CN117224139A - Electrocardiogram blood pressure on-screen display method, device, equipment and readable storage medium - Google Patents

Electrocardiogram blood pressure on-screen display method, device, equipment and readable storage medium Download PDF

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Publication number
CN117224139A
CN117224139A CN202210658997.4A CN202210658997A CN117224139A CN 117224139 A CN117224139 A CN 117224139A CN 202210658997 A CN202210658997 A CN 202210658997A CN 117224139 A CN117224139 A CN 117224139A
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blood pressure
data
analysis result
electrocardio
interval
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沈东雪
刘亚晗
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Edan Instruments Inc
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Edan Instruments Inc
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Abstract

The application relates to the technical field of electrocardiograph detection, and discloses an electrocardiograph blood pressure on-screen display method, device and equipment and a readable storage medium. The method comprises the following steps: acquiring electrocardio data; atrial fibrillation analysis is carried out on the electrocardio data to obtain a corresponding electrocardio analysis result; and displaying the electrocardio analysis result and the corresponding blood pressure data or the blood pressure analysis result thereof on the same screen. By the method, the atrial fibrillation behavior of the electrocardiograph data can be analyzed, meanwhile, the blood pressure data can be analyzed, the electrocardiograph data and the blood pressure data can be conveniently compared and analyzed, and the efficiency and the accuracy of the combined electrocardiograph blood pressure analysis are improved.

Description

Electrocardiogram blood pressure on-screen display method, device, equipment and readable storage medium
Technical Field
The application relates to the technical field of electrocardiograph detection, in particular to an electrocardiograph blood pressure on-screen display method, an electrocardiograph blood pressure on-screen display device, electrocardiograph blood pressure on-screen display equipment and a readable storage medium.
Background
Electrocardiography has been used more and more widely in clinic, can be used as an important clinical basis for diagnosing and distinguishing arrhythmia, and has important clinical value for diagnosing acute myocardial ischemia/infarction.
The blood pressure chart is a main means for evaluating blood pressure level, diagnosing hypertension and observing blood pressure reducing curative effect, and accurately measuring the change trend of blood pressure can improve the detection rate of early asymptomatic patients with mild hypertension or critical hypertension and can be used for timely treatment.
Current electrocardiographs and blood pressure maps are generally detected and displayed by two different devices, or an electrocardiograph detection device and a blood pressure detection device are integrated on one device for detection and display. However, electrocardiographic examination and blood pressure examination are performed independently, and do not interfere with each other, and thus the detected patient condition has a certain limitation.
Disclosure of Invention
The application provides an electrocardio-blood pressure same-screen display method, an electrocardio-blood pressure same-screen display device, electrocardio-blood pressure same-screen display equipment and a readable storage medium, which can analyze blood pressure data while analyzing atrial fibrillation behavior of electrocardio data, are convenient for comparing and analyzing electrocardio data and blood pressure data, and improve efficiency and accuracy of electrocardio-blood pressure combined analysis.
In order to solve the problems, the application adopts a technical scheme that an electrocardio-blood pressure same-screen display method is provided, and the method comprises the following steps: acquiring electrocardio data; atrial fibrillation analysis is carried out on the electrocardio data to obtain a corresponding electrocardio analysis result; and displaying the electrocardio analysis result and the corresponding blood pressure data or the blood pressure analysis result thereof on the same screen.
The atrial fibrillation analysis is performed on the electrocardiograph data to obtain a corresponding electrocardiograph analysis result, which comprises the following steps: analyzing the electrocardio data to obtain RR interval parameters; and drawing an RR interval analysis chart generated based on the RR interval parameters as an electrocardio analysis result.
The drawing of the RR interval analysis graph generated based on the RR interval parameters comprises the following steps: and drawing RR interval trend graphs of RR interval change along with time.
The drawing of the RR interval analysis graph generated based on the RR interval parameters comprises the following steps: and drawing an RR interval dispersion trend chart of the change of the RR interval dispersion along with time, wherein the RR interval dispersion is determined by the difference value of two adjacent RR intervals.
Wherein, after drawing the RR interval analysis graph generated based on the RR interval parameters, the method comprises the following steps: on an RR interval dispersion trend graph, determining a first area with RR interval dispersion larger than a set threshold value and determining a second area with RR interval dispersion smaller than the set threshold value; and displaying a first mark on the first area and displaying a second mark on the second area, wherein the first mark and the second mark are different.
Wherein, the blood pressure analysis result is obtained by at least the following steps: analyzing the blood pressure data to obtain at least one corresponding blood pressure record message, wherein the blood pressure record message comprises acquisition time and blood pressure characteristic parameters, and the blood pressure characteristic parameters comprise at least one of systolic pressure, diastolic pressure and pulse rate value; the same screen displays the electrocardio analysis result and the corresponding blood pressure data or the blood pressure analysis result thereof, comprising: and marking the blood pressure characteristic parameters at positions corresponding to the acquisition time in the RR interval analysis chart.
The labeling of the blood pressure characteristic parameters at the position corresponding to the acquisition time in the RR interval analysis chart comprises the following steps: responding to a selection instruction of a target time region in the RR interval analysis chart, and displaying a Lorenz scatter chart or a time-sharing scatter chart corresponding to the target time region; the Lorenz scatter diagram is used for representing the change trend of the adjacent RR intervals.
Wherein, the blood pressure analysis result is obtained by at least the following steps: analyzing the blood pressure data to obtain at least one corresponding blood pressure record message, wherein the blood pressure record message comprises acquisition time and blood pressure characteristic parameters, and the blood pressure characteristic parameters comprise at least one of systolic pressure, diastolic pressure and pulse rate value; drawing a circadian rhythm chart of the change of systolic pressure and diastolic pressure along with time in the same coordinate system, and marking a preset blood pressure value range by the circadian rhythm chart based on age; the same screen displays the electrocardio analysis result and the corresponding blood pressure data or the blood pressure analysis result thereof, comprising: the RR interval analysis map and the circadian map are displayed on the same screen.
In order to solve the above problems, another technical solution adopted by the present application is to provide an electrocardiographic blood pressure on-screen display method, which includes: acquiring blood pressure data; analyzing the blood pressure data to obtain a corresponding blood pressure analysis result; responding to the blood pressure analysis result as abnormality, and obtaining electrocardiographic data corresponding to the abnormality; atrial fibrillation analysis is carried out on the electrocardio data to obtain a corresponding electrocardio analysis result; and displaying the blood pressure analysis result and the electrocardio analysis result corresponding to the abnormality on the same screen.
In order to solve the above problems, another technical solution adopted by the present application is to provide a wearable device, which includes: the electrocardiograph data interface is used for connecting an electrocardiograph acquisition component worn on a living body to acquire electrocardiograph data acquired by the electrocardiograph acquisition component; the blood pressure data interface is used for connecting a blood pressure acquisition component worn on a living body to acquire blood pressure data acquired by the blood pressure acquisition component; the controller is connected with the electrocardio data interface and the blood pressure data interface and is used for carrying out atrial fibrillation analysis on the electrocardio data to obtain a corresponding electrocardio analysis result; and displaying the electrocardio analysis result and the corresponding blood pressure data or the blood pressure analysis result thereof on the same screen.
In order to solve the above problems, another technical solution adopted by the present application is to provide a wearable device, which includes: the blood pressure data interface is used for connecting a blood pressure acquisition component worn on a living body to acquire blood pressure data acquired by the blood pressure acquisition component; the controller is connected with the blood pressure data interface and is used for analyzing the blood pressure data to obtain a corresponding blood pressure analysis result; the electrocardio data interface is connected with the controller and is used for responding to the blood pressure analysis result as abnormality to obtain electrocardio data corresponding to the abnormality; the controller is also used for carrying out atrial fibrillation analysis on the electrocardio data to obtain a corresponding electrocardio analysis result; and displaying the blood pressure analysis result and the electrocardio analysis result corresponding to the abnormality on the same screen.
In order to solve the problems, the application adopts another technical scheme that an electrocardio-blood pressure same-screen display device is provided, and the electrocardio-blood pressure same-screen display device comprises a processor and a memory connected with the processor; the memory stores program data, and the processor retrieves the program data stored in the memory to realize the method for displaying the electrocardio and the blood pressure on the same screen.
In order to solve the above problems, another technical solution adopted by the present application is to provide a computer readable storage medium, where the computer readable storage medium is used to store program instructions, and the program instructions, when executed by a processor, are used to implement the method for displaying the electrocardiographic blood pressure on the same screen provided by the above technical solution.
The beneficial effects of the application are as follows: unlike the prior art, the application provides an electrocardio-blood pressure same-screen display method, which comprises the following steps: acquiring electrocardio data; atrial fibrillation analysis is carried out on the electrocardio data to obtain a corresponding electrocardio analysis result; and displaying the electrocardio analysis result and the corresponding blood pressure data or the blood pressure analysis result thereof on the same screen. By the method, the electrocardio analysis result and the corresponding blood pressure data or the blood pressure analysis result thereof can be displayed on the same screen, so that the atrial fibrillation behavior of the electrocardio data can be analyzed, the blood pressure data can be analyzed, the electrocardio data and the blood pressure data can be conveniently compared and analyzed, and the efficiency and the accuracy of the electrocardio-blood pressure combined analysis are improved.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings required for the description of the embodiments will be briefly described below, and it is apparent that the drawings in the following description are only some embodiments of the present application, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art. Wherein:
FIG. 1 is a schematic flow chart of an embodiment of an electrocardiographic blood pressure on-screen display method provided by the application;
FIG. 2 is a flow chart of a first embodiment of step 12 provided by the present application;
FIG. 3 is a schematic illustration of a cardiac cycle in electrocardiographic data;
FIG. 4 is an electrocardiographic representation of an embodiment of an electrocardiogram corresponding to electrocardiographic data;
FIG. 5 is an electrocardiographic plot of one embodiment of an RR interval scatter plot;
FIG. 6 is an electrocardiographic plot of one embodiment of an RR interval dispersion trend graph;
FIG. 7 is a schematic flow chart of another embodiment of an on-screen electrocardiographic blood pressure display method provided by the application;
FIG. 8 is a schematic diagram of another embodiment of an RR interval dispersion trend graph;
FIG. 9 is a schematic flow chart of another embodiment of an on-screen electrocardiographic blood pressure display method provided by the application;
FIG. 10 is a diagram showing an example of a blood pressure scatter trend chart in the blood pressure analysis result;
FIG. 11 is a schematic diagram of one embodiment of a Lorenz scatter plot corresponding to a target time zone;
FIG. 12 is a schematic diagram of one embodiment of a time-scatter plot corresponding to a target time zone;
FIG. 13 is a schematic diagram of a human-computer interface of a first embodiment showing the results of electrocardiographic analysis and blood pressure analysis on the same screen;
FIG. 14 is a schematic diagram of a human-computer interface of a second embodiment showing the results of electrocardiographic analysis and blood pressure analysis on the same screen;
FIG. 15 is a schematic diagram of a human-computer interface of a third embodiment showing the results of electrocardiographic analysis and blood pressure analysis on the same screen;
FIG. 16 is a schematic flow chart of another embodiment of an on-screen electrocardiographic blood pressure display method provided by the application;
fig. 17 is a schematic structural diagram of a wearable device provided by the present application;
fig. 18 is a schematic structural diagram of another wearable device provided by the present application;
FIG. 19 is a schematic diagram of an apparatus for displaying the same electrocardiographic blood pressure on a screen;
fig. 20 is a schematic structural diagram of an embodiment of a computer readable storage medium according to the present application.
Detailed Description
The technical solutions in 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. It is to be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the application. It should be further noted that, for convenience of description, only some, but not all of the structures related to the present application are shown in the drawings. 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.
The terms "comprising" and "having" and any variations thereof herein are intended to cover a non-exclusive inclusion. For example, a process, method, system, article, or apparatus that comprises a list of steps or elements is not limited to only those listed steps or elements but may include other steps or elements not listed or inherent to such process, method, article, or apparatus.
Reference herein to "an embodiment" means that a particular feature, structure, or characteristic described in connection with the embodiment may be included in at least one embodiment of the application. The appearances of such phrases in various places in the specification are not necessarily all referring to the same embodiment, nor are separate or alternative embodiments mutually exclusive of other embodiments. Those of skill in the art will explicitly and implicitly appreciate that the embodiments described herein may be combined with other embodiments.
Research shows that once a patient suffers from hypertension, the left heart afterload can be greatly increased due to the fact that the blood pressure of the patient is in a high level for a long time, and the renin angiotensin system is activated, so that ventricular diastolic dysfunction is caused, cardiac compliance is influenced, atrial muscle potential is unstable, dispersion is increased and the like, and atrial fibrillation is caused. In addition, the circadian rhythm of blood pressure of patients with hypertension and atrial fibrillation is changed, most of them are day blood pressure is reduced or blood pressure rises at night, and the type of anti-arytenoid blood pressure has a large specific gravity.
If the dynamic electrocardiogram and the dynamic blood pressure are monitored simultaneously and the monitoring data are analyzed simultaneously, the identification and the later treatment management of the patients with the hypertension combined with the paroxysmal atrial fibrillation are provided for an operator with more visual help. Therefore, in one embodiment of the present application, the blood pressure data and the electrocardiographic data obtained by the blood pressure detection and the electrocardiographic detection are subjected to the linkage analysis and the display, and it is expected to be convenient to perform the association analysis and the diagnosis on the body data of the patient.
Referring to fig. 1, fig. 1 is a schematic flow chart of an embodiment of an electrocardiographic blood pressure on-screen display method provided by the application. The method comprises the following steps:
step 11: and acquiring electrocardio data.
In some embodiments, blood pressure data may also be acquired.
In some embodiments, electrocardiographic data and blood pressure data may be acquired using a wearable device. Wherein, the wearable device may include a wearable electrocardiograph acquisition device and a wearable blood pressure acquisition device.
The wearable electrocardio acquisition device and the wearable blood pressure acquisition device can be arranged in a centralized manner on an electrocardio blood pressure same screen display device. For example, a wearable electrocardiograph acquisition device, a wearable blood pressure acquisition device and an electrocardiograph blood pressure same-screen display device are used as a master-slave mode. The electrocardio-blood pressure same-screen display device is a host end, and the wearable electrocardio-acquisition device and the wearable blood pressure acquisition device are slave ends.
The wearable electrocardio acquisition device, the wearable blood pressure acquisition device and the display device of biological detection information are in communication connection.
The electrocardiograph data and the blood pressure data can be local original data acquired by a sensor assembled on the electrocardiograph blood pressure same-screen display device, or electrocardiograph data and blood pressure data transmitted by other application ends. The wearable electrocardio acquisition device and the wearable blood pressure acquisition device can be formed by using the sensor.
For example, the electrocardiographic data may be obtained by converting an electrocardiographic signal acquired by an electrocardiographic data sensor, and the blood pressure data may be obtained by converting a blood pressure signal acquired by a blood pressure data sensor.
For acquiring electrocardiosignals, an electrocardio data acquisition unit can be worn on the limbs and the chest of a user, and the electrodes of the electrocardio data acquisition unit are contacted with a human body to acquire the heart electric activity signals of the user. Further, an electrocardio-blood pressure linkage detection device is used for receiving the electrocardio-activity signal of the electrocardio-data acquisition device, the electrocardio-activity signal is filtered by a low-pass filter to remove an interference common-frequency notch, and the filtered electrocardio-activity signal is subjected to data conversion by an Analog-to-Digital Converter (Analog-to-digital converter) to form electrocardio data.
Specifically, the acquired electrocardiographic data includes an acquisition period, an acquisition time, electrocardiographic parameters corresponding to electrocardiographic segments, and electrocardiographic events determined according to the electrocardiographic parameters. The electrocardiographic parameters corresponding to the electrocardiographic fragments comprise at least one of average heart rate, slowest heart rate, heart beat type, heart beat position, interval parameters, waveform parameters, fastest heart rate and total number of heart beats, and the electrocardiographic events comprise at least one of atrial premature beat, atrial speed, ventricular premature beat, single-shot ventricular premature beat, paired ventricular premature beat, ventricular speed and ventricular bivariate.
Optionally, electrodes are placed at different parts of a human body through an electrocardiograph data collector in a multi-lead mode, different leads are formed between every two electrodes or between the electrodes and a central potential end, and the electrodes are connected with the positive electrode and the negative electrode of an electrocardiograph ammeter through lead wires to record the electrical activity of the heart. The electrocardio data acquisition device comprises an electrocardio data acquisition device, a blood pressure display device and a data analysis device, wherein the number of leads of the electrocardio data acquisition device comprises 8 leads, 12 leads, 18 leads and the like, and the electrocardio data acquisition device can comprise a plurality of lead switching modes for acquiring and analyzing electrocardio data of different numbers of leads.
For collecting blood pressure signals, a blood pressure data collector can be worn on the limbs of a user, a main controller connected with the blood pressure data collector is utilized to control an air pump to inflate a cuff of the blood pressure data collector to a certain pressure value, the blood pressure is ensured to exceed the systolic pressure of a blood vessel, the blood flow is blocked, and then the air pump is controlled to deflate stepwise at a speed. During deflation, a primary pressure sensor located in the blood pressure data acquisition device converts pressure signals within the cuff into blood pressure electrical activity signals. Further, the electrocardio-blood pressure linkage detection device acquires a blood pressure electric activity signal of the blood pressure data acquisition device, filters the blood pressure electric activity signal through a low-pass filter to obtain a static pressure signal and a pulse signal of the cuff, and then performs data conversion on the static pressure signal and the pulse signal through the ADC analog-digital converter to form blood pressure data.
Specifically, the acquired blood pressure data includes a plurality of sets of blood pressure parameters, and an acquisition time of each set of blood pressure parameters. The blood pressure data acquisition device acquires blood pressure data once every other preset time to obtain a group of blood pressure parameters. Each set of blood pressure parameters includes at least one of an acquisition date, an acquisition time, a systolic pressure, a diastolic pressure, an average arterial pressure, a pulse rate, a posture feature, and an error code.
In some embodiments, the blood pressure data collector is from 10 on a day: 00 starts to collect blood pressure data every 2 hours, and 5 times of blood pressure data are collected in total. Namely, the acquired blood pressure data comprises five groups of blood pressure parameters, and the acquisition time corresponding to each group of blood pressure parameters is respectively 10: 00. 12: 00. 14: 00. 16: 00. 18:00 and 20:00.
optionally, the electrocardio-blood pressure same screen display device is respectively connected with the electrocardio-data collector and the blood pressure data collector. The controller of the electrocardio data collector and the controller of the blood pressure data collector are arranged in the electrocardio-blood pressure linkage detection device, and the electrocardio-blood pressure linkage detection device can be respectively in communication connection with the electrocardio data collector and the blood pressure data collector in a mode of using special communication protocols such as USB (Universal Serial Bus ), bluetooth or serial port. The electrocardio-blood pressure linkage detection device is used for controlling the electrocardio-data collector and the blood pressure data collector to carry out data collection tasks, setting data collection parameters, analyzing electrocardio-data and blood pressure data tasks and displaying related charts under different scenes. The electrocardio-blood pressure same-screen display device can also print corresponding data, analysis results, graphs/tables and other information or output report documents.
Optionally, the electrocardiographic blood pressure on-screen display device comprises an input module and a human-computer interface. The input module is used for inputting control signals to the electrocardio-blood pressure on-screen display device to control the electrocardio-blood pressure on-screen display device to run, such as inputting control signals for configuring acquisition modes (such as a single electrocardio mode, a single blood pressure mode and an electrocardio-blood pressure adding mode), acquisition duration, start-stop time, interval time and special function parameters (such as detection frequency parameters, early warning value parameters, channel number parameters and sampling rate parameters) and the like, so as to complete the function parameter configuration of the electrocardio-blood pressure on-screen display device, save the function parameter configuration, and facilitate subsequent continuous use. The human-computer interface is used for providing a user operation interface, such as an acquisition mode selection main interface for selecting electrocardiographic data acquisition or blood pressure data acquisition, a functional mode working interface for displaying electrocardiographic data or blood pressure data, a parameter setting interface for configuring acquisition data, and the like. For example, a certain piece of blood pressure data or electrocardiographic data can be set as invalid data through the input module, and the certain piece of blood pressure data or electrocardiographic data can be modified.
Specifically, the upper edge area of the human-computer interface comprises an option menu bar, and the application interface of the corresponding option can be displayed when the corresponding option identifier is selected and determined by the input module of the electrocardio-blood pressure linkage detection device. Wherein the option menu bar includes: patient information, templates, electrocardiographic analysis results, blood pressure analysis results, atrial fibrillation/atrial flutter, events, electrocardiographic analysis graphs, blood pressure analysis graphs, superposition graphs, scatter graphs, trend graphs, lists, statistical information, reports and other option identifiers, for example, the input module selects and determines a blood pressure analysis graph option, and then the human-computer interface displays corresponding blood pressure analysis graph information, such as a blood pressure histogram or a blood pressure circadian rhythm graph, marks thereof and the like. The human-computer interface of the electrocardio-blood pressure same-screen display device can input a selection instruction by the input module, and a corresponding display scheme is set according to the selection instruction. Optionally, displaying the protocol includes displaying any one or any combination of several of the electrocardiographic analysis results or blood pressure analysis results and their corresponding analysis maps or statistical maps/tables.
Alternatively, the input module may be a key input or a voice input. The key input device can comprise a plurality of keys, and the voice input device can comprise a plurality of voice keywords for inputting different control signals to the same-screen display device of the blood pressure. For example, the key input device may include four keys, namely a confirm key, a left key, a right key and a self-rescue key, where the confirm key, the left key and the right key are used for performing interface operation on a human-computer interface and inputting corresponding control signals to the on-screen display device of the electronic blood pressure. The self-rescue key is one-key triggering type, and the electrocardio-blood pressure same-screen display device receives a control signal sent by the self-rescue key and immediately starts a self-rescue mode. For example, the plurality of voice keywords in the voice inputter include the same functions as the plurality of keys in the key inputter. For example, a voice keyword is "blood pressure analysis chart", the voice input unit recognizes the keyword and sends a corresponding control signal to the on-screen display device for the electrocardiograph blood pressure, and the on-screen display device for the electrocardiograph blood pressure immediately displays the blood pressure histogram or the circadian rhythm chart of the blood pressure in the human-computer interface and provides operational functional options, such as modifying the blood pressure data, viewing the blood pressure data chart, and the like.
Step 12: and carrying out atrial fibrillation analysis on the electrocardio data to obtain a corresponding electrocardio analysis result.
Specifically, atrial fibrillation is divided into whole-course atrial fibrillation, long Cheng Fang atrial fibrillation and paroxysmal atrial fibrillation, and when atrial fibrillation occurs, the normal functions of hemodynamics can be seriously affected by the factors such as loss of synchronous mechanical activity of the heart, irregular ventricular response, and too high heart rate, so that various cardiovascular diseases with high death risk degree are caused. Therefore, atrial fibrillation analysis can be performed according to the electrocardio data, and diagnosis and study can be found and assisted as early as possible, so that the method has important significance for improving treatment countermeasures and treatment quality of patients, reducing incidence rate and death rate of critical diseases of the patients and the like.
Referring to fig. 2, step 12 may be the following steps.
Step 21: and analyzing the electrocardio data to obtain RR interval parameters.
As shown in fig. 3, fig. 3 is a schematic diagram of one cardiac cycle in electrocardiographic data. Wherein the abscissa of the cardiac cycle represents time and the ordinate of the cardiac cycle represents the detected signal value (e.g. voltage value) (the abscissa is not shown in fig. 3). Wherein a plurality of cardiac cycles are included in the global electrocardiographic data, each cardiac cycle representing a beat, one cardiac cycle being shown in fig. 3. Specifically, the heart beat parameters of one cardiac cycle mainly include PR interval and QT interval, which in turn includes QRS interval and JT interval. The heart beat parameters included between each interval are P-wave, Q-wave, R-wave, J-wave, T-wave and U-wave. Wherein the R wave between two cardiac cycles is the RR interval. One or a combination of any of the above-mentioned beat parameters is extracted in the electrocardiographic data, and the extracted beat parameters include at least RR interval parameters of each beat.
In one embodiment, as shown in fig. 4, fig. 4 is an electrocardiographic diagram of an embodiment of an electrocardiogram corresponding to electrocardiographic data. In the electrocardiogram of fig. 4, the electrocardiograph data has a start acquisition time of T1 and an end acquisition time of T4, which correspond to the cardiac cycles at which B and E are located, respectively, and four cardiac cycles C, A, D, E are further included after B is set, and the cardiac cycle position of a is T2-T3. The RR interval starts at time T5 and ends at time T6.
Wherein the RR interval is the interval between each heart beat. Because the electrocardiogram is measured by measuring the distance between two R waves, the interval between two heart beats is called RR interval. The heart chamber is the main part of heart beating, the QRS wave is the representation and record of the heart electrical variation of the heart chamber contraction on the electrocardiogram, the time interval between two heart beats is calculated, and the heart beating RR interval can be obtained by measuring the distance between two R waves on the electrocardiogram and converting.
It will be appreciated that a plurality of cardiac cycles may be included in the cardiac data, and in this embodiment, cardiac data for all cardiac cycles of the period may be acquired, and cardiac data for a portion of the cardiac cycles within the period may also be acquired, where the portion of the cardiac cycles should be continuous. For example, in one embodiment, where the cardiac data includes 24 hours of cardiac cycles, the cardiac data for all 24 hours of cardiac cycles may be acquired for subsequent processing operations, and the cardiac data for successive 12 hours of cardiac cycles may be acquired for subsequent processing operations.
In some embodiments, in response to the result of the electrocardiographic analysis being an electrocardiographic anomaly, determining a blood pressure data segment corresponding to the acquisition time in the blood pressure data, the electrocardiographic anomaly including a value of SDNN of less than 50, a first atrial fibrillation or a paroxysmal atrial fibrillation, atrial fibrillation information corresponding to P-wave disappearance or replacement by irregular f-waves, or irregular RR intervals, or an atrial fibrillation frequency of 350-600 times/minute.
In some embodiments, the data segments of the electrocardiograph may be analyzed for ST segments, resulting in ST analysis results. And responding to the ST analysis result as abnormality, and outputting at least blood pressure data corresponding to the abnormality or blood pressure analysis results obtained after analyzing the blood pressure data. Specifically, in response to ST abnormality raised by one millimeter or pressed against by one millimeter, at least the blood pressure data corresponding to the abnormality or a blood pressure analysis result obtained after analyzing the blood pressure data is output. For example, raised by more than one millimeter or pressed against more than one millimeter on the ordinate of the electrocardiogram.
When the ST segment data graph is raised by more than one millimeter or pressed against by more than one millimeter in a sudden manner, the ST is shown to be abnormal, the physical condition of the user is abnormal in a high probability, and corresponding blood pressure data or analysis results corresponding to the abnormality are required to be output so as to help analyze and judge the physical condition of the user. Here, one millimeter is a schematic abnormal data amount, which is a degree of improvement in a conventional display data trend chart, and is changed specifically in accordance with the ordinate data of the data chart.
Further, in response to the ST continuously raising the set raised amount or continuously pressing against the set depressed amount for a preset time, both the set raised amount and the set depressed amount are less than one millimeter, the blood pressure measuring device is controlled to be turned on to prepare for blood pressure measurement.
When the physical condition of the user is abnormal, blood pressure measurement is needed, and because the blood pressure measurement needs time, in order to conveniently judge the physical condition of the user, complete data when the physical condition of the user is abnormal is obtained, and the blood pressure measurement needs to be started in advance when abnormal ST data occurs. If the ST data is continuously raised or pressed over a certain period of time, it indicates that there is a certain continuous trend of change, and the probability of the ST data in the future in the near period of time will continue to change along the previous trend of change, which also indicates that the user may be about to have a physical abnormality. At this time, the blood pressure measurement is started, and the blood pressure measurement device is started. The set elevation and the set depression are each less than one millimeter.
Step 22: and drawing an RR interval analysis chart generated based on the RR interval parameters as an electrocardio analysis result.
For example, RR interval trend graphs are plotted for RR intervals over time.
In some embodiments, an RR interval analysis graph is established according to RR interval parameters, including any one or combination of an RR interval scatter trend graph and an RR interval dispersion trend graph. The RR interval scattered point trend graph is used for representing the change trend of RR intervals along with time, the RR interval dispersion trend graph is used for representing the change trend of RR interval dispersion along with time, and the RR interval dispersion is used for representing the dispersion degree of adjacent RR intervals.
Taking RR interval scattered point trend chart as an example:
as shown in FIG. 5, FIG. 5 is an electrocardiographic plot of one embodiment of an RR interval scatter plot. In general, 24-hour heart beats have 10 tens of thousands of times, and the 10 tens of thousands of heart beats are considered as a whole for study, which is the overall view of heart rhythm. The sinus RR intervals of the cardiac cycle in the time domain are also called NN intervals. The computer is used for identifying the QRS waves of the electrocardiosignals obtained by 24-hour synchronous multi-lead electrocardiogram record one by one, removing the non-sinus QRS waves, digitizing the electrocardiosignals and obtaining a series of mathematical statistics indexes related to RR intervals. The 24-hour RR interval scatter plot depicts over 10 tens of thousands of heart rhythms in a visual two-dimensional coordinate system. The 24-hour RR interval scatter plot is used to represent the trend of RR intervals over time. Which is also referred to as a rate trend graph.
The drawing principle of the 24-hour RR scattered point trend graph is that the specific time of occurrence of R wave is taken as an abscissa, and the interval between the R wave and the previous R wave is taken as an ordinate. The position of each scatter in the coordinate system represents both the moment at which it occurs and the length of its RR interval. The time axis is shortened by a computer, and more than 10 ten thousand scattered points of 24 hours are compressed in a visual field, which is shown as a solid line. The width of the "solid line" represents the difference of RR intervals, and the fluctuation of the "solid line" represents the rapid and slow change of the rhythm, and the higher the amplitude, the slower the heart rate; the lower the amplitude, the faster the representative heart rate. Therefore, the 24-hour RR interval scatter plot can intuitively reflect the 24-hour rhythm and the change with time of the whole heart, and analysis of the 24-hour RR scatter plot can provide an overall view for diagnosing heart rhythm. When there is still difficulty in diagnosing a rhythm, such as the presence of sporadic individual points or atypical scatter plot features, a scatter inversion technique, i.e., regression from a scatter to a segmented electrocardiogram corresponding to the point, may be employed. The whole dominant rhythm can be determined according to the scattered point graph, and the corresponding electrocardiogram can be analyzed according to the scattered point; the RR interval scatter trend graph can be used for evaluating heart rate fluctuation, autonomic nervous regulation and heart rate variability; can also be used for diagnosing arrhythmia and evaluating disease prognosis.
Taking RR interval dispersion trend chart as an example:
and drawing an RR interval dispersion trend chart of the change of the RR interval dispersion along with time, wherein the RR interval dispersion is determined by the difference value of two adjacent RR intervals.
As shown in FIG. 6, FIG. 6 is an electrocardiographic plot of one embodiment of an RR interval dispersion trend graph.
Specifically, the RR interval dispersion trend graph is used to represent the trend of the RR interval dispersion with time, and the RR interval dispersion is used to represent the degree of dispersion of adjacent RR intervals. The step of obtaining RR interval dispersion includes: acquiring the time difference between adjacent intervals in the 24-hour RR interval; the dispersion of 24-hour RR intervals was calculated from the time differences.
Specifically, the R peaks of 3 heartbeats are set to R1, R2 and R3 in time sequence, respectively, then the two RR intervals are R1R2 and R2R3, respectively, and then the dispersion of the RR intervals of these 3 heartbeats is s1= (r2r3—r1r2)/r1r2, where R1R2 is the period between R1 and R2, and R2R3 is the period between R2 and R3. Similarly, the dispersion of 24-hour RR intervals is S2, S3, S4, etc. And correspondingly drawing a 24-hour RR interval dispersion trend chart by taking the midpoint time of each RR interval as an abscissa and the dispersion of the RR interval as an ordinate. The RR interval dispersion trend graph is a trend graph which records RR interval dispersion in real time according to a time sequence, and on the trend graph, the brighter the area is, the higher the RR interval dispersion is, so that the occurrence of atrial fibrillation is indicated; darker areas indicate low RR interval dispersion, indicating no atrial fibrillation here. In other embodiments, atrial fibrillation occurrence regions may be further analyzed and confirmed using atrial fibrillation variability parameters, waterfall graphs, or power profiles.
Optionally, the area in which atrial fibrillation may exist in the trend chart is determined by the dispersion of each time point in the RR interval dispersion trend chart. Specifically, according to the dispersion of each time point in the RR interval dispersion trend chart, judging whether the dispersion of each time point is larger than a preset dispersion, and if the dispersion of a certain time point is larger than the preset dispersion, taking the position of the time point as a to-be-selected atrial fibrillation region in the RR interval dispersion trend chart.
In another embodiment, the RR interval dispersion trend graph may be further analyzed to be able to distinguish between a location where atrial fibrillation may be present and a location where atrial fibrillation may not be present in the RR interval dispersion trend graph.
Referring to fig. 7, after drawing an RR interval analysis map generated based on RR interval parameters, the following steps may be specifically included.
Step 71: on the RR interval dispersion trend graph, a first region where the RR interval dispersion is greater than a set threshold value is determined, and a second region where the RR interval dispersion is less than the set threshold value is determined.
Taking 3 heart beats as an example, the RR interval dispersion trend graph is divided into a plurality of segments. In time order, the R peaks of 3 heartbeats are R1, R2 and R3, respectively, then the two RR intervals are R1R2 and R2R3, respectively, and then the dispersion of the RR intervals of the segment is s1= (r2r3—r1r2)/R1R 2, wherein R1R2 is the time period between R1 and R2, and R2R3 is the time period between R2 and R3. The preset dispersion is S, when S1 is more than S, the area in the RR interval dispersion trend chart where the R1-R3 time periods are located is set as a first area, and when S1 is less than or equal to S, the area in the RR interval dispersion trend chart where the R1-R3 time periods are located is set as a second area. Similarly, the other dispersion in the 24-hour RR interval dispersion trend chart is set to S2, S3, S4 to Sn, the region where Sn > S in the RR interval dispersion trend chart is set to the first region, and the region where sn+.s in the RR interval dispersion trend chart is set to the second region.
Step 72: and displaying a first mark on the first area and displaying a second mark on the second area, wherein the first mark and the second mark are different.
Specifically, the first marker display may highlight the first region, and the second marker display may highlight the second region. The first identifier may be added to the first area and the second identifier may be added to the second area. The first mark and the second mark are different for the purpose of facilitating distinguishing the regions of Sn > S and Sn.ltoreq.S in the RR interval dispersion trend graph.
FIG. 8 is a schematic diagram of another embodiment of RR interval dispersion trend chart, as shown in FIG. 8.
Specifically, in the RR interval dispersion trend graph, the RR interval dispersion trend graph is divided into an upper half area and a lower half area at a position with S of dispersion by a white line parallel to a horizontal axis, and an arrow mark A is added to a first area with Sn being more than S for display, and an arrow mark B is added to a second area with Sn being less than or equal to S for display, so that the first area and the second area are distinguished.
The electrocardiographic analysis chart and the blood pressure analysis chart are respectively formed by drawing electrocardiographic analysis results and blood pressure analysis results according to the acquired data. In another embodiment, the circadian rhythm analysis of the blood pressure data to obtain a corresponding blood pressure analysis result may include a blood pressure scatter trend chart.
Referring to fig. 9, fig. 9 is a flowchart of another embodiment of an electrocardiographic blood pressure on-screen display method provided by the present application. The following steps may be included.
Step 91: extracting blood pressure characteristic values from the blood pressure data, wherein the blood pressure characteristic values comprise at least one of systolic pressure, diastolic pressure and pulse rate values.
Specifically, the blood pressure data acquired by the electrocardio blood pressure same-screen display device each time are arranged according to the time sequence, and blood pressure characteristic values are extracted from each blood pressure data. The blood pressure data collected each time comprises a collection date, collection time, systolic pressure, diastolic pressure, mean arterial pressure, pulse rate, body position characteristics and error codes. The blood pressure characteristic value includes at least one of a systolic pressure, a diastolic pressure, and a pulse rate value.
Step 92: and establishing a blood pressure scattered point trend graph according to the blood pressure characteristic values, wherein the blood pressure scattered point trend graph is used for representing the change trend of the blood pressure characteristic values along with time.
Fig. 10 is a schematic diagram of an embodiment of a blood pressure scatter trend chart in the blood pressure analysis result, as shown in fig. 10. Wherein, the abscissa of the blood pressure scattered trend graph represents time T, and the ordinate represents each corresponding value of the systolic pressure of the blood pressure characteristic value within 24 hours.
Specifically, each corresponding numerical value of the systolic pressure of the blood pressure characteristic value within 24 hours is taken as the ordinate of the blood pressure scattered point trend chart, the acquisition time of each numerical value point is taken as the abscissa, each numerical value point is correspondingly marked in the blood pressure scattered point trend chart, and one data value corresponds to one point. The blood pressure scattered point trend graph can be used for more directly and efficiently observing the blood pressure state of a user so as to be capable of visually carrying out subsequent association analysis and comparison.
In other embodiments, all the numerical points of systolic pressure may be connected as a solid line, and all the numerical points of diastolic pressure may be connected as a broken line, thus rendering a circadian blood pressure graph. The abscissa and ordinate of the circadian rhythm chart of the blood pressure are the acquisition time and the numerical value of the blood pressure data acquisition point respectively. Alternatively, the blood pressure circadian rhythm map may automatically identify the normal blood pressure range according to the age set by the electrocardiographic blood pressure on-screen display device, and identify the normal blood pressure range by means of a safety area, for example, display a high-low safety line in the blood pressure circadian rhythm map.
Step 13: and displaying the electrocardio analysis result and the corresponding blood pressure data or the blood pressure analysis result thereof on the same screen.
In some embodiments, in response to the result of the electrocardiographic analysis being an electrocardiographic anomaly, determining a blood pressure data segment corresponding to the acquisition time in the blood pressure data, the electrocardiographic anomaly including a value of SDNN of less than 50, a first atrial fibrillation or paroxysmal atrial fibrillation, atrial fibrillation information corresponding to the disappearance of P-waves or being replaced by irregular f-waves, or irregular RR intervals, or an atrial fibrillation frequency of 350-600 times/minute.
In some embodiments, the blood pressure data is analyzed to obtain at least one corresponding blood pressure record information, the blood pressure record information includes an acquisition time and a blood pressure characteristic parameter, and the blood pressure characteristic parameter includes at least one of a systolic pressure, a diastolic pressure and a pulse rate value.
Further, the blood pressure characteristic parameters are marked at the positions corresponding to the acquisition time in the RR interval analysis chart, so that the blood pressure characteristic parameters can be more intuitively seen during display.
In other embodiments, the blood pressure data is analyzed to obtain at least one corresponding blood pressure record, the blood pressure record includes an acquisition time and a blood pressure characteristic parameter, and the blood pressure characteristic parameter includes at least one of a systolic pressure, a diastolic pressure, and a pulse rate value.
Further, a circadian rhythm map of the systolic and diastolic pressures varying with time is drawn in the same coordinate system, the circadian rhythm map labeling a preset blood pressure value range based on age.
Finally, the RR interval analysis map and the circadian rhythm map are displayed on the same screen.
In some embodiments, RR interval analysis graphs of electrocardiographic analysis results and blood pressure scatter trend graphs of blood pressure analysis results are displayed on the same screen in a human-computer interface.
Optionally, the electrocardiographic blood pressure on-screen display device may further display a Lorenz scatter plot or a time-sharing scatter plot corresponding to the target time region in response to a selection instruction of the target time region in the RR interval analysis map. The Lorenz scatter diagram is used for representing the change trend of the adjacent RR intervals. The time-sharing scatter diagram is used for representing the change trend of adjacent RR intervals corresponding to a plurality of blood pressure sampling points in the target time region.
As shown in FIG. 11, FIG. 11 is a schematic diagram of one embodiment of a Lorenz scatter plot corresponding to a target time zone. The plotting principle of the Lorenz scatter diagram of the RR interval is that a coordinate system with X as a horizontal axis and Y as a vertical axis is established, coordinate data is derived from continuous RR intervals recorded by each heart beat, and points with X=RRn and Y=RRn+1 are continuously plotted in time sequence in the coordinate system, namely, a first abscissa point in the Lorenz scatter diagram is a first RR interval, and a second ordinate point of the first point is a second RR interval; the second abscissa is the second RR interval, the second ordinate is the third RR interval, and so on, until the last set of RR intervals is plotted in the Lorenz scatter plot. When the sites reach a certain number, scattered point patterns can be formed. Therefore, the Lorenz scatter plot can be used to represent the trend of the corresponding adjacent RR intervals for this target time region.
Alternatively, different types of heart rhythm Lorenz scatter plots may display different graphics. Wherein the sinus rhythm graph exhibits a distribution of 45 ° distribution. The supraventricular extra-systole is three-distributed, and the supraventricular extra-systole is four-distributed. When atrial fibrillation occurs, namely, atrial fibrillation behaviors occur among RRs in the application, the application presents a fan shape. Paroxysmal atrial fibrillation appears umbrella-shaped, the I-degree atrioventricular block appears three-distributed, and the whole graph moves towards one end far away from the origin.
As shown in FIG. 12, FIG. 12 is a schematic diagram of an embodiment of a time-sharing scatter diagram corresponding to a target time zone.
Similar to the Lorenz scatter plot of the RR interval, the plotting principle of the time-sharing scatter plot is that a coordinate system with X as a horizontal axis and Y as a vertical axis is established, coordinate data is derived from continuous RR intervals of a target time region in a blood pressure scatter plot, and points with X=RRm and Y=RRm+1 are continuously plotted in time sequence in the coordinate system, namely, a first abscissa position in the time-sharing scatter plot is a first RR interval in the target time region, and a first ordinate position in the time-sharing scatter plot is a second RR interval in the target time region; the second abscissa position is the second RR interval in the target time zone, the second ordinate position is the third RR interval in the target time zone, and so on, until the position of the last set of RR intervals is drawn in the target time zone. When the sites reach a certain number, scattered point patterns can be formed. Therefore, the time-division scatter plot can be used to represent the trend of the variation of adjacent RR intervals corresponding to the plurality of blood pressure sampling points in the target time region.
As shown in fig. 13, fig. 13 is a schematic diagram of a human-computer interface for displaying the results of electrocardiographic analysis and the results of blood pressure analysis on the same screen. The menu bar is displayed on the top side of the human-computer interface, and the blood pressure scattered point trend chart, the RR interval scattered degree trend chart, the cardiac cycle trend chart and the blood pressure day and night rhythm chart are sequentially displayed from the menu bar. The RR interval dispersion trend graph is marked with a first area and a second area.
Optionally, one or more target time areas in the blood pressure scattered point trend chart can be selected from the human-computer interface, and Lorenz scattered points and/or time-sharing scattered points corresponding to the target time areas are displayed on the same screen. The same-screen display mode can include that Lorenz scatter diagrams and/or time-sharing scatter diagrams are displayed in a suspension mode on the uppermost layer of the human-computer interface, and the human-computer interface can be divided into two display modules, wherein one display module displays other electrocardio analysis results or blood pressure analysis results, and the other display module displays Lorenz scatter diagrams and/or time-sharing scatter diagrams.
As shown in fig. 14, fig. 14 is a schematic diagram of a human-computer interface for displaying the electrocardiographic analysis result and the blood pressure analysis result in a same screen. The human-computer interface comprises a menu bar, a blood pressure scattered point trend chart, an RR interval scattered point trend chart and a Lorenz scattered point chart, wherein the menu bar is displayed on the top side of the human-computer interface, the blood pressure scattered point trend chart, the RR interval scattered point trend chart and the Lorenz scattered point chart are sequentially displayed from the menu bar downwards, and a plurality of time-sharing scattered point charts are displayed on the other side of the human-computer interface. The RR interval dispersion trend graph is marked with a first area and a second area.
Optionally, a dotted line selection may also be supported in the human-machine interface. The specific operation steps are that a human-computer interface responds to a click command to a certain target position in the blood pressure scattered point trend graph, a point selection line corresponding to the target position is displayed, and a blood pressure characteristic value of the corresponding position is displayed on the point selection line. Clicking any position in the blood pressure scattered point trend graph, and popping up a suspension window or adding a window on a human-computer interface to display the blood pressure characteristic value of the position, wherein a point selection line appears in the graph, and the point selection line is displayed with the value of the point.
As shown in fig. 15, fig. 15 is a schematic diagram of a human-computer interface for displaying the result of electrocardiographic analysis and the result of blood pressure analysis on the same screen. The human-computer interface comprises a menu bar, a blood pressure scattered point trend chart, an RR interval scattered point trend chart and a Lorenz scattered point chart, wherein the menu bar is displayed on the top side of the human-computer interface, the blood pressure scattered point trend chart, the RR interval scattered point trend chart and the Lorenz scattered point chart are sequentially displayed from the menu bar downwards, and a plurality of time-sharing scattered point charts are displayed on the other side of the human-computer interface. And responding to a clicking instruction on a T1 target position in the blood pressure scattered point trend chart by the human-computer interface, displaying a point selection line corresponding to the T1, displaying the values of the systolic pressure and the diastolic pressure of the corresponding positions on the point selection line, popping up a suspension window to suspend and display the blood pressure characteristic parameters adjacent to the target position, and coarsely distinguishing the target blood pressure characteristic parameters.
Compared with the prior art, the application provides a method for displaying the electrocardio and the blood pressure on the same screen, which comprises the following steps: acquiring electrocardio data; atrial fibrillation analysis is carried out on the electrocardio data to obtain a corresponding electrocardio analysis result; and displaying the electrocardio analysis result and the corresponding blood pressure data or the blood pressure analysis result thereof on the same screen. By means of the method, on one hand, the blood pressure information and the electrocardio information are detected in a linkage mode, and atrial fibrillation behavior of electrocardio data and circadian rhythm parameters of the blood pressure data are detected and analyzed, so that a detection result is scientific and valuable; on the other hand, the method can select a plurality of modes to display the electrocardio analysis result and the blood pressure analysis result in a human-computer interface in a correlated manner, so that the electrocardio information can be analyzed, the blood pressure data information can be analyzed at the same time, the data comparison analysis is convenient, and the efficiency and the accuracy of the electrocardio-blood pressure combined analysis are improved.
Referring to fig. 16, fig. 16 is a flowchart illustrating an embodiment of an electrocardiographic blood pressure on-screen display method according to the present application. The method comprises the following steps:
step 161: blood pressure data is acquired.
Step 162: and analyzing the blood pressure data to obtain a corresponding blood pressure analysis result.
Steps 161 to 162 have the same or similar technical schemes as any of the above embodiments, and are not described here.
Step 163: and responding to the blood pressure analysis result as abnormality, and obtaining electrocardiographic data corresponding to the abnormality.
Step 164: and carrying out atrial fibrillation analysis on the electrocardio data to obtain a corresponding electrocardio analysis result.
Step 165: and displaying the blood pressure analysis result and the electrocardio analysis result corresponding to the abnormality on the same screen.
Steps 164 to 165 have the same or similar technical solutions as any of the above embodiments, and are not described here.
In the embodiment, when the blood pressure analysis result is abnormal, atrial fibrillation analysis is performed on the electrocardiographic data to obtain a corresponding electrocardiographic analysis result, so that the detection result is more scientific and valuable; on the other hand, the method can select a plurality of modes to display the electrocardio analysis result and the blood pressure analysis result in a human-computer interface in a correlated manner, so that the electrocardio information can be analyzed, the blood pressure data information can be analyzed at the same time, the data comparison analysis is convenient, and the efficiency and the accuracy of the electrocardio-blood pressure combined analysis are improved.
Referring to fig. 17, fig. 17 is a schematic structural diagram of a wearable device according to the present application, where the wearable device 170 includes: an electrocardiographic data interface 171, a blood pressure data interface 172, and a controller 173.
The electrocardiograph data interface 171 is used for connecting an electrocardiograph acquisition component worn on a living body to acquire electrocardiograph data acquired by the electrocardiograph acquisition component.
The blood pressure data interface 172 is used for connecting with a blood pressure acquisition component worn on the living body to acquire blood pressure data acquired by the blood pressure acquisition component.
The controller 173 is connected with the electrocardiograph data interface and the blood pressure data interface, and is used for performing atrial fibrillation analysis on electrocardiograph data to obtain a corresponding electrocardiograph analysis result; and displaying the electrocardio analysis result and the corresponding blood pressure data or the blood pressure analysis result thereof on the same screen.
In some embodiments, the wearable device 170 is capable of implementing the aspects of any of the embodiments described above.
Referring to fig. 18, fig. 18 is a schematic structural diagram of a wearable device provided by the present application, where the wearable device 180 includes: an electrocardiographic data interface 181, a blood pressure data interface 182, and a controller 183.
The blood pressure data interface 181 is used for connecting with a blood pressure acquisition component worn on a living body to acquire blood pressure data acquired by the blood pressure acquisition component.
The controller 183 is connected to the blood pressure data interface 181, and is configured to analyze the blood pressure data to obtain a corresponding blood pressure analysis result.
The electrocardiograph data interface 182 is connected to the controller 183, and is configured to obtain electrocardiograph data corresponding to the abnormality in response to the blood pressure analysis result being abnormal.
The controller 183 is further configured to perform atrial fibrillation analysis on the electrocardiographic data to obtain a corresponding electrocardiographic analysis result; and displaying the blood pressure analysis result and the electrocardio analysis result corresponding to the abnormality on the same screen.
In some embodiments, the wearable device 180 is capable of implementing the solution of any of the embodiments described above.
Referring to fig. 19, fig. 19 is a schematic structural diagram of an electrocardiograph blood pressure on-screen display device provided by the present application, where the electrocardiograph blood pressure on-screen display device 100 includes a processor 101 and a memory 102 connected to the processor 101, where the memory 102 stores program data, and the processor 101 retrieves the program data stored in the memory 102 to execute the electrocardiograph blood pressure on-screen display method described above.
The electrocardiograph blood pressure same screen display device 100 may be a comprehensive detection and display instrument, which may include electrocardiograph detection, blood pressure detection, ultrasonic detection or nuclear magnetic detection, and has a human-machine interface for displaying electrocardiograph data information, blood pressure data information, ultrasonic data information or nuclear magnetic data information. For example, the electrocardiograph blood pressure same screen display device 100 can be applied to a large diagnosis and treatment technology in a hospital, can be a portable small electrocardiograph blood pressure display device, can be conveniently worn on a human body, and can acquire and display electrocardiograph data and blood pressure data of the human body according to preset rules.
Optionally, in an embodiment, the processor 101 is configured to execute the program data to implement the following method: acquiring electrocardio data; atrial fibrillation analysis is carried out on the electrocardio data to obtain a corresponding electrocardio analysis result; displaying the electrocardio analysis result and corresponding blood pressure data or the blood pressure analysis result thereof on the same screen;
Or, acquiring blood pressure data; analyzing the blood pressure data to obtain a corresponding blood pressure analysis result; responding to the blood pressure analysis result as abnormality, and obtaining electrocardiographic data corresponding to the abnormality; atrial fibrillation analysis is carried out on the electrocardio data to obtain a corresponding electrocardio analysis result; and displaying the blood pressure analysis result and the electrocardio analysis result corresponding to the abnormality on the same screen.
The processor 101 may also be referred to as a CPU (Central Processing Unit ). The processor 101 may be an electronic chip with signal processing capabilities. Processor 101 may also be a general purpose processor, a Digital Signal Processor (DSP), an Application Specific Integrated Circuit (ASIC), a Field Programmable Gate Array (FPGA) or other programmable logic device, discrete gate or transistor logic, discrete hardware components. A general purpose processor may be a microprocessor or the processor may be any conventional processor or the like.
The memory 102 may be a memory bank, a TF card, etc., and may store all information in the same-screen display device 100 for electrocardiographic blood pressure, including input raw data, a computer program, intermediate operation results, and final operation results, which are all stored in the memory 102. It stores and retrieves information based on the location specified by the processor 101. With the memory 102, the same-screen display device 100 for electrocardiograph and blood pressure has a memory function, so that normal operation can be ensured. The memory 102 of the on-screen electrocardiographic blood pressure display device 100 may be divided into a main memory (memory) and an auxiliary memory (external memory) according to the purpose, and there is also a classification method of dividing the main memory into an external memory and an internal memory. The external memory is usually a magnetic medium, an optical disk, or the like, and can store information for a long period of time. The memory refers to a storage component on the motherboard for storing data and programs currently being executed, but is only used for temporarily storing programs and data, and the data is lost when the power supply is turned off or the power is turned off.
In the several embodiments provided in the present application, it should be understood that the disclosed method and apparatus may be implemented in other manners. For example, the embodiment of the electrocardiographic blood pressure on-screen display device 100 described above is merely illustrative, for example, the manner in which the electrocardiographic analysis result and the blood pressure analysis result are displayed on the human-computer interface, or the selection of the sampling time of the blood pressure data and the display of the corresponding portion of the electrocardiographic analysis result are merely a set manner, and there may be other dividing manners in actual implementation, for example, multiple electrocardiographic analysis trend graphs and blood pressure analysis trend graphs may be combined or may be integrated into another system, or some features may be omitted or not performed.
In addition, each functional unit (such as an electrocardiograph data collector, a blood pressure data collector, a human-computer interface or an input module, etc.) in each embodiment of the present application may be integrated in one processing unit, or each unit may exist alone physically, or two or more units may be integrated in one unit. The integrated units may be implemented in hardware or in software functional units.
Referring to fig. 20, fig. 20 is a schematic structural diagram of an embodiment of a computer readable storage medium provided in the present application, where the computer readable storage medium 110 stores program instructions 111 capable of implementing all the methods described above.
The units integrated with the functional units in the various embodiments of the present application may be stored in the computer-readable storage medium 110 if implemented in the form of software functional units and sold or used as separate products. Based on such understanding, the technical solution of the present application may be embodied essentially or in a part contributing to the prior art or all or part of the technical solution in the form of a software product, and the computer readable storage medium 110 includes several instructions in a program instruction 111 to enable a computer device (which may be a personal computer, a system server, or a network device, etc.), an electronic device (such as MP3, MP4, etc., also a mobile terminal such as a mobile phone, a tablet computer, a wearable device, etc., also a desktop computer, etc.), or a processor (to perform all or part of the steps of the methods of the embodiments of the present application.
Optionally, in an embodiment, the program instructions 111 when executed by the processor are configured to implement the following method: acquiring electrocardio data; atrial fibrillation analysis is carried out on the electrocardio data to obtain a corresponding electrocardio analysis result; displaying the electrocardio analysis result and corresponding blood pressure data or the blood pressure analysis result thereof on the same screen;
Or, acquiring blood pressure data; analyzing the blood pressure data to obtain a corresponding blood pressure analysis result; responding to the blood pressure analysis result as abnormality, and obtaining electrocardiographic data corresponding to the abnormality; atrial fibrillation analysis is carried out on the electrocardio data to obtain a corresponding electrocardio analysis result; and displaying the blood pressure analysis result and the electrocardio analysis result corresponding to the abnormality on the same screen.
In some embodiments, in any of the above methods, the on-screen display is triggered only when abnormal features, such as some unobvious abnormal waveforms, such as the peak and trough in the cardiac cycle, the P-wave, the position and amplitude of the ST segment, etc., are identified, and at this time, the part displayed on the same screen greatly reduces the workload of a doctor for comparing and analyzing all the blood pressure data and the electrocardiographic data, and the part displayed on the same screen has more clinical value. In some embodiments, the trigger condition of the on-screen display may be manually triggered when the doctor observes an abnormal feature. For example, a trigger key is set on the corresponding device, and corresponding blood pressure data and electrocardiographic data are displayed on the same screen in response to the trigger key being selected.
In some embodiments, the trigger condition for the on-screen display may be that the device automatically triggers upon recognition of an abnormal feature. And responding to the trigger, and displaying corresponding blood pressure data and electrocardio data on the same screen.
The method comprises the steps that a doctor analyzes all electrocardiographic data and blood pressure data, identifies abnormal characteristics, and then manually calls out the data to display the data on the same screen; or through training a model, the abnormal characteristics can be intelligently identified so as to call the data of the corresponding time period and display the data on the same screen.
In some embodiments, in any of the above methods, only the blood pressure data and the electrocardiographic data in the abnormal time period are displayed on the same screen, for example, in a 24-hour acquired data map, only the data in the abnormal time period are displayed, and the data corresponding to the normal time period are not displayed, so that the portion of the blood pressure data and the electrocardiographic data in the abnormal time period, which are manually analyzed by a doctor, are more clinically valuable.
In some embodiments, the blood pressure data and the electrocardiographic data can be associated with each other based on the method of any one of the above embodiments; and association analysis in two data analysis; and associated display when two kinds of data are displayed; and associated exports when both data are exported. Wherein the two data displays include displaying a scatter plot, a histogram, a trend plot, a data table, a single data analysis result, a comparison data analysis result, and the like.
In some embodiments, in any of the above methods, the electrocardiographic data may be first analyzed to identify various anomalies of the electrocardiographic data, such as several anomalies of cardiac variability, several anomalies of atrial fibrillation, several anomalies of P-waves, and several anomalies of ST-segments); classifying various anomalies; finally, the blood pressure data of several abnormal categories with clinical value and corresponding time periods are displayed on the same screen, and the workload of doctors for comparing and analyzing all blood pressure data and electrocardio data is greatly reduced by the part displayed on the same screen, so that the doctor can conveniently perform manual analysis and the part displayed on the same screen has more clinical value.
In an application scene, a user wears the wearable device to acquire data in a hospital, outdoors and at home, the wearable device identifies abnormal characteristics of the data, and when the abnormal characteristics are identified, the corresponding abnormal data are sent to a doctor through a cloud for manual analysis so as to obtain advice fed back by the doctor, so that the workload of the doctor for comparing and analyzing all blood pressure data and electrocardiograph data is greatly reduced, the doctor can conveniently analyze the data manually, and the transmitted data has clinical analysis value. Through the mode, the wearable device sends the corresponding abnormal data to the doctor system through the cloud, so that the transmission quantity of the wearable device to the data can be reduced, the requirement on communication hardware of the wearable device is reduced, and the cost of the wearable device can be reduced. Further, the loss rate in the data transmission process can be reduced by the smaller data transmission quantity, and the effectiveness of the data is improved. Further, because the corresponding abnormal data is sent to the doctor system through the cloud, interaction with the cloud can be reduced by the wearable device, battery power is saved, and service time of the wearable device is prolonged.
In an application scene, a user wears the wearable device to collect data in a remote measurement mode in a hospital, outdoors and at home and send the collected data to the cloud in real time, the cloud identifies abnormal characteristics of the data, and when the abnormal characteristics are identified, the corresponding abnormal data are sent to a doctor system through the cloud to be manually analyzed, so that advice fed back by the doctor system is obtained, the workload of a doctor for comparing and analyzing all blood pressure data and electrocardio data is greatly reduced, manual analysis is conveniently carried out by the doctor, and the transmitted data has clinical analysis value.
In summary, the method, the device, the equipment and the readable storage medium in any of the embodiments can solve the technical problem that the blood pressure data and the electrocardio data need to be compared and analyzed under specific conditions.
The foregoing is only the embodiments of the present application, and therefore, the patent scope of the application is not limited thereto, and all equivalent structures or equivalent processes using the descriptions of the present application and the accompanying drawings, or direct or indirect application in other related technical fields, are included in the scope of the application.

Claims (14)

1. An electrocardiographic blood pressure on-screen display method, which is characterized by comprising the following steps:
Acquiring electrocardio data;
performing atrial fibrillation analysis on the electrocardiograph data to obtain a corresponding electrocardiograph analysis result;
and displaying the electrocardio analysis result and corresponding blood pressure data or the blood pressure analysis result thereof on the same screen.
2. The method of claim 1, wherein the step of determining the position of the substrate comprises,
the atrial fibrillation analysis is performed on the electrocardiograph data to obtain a corresponding electrocardiograph analysis result, which comprises the following steps:
analyzing the electrocardio data to obtain RR interval parameters;
and drawing an RR interval analysis chart generated based on the RR interval parameters, and taking the RR interval analysis chart as the electrocardio analysis result.
3. The method of claim 2, wherein the step of determining the position of the substrate comprises,
the drawing of the RR interval analysis chart generated based on the RR interval parameters includes:
and drawing an RR interval trend graph of the RR interval change along with time.
4. The method of claim 2, wherein the step of determining the position of the substrate comprises,
the drawing of the RR interval analysis chart generated based on the RR interval parameters includes:
and drawing an RR interval dispersion trend chart of the change of the RR interval dispersion along with time, wherein the RR interval dispersion is determined by the difference value of two adjacent RR intervals.
5. The method of claim 4, wherein the step of determining the position of the first electrode is performed,
the drawing of the RR interval analysis chart generated based on the RR interval parameters includes:
On the RR interval dispersion trend graph, determining a first area in which the RR interval dispersion is larger than a set threshold value, and determining a second area in which the RR interval dispersion is smaller than the set threshold value;
and displaying a first mark on the first area and displaying a second mark on the second area, wherein the first mark and the second mark are different.
6. The method of claim 2, wherein the step of determining the position of the substrate comprises,
the blood pressure analysis result is obtained by at least the following steps:
analyzing the blood pressure data to obtain at least one corresponding blood pressure record message, wherein the blood pressure record message comprises acquisition time and blood pressure characteristic parameters, and the blood pressure characteristic parameters comprise at least one of systolic pressure, diastolic pressure and pulse rate value;
the same screen displays the electrocardiograph analysis result and corresponding blood pressure data or the blood pressure analysis result thereof, and the method comprises the following steps:
and marking the blood pressure characteristic parameters at positions corresponding to the acquisition time in the RR interval analysis chart.
7. The method of claim 6, wherein the step of providing the first layer comprises,
the labeling the blood pressure characteristic parameter at the position corresponding to the acquisition time in the RR interval analysis chart comprises the following steps:
Responding to a selection instruction of a target time region in the RR interval analysis chart, and displaying a Lorenz scatter chart or a time-sharing scatter chart corresponding to the target time region;
the Lorenz scatter diagram is used for representing the change trend of the adjacent RR intervals.
8. The method of claim 2, wherein the step of determining the position of the substrate comprises,
the blood pressure analysis result is obtained by at least the following steps:
analyzing the blood pressure data to obtain at least one corresponding blood pressure record message, wherein the blood pressure record message comprises acquisition time and blood pressure characteristic parameters, and the blood pressure characteristic parameters comprise at least one of systolic pressure, diastolic pressure and pulse rate value;
drawing a circadian rhythm chart of the change of systolic pressure and diastolic pressure along with time in the same coordinate system, wherein the circadian rhythm chart marks a preset blood pressure value range based on age;
the same screen displays the electrocardiograph analysis result and corresponding blood pressure data or the blood pressure analysis result thereof, and the method comprises the following steps:
and displaying the RR interval analysis graph and the circadian rhythm graph on the same screen.
9. The method of claim 1, wherein the step of determining the position of the substrate comprises,
the same screen displaying the electrocardio analysis result and the corresponding blood pressure data or the blood pressure analysis result thereof comprises the following steps:
And responding to the electrocardio analysis result to be an electrocardio abnormality, determining a blood pressure data segment corresponding to the acquisition time in the blood pressure data, wherein the electrocardio abnormality comprises that the value of SDNN is less than 50, atrial fibrillation or paroxysmal atrial fibrillation is generated, and atrial fibrillation information corresponds to disappearance of P waves or replacement of P waves by irregular f waves, or irregular RR intervals, or the atrial fibrillation frequency is 350-600 times/minute.
10. An electrocardiographic blood pressure on-screen display method, which is characterized by comprising the following steps:
acquiring blood pressure data;
analyzing the blood pressure data to obtain a corresponding blood pressure analysis result;
responding to the blood pressure analysis result as an abnormality, and obtaining electrocardiographic data corresponding to the abnormality;
performing atrial fibrillation analysis on the electrocardiograph data to obtain a corresponding electrocardiograph analysis result;
and displaying the blood pressure analysis result and the electrocardio analysis result corresponding to the abnormality on the same screen.
11. A wearable device, the wearable device comprising:
the electrocardiograph data interface is used for connecting an electrocardiograph acquisition component worn on a living body to acquire electrocardiograph data acquired by the electrocardiograph acquisition component;
the blood pressure data interface is used for connecting a blood pressure acquisition component worn on a living body to acquire blood pressure data acquired by the blood pressure acquisition component;
The controller is connected with the electrocardio data interface and the blood pressure data interface and is used for carrying out atrial fibrillation analysis on the electrocardio data to obtain a corresponding electrocardio analysis result; and displaying the electrocardio analysis result and corresponding blood pressure data or the blood pressure analysis result thereof on the same screen.
12. A wearable device, the wearable device comprising:
the blood pressure data interface is used for connecting a blood pressure acquisition component worn on a living body to acquire blood pressure data acquired by the blood pressure acquisition component;
the controller is connected with the blood pressure data interface and is used for analyzing the blood pressure data to obtain a corresponding blood pressure analysis result;
an electrocardiograph data interface connected with the controller and used for responding to the blood pressure analysis result as an abnormality to obtain electrocardiograph data corresponding to the abnormality;
the controller is also used for carrying out atrial fibrillation analysis on the electrocardio data to obtain a corresponding electrocardio analysis result; and displaying the blood pressure analysis result and the electrocardio analysis result corresponding to the abnormality on the same screen.
13. An electrocardiograph blood pressure on-screen display device, characterized in that the electrocardiograph blood pressure on-screen display device comprises a processor and a memory connected with the processor, wherein program data are stored in the memory, and the processor calls the program data stored in the memory to execute the electrocardiograph blood pressure on-screen display method according to any one of claims 1-10.
14. A computer readable storage medium having stored therein program instructions, wherein the program instructions are executed to implement the method of any of claims 1-10.
CN202210658997.4A 2022-06-08 2022-06-08 Electrocardiogram blood pressure on-screen display method, device, equipment and readable storage medium Pending CN117224139A (en)

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