CN117122329A - Electrocardiogram calculation lead determining method, device, monitoring equipment and storage medium - Google Patents

Electrocardiogram calculation lead determining method, device, monitoring equipment and storage medium Download PDF

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Publication number
CN117122329A
CN117122329A CN202210551872.1A CN202210551872A CN117122329A CN 117122329 A CN117122329 A CN 117122329A CN 202210551872 A CN202210551872 A CN 202210551872A CN 117122329 A CN117122329 A CN 117122329A
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lead
leads
preferred
determining
calculation
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黎倩
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Edan Instruments Inc
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Edan Instruments Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/339Displays specially adapted therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346Analysis of electrocardiograms
    • A61B5/349Detecting specific parameters of the electrocardiograph cycle
    • A61B5/363Detecting tachycardia or bradycardia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
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  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)

Abstract

The application relates to the technical field of medical signal processing, and discloses a method and a device for determining an electrocardio calculation lead, monitoring equipment and a readable storage medium. Wherein the method comprises the following steps: obtaining an initial calculated lead and an initial available preferred lead of the electrocardiographic monitoring device; analyzing the electrocardiosignals acquired by the initial calculation leads and the initial available preferred leads, and determining an optimal lead from the initial calculation leads and the initial available preferred leads, wherein the optimal lead is an electrocardiosignal optimal lead; the optimal lead is determined to be the current calculated lead and displayed in a display interface of the electrocardiographic monitoring device. By implementing the application, medical staff can conveniently know whether the calculation lead used for monitoring the electrocardio is the optimal lead, so that the medical staff can monitor electrocardio parameters by taking the optimal lead as the calculation lead, the consistency of the calculation lead selected by the medical staff and the electrocardio parameter calculation result is ensured, and the monitoring accuracy of the electrocardio parameters is improved.

Description

Electrocardiogram calculation lead determining method, device, monitoring equipment and storage medium
Technical Field
The application relates to the technical field of medical signal processing, in particular to a method and a device for determining an electrocardio calculation lead, monitoring equipment and a storage medium.
Background
When the electrocardiograph monitoring device adopts different electrode systems to measure electrocardiograph parameters, a plurality of electrocardiograph leads can be selected for the different electrode systems, and a medical staff can manually select a certain electrocardiograph lead and monitor electrocardiograph parameters under the electrocardiograph lead. However, when the patient moves, the noise generated on the different cardiac leads is different, and if the electrocardiographic parameters are also monitored using the previously selected cardiac leads, then the heart rate and arrhythmia results obtained from the monitoring may not be optimal.
Currently, the preference for an electrocardiographic lead is generally to calculate an electrocardiographic parameter based on characteristics of available leads, but this approach may result in a case where the computing lead selected by the healthcare worker is inconsistent with the electrocardiographic lead from which heart rate and arrhythmia results are obtained, thereby resulting in an electrocardiographic lead from which the electrocardiographic parameter is not inconsistent with the computing lead selected by the user.
Disclosure of Invention
In view of this, the embodiment of the application provides a method, a device, a monitoring device and a storage medium for determining an electrocardiographic calculation lead, so as to solve the problem that the electrocardiographic lead of an electrocardiographic parameter calculation result is inconsistent with a calculation lead selected by a user.
According to a first aspect, an embodiment of the present application provides a method for determining an electrocardiographic calculation lead, including: acquiring electrocardiosignals of a plurality of leads of an electrocardio monitoring device; analyzing the electrocardiosignal and determining a preferred lead with signal quality meeting preset conditions; the preferred lead is determined to be the current calculated lead and at least one preferred lead is displayed.
According to the method for determining the electrocardiosignal calculation leads, the electrocardiosignals collected by the plurality of leads of the electrocardiosignal monitoring equipment are used for determining the preferred leads with the electrocardiosignal quality meeting the preset condition, the preferred leads are determined to be the current calculation leads and displayed on the electrocardiosignal monitoring equipment, so that a medical staff can determine the current calculation leads for monitoring the electrocardiosignals conveniently, the medical staff can monitor the electrocardiosignals by adopting the current calculation leads, the consistency of the current calculation leads used by the medical staff and the electrocardiosignal monitoring result is ensured, and meanwhile, the monitoring accuracy of electrocardiosignal parameters is improved.
With reference to the first aspect, in a first implementation manner of the first aspect, the determining the preferred lead as the current calculation lead and displaying at least one preferred lead includes: when the initial calculated lead is not the preferred lead, determining the at least one preferred lead as the current calculated lead and displaying the at least one preferred lead.
According to the method for determining the electrocardio calculation leads, when the initial calculation leads exist and the initial calculation leads are not the preferred leads, at least one preferred lead is determined to be the current calculation lead, namely the preferred lead is used for replacing the initial calculation lead as the current calculation lead, so that medical staff can monitor the optimal electrocardio signals in real time, and accuracy of heart rate detection and arrhythmia analysis is improved.
With reference to the first aspect, in a second implementation manner of the first aspect, the determining the preferred lead as the current calculation lead and displaying at least one preferred lead includes: displaying prompt information of the preferred leads, wherein the prompt information is used for prompting a user to confirm the leads; in response to a validation operation of the preferred lead, the initial computed lead is replaced with the current computed lead.
According to the method for determining the electrocardio calculation leads, when the preferred leads are determined, the medical staff can confirm the preferred leads so as to monitor electrocardio signals by taking the preferred leads as the current calculation leads, so that the determination of the calculation leads supports manual modification of the medical staff, the setting of the medical staff is not modified by the modification, and the consistency of the confirmed calculation leads of the medical staff and electrocardio signal monitoring results is ensured.
With reference to the first aspect, in a third implementation manner of the first aspect, the determining the preferred lead as the current calculation lead and displaying at least one preferred lead further includes: when multiple leads are displayed simultaneously, the at least one preferred lead is displayed overhead.
According to the method for determining the electrocardio calculation leads, when a plurality of leads are displayed at the same time, at least one preferred lead is displayed on the top, so that medical staff can know the lead with the better current electrocardio signal conveniently.
With reference to the first aspect or any one of the first to third embodiments of the first aspect, in a fourth embodiment of the first aspect, the at least one preferred lead is an optimal lead.
According to the method for determining the electrocardio calculation leads, provided by the embodiment of the application, at least one preferable lead is the optimal lead, so that the preferable lead for electrocardio signal monitoring can be ensured to be the optimal lead, and the monitoring accuracy of the electrocardio signal is further ensured.
With reference to the first aspect, in a fifth implementation manner of the first aspect, the analyzing the electrocardiographic signal and determining a preferred lead with a signal quality meeting a preset condition includes: performing characteristic analysis on the electrocardiosignals to obtain time-frequency characteristic values corresponding to the electrocardiosignals; comparing the time-frequency characteristic values corresponding to the plurality of leads to obtain a comparison result of the time-frequency characteristic values; and determining the lead with the optimal electrocardiosignal from the leads based on the comparison result of the time-frequency characteristic values, and determining the lead with the optimal electrocardiosignal as the preferred lead.
According to the method for determining the electrocardio calculation leads, provided by the embodiment of the application, the lead with the optimal electrocardio monitoring signal is selected as the optimal lead by analyzing the time-frequency characteristic value of the electrocardio signal, so that the noise of the currently selected optimal lead is ensured to be relatively minimum, and the accuracy of heart rate detection results and arrhythmia detection results is improved.
With reference to the fifth implementation manner of the first aspect, in a sixth implementation manner of the first aspect, the method further includes: judging whether the number of the preferred leads is equal to the target number; when the number of preferred leads is not equal to the target number, then continuing to determine preferred leads from the remaining leads.
According to the method for determining the electrocardio calculation leads, which is provided by the embodiment of the application, whether the preferred leads are determined is determined or not is determined by detecting the relation between the number of the determined preferred leads and the target number, so that the determination of the preferred leads is more comprehensive, and the influence of omission on the electrocardio monitoring effect is avoided.
With reference to the sixth implementation manner of the first aspect, in a seventh implementation manner of the first aspect, the method further includes: acquiring setting information of the electrocardio monitoring equipment, wherein the setting information comprises an analysis mode; and determining the target number of the preferred leads based on the analysis mode of the electrocardiograph monitoring equipment.
According to the method for determining the electrocardio calculation leads, provided by the embodiment of the application, the target number of the preferable leads which can be used for electrocardio monitoring is determined by combining the analysis mode information of the electrocardio monitoring equipment, so that the preferable leads meeting the analysis mode can be conveniently determined.
According to a second aspect, an embodiment of the present application provides a determining apparatus for an electrocardiographic calculation lead, including: the acquisition module is used for acquiring electrocardiosignals of a plurality of leads of the electrocardio monitoring equipment; the analysis module is used for analyzing the electrocardiosignal and determining a preferred lead of which the signal quality meets the preset condition; a determining module for determining the preferred leads as current calculated leads and displaying at least one of the preferred leads.
According to a third aspect, an embodiment of the present application provides an electrocardiographic monitoring device, including: the device comprises a display, a memory and a processor, wherein the display, the memory and the processor are in communication connection, the memory stores computer instructions, and the processor executes the computer instructions so as to execute the method for determining the electrocardio calculation leads according to the first aspect or any implementation mode of the first aspect.
According to a fourth aspect, an embodiment of the present application provides a computer readable storage medium storing computer instructions for causing a computer to perform the method for determining an electrocardiographic calculation lead according to the first aspect or any implementation manner of the first aspect.
It should be noted that, the electrocardiograph calculation lead determining device and the electrocardiograph monitoring device provided in the embodiments of the present application have the corresponding beneficial effects of a computer readable storage medium, please refer to the description of the corresponding content in the electrocardiograph calculation lead determining method, and are not repeated herein.
Drawings
In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings that are needed in the description of the embodiments or the prior art will be briefly described, and it is obvious that the drawings in the description below are some embodiments of the present application, and other drawings can be obtained according to the drawings without inventive effort for a person skilled in the art.
FIG. 1 is a flow chart of a method of determining an electrocardiographic calculation lead according to an embodiment of the present application;
FIG. 2 is another flow chart of a method of determining an electrocardiographic calculation lead according to an embodiment of the present application;
FIG. 3 is yet another flow chart of a method of determining an electrocardiographic calculation lead according to an embodiment of the present application;
FIG. 4 is a schematic illustration of the selection of computational leads according to an embodiment of the present application;
FIG. 5 is a block diagram of a determination device of an electrocardiographic calculation lead according to an embodiment of the present application;
fig. 6 is a schematic hardware structure of an electrocardiograph monitoring device according to an embodiment of the present application.
Detailed Description
For the purpose of making the objects, technical solutions and advantages of the embodiments of the present application more apparent, the technical solutions of the embodiments of the present application will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present application, and it is apparent that the described embodiments are some embodiments of the present application, but not all embodiments of the present application. All other embodiments, which can be made by those skilled in the art based on the embodiments of the application without making any inventive effort, are intended to be within the scope of the application.
In accordance with an embodiment of the present application, there is provided an embodiment of a method of determining an electrocardiographic calculation lead, it being noted that the steps illustrated in the flowchart of the drawings may be performed in a computer system such as a set of computer-executable instructions, and that, although a logical order is illustrated in the flowchart, in some cases, the steps illustrated or described may be performed in an order other than that illustrated herein.
In this embodiment, a method for determining an electrocardiographic calculation lead is provided, which may be used in medical devices such as electrocardiographic monitoring, and fig. 1 is a flowchart of a method for determining an electrocardiographic calculation lead according to an embodiment of the present application, as shown in fig. 1, where the flowchart includes the following steps:
s11, acquiring electrocardiosignals of a plurality of leads of the electrocardio monitoring equipment.
The plurality of leads are connected to the electrocardio monitoring equipment through the lead connection ports, and the electrocardio monitoring equipment monitors electrocardio signals of a human body in real time through the plurality of leads so as to acquire electrocardio signals acquired by the plurality of leads. The electrocardiosignals are electrocardio data which are acquired by a plurality of leads and are used for representing the electrocardio state of the human body.
Specifically, the medical staff can perform relevant setting on information such as an electrode system, an analysis mode and the like required by the electrocardiograph monitoring process through an upper computer corresponding to the electrocardiograph monitoring equipment, and the electrocardiograph monitoring equipment can control a plurality of corresponding leads to collect electrocardiograph signals according to preset or existing setting information.
It should be noted that, for different electrode systems, the number of available leads is different, if M represents the number of available leads corresponding to each electrode system, the available leads under the 5 electrode system have I, II, III, V (m=4); the available leads under the 6 electrode system are I, II, III, va and Vb (m=5); available leads under the 10 electrode system are I, II, III, V, V2, V3, V4, V5, V6 (m=9).
S12, analyzing the electrocardiosignals and determining a preferred lead with the signal quality meeting preset conditions.
The preset condition is the condition that the electrocardiosignal quality is optimal, and the electrocardiosignal obtained by the electrocardiosignal monitoring equipment is preprocessed to remove noise interference, so that the electrocardiosignal removed by the noise interference is analyzed, a lead with optimal signal quality is determined, and the lead is determined to be a preferred lead.
S13, determining the preferred lead as the current calculation lead, and displaying at least one preferred lead.
After determining one or more leads with the best signal quality, the electrocardio monitoring equipment can take the preferred lead as a current calculation lead and collect electrocardio signals through the current calculation lead. The electrocardio monitoring equipment is provided with a display interface of electrocardio parameters, and when the electrocardio monitoring equipment determines the preferred leads, at least one preferred lead can be displayed in the display interface of the electrocardio monitoring equipment, so that the medical staff can conveniently confirm the current calculation lead.
Taking a preferred lead as an example, when the determined preferred lead is the II lead, the text "the current preferred lead is the II lead" is displayed on the display interface, or the II lead is prompted by a popup window as the preferred lead, or the II lead may be highlighted on the display interface, or may be displayed in other manners, which is not limited herein specifically.
According to the method for determining the electrocardiosignal calculation leads, the electrocardiosignals collected by the plurality of leads of the electrocardiosignal monitoring equipment are used for determining the preferable leads of which the electrocardiosignal quality meets the preset condition, the preferable leads are determined to be the current calculation leads and are displayed on the electrocardiosignal monitoring equipment, medical staff can conveniently determine the current calculation leads for monitoring the electrocardiosignals, so that the medical staff can monitor the electrocardiosignals by adopting the current calculation leads, the consistency of the current calculation leads used by the medical staff and the electrocardiosignal monitoring result is ensured, and meanwhile, the monitoring accuracy of electrocardiosignal parameters is improved.
In this embodiment, a method for determining an electrocardiographic calculation lead is provided, which may be used in medical devices such as electrocardiographic monitoring, and fig. 2 is a flowchart of a method for determining an electrocardiographic calculation lead according to an embodiment of the present application, as shown in fig. 2, where the flowchart includes the following steps:
s21, acquiring electrocardiosignals of a plurality of leads of the electrocardio monitoring equipment. The detailed description refers to the corresponding related descriptions of the above embodiments, and will not be repeated here.
S22, analyzing the electrocardiosignals and determining a preferred lead with the signal quality meeting preset conditions. The detailed description refers to the corresponding related descriptions of the above embodiments, and will not be repeated here.
S23, determining the preferred lead as the current calculation lead, and displaying at least one preferred lead.
The electrocardiographic monitoring device supports automatic switching and manual switching of the calculation leads, specifically, when the electrocardiographic monitoring device is in the automatic switching mode, the step S23 may include:
s231, when the initial calculated lead is not a preferred lead, determining at least one preferred lead as the current calculated lead and displaying the at least one preferred lead.
The initial calculation lead is a calculation lead when the medical staff starts the electrocardio monitoring equipment to use, and the calculation lead is used for analyzing the heart rhythm according to the electrocardio signals. The calculation lead can be set manually by a medical staff or can be used last time by the electrocardio monitoring equipment. Taking a 5-electrode system as an example, the initial calculation lead may select one or more of an I lead, II lead, III lead, AVR lead, AVL lead, AVF lead, V lead, as shown in FIG. 4. It should be noted that for a 3-electrode system, it makes the determination of the calculated leads, but does not make the lead preference.
The electrocardio monitoring equipment supports the setting of automatic switching mode, and medical personnel can select the automatic switching mode according to the demand. Taking the 5-electrode system shown in fig. 4 as an example, an automatic switching mode may be set in the setting box, and the healthcare worker may select an "automatic" option when setting, so as to compare the initial calculated lead with the preferred lead when determining the preferred lead, and determine whether the initial calculated lead is the preferred lead. If the initial calculated lead is not the preferred lead, the electrocardiographic monitoring device automatically takes the preferred lead as the current calculated lead while displaying the preferred lead information.
For example, if the preferred lead determined by the electrocardiograph monitoring device is a II lead, the electrocardiograph monitoring device automatically uses the II lead as the current calculation lead, and directly changes the initial calculation lead waveform displayed in the display interface into a waveform of the II lead, and the II lead collects electrocardiograph data for heart rate and arrhythmia analysis.
If the initial calculation lead is a preferable lead, the acquisition of the electrocardiographic signal may be continued by using the initial calculation lead.
Specifically, when the electrocardiographic monitoring device is in the manual switching mode, the step S23 may include:
s232, displaying prompt information of the preferred leads, wherein the prompt information is used for prompting a user to confirm the leads.
When the electrocardiograph monitoring equipment determines the preferred lead, the prompting information of the preferred lead is displayed on the display interface, and the prompting information can be a popup window prompting, a text prompting or a flashing prompting, is not limited in the form of prompting information, and can be determined according to actual needs by a person skilled in the art.
When the medical staff observes the preferred lead information prompted on the electrocardiographic monitoring device, the initial calculated lead currently used by the medical staff is compared with the preferred lead to confirm whether the calculated lead used by the medical staff is the preferred lead.
S233, replacing the initial calculation lead with the current calculation lead in response to the confirmation operation of the preferred lead.
If the initial computed lead is not the preferred lead, the healthcare worker can manually confirm the preferred lead and monitor the electrocardiographic data using the preferred lead as the current computed lead. Accordingly, the electrocardiographic monitoring device may respond to a confirmation operation of the preferred lead by the medical staff, by which the preferred lead is determined to be the current calculation lead for electrocardiographic monitoring, and the current calculation lead is used for replacing the initial calculation lead to monitor electrocardiographic parameters, namely, the current calculation lead is used for analyzing the heart rate and arrhythmia of the human body.
As an alternative embodiment, the step S23 may further include: when multiple leads are displayed simultaneously, at least one preferred lead is displayed overhead.
Multiple lead information can be displayed on a display interface of the electrocardiograph monitoring device at the same time, and the leads with better signal quality are set on top, namely one or more preferred leads are set on the lead information display area for top display. When a plurality of leads are displayed simultaneously, at least one preferred lead is arranged on the top for display, so that medical staff can know the lead with the better current electrocardiosignal.
Optionally, the at least one preferred lead determined above is the optimal lead. The optimal leads are leads with optimal signal quality, which are determined by analyzing the signal quality of each lead. At least one preferred lead is an optimal lead, so that the preferred lead for electrocardiosignal monitoring can be ensured to be the optimal lead, and the monitoring accuracy of the electrocardiosignal is further ensured.
According to the method for determining the electrocardio calculation leads, when the initial calculation leads exist and the initial calculation leads are not the preferred leads, at least one preferred lead is determined to be the current calculation lead, namely the preferred lead is used for replacing the initial calculation lead as the current calculation lead, so that medical staff can monitor the optimal electrocardio signals in real time, and accuracy of heart rate detection and arrhythmia analysis is improved. The determination of the calculation lead supports manual modification of the medical staff, and the modification of the calculation lead does not modify the setting of the medical staff, so that the consistency of the calculation lead confirmed by the medical staff and the electrocardiosignal monitoring result is ensured.
In this embodiment, a method for determining an electrocardiographic calculation lead is provided, which may be used in medical devices such as electrocardiographic monitoring, and fig. 3 is a flowchart of a method for determining an electrocardiographic calculation lead according to an embodiment of the present application, and as shown in fig. 3, the flowchart includes the following steps:
s31, acquiring electrocardiosignals of a plurality of leads of the electrocardio monitoring equipment. The detailed description refers to the corresponding related descriptions of the above embodiments, and will not be repeated here.
S32, analyzing the electrocardiosignals and determining a preferred lead with the signal quality meeting preset conditions.
Specifically, the step S32 may include:
s321, performing characteristic analysis on the electrocardiosignals to obtain time-frequency characteristic values corresponding to the electrocardiosignals.
And the electrocardio monitoring equipment performs data preprocessing, time domain feature calculation and frequency domain feature calculation on the electrocardiosignals acquired by each lead to obtain a time-frequency feature value corresponding to each electrocardiosignal. Specifically, the electrocardiograph monitoring device can input electrocardiograph signals acquired by the leads into a low-pass filter and a high-pass filter, so that noise interference is removed.
And the electrocardio monitoring equipment analyzes the electrocardio data after noise interference is removed, and calculates the corresponding time domain characteristics and frequency domain characteristics. Wherein the time domain features include, but are not limited to, extreme point number, peak amplitude and width information; the frequency domain features include, but are not limited to, QRS complex primary band energy and electrocardiographic signal band energy information.
S322, comparing the time-frequency characteristic values corresponding to the plurality of leads to obtain a comparison result of the time-frequency characteristic values.
And comparing the time-frequency characteristics corresponding to the leads obtained by calculation by the electrocardio monitoring equipment with a preset threshold value, determining the signal noise condition corresponding to each lead, and obtaining a comparison result of the time-frequency characteristic values. The preset threshold is a preset time-frequency characteristic value for determining the noise state, and can be determined according to actual needs, which is not limited herein.
S323, determining the lead with the optimal electrocardiosignal from the leads based on the comparison result of the time-frequency characteristic values, and determining the lead with the optimal electrocardiosignal as the preferred lead.
And the electrocardio monitoring equipment can determine the lead with the optimal electrocardio signal from a plurality of leads according to the comparison result of the time-frequency characteristic values, and takes the lead as the optimal lead. Meanwhile, the electrocardiograph monitoring device can generate prompt information of the preferred lead, and the prompt information can be popup window prompt, text prompt and the like, and is not particularly limited herein.
As an optional embodiment, the step S32 may further include:
(1) It is determined whether the number of preferred leads is equal to the target number.
The target number is the preset number of preferred leads corresponding to the current electrode system and analysis mode. The electrocardiograph monitoring device may count the number of preferred leads currently determined to determine whether the number of preferred leads is equal to the target number. And (3) outputting prompt information of the preferred leads when the number of the target leads is equal to the number of the targets, displaying the prompt information on a display interface of the electrocardiograph monitoring equipment, and otherwise, executing the step (2).
(2) When the number of preferred leads is not equal to the target number, the preferred leads continue to be determined from the remaining leads.
When the number of the preferred leads is not equal to the target number, the electrocardiograph monitoring device does not complete the determination of the preferred leads, at this time, the electrocardiograph monitoring device can continue to conduct lead preference from the rest leads so as to continuously determine other preferred leads from the leads until the number of the preferred leads is consistent with the target number.
The relation between the number of the determined preferred leads and the target number is detected to determine whether the preferred leads are determined completely, so that the determination of the preferred leads can be ensured to be more comprehensive, and the influence of omission on the electrocardiographic monitoring effect is avoided.
Optionally, the step of determining the number of targets may include:
(1) Setting information of the electrocardiographic monitoring device is obtained, wherein the setting information comprises an analysis mode.
The setting information is related information that medical personnel can set the electrocardiograph monitoring process of the electrocardiograph monitoring equipment through an upper computer corresponding to the electrocardiograph monitoring equipment, the setting information comprises the setting of an analysis mode, the setting of an electrode system and the like, and the default setting of the electrocardiograph monitoring equipment can be adopted.
When the medical staff adopts the electrocardio monitoring equipment to carry out the electrocardio monitoring of the human body, the electrocardio monitoring equipment can respond to the monitoring operation of the medical staff and acquire the setting information of the current electrocardio monitoring equipment so as to determine corresponding lead information according to the setting information.
For example, the electrocardiographic monitoring device may determine the number of initially available leads corresponding to the electrode system based on current electrode system information. At the same time, the selection and validation of the initial calculated leads can be determined from the electrode system information, e.g., under a 5-electrode system, the initial calculated leads can select one or more of the I, II, III, AVR, AVL, AVF, V leads.
The current calculation lead used for the electrocardio parameters is selected from the plurality of leads, so that the calculation lead is more beneficial to help medical staff judge the characteristics of the electrocardio signals, and the electrocardio parameters are convenient for the medical staff to acquire.
It should be noted that each lead supports a preferred mode, and that subsequent lead preference can be performed when the preferred mode of the lead is on.
(2) And determining the target number of the preferred leads based on the analysis mode in which the electrocardiograph monitoring device is currently located.
The analysis mode comprises a single-lead mode and a multi-lead mode, and the electrocardio monitoring equipment can determine the target number of the preferred leads corresponding to the analysis mode according to the analysis mode. The number of the selected preferred leads is represented by N, and when the analysis mode is a single lead mode, the target number of the preferred leads is 1; when the analysis mode is a multi-lead mode, the target number of preferred leads can be set according to actual requirements, where N is greater than or equal to 2.
S33, determining the preferred lead as the current calculation lead, and displaying at least one preferred lead. The detailed description refers to the corresponding related descriptions of the above embodiments, and will not be repeated here.
According to the method for determining the electrocardio calculation leads, the lead with the optimal electrocardio monitoring signal is selected as the optimal lead by analyzing the time-frequency characteristic value of the electrocardio signal, so that the noise of the currently selected optimal lead is ensured to be relatively minimum, and the accuracy of heart rate detection results and arrhythmia detection results is improved. And determining the target number of the preferred leads for electrocardiographic monitoring by combining analysis mode information of electrocardiographic monitoring equipment, so as to be convenient for determining the preferred leads meeting the analysis mode.
In this embodiment, a device for determining an electrocardiographic calculation lead is further provided, and the device is used to implement the foregoing embodiments and preferred embodiments, and is not described in detail. As used below, the term "module" may be a combination of software and/or hardware that implements a predetermined function. While the means described in the following embodiments are preferably implemented in software, implementation in hardware, or a combination of software and hardware, is also possible and contemplated.
The embodiment provides a determining device for an electrocardiographic calculation lead, as shown in fig. 5, including:
an acquisition module 41 for acquiring electrocardiographic signals of a plurality of leads of the electrocardiographic monitoring device. The detailed description refers to the corresponding related description of the above method embodiments, and will not be repeated here.
The analysis module 42 is configured to analyze the electrocardiographic signal and determine a preferred lead whose signal quality meets a preset condition. The detailed description refers to the corresponding related description of the above method embodiments, and will not be repeated here.
A determining module 43 for determining the preferred lead as the currently calculated lead and displaying at least one preferred lead. The detailed description refers to the corresponding related description of the above method embodiments, and will not be repeated here.
According to the electrocardio calculation lead determining device, the electrocardio signals acquired by the plurality of leads of the electrocardio monitoring equipment are used for determining the preferential leads of which the electrocardio signal quality meets the preset condition, the preferential leads are determined to be the current calculation leads to be displayed on the electrocardio monitoring equipment, medical staff can conveniently determine the current calculation leads for monitoring the electrocardio signals, so that the medical staff can monitor the electrocardio signals by adopting the current calculation leads, the consistency of the current calculation leads used by the medical staff and the electrocardio signal monitoring results is ensured, and meanwhile, the monitoring accuracy of electrocardio parameters is improved.
The means for determining the leads of the electrocardiographic calculation in this embodiment are in the form of functional units, where the units are ASIC circuits, processors and memories executing one or more software or fixed programs, and/or other devices that can provide the functions described above.
Further functional descriptions of the above modules are the same as those of the above corresponding embodiments, and are not repeated here.
The embodiment of the application also provides electrocardiograph monitoring equipment, which is provided with the electrocardiograph calculation lead determining device shown in the figure 5.
Referring to fig. 6, fig. 6 is a schematic structural diagram of an electrocardiographic monitoring device according to an alternative embodiment of the present application, as shown in fig. 6, the device may include: a Display 505, such as a Display screen (Display), at least one processor 501, such as a CPU (Central Processing Unit ), at least one communication interface 503, a memory 504, at least one communication bus 502. Wherein a communication bus 502 is used to enable connected communications between these components. The communication interface 503 may include a Keyboard (Keyboard), and the optional communication interface 503 may further include a standard wired interface and a standard wireless interface. The memory 504 may be a high-speed RAM memory (Random Access Memory, volatile random access memory) or a non-volatile memory (non-volatile memory), such as at least one disk memory. The memory 504 may also optionally be at least one storage device located remotely from the aforementioned processor 501. Wherein the processor 501 may have stored in the memory 504 an application program in the apparatus described in connection with fig. 5 and the processor 501 invokes the program code stored in the memory 504 for performing any of the above-mentioned method steps.
The communication bus 502 may be a peripheral component interconnect standard (peripheral component interconnect, PCI) bus or an extended industry standard architecture (extended industry standard architecture, EISA) bus, among others. The communication bus 502 may be divided into an address bus, a data bus, a control bus, and the like. For ease of illustration, only one thick line is shown in fig. 6, but not only one bus or one type of bus.
Wherein the memory 504 may include volatile memory (english) such as random-access memory (RAM); the memory may also include a nonvolatile memory (english: non-volatile memory), such as a flash memory (english: flash memory), a hard disk (english: hard disk drive, abbreviated as HDD) or a solid state disk (english: solid-state drive, abbreviated as SSD); memory 504 may also include a combination of the types of memory described above.
The processor 501 may be a central processor (English: central processing unit, abbreviated: CPU), a network processor (English: network processor, abbreviated: NP) or a combination of CPU and NP.
The processor 501 may further include a hardware chip, among others. The hardware chip may be an application-specific integrated circuit (ASIC), a Programmable Logic Device (PLD), or a combination thereof (English: programmable logic device). The PLD may be a complex programmable logic device (English: complex programmable logic device, abbreviated: CPLD), a field programmable gate array (English: field-programmable gate array, abbreviated: FPGA), a general-purpose array logic (English: generic array logic, abbreviated: GAL), or any combination thereof.
Optionally, the memory 504 is also used for storing program instructions. The processor 501 may invoke program instructions to implement the method of determining the leads of the electrocardiographic calculation as shown in the embodiments of fig. 1-3 of the present application.
The embodiment of the application also provides a non-transitory computer storage medium, which stores computer executable instructions capable of executing the processing method of the determining method of the electrocardio calculation lead in any method embodiment. Wherein the storage medium may be a magnetic Disk, an optical Disk, a Read-Only Memory (ROM), a random access Memory (Random Access Memory, RAM), a Flash Memory (Flash Memory), a Hard Disk (HDD), or a Solid State Drive (SSD); the storage medium may also comprise a combination of memories of the kind described above.
Although embodiments of the present application have been described in connection with the accompanying drawings, various modifications and variations may be made by those skilled in the art without departing from the spirit and scope of the application, and such modifications and variations fall within the scope of the application as defined by the appended claims.

Claims (11)

1. A method for determining an electrocardiographic computing lead, comprising:
acquiring electrocardiosignals of a plurality of leads of an electrocardio monitoring device;
analyzing the electrocardiosignal and determining a preferred lead with signal quality meeting preset conditions;
the preferred lead is determined to be the current calculated lead and at least one preferred lead is displayed.
2. The method of claim 1, wherein the determining the preferred lead as the current calculated lead and displaying at least one preferred lead comprises:
when the initial calculated lead is not the preferred lead, determining the at least one preferred lead as the current calculated lead and displaying the at least one preferred lead.
3. The method of claim 1, wherein the determining the preferred lead as the current calculated lead and displaying at least one preferred lead comprises:
displaying prompt information of the preferred leads, wherein the prompt information is used for prompting a user to confirm the leads;
in response to a validation operation of the preferred lead, the initial computed lead is replaced with the current computed lead.
4. The method of claim 1, wherein the determining the preferred lead as the current calculated lead and displaying at least one preferred lead further comprises:
when multiple leads are displayed simultaneously, the at least one preferred lead is displayed overhead.
5. The method of any one of claims 1-4, wherein the at least one preferred lead is an optimal lead.
6. The method of claim 1, wherein analyzing the electrocardiographic signal and determining a preferred lead for which signal quality meets a preset condition comprises:
performing characteristic analysis on the electrocardiosignals to obtain time-frequency characteristic values corresponding to the electrocardiosignals;
comparing the time-frequency characteristic values corresponding to the plurality of leads to obtain a comparison result of the time-frequency characteristic values;
and determining the lead with the optimal electrocardiosignal from the leads based on the comparison result of the time-frequency characteristic values, and determining the lead with the optimal electrocardiosignal as the preferred lead.
7. The method as recited in claim 6, further comprising:
judging whether the number of the preferred leads is equal to the target number;
when the number of preferred leads is not equal to the target number, then continuing to determine preferred leads from the remaining leads.
8. The method as recited in claim 7, further comprising:
acquiring setting information of the electrocardio monitoring equipment, wherein the setting information comprises an analysis mode;
and determining the target number of the preferred leads based on the analysis mode of the electrocardiograph monitoring equipment.
9. A device for determining an electrocardiographic computing lead, comprising:
the acquisition module is used for acquiring electrocardiosignals of a plurality of leads of the electrocardio monitoring equipment;
the analysis module is used for analyzing the electrocardiosignal and determining a preferred lead of which the signal quality meets the preset condition;
a determining module for determining the preferred leads as current calculated leads and displaying at least one of the preferred leads.
10. An electrocardiographic monitoring device, comprising:
a display, a memory and a processor, wherein the display, the memory and the processor are in communication connection with each other, the memory stores computer instructions, and the processor executes the computer instructions, thereby executing the method for determining an electrocardiographic calculation lead according to any one of claims 1-8.
11. A computer-readable storage medium storing computer instructions for causing a computer to perform the method of determining an electrocardiographic calculation lead according to any one of claims 1-8.
CN202210551872.1A 2022-05-18 2022-05-18 Electrocardiogram calculation lead determining method, device, monitoring equipment and storage medium Pending CN117122329A (en)

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