RU55266U1 - COMPLEX FOR EXPRESS DIAGNOSTICS OF THE HEART - Google Patents

Abstract

The utility model relates to the field of medical technology and, in particular, is intended for rapid diagnosis of the human cardiovascular system. The complex for express diagnostics of the heart is formed by a unit of an amplifier-converter of electrocardiographic signals 3 and a processing unit of electrocardiographic signals 4, made on the basis of a microprocessor, connected in series with the electrode system 2. Also, the input of the electrocardiographic signal analysis unit 5, the input of the electrocardiographic signal visualization unit 6 and the input of the data storage unit 10 are connected to the output of the electrocardiographic signal processing unit 4, and the outputs of the electrocardiographic signal analysis unit 5 are connected to the inputs of the heart portrait visualization unit 1, the integral assessment unit 8 and a block for presenting textual conclusions 9. The display means for displaying information may comprise a general display 11 or the first 12, second 13, third 14, fourth 15 individual displays interacting with the outputs of the heart portrait visualization unit 7, the integral assessment presentation unit 8, the text conclusion presentation unit and the output of the electrocardiographic signal visualization unit 6. In addition, the complex for express heart diagnostics includes a means for transmitting data to a printing device and / or into the communication line, and the means of transmitting data to the printing device is made in the form of a USB port, and the means of transmitting data to the communication line is made in the form of a modem. The technical result expected from the use of the claimed utility model is to reduce the time of diagnosis of the heart. 8 s.p. f-ly, 34 ill.

31

Description

The complex for express diagnostics of the heart belongs to the field of medical equipment and, in particular, is intended for express diagnostics of the human cardiovascular system.

A device for recording the potentials of the heart [1], which is a small multi-channel electrocardiograph containing n-sensors, a radio frequency filter, a first amplifier, as well as a digital computing device, random access memory, programmable read-only memory, arithmetic coprocessor, controller direct access to memory , bus controller, LCD adapter and LCD, timer and speaker, printer and printer controller eryp, alphanumeric keyboard, as well as an analog switch with a resistive matrix, a low-pass filter, a second amplifier, a comparator, optoelectronic isolation, a common bus coupler, a synchronizer, a ramp generator, a flexible magnetic disk controller and a flexible magnetic disk, clock -calender and battery, serial-parallel interface and mouse, device for monitoring the quality of superposition of electrodes and indicating device.

The disadvantage of this analogue is the complexity and duration of obtaining the results of heart diagnostics, which virtually excludes its use as a screening tool for examining the population.

A known complex for the diagnosis of cardiac activity [2]. It is an electrocardiograph containing lead electrodes connected to the inputs of a buffer amplifier, serially connected to its output, a first switch, a differential amplifier, a variable component extraction unit, a microprocessor controller that interacts via a display controller

on the data bus with the display. This technical solution is taken as a prototype.

The disadvantage of the prototype is the complexity and duration of obtaining the results of the diagnosis of the heart, which greatly complicates its use as a screening tool for examining the population.

The technical result expected from the use of the claimed utility model is to reduce the time of diagnosis of the heart.

The claimed technical result is achieved by the fact that the complex for express diagnostics of the heart, including a block of an amplifier-converter of electrocardiographic signals, a block for processing electrocardiographic signals made on the basis of a microprocessor, a block for visualization of electrocardiographic signals and a display, is additionally equipped with a data storage unit, and also interacting with the information display means by the electrocardiographic signal analysis unit fishing, a heart portrait visualization unit, an integrated assessment presentation unit and a text conclusion presentation unit, the data storage unit interacting with the electrocardiographic signal processing unit and the input of the electrocardiographic signal analysis unit connected to the output of the electrocardiographic signal processing unit, while the output of the cardiographic signal analysis unit is connected with the inputs of the blocks for visualization of the portrait of the heart, the presentation of the integral assessment and presentation of text enclosed d.

It is desirable that the means of displaying information was made in the form of one common display or four individual displays.

It is advisable that the block analysis of electrocardiographic signals interacted with the first individual display.

Preferably, the heart portrait visualization unit interacts with a second individual display.

It matters that the integral assessment presentation unit interacts with the third individual display.

It is desirable that the text conclusion presentation unit interacts with a fourth individual display.

It is advisable that the complex for rapid diagnosis of the heart contains a means of transmitting data to a printing device and / or to a communication line.

Preferably, the means of transmitting data to the communication line was made in the form of a modem.

It matters that the means of transferring data to the printing device is made in the form of a USB port.

The list of positions.

1. The patient.

2. The electrode system.

3. The block of the amplifier-converter of electrocardiographic signals.

4. The processing unit of electrocardiographic signals.

5. Block analysis of electrocardiographic signals.

6. Block visualization of electrocardiographic signals.

7. Block portrait visualization of the heart.

8. The unit of representation of the integral assessment.

9. Block presentation of textual conclusions.

10. The data storage unit.

11. General display.

12. The first individual display.

13. The second individual display.

14. Third individual display.

15. Fourth individual display.

The inventive utility model is illustrated by the following graphic materials. Figure 1-a schematically shows a block diagram of a complex for express diagnostics of the heart, made with one common display, and Figure 1-b schematically shows a block diagram of a complex for express diagnostics of the heart, made with four individual displays. Figure 2 illustrates the results of pre-processing (Figure 2-a shows electrocardiographic (ECG) leads I, II, III, aVR, aVL, aVF with synchronization marks, and Figure 2-b shows a fragment of the amplitude fluctuation

ECG leads within the same time period). Figure 3 is an example of a visualization of a portrait of the heart of a patient. Figure 4 shows an integrated assessment of the patient's heart. Figure 5 presents the appearance of textual conclusions about the state of the heart of the patient. Figure 6 shows the classic cardiogram of the patient's heart, and Figure 7-Figure 34 illustrate portraits of the heart of a random sample of patients.

On the patient 1 (Figure 1-a, Figure 1-b) place the electrode system 2 (Figure 1-a, Figure 1-b). The electrode system 2 (Fig.1-a, Fig.1-b) can be formed of 2-10 electrodes of the "clip" type, which can be used electrodes on the limbs FIAB (made in Italy), or disposable self-adhesive electrodes. One electrode with a conductor forms one information channel for removing one biopotential. By means of wires, the electrode system 2 (FIG. 1-a, FIG. 1-b) is connected to the amplifier-converter unit of the electrocardiographic signals 3 (FIG. 1-a, FIG. 1-b). This unit can be structurally made in the form of a remote unit and is equipped with sequentially installed signal amplifier (one for each channel) and an analog-to-digital converter (one for each channel). The block of the amplifier-converter of electrocardiographic signals 3 (Fig.1-a, Fig.1-b) also contains a microprocessor to ensure the conversion and transmission of digitally converted electrocardiographic analog signals via a USB (universal serial bus) bus (which also serves to supply electricity power supply of the amplifier-converter 3 (Fig. 1-a, Fig.-b)) and a digital optoelectronic isolation. The output of the amplifier-converter unit of the electrocardiographic signals 3 (FIG. 1-a, FIG. 1-b) is connected via a USB bus to the processing unit of the electrocardiographic signals 4 (FIG. 1-a, FIG. 1-b). The outputs of the processing unit of the electrocardiographic signals 4 (Fig.1-a, Fig.1-b) are connected to the analysis unit of the electrocardiographic signals 5 (Fig.1-a, Fig.1-b) and the visualization unit of the electrocardiographic signals 6 (Fig.1- a, Figure 1-b). The outputs of the analysis unit of electrocardiographic signals 5 (Fig.1-a, Fig.1-b) are connected by corresponding communication channels with the visualization portrait block of the heart 7 (Fig.1-a, Fig.1-b), block

presentation of the integral assessment 8 (Fig. 1-a, Fig. 1-b) and the text conclusion presentation unit 9 (Fig. 1-a, Fig. 1-b). In addition, the processing unit of the electrocardiographic signals 4 (Fig.1-a, Fig.1-b) interacts with the data storage unit 10 (Fig.1-a, Fig.1-b), which can be used, for example, hard disk (HDD) of a personal computer (PC). In this case, the processing unit of electrocardiographic signals 4 (Figure 1-a, Figure 1-b), the analysis unit of electrocardiographic signals 5 (Figure 1-a, Figure 1-b), the visualization unit of electrocardiographic signals 6 (Figure 1- a, Fig. 1-b), a block for visualizing the portrait of the heart 7 (Fig. 1-a, Fig. 1-b), a unit for presenting an integral assessment 8 (Fig. 1-a, Fig. 1-b) and a text presentation unit conclusions 9 (Fig.1-a, Fig.1-b) can be implemented in the form of a hardware-software complex based on a PC with a clock frequency of 1 GHz or higher, in which the software part is based on the display method sion mapping ( "dispersion mapping method" manual for doctors. Russian Cardiology Research and Production Complex, Moscow, 2004). The outputs of the visualization block of electrocardiographic signals 6 (Fig.1-a, Fig.1-b), the visualization block portrait of the heart 7 (Fig.1-a, Fig.1-b), the presentation unit of the integrated assessment 8 (Fig.1-a 1-b) and a block for presenting textual conclusions 9 (FIG. 1-a, FIG. 1-b) are connected to a common display 11 (FIG. 1-a) or to the first 12 (FIG. 1-b), second 13 (Figure 1-b), third 14 (Figure 1-b) and fourth 15 (Figure 1-b) individual displays. As displays 11-15 (Figure 1-a and Figure 1-b), you can use any of the known means of displaying information on the basis of a cathode ray tube and / or liquid crystal screen. When used as the hardware of the inventive complex of PCs through standard Windows options for printing, the information displayed on the display 11-15 (Fig. 1-a-Fig. 1-b) can be transferred (printed) to paper. In addition, when screening a population of hard-to-reach or remote areas, using a remote or built-in modem, cardiographic information can be transmitted (in particular, via telemedicine communication channels) for more detailed examination by specialists of a federal or regional cardiology center.

The complex for rapid diagnosis of the heart works as follows. In the case of using, for example, 4 electrodes (electrocardiographic leads I, II, III, aVR, aVL and aVF), the right and left hands of patient 1 ((Figure 1-a, Figure 1-b), as well as his right and the left lower leg 1 (Figure 1-a, Figure 1-b) at the places of application of the electrodes of the electrode system 2 (Figure 1-a, Figure 1-b) are degreased with a Nikiforov mixture (alcohol and ether in a 1: 1 ratio) Then the contact surface of the electrodes is wetted with physiological saline or high-conductivity gel (ECG gel). The electrodes are applied to the prepared places on the limbs of the patient 1 (Fig. 1-a, Fig. .1-b). Using the installed electrode system 2 (Fig. 1-a, Fig. 1-b), the biopotentials are removed from the patient 1 (Fig. 1-a, Fig. 1-b) and fed to the input of the amplifier unit converter of electrocardiographic signals 3 (Fig. 1-a, Fig. 1-b). In this block, on each channel, the biopotential signals are independently amplified, converted from analog to digital and the cardiographic signals of all four channels are compressed for subsequent transmission to a PC via USB bus. Captured and converted electrocardiographic signals are sent to a PC in an electrocardiographic signal processing unit 4 (Fig. 1-a, Fig. 1-b) in which filtering, extraction of similar ECG complexes and calculation of changes in signal amplitudes for individual sections of similar ECG complexes are performed. For example, ECG leads signals with synchronization marks (Figure 2-a) are given in view of characterizing amplitude fluctuations (Figure 2-b). The converted signals produced by this unit are transmitted to the data storage unit 10 (Fig. 1-a. Fig. 1-b), the analysis unit for electrocardiographic signals 5 (Fig. 1-a, Fig. 1-b) and the visualization unit for electrocardiographic signals 6 ( Figure 1-a, Figure 1-b). In the block of analysis of electrocardiographic signals 5 (Fig.1-a, Fig.1-b) in accordance with the information-topological model of dispersion mapping of small oscillations of the electrocardiogram (implementing the method of analysis of myocardial electromagnetic radiation from low-amplitude fluctuations of the electrocardiogram) based on the obtained array of amplitude changes there is an analysis of the heart of patient 1 (Figure 1-a, Figure 1-b). The results of the analysis by means of the visualization block portrait of the heart 7 (Fig.1-a, Fig.1-b) are displayed on the total 11 (Fig.1-a) or

the first individual 12 (Figure 1-b) display in an easily visually identifiable 3D form (Figure 3). Similarly, coming from the block of processing of electrocardiographic signals 5 (Fig. 1-a, Fig. 1-b) to the input of the unit for presenting the integral assessment 8 (Fig. 1-a, Fig. 1-b) and the input of the unit for presenting textual conclusions 9 ( Fig.1-a, Fig.1-b) the information is additionally processed and visualized on a common 11 (Fig.1-a), second 13 or third 14 individual displays (Fig.1-b) in the form of tables of Fig.4 and Fig .5 respectively. The electrical signals supplied from the electrocardiographic signal analysis unit 5 (FIG. 1-a, FIG. 1-b) to the input of the electrocardiographic signal visualization unit 6 (FIG. 1-a, FIG. 1-b) are transformed on the common screen 11 (FIG. 1-a) or the fourth individual display 14 (Fig. 1-b) into the electrocardiogram of a classical form.

EXAMPLE No. 1.

Make registration of patient 1 (Figure 1-a). Male gender, age 23 years. Profession - taxi driver. On the patient’s body 1 (FIG. 1-a), an electrode system 2 (FIG. 1-a) of four “clip” type electrodes is formed. Start the process of removing and processing the ECG of patient 1 (Figure 1-a). Use the remote unit of the amplifier-converter of electrocardiographic signals 3 (Fig. 1-a), the electric power unit of which is connected by a USB bus to a 5V PC power supply through the corresponding PC port. The processing unit of the electrocardiographic signals 4 (Fig. 1-a), the analysis unit of the electrocardiographic signals 5 (Fig. 1-a), the visualization module for the portrait of the heart 6 (Fig. 1-a), the presentation unit for the integral score 8 (Fig. 1-a) ), a unit for presenting textual conclusions 9 (Fig. 1-a), a data storage unit 10 (Fig. 1-a) are placed in a PC. The complex for express diagnostics of the heart is equipped with a common display 11 (Figure 1-a), on which, after 50 seconds from the start of the ECG, a portrait of the heart of patient 1 is shown (Figure 1-a) in accordance with Figure 7. The medical worker who performed the procedure ascertains the norm (myocardium 2%, while the norm is up to 15%). The time spent on express diagnostics of the heart of patient 1 (Figure 1-a), taking into account the time of registration of patient 1 (Figure 1-a) and the application time of the electrode system 2 (Figure 1-a) in this case, did not exceed 2.0 minutes .

EXAMPLE No. 2.

Make registration of patient 1 (Figure 1-a). Female gender, age 21 years. Profession - hairdresser. Further, as in example 1, the heart is monitored using the claimed complex, except that on the patient’s body 1 (Fig. 1-a) an electrode system 2 (Fig. 1-a) of five electrodes is formed, four of which are of the “clip” type, and one is a one-time self-adhesive. After 45 seconds from the start of the ECG, a portrait of the heart is displayed (Fig. 8). The medical worker who performed the procedure states the norm (myocardium 12%). The time spent on express diagnostics of the heart of patient 1 (Figure 1-a), taking into account the registration time of patient 1 (Figure 1-a) and the application time of the electrode system 2 (Figure 1-a) in this case, did not exceed 1.8 minutes .

EXAMPLE No. 3.

Make registration of patient 1 (Figure 1-a). Male gender, age 46 years. Profession - boner. Further, as in example 1, the heart is monitored using the claimed complex, except that the electrode system 2 (Fig. 1-a) is formed from three self-adhesive disposable electrodes on the patient’s body 1 (FIG. 1-a). After 60 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 9). The medical worker who performed the procedure reports 72% myocardium, coronary heart disease, angina pectoris, post-infarction cardiosclerosis. The time spent on express diagnostics of the heart of patient 1 (Figure 1-a), taking into account the registration time of patient 1 (Figure 1-a) and the application time of the electrode system 2 (Figure 1-a) in this case, did not exceed 1.7 minutes .

EXAMPLE No. 4.

Make registration of patient 1 (Figure 1-a). Female gender, age 53 years. A housewife. Further, as in example 1, a heart control procedure is carried out using the claimed complex, except that an electrode system 2 (FIG. 1-a) is formed from two self-adhesive disposable electrodes on the patient’s body 1 (FIG. 1-a). After 58 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 10). Medical procedure

the worker reports 62% myocardium, coronary heart disease, post-infarction cardiosclerosis, atrial fibrillation, arterial hypertrophy and myocardial infarction. The time spent on express diagnostics of the heart of patient 1 (Figure 1-a), taking into account the time of registration of patient 1 (Figure 1-a) and the application time of the electrode system 2 (Figure 1-a) in this case, did not exceed 1.5 minutes .

EXAMPLE No. 5.

Make registration of patient 1 (Figure 1-a). Male gender, age 33 years. Profession - Senior Researcher. Further, as in example 1, the heart is monitored using the claimed complex, except that on the patient’s body 1 (Fig. 1-a) an electrode system 2 (Fig. 1-a) is formed of six electrodes, four of which type of "clip", and two - self-adhesive disposable electrodes. After 42 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 11). The medical worker who performed the procedure noted coronary heart disease, myocardium 37%, combined defect, atrial fibrillation, circulatory failure, metabolic disorders. The time spent on express diagnostics of the heart of patient 1 (Figure 1-a), taking into account the registration time of patient 1 (Figure 1-a) and the application time of the electrode system 2 (Figure 1-a) in this case, did not exceed 2.1 minutes .

EXAMPLE No. 6.

Make registration of patient 1 (Figure 1-a). Female gender, age 27 years. Profession is a baker. Further, as in example 1, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (Fig. 1-a) an electrode system 2 (Fig. 1-a) is formed of seven electrodes, four of which are of the “clip” type, and three are self-adhesive disposable electrodes. After 40 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 12). The medical worker who performed the procedure reports a 2% myocardium, which indicates the norm. The time spent on express diagnostics of the heart of the patient 1 (Figure 1-a) time, taking into account the time of registration of patient 1 (Figure 1-a) and time

application of the electrode system 2 (Figure 1-a) in this case did not exceed 2.1 minutes.

EXAMPLE No. 7.

Make registration of patient 1 (Figure 1-a). Male gender, age 38 years. Profession - cabinetmaker. Further, as in example 1, the heart is monitored using the claimed complex, except that on the patient’s body 1 (Fig. 1-a) an electrode system 2 (Fig. 1-a) is formed of eight electrodes, four of which type of "clip", and four - self-adhesive disposable electrodes. After 55 seconds from the start of the ECG, a portrait of the heart is displayed (Fig.13). The medical worker who performed the procedure states the norm, the myocardium is 12% (the normal limit for the myocardial parameter is 15%). The time spent on express diagnostics of the heart of patient 1 (Figure 1-a), taking into account the registration time of patient 1 (Figure 1-a) and the application time of the electrode system 2 (Figure 1-a) in this case, did not exceed 2.3 minutes .

EXAMPLE No. 8.

Make registration of patient 1 (Figure 1-a). Female gender, age 25 years. Profession is a nurse. Further, as in example 1, the heart is monitored using the claimed complex, except that on the patient’s body 1 (Fig. 1-a) an electrode system 2 (Fig. 1-a) of nine electrodes is formed, four of which are of the “clip” type, and five are self-adhesive disposable electrodes. After 45 seconds from the start of the ECG, a portrait of the heart is displayed (Fig. 14). The medical worker who performed the procedure reports 36% myocardium, heart disease, left ventricular hypertrophy. The time spent on express diagnostics of the heart of patient 1 (Figure 1-a), taking into account the time of registration of patient 1 (Figure 1-a) and the application time of the electrode system 2 (Figure 1-a) in this case, did not exceed 2.4 minutes .

EXAMPLE No. 9.

Make registration of patient 1 (Figure 1-a). Male gender, age 28 years. Profession - professional footballer. Further, as in example 1, carry out the procedure for monitoring the work of the heart using

of the claimed complex, except that on the patient’s body 1 (Fig. 1-a) an electrode system 2 (Fig. 1-a) is formed of ten electrodes, four of which are of the “clip” type, and six are self-adhesive disposable electrodes. After 46 seconds from the start of the ECG, a portrait of the heart is displayed (Fig. 15). The medical worker who performed the procedure states a 17% myocardium, arterial hypertrophy, the onset of left ventricular hypertrophy. The time spent on express diagnostics of the heart of patient 1 (Figure 1-a), taking into account the registration time of patient 1 (Figure 1-a) and the application time of the electrode system 2 (Figure 1-a) in this case, did not exceed 2.5 minutes .

EXAMPLE No. 10.

Make registration of patient 1 (Figure 1-a). Female gender, age 72 years. Pensioner. Further, as in example 1, the heart is monitored using the claimed complex, except that on the patient’s body 1 (Fig. 1-a) an electrode system 2 (Fig. 1-a) of 11 electrodes is formed, four of which are of the “clip” type, and seven are self-adhesive disposable electrodes. After 45 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 16). The medical worker who performed the procedure reports 69% myocardium, acute myocardial infarction, hypokinesis of the posterior wall. The time spent on express diagnostics of the heart of patient 1 (Figure 1-a), taking into account the time of registration of patient 1 (Figure 1-a) and the application time of the electrode system 2 (Figure 1-a) in this case, did not exceed 2.6 minutes .

EXAMPLE No. 11.

Make registration of patient 1 (Figure 1-a). Male gender, age 69 years. Retiree. Further, as in example 1, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (FIG. 1-a) an electrode system 2 (FIG. 1-a) of 12 electrodes is formed, four of which are of the “clip” type, and eight are self-adhesive disposable electrodes. After 43 seconds from the start of the ECG, a portrait of the heart is displayed (Fig. 17). The medical worker who performed the procedure states 52% myocardium, hypertrophic cardiomyopathy,

angina pectoris, blockade of the left leg. The time spent on express diagnostics of the patient’s heart 1 (Figure 1-a), taking into account the registration time of patient 1 (Figure 1-a) and the application time of the electrode system 2 (Figure 1-a) in this case, did not exceed 2.7 minutes .

EXAMPLE No. 12.

Make registration of patient 1 (Figure 1-a). Female gender, age 40 years. Profession - Controller of Quality Control Department. Further, as in example 1, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (Fig. 1-a) an electrode system 2 (Fig. 1-a) of 13 electrodes is formed, four of which are of the “clip” type, and nine are self-adhesive disposable electrodes. After 48 seconds from the start of the ECG, a portrait of the heart is displayed (Fig. 18). The medical worker who performed the procedure reports 42% myocardium, coronary heart disease, postinfarction cardiosclerosis. The time spent on express diagnostics of the heart of the patient 1 (Figure 1-a), taking into account the registration time of patient 1 (Figure 1-a) and the application time of the electrode system 2 (Figure 1-a) in this case, did not exceed 2.8 minutes .

EXAMPLE No. 13.

Make registration of patient 1 (Figure 1-a). Male gender, age 35 years. Profession is a locksmith. Further, as in example 1, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (FIG. 1-a) an electrode system 2 (FIG. 1-a) of 14 electrodes is formed, four of which are of the “clip” type, and ten are self-adhesive disposable electrodes. After 42 seconds from the start of the ECG, a portrait of the heart is displayed (Fig. 19). The medical worker who performed the procedure reports 39% myocardium, coronary heart disease, post-infarction cardiosclerosis. The time spent on express diagnostics of the heart of patient 1 (Figure 1-a), taking into account the registration time of patient 1 (Figure 1-a) and the application time of the electrode system 2 (Figure 1-a) in this case, did not exceed 2.9 minutes .

EXAMPLE No. 14.

Make registration of patient 1 (Figure 1-a). Female gender, age 58 years. Profession - teacher of high qualification (professor). Further, as in example 1, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (FIG. 1-a) an electrode system 2 (FIG. 1-a) of 15 electrodes is formed, four of which are of the “clip” type, and 11 are self-adhesive disposable electrodes. After 40 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 20). The medical worker who performed the procedure reports 77% myocardium, coronary heart disease, post-infarction cardiosclerosis, angina pectoris, coronary artery bypass grafting. The time spent on express diagnostics of the heart of patient 1 (Figure 1-a), taking into account the registration time of patient 1 (Figure 1-a) and the application time of the electrode system 2 (Figure 1-a) in this case, did not exceed 3 minutes.

EXAMPLE No. 15.

Make registration of patient 1 (Fig.1-b). Male gender, age 49 years. Profession - employee of a private security company. On the patient’s body 1 (FIG. 1-a) an electrode system 2 (FIG. 1-b) is formed of 12 electrodes, 4 of which are of the “clip” type, and 8 are self-adhesive disposable electrodes. Start the process of removing and processing the ECG of patient 1 (Figure 1-b). A remote unit of the amplifier-converter of electrocardiographic signals 3 is used (Fig. 1-b), the electric power unit of which is connected by a USB bus to a 5V PC power supply through the corresponding port. The processing unit of the electrocardiographic signals 4 (Fig. 1-b), the analysis unit of the electrocardiographic signals 5 (Fig. 1-b), the visualization block portrait of the heart 6 (Fig. 1-b), the presentation unit of the integral score 8 (Fig. 1-b) ), a block for presenting textual conclusions 9 (Fig. 1-b), a data storage unit 10 (Fig. 1-b) are placed in a PC. The complex for express diagnostics of the heart is equipped with a common display 11 (Fig. 1-b), on which, after 46 seconds from the start of the ECG, the first individual display shows a portrait of the heart of patient 1 (Fig. 1-b) shown in Fig. 21. The medical worker who performed the procedure states a norm of myocardium of 47%, coronary artery disease, post-infarction cardiosclerosis and diabetes mellitus.

The time spent on express diagnostics of the heart of patient 1 (Figure 1-b), taking into account the time of registration of patient 1 (Figure 1-b) and the application time of the electrode system 2 (Figure 1-b) in this case, did not exceed 2.7 minutes .

EXAMPLE No. 16.

Make registration of patient 1 (Fig.1-b). Female gender, age 33 years. Profession - designer. Further, as in example 15, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (FIG. 1-b) an electrode system 2 (FIG. 1-b) is formed of two self-adhesive disposable electrodes. After 45 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 22). The medical worker who performed the procedure reports 7% myocardium, arterial hypertrophy and hypokalemia. The time spent on express diagnostics of the heart of patient 1 (Figure 1-b), taking into account the time of registration of patient 1 (Figure 1-b) and the application time of the electrode system 2 (Figure 1-b) in this case, did not exceed 1.5 minutes .

EXAMPLE No. 17.

Make registration of patient 1 (Fig.1-b). Male gender, age 44 years. Profession is a taster. Further, as in example 15, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (FIG. 1-b) an electrode system 2 (FIG. 1-b) is formed of three self-adhesive disposable electrodes. After 50 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 23). The medical worker who performed the procedure reports 36% myocardium, coronary heart disease and post-infarction cardiosclerosis. The time spent on express diagnostics of the heart of patient 1 (Figure 1-b), taking into account the time of registration of patient 1 (Figure 1-b) and the application time of the electrode system 2 (Figure 1-b) in this case, did not exceed 1.6 minutes .

EXAMPLE No. 18.

Make registration of patient 1 (Fig.1-b). Female gender, age 35 years. Profession - operator of machine milking. Further, as in example 15, a heart control procedure is carried out using

of the claimed complex, except that on the patient’s body 1 (Fig. 1-b) an electrode system 2 (Fig. 1-b) is formed of four electrodes of the “clip” type. After 53 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 24). The medical worker who performed the procedure reports 45% myocardium, coronary heart disease and post-infarction cardiosclerosis. The time spent on express diagnostics of the heart of patient 1 (Figure 1-b), taking into account the time of registration of patient 1 (Figure 1-b) and the application time of the electrode system 2 (Figure 1-b) in this case, did not exceed 1.7 minutes .

EXAMPLE No. 19.

Make registration of patient 1 (Fig.1-b). Male gender, age 44 years. Profession - supply manager of the orphanage. Further, as in example 15, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (Fig. 1-b) an electrode system 2 (Fig. 1-b) of five electrodes is formed, four of which are of the “clip” type, and one is a self-adhesive disposable electrode. After 52 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 25). The medical worker who performed the procedure reports 22% myocardium, coronary heart disease, post-infarction cardiosclerosis, and seven-year myocardial infarction. The time spent on express diagnostics of the heart of patient 1 (Figure 1-b), taking into account the time of registration of patient 1 (Figure 1-b) and the application time of the electrode system 2 (Figure 1-b), in this case did not exceed 1.7 minutes.

EXAMPLE No. 20.

Make registration of patient 1 (Fig.1-b). Female gender, age 41 years. Profession is a pastry chef. Further, as in example 15, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (FIG. 1-b), an electrode system 2 (FIG. 1-b) of seven electrodes is formed, four of which are of the “clip” type, and three are self-adhesive disposable electrodes. After 49 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 26). The medical worker who performed the procedure reports 59% myocardium, coronary heart disease, post-infarction cardiosclerosis, left ventricular hypertrophy.

The time spent on express diagnostics of the heart of patient 1 (Figure 1-b), taking into account the time of registration of patient 1 (Figure 1-b) and the application time of the electrode system 2 (Figure 1-b) in this case, did not exceed 2.2 minutes .

EXAMPLE No. 21.

Make registration of patient 1 (Fig.1-b). Male gender, age 53 years. Profession - railwayman. Further, as in example 15, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (Fig. 1-b) an electrode system 2 (Fig. 1-b) is formed of six electrodes, four of which type of "clip", and two - self-adhesive disposable electrodes. After 55 seconds from the start of the ECG, a portrait of the heart is displayed (Fig. 27). The medical worker who performed the procedure reports 57% myocardium, coronary heart disease, vascular injuries and one year of coronary artery bypass grafting. The time spent on express diagnostics of the heart of patient 1 (Figure 1-b), taking into account the time of registration of patient 1 (Figure 1-b) and the application time of the electrode system 2 (Figure 1-b) in this case, did not exceed 2.1 minutes .

EXAMPLE No. 22.

Make registration of patient 1 (Figure 1-a). Female gender, age 21 years. The student. Further, as in example 15, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (FIG. 1-b) an electrode system 2 (FIG. 1-b) of nine electrodes is formed, four of which are of the “clip” type, and five are self-adhesive disposable electrodes. After 43 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 28). The medical worker who performed the procedure reports a 17% myocardium, mitral defect, circulatory failure and atrial fibrillation. The time spent on express diagnostics of the heart of patient 1 (Figure 1-b), taking into account the time of registration of patient 1 (Figure 1-b) and the application time of the electrode system 2 (Figure 1-b) in this case, did not exceed 2.4 minutes .

EXAMPLE No. 23.

Make registration of patient 1 (Fig.1-b). Male gender, age 31 years. Profession - operative police officer. Further, as in example 15, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (FIG. 1-b) an electrode system 2 (FIG. 1-b) of ten electrodes is formed, four of which are of the “clip” type, and six are self-adhesive disposable electrodes. After 44 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 29). The medical worker who performed the procedure reports 23% myocardium, coronary heart disease, and angina pectoris. The time spent on express diagnostics of the patient’s heart 1 (Figure 1-b), taking into account the registration time of patient 1 (Figure 1-b) and the application time of the electrode system 2 (Figure 1-b), in this case did not exceed 2.5 minutes .

EXAMPLE No. 24.

Make registration of patient 1 (Fig.1-b). Female gender, age 41 years. Profession: Librarian. Further, as in example 15, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (FIG. 1-b) an electrode system 2 (FIG. 1-b) of 11 electrodes is formed, four of which are of the “clip” type, and seven are self-adhesive disposable electrodes. After 42 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 30). The medical worker who performed the procedure reports 30% myocardium, coronary heart disease and a three-month intramural myocardial infarction. The time spent on express diagnostics of the patient’s heart 1 (Figure 1-b), taking into account the registration time of patient 1 (Figure 1-b) and the application time of the electrode system 2 (Figure 1-b), in this case did not exceed 2.5 minutes .

EXAMPLE No. 25.

Make registration of patient 1 (Fig.1-b). Male gender, age 18 years. Pupil. Further, as in example 15, the heart is monitored using the claimed complex, except that an electrode system 2 (Fig. 1-b) of eight electrodes is formed on the patient’s body 1 (FIG. 1-b), four of

which are of the “clip” type, and four are self-adhesive disposable electrodes. After 43 seconds from the start of the ECG, a portrait of the heart is displayed (Fig. 31). The medical worker who performed the procedure reports a 15% myocardium and mitral valve prolapse. The time spent on express diagnostics of the heart of patient 1 (Figure 1-b), taking into account the time of registration of patient 1 (Figure 1-b) and the application time of the electrode system 2 (Figure 1-b) in this case, did not exceed 2.7 minutes .

EXAMPLE No. 26.

Make registration of patient 1 (Fig.1-b). Female gender, age 38 years. Profession - Broadcasting Announcer. Further, as in example 15, a heart control procedure is carried out using the claimed complex, except that on the patient’s body 1 (Fig. 1-b) an electrode system 2 (Fig. 1-b) of 13 electrodes is formed, four of which are of the “clip” type, and nine are self-adhesive disposable electrodes. After 41 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 32). The medical worker who performed the procedure states myocardium 12%, arterial hypertrophy and the onset of left ventricular hypertrophy. The time spent on express diagnostics of the heart of patient 1 (Figure 1-b), taking into account the time of registration of patient 1 (Figure 1-b) and the application time of the electrode system 2 (Figure 1-b) in this case, did not exceed 2.8 minutes .

EXAMPLE No. 27.

Make registration of patient 1 (Fig.1-b). Male gender, age 37 years. Profession is a navigator. Further, as in example 15, a heart control procedure is carried out using the claimed complex, except that an electrode system 2 (FIG. 1-b) of 14 electrodes is formed on the patient’s body 1 (FIG. 1-b), four of which are of the “clip” type, and ten are self-adhesive disposable electrodes. After 49 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 23). The medical worker who performed the procedure reports 25% myocardium, coronary heart disease and angina pectoris. The time spent on express diagnostics of the patient’s heart 1 (Figure 1-b), taking into account the time of registration of the patient

1 (FIG. 1-b) and the application time of the electrode system 2 (FIG. 1-b) in this case did not exceed 2.9 minutes.

EXAMPLE No. 28.

Make registration of patient 1 (Fig.1-b). Female gender, age 52 years. Profession - Market Director. Further, as in example 15, the heart is monitored using the claimed complex, except that on the patient’s body 1 (Fig. 1-b) an electrode system 2 (Fig. 1-b) is formed of 15 electrodes, four of which are of the “clip” type, and 11 are self-adhesive disposable electrodes. After 42 seconds from the start of the ECG, a portrait of the heart is displayed (Figure 24). The medical worker who performed the procedure reports 30% myocardium, coronary heart disease, angina pectoris and the onset of left ventricular hypertrophy. The time spent on express diagnostics of the heart of patient 1 (Figure 1-b), taking into account the registration time of patient 1 (Figure 1-b) and the application time of the electrode system 2 (Figure 1-b) in this case, did not exceed 3 minutes.

Thus, the proposed complex provides rapid diagnosis of the heart of one patient (Fig.1-a and Fig.1-b) for a period of time not exceeding 3 minutes, while the prototype device is able to perform this kind of diagnosis in 10 or more minutes. Moreover, the proposed utility model provides a sensitivity of 90% with a specificity of 75%, which is generally unattainable for the prototype device.

INFORMATION SOURCES

1. Application for invention of the Russian Federation No. 93001113 "Small-sized multi-channel electrocardiograph", the authors V. Tagantseva et al., publ. 09/27/1995 g.

2. RF patent No. 2093068 "Cardiograph", authors Glezer F.A. et al., publ. 10/20/1997

Claims (9)

1. The complex of express diagnostics of the heart, including a block of an amplifier-converter of electrocardiographic signals connected in series with an electrode system, an electrocardiographic signal processing unit based on a microprocessor, an electrocardiographic signal visualization unit and an information display means, characterized in that it is additionally equipped with a data storage unit, as well as interacting with the means of displaying information by the analysis unit of electrocardiographic signals, com for visualization of the portrait of the heart, an integral assessment submission unit and a text conclusions submission unit, the data storage unit interacting with the electrocardiographic signal processing unit, and the input of the electrocardiographic signal analysis unit connected to the output of the electrocardiographic signal processing unit, while the output of the cardiographic signal analysis unit is connected to the inputs blocks of visualization of the portrait of the heart, the presentation of the integral assessment and the presentation of textual conclusions. 2. The complex rapid diagnosis of heart according to claim 1, characterized in that the means of displaying information is made in the form of one common display or four individual displays. 3. The complex rapid diagnosis of heart according to claim 2, characterized in that the analysis unit of electrocardiographic signals interacts with the first individual display. 4. The complex rapid diagnosis of heart according to claim 2, characterized in that the unit for visualizing the portrait of the heart interacts with a second individual display. 5. The complex rapid diagnosis of heart according to claim 2, characterized in that the presentation unit of the integrated assessment interacts with a third individual display. 6. The complex rapid diagnosis of heart according to claim 2, characterized in that the unit for presenting textual conclusions interacts with a fourth individual display. 7. The complex rapid diagnosis of heart according to claim 1, characterized in that it contains means for transmitting data to a printing device and / or to a communication line. 8. The complex rapid diagnosis of heart according to claim 7, characterized in that the means of transmitting data to the communication line is made in the form of a modem. 9. The complex rapid diagnosis of heart according to claim 7, characterized in that the means of transmitting data to the printing device is made in the form of a USB port.