For convenience, a combination of touch screen display and other input devices may also be used.
The first display module further comprises a display controller, the display controller sends an electric signal to the display screen or receives an electric signal input by the display screen, and data and graphs are displayed on the display screen by calling related data and instructions in the memory to form a visual graphical user interface for a user to view.
The power module is used for supplying power to a system, and may include a power conversion system, such as an AC (Alternating Current)/DC (Direct Current), and the DC/DC may further include a power management system, a power supply, a charging system, a fault detection system, and a power status indication system.
The electronic device provided by this embodiment may further include:
a communication module: the Communication method includes, but is not limited to, 4g (fourth Generation Mobile Communication Technology), 5g (fifth Generation Mobile Communication Technology), wifi (wireless Communication Technology), infrared, zigbee (zigbee protocol), GPS (Global Positioning System), and other methods.
The audio processing module: the method is used for data broadcasting, overrun alarming and the like.
A visualization module: for presenting information for user visualization including, but not limited to, text, numbers, images, waveforms, logos, and the like.
I/O (Input/Output) Input/Output module: the peripheral interface is connected with the input and output of the processor, the peripheral transmits signals to the processor for processing through the I/O input and output module, and the processor sends instructions to other modules for corresponding processing through the I/O input and output module.
In an exemplary embodiment, the present application further provides a storage medium, i.e., a computer storage medium, specifically a computer readable storage medium, for example, including a memory storing a computer program, which is executable by a processor to perform the steps of the foregoing method. The computer readable storage medium may be Memory such as FRAM, ROM, PROM, EPROM, EEPROM, flash Memory, magnetic surface Memory, optical disk, or CD-ROM.
Those of ordinary skill in the art will understand that: all or part of the steps for implementing the method embodiments may be implemented by hardware related to program instructions, and the program may be stored in a computer readable storage medium, and when executed, the program performs the steps including the method embodiments; and the aforementioned storage medium includes: a removable storage device, a ROM, a RAM, a magnetic or optical disk, or various other media that can store program code.
Alternatively, the integrated units described above in the present application may be stored in a computer-readable storage medium if they are implemented in the form of software functional modules and sold or used as independent products. Based on such understanding, the technical solutions of the embodiments of the present application may be essentially implemented or portions thereof that contribute to the prior art may be embodied in the form of a software product, which is stored in a storage medium and includes several instructions for enabling an electronic device (which may be a personal computer, a server, or a network device) to execute all or part of the methods described in the embodiments of the present application. And the aforementioned storage medium includes: a removable storage device, a ROM, a RAM, a magnetic or optical disk, or various other media that can store program code.
The above description is only for the specific embodiments of the present application, but the scope of the present application is not limited thereto, and any person skilled in the art can easily conceive of the changes or substitutions within the technical scope of the present application, and shall be covered by the scope of the present application. Therefore, the protection scope of the present application shall be subject to the protection scope of the claims.

Claims (10)

1. A method for displaying ST-segment offset, comprising:
acquiring an electrocardiosignal, and determining a reference value and a current value of an ST segment in the electrocardiosignal relative to a zero potential difference value; wherein the ST segment is located between the QRS complex and the T wave;
displaying a first bending column diagram and a second bending column diagram in a first rectangular coordinate system based on the reference value and the current value;
the first bending column diagram comprises a first transverse rectangle and a first longitudinal rectangle, the second bending column diagram comprises a second transverse rectangle and a second longitudinal rectangle, the left edge of the first longitudinal rectangle is overlapped with the left edge of the first transverse rectangle, and the right edge of the second longitudinal rectangle is overlapped with the right edge of the second transverse rectangle;
the distance between the left edge of the first longitudinal rectangle and the right edge of the second longitudinal rectangle is a first preset value, the distance between the right edge of the first transverse rectangle and the left edge of the second transverse rectangle is a second preset value, the first preset value is greater than the second preset value, and the length ratio of the distance between the left edge and the right edge of the first transverse rectangle to the distance between the left edge and the right edge of the second transverse rectangle is the ratio of the reference value to the current value;
the vertical coordinate that an border in the upper and lower border of first vertical rectangle corresponds is zero, the vertical coordinate that another border corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second vertical rectangle corresponds is the benchmark value, the vertical coordinate that another border corresponds is the current value, the vertical coordinate that an border in the upper and lower border of first horizontal rectangle corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second horizontal rectangle corresponds is the current value.
2. The method for displaying ST-segment offsets according to claim 1, wherein, when both the reference value and the current value are greater than zero, the ordinate corresponding to the lower edge of the first vertical rectangle is zero, the ordinate corresponding to the upper edge of the first horizontal rectangle is the reference value, and the ordinate corresponding to the upper edge of the first horizontal rectangle is the reference value;
if the reference value is smaller than the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the reference value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the current value, and the ordinate corresponding to the upper edge of the second transverse rectangle is the current value;
if the reference value is equal to the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is equal to the ordinate corresponding to the lower edge of the first longitudinal rectangle, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the current value, and the ordinate corresponding to the upper edge of the second transverse rectangle is the current value;
if the reference value is greater than the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the current value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the reference value, and the ordinate corresponding to the lower edge of the second transverse rectangle is the current value.
3. The method according to claim 1, wherein when the reference value and the current value are both less than zero, the ordinate corresponding to the upper edge of the first vertical rectangle is zero, the ordinate corresponding to the lower edge of the first horizontal rectangle is the reference value, and the ordinate corresponding to the lower edge of the first vertical rectangle is the reference value;
if the reference value is greater than the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the current value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the reference value, and the ordinate corresponding to the lower edge of the second transverse rectangle is the current value;
if the reference value is equal to the current value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is equal to the ordinate corresponding to the upper edge of the first longitudinal rectangle, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the current value, and the ordinate corresponding to the lower edge of the second transverse rectangle is the current value;
if the reference value is smaller than the current value, the ordinate corresponding to the upper edge of the second longitudinal rectangle is the current value, the ordinate corresponding to the lower edge of the second longitudinal rectangle is the reference value, and the ordinate corresponding to the upper edge of the second transverse rectangle is the current value.
4. The method for displaying ST-segment offsets according to claim 1, further comprising:
calculating an absolute value of a difference value between the reference value and the current value, and determining the distance between the upper edge and the lower edge of the first transverse rectangle and the distance between the upper edge and the lower edge of the second transverse rectangle based on the absolute value; wherein the distance between the upper and lower edges is less than the absolute value.
5. The method for displaying the ST-segment offset according to claim 1, wherein the obtaining of the electrocardiographic signal and the determining of the reference value and the current value of the ST-segment in the electrocardiographic signal with respect to the zero-potential difference comprise:
acquiring electrocardiosignals from a plurality of leads, and determining a reference value and a current value of an ST segment in each electrocardiosignal relative to a zero potential difference value;
correspondingly, the displaying a first bending column diagram and a second bending column diagram in a first rectangular coordinate system based on the reference value and the current value includes:
determining a display area of each lead in a first rectangular coordinate system, and displaying a corresponding first bending column graph and a corresponding second bending column graph in each display area based on a reference value and a current value of a corresponding ST segment relative to a zero potential difference value.
6. The method for displaying the ST-segment offset according to any one of claims 1 to 5, further comprising:
obtaining current values of ST sections in electrocardiosignals of a target lead at a plurality of time points relative to a zero potential difference value, and determining a reference value of the ST sections in the electrocardiosignals of the target lead relative to the zero potential difference value;
displaying the rectangular blocks corresponding to the current values in a second rectangular coordinate system; the horizontal axis of the second rectangular coordinate system corresponds to the current value of the ST segment, the longitudinal axis of the second rectangular coordinate system corresponds to the current value of the ST segment, the length of each rectangular block is a third preset value, the spacing distance between the rectangular blocks at adjacent time points is a fourth preset value, and the longitudinal coordinate of the upper edge of each rectangular block is the corresponding current value;
determining a reference line in the second rectangular coordinate system based on the reference value of the ST segment in the electrocardiosignal of the target lead relative to the zero potential difference value;
constructing an offset rectangle corresponding to each rectangular block based on the datum line and the upper edge of each rectangular block, and marking the offset rectangles in a preset mode; wherein the offset rectangle is used to identify an offset between the current value and the reference value.
7. The method of displaying ST-segment offsets according to claim 6, wherein the abscissa of one of the upper and lower edges of the offset rectangle is the same as the abscissa of the upper edge of the corresponding rectangular block, the other edge thereof coincides with the reference line, the abscissa of the left edge of the offset rectangle is the same as the abscissa of the left edge of the corresponding rectangular block, or the abscissa of the right edge of the previous rectangular block of the corresponding rectangular block is the same, and the abscissa of the right edge of the offset rectangle is the same as the abscissa of the right edge of the corresponding rectangular block.
8. An ST-segment offset display device, comprising:
the first acquisition module is used for acquiring the electrocardiosignals and determining the reference value and the current value of the ST segment in the electrocardiosignals relative to the zero potential difference value; wherein the ST segment is located between the QRS complex and the T wave;
the first display module is used for displaying a first bending column diagram and a second bending column diagram in a first rectangular coordinate system based on the reference value and the current value;
the first bending column diagram comprises a first transverse rectangle and a first longitudinal rectangle, the second bending column diagram comprises a second transverse rectangle and a second longitudinal rectangle, the left edge of the first longitudinal rectangle is overlapped with the left edge of the first transverse rectangle, and the right edge of the second longitudinal rectangle is overlapped with the right edge of the second transverse rectangle;
the distance between the left edge of the first longitudinal rectangle and the right edge of the second longitudinal rectangle is a first preset value, the distance between the right edge of the first transverse rectangle and the left edge of the second transverse rectangle is a second preset value, the first preset value is greater than the second preset value, and the length ratio of the distance between the left edge and the right edge of the first transverse rectangle to the distance between the left edge and the right edge of the second transverse rectangle is the ratio of the reference value to the current value;
the vertical coordinate that an border in the upper and lower border of first vertical rectangle corresponds is zero, the vertical coordinate that another border corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second vertical rectangle corresponds is the benchmark value, the vertical coordinate that another border corresponds is the current value, the vertical coordinate that an border in the upper and lower border of first horizontal rectangle corresponds is the benchmark value, the vertical coordinate that an border in the upper and lower border of second horizontal rectangle corresponds is the current value.
9. An electronic device, comprising:
a memory for storing a computer program;
a processor for implementing the steps of the method of displaying ST-segment offsets according to any one of claims 1 to 7 when executing said computer program.
10. A computer-readable storage medium, characterized in that a computer program is stored thereon, which, when being executed by a processor, carries out the steps of the display method of ST-segment offsets according to any one of claims 1 to 7.
CN202211032570.XA 2022-08-26 2022-08-26 ST segment offset display method and device, electronic equipment and storage medium Active CN115778399B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202211032570.XA CN115778399B (en) 2022-08-26 2022-08-26 ST segment offset display method and device, electronic equipment and storage medium

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202211032570.XA CN115778399B (en) 2022-08-26 2022-08-26 ST segment offset display method and device, electronic equipment and storage medium

Publications (2)

Publication Number Publication Date
CN115778399A true CN115778399A (en) 2023-03-14
CN115778399B CN115778399B (en) 2024-10-22

Family

ID=85431595

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202211032570.XA Active CN115778399B (en) 2022-08-26 2022-08-26 ST segment offset display method and device, electronic equipment and storage medium

Country Status (1)

Country Link
CN (1) CN115778399B (en)

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR19980030894A (en) * 1996-10-30 1998-07-25 이명호 How to Display Characteristics for Estee Segments and Tifa of ECG Signals
US20060200035A1 (en) * 2005-02-23 2006-09-07 Digital Intelligence, Llc System and method for signal decomposition, analysis and reconstruction
CN101904742A (en) * 2009-02-17 2010-12-08 迈瑞Ds美国有限责任公司 The graphical method and apparatus that shows the ST field offset
CN102802517A (en) * 2010-01-20 2012-11-28 皇家飞利浦电子股份有限公司 Identification of culprit coronary artery using anatomically oriented ECG data from extended lead set
US20130324870A1 (en) * 2009-02-17 2013-12-05 Mindray Ds Usa, Inc. Systems and methods for graphic display of st-segment deviation
CN108135528A (en) * 2015-09-30 2018-06-08 通用电气公司 For monitoring the monitoring system and method for patient condition
CN114680821A (en) * 2021-07-23 2022-07-01 康泰医学系统(秦皇岛)股份有限公司 Monitor data display method

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR19980030894A (en) * 1996-10-30 1998-07-25 이명호 How to Display Characteristics for Estee Segments and Tifa of ECG Signals
US20060200035A1 (en) * 2005-02-23 2006-09-07 Digital Intelligence, Llc System and method for signal decomposition, analysis and reconstruction
CN101904742A (en) * 2009-02-17 2010-12-08 迈瑞Ds美国有限责任公司 The graphical method and apparatus that shows the ST field offset
US20130324870A1 (en) * 2009-02-17 2013-12-05 Mindray Ds Usa, Inc. Systems and methods for graphic display of st-segment deviation
CN102802517A (en) * 2010-01-20 2012-11-28 皇家飞利浦电子股份有限公司 Identification of culprit coronary artery using anatomically oriented ECG data from extended lead set
CN108135528A (en) * 2015-09-30 2018-06-08 通用电气公司 For monitoring the monitoring system and method for patient condition
CN114680821A (en) * 2021-07-23 2022-07-01 康泰医学系统(秦皇岛)股份有限公司 Monitor data display method

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
刘兵;邱鹏;李桥;崔连群;邵庆余;: "心电图心肌缺血可视化显示与输出", 中国医学物理学杂志, no. 06, 15 November 2007 (2007-11-15), pages 64 - 67 *
颜和昌;许群;刘忠豫;孙文敏;: "50例正常人心前区ST段标测图检查报告", 上海医学, no. 12, 31 December 1979 (1979-12-31), pages 15 - 20 *

Also Published As

Publication number Publication date
CN115778399B (en) 2024-10-22

Similar Documents

Publication Publication Date Title
US11647939B2 (en) System and method for facilitating a cardiac rhythm disorder diagnosis with the aid of a digital computer
US11647941B2 (en) System and method for facilitating a cardiac rhythm disorder diagnosis with the aid of a digital computer
US11653870B2 (en) System and method for display of subcutaneous cardiac monitoring data
US10251576B2 (en) System and method for ECG data classification for use in facilitating diagnosis of cardiac rhythm disorders with the aid of a digital computer
US8060193B2 (en) Systems and methods for graphic display of ST-segment deviation
CN107072545B (en) Electrocardiogram data analysis method and system for rapid diagnosis
US6119035A (en) Method and system for synthesizing the 12-lead electrocardiogram
CA2978636C (en) Display arrangement for diagnosis of cardiac rhythm disorders
US8396544B2 (en) Systems and methods for graphic display of ST-segment deviation
US20240112800A1 (en) System and method for long-term patient monitoring of continuous ecg and physiological data
US8688207B2 (en) System and methods for graphic display of ST-segment deviation
CN115778399B (en) ST segment offset display method and device, electronic equipment and storage medium
Oldroyd et al. Electrocardiogram (ECG) Interpretation
CA3146940A1 (en) Facilitating a cardiac rhythm disorder diagnosis with the aid of a digital computer
CN117224136A (en) Electrocardiogram blood pressure linkage output method and device and readable storage medium
CN112438731A (en) Electrocardiosignal analysis method, electrocardiosignal analysis device and storage medium

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant