TW201932070A - Electrocardiogram diagnosis suggestion method - Google Patents

Abstract

An electrocardiogram diagnosis suggestion method includes the following steps. First, a first electrocardiogram of a user is measured. The first electrocardiogram is stored. In addition, a second electrocardiogram of the user is measured and stored. Subsequently, the first electrocardiogram and the second electrocardiogram of the user are compared. A graphical output interface is displayed to show the comparison result according to the difference between first electrocardiogram and the second electrocardiogram of the user to provide a diagnosis suggestion for the user.

Description

ECG diagnosis suggestion method

The present invention relates to a method for recommending an electrocardiogram diagnosis. In particular, there is a personal recommendation for ECG diagnosis.

With the advancement of technology and advances in medical technology, human life has gradually increased. At present, China has gradually entered an aging society, and the proportion of the elderly population has increased year by year, and heart disease has become one of the invisible killers of the silver-haired people.

Arrhythmia is a very common symptom of heart-related diseases, and monitoring of heart-related diseases is an important issue for seniors. At present, the detection of heart rate/electrocardiogram is mainly monitored by an electrocardiogram measuring device. The conventional method is to stick a wet electrode containing an electrolyte to the chest, and as a connection between the skin and the machine, the heart rate/electrocardiogram is measured.

However, because each person's natural physique is different, relying on traditional ECG comparison methods, reading ECG and as a basis for disease diagnosis, often make inappropriate judgments. How to effectively and correctly interpret each user's electrocardiogram will help to detect changes in the body as soon as possible, and more effectively achieve the preventive effect of related diseases.

In view of this, the present invention discloses a method for recommending an electrocardiogram diagnosis, which can effectively adjust the reference of the electrocardiogram according to the different constitutions of each user, thereby correctly interpreting the meaning of the electrocardiogram, so as to detect and prevent related diseases at an early stage.

According to an embodiment of the present invention, there is provided a method for recommending an electrocardiogram diagnosis, comprising the steps of: first measuring a first electrocardiogram of a user, storing a first electrocardiogram, and measuring a second of the user The electrocardiogram, the second electrocardiogram are stored, the difference between the first electrocardiogram of the user and the second electrocardiogram is compared, and a graphical output interface is displayed according to the comparison result.

The method for recommending diagnosis of electrocardiogram of the present invention further comprises determining whether the first electrocardiogram is normal according to the physical quality of the user, which can be judged by a qualified doctor, judged by the user's long-term measurement record or is based on data of big data. The judgment is made without departing from the spirit and scope of the invention.

In an embodiment, the electrocardiogram diagnosis suggesting method of the present invention further comprises: when the second electrocardiogram is judged to be normal, the second electrocardiogram can be updated into the first electrocardiogram for use in the next measurement comparison.

In an embodiment, the first electrocardiogram and the second electrocardiogram may be stored in a handheld electronic device, such as a mobile phone or a tablet computer, or a cloud server.

In one embodiment, the graphical output bread contains a measurement waveform output interface.

In an embodiment, the graphical output bread contains a comprehensive judgment Break the output interface.

In one embodiment, the graphical output bread contains a graphical output interface for each of the determination results.

In one embodiment, the graphical output bread contains a measurement result that comprehensively illustrates the output interface.

In one embodiment, the graphical output bread contains an abnormally labeled block.

In an embodiment, the electrocardiogram diagnosis suggesting method further includes: selecting a lead, selecting a first selected block, selecting a second selected block, and displaying the first after folding in a stacked display block. The block is selected and the second selected block. Therefore, according to the method for recommending an electrocardiogram diagnosis disclosed by the present invention, the user can conveniently measure the electrocardiogram, and provide an easy-to-understand graphical interface and correct measurement data, which not only allows the user to understand the physical condition, but also It can provide suggestions for follow-up medical treatment for users, and at the same time, it is convenient for doctors to quickly understand the data of users during measurement, and effectively improve the quality of medical care.

100‧‧‧Electrocardiographic diagnosis suggestion method

110~180‧‧‧Steps

200‧‧‧ graphical output interface

210‧‧‧Measurement waveform output interface

212‧‧‧First ECG waveform

214‧‧‧Second ECG waveform

220‧‧‧Comprehensive judgment output interface

222‧‧‧No change display block

224‧‧‧There may be no change in the display block

226‧‧‧Changes may appear in the display block

228‧‧‧Significant change display block

229‧‧‧Recommended for subsequent processing of text blocks

230‧‧‧ Graphical output interface for each judgment result

240‧‧‧Measurement results comprehensive description of the output interface

310‧‧‧Abnormally marked blocks

410‧‧‧ lead selection area

420‧‧‧ first choice block

430‧‧‧Second selection block

440‧‧‧Folding display block

The above and other objects, features, advantages and embodiments of the present disclosure will be more apparent and understood. The description of the drawings is as follows: FIG. 1 is a schematic diagram of an electrocardiogram diagnosis suggestion method according to an embodiment of the invention. schematic diagram.

Fig. 2 is a schematic diagram of a graphical output interface in accordance with the electrocardiographic diagnosis suggestion method of Fig. 1.

Fig. 3 is a schematic diagram showing the abnormality indication of the graphical output interface in accordance with the electrocardiographic diagnosis suggestion method of Fig. 1.

Fig. 4 is a schematic view showing the superimposed display of the graphical output interface in accordance with the electrocardiographic diagnosis suggesting method of Fig. 1.

The following is a detailed description of the embodiments, but the embodiments are not intended to limit the scope of the disclosure, and the description of the structural operation is not intended to limit the order of execution, and any components are recombined. The structure and the device with equal efficiency are all covered by the disclosure. In addition, the drawings are for illustrative purposes only and are not drawn to the original dimensions. For the sake of understanding, the same or similar elements in the following description will be denoted by the same reference numerals.

In addition, the terms used in the entire specification and the scope of the patent application, unless otherwise specified, usually have the usual meaning of each word used in the field, in the content disclosed herein and in the special content. . Certain terms used to describe the disclosure are discussed below or elsewhere in this specification to provide additional guidance to those skilled in the art in the description of the disclosure.

The terms "first", "second", etc., as used herein, are not intended to refer to the order or the order, and are not intended to limit the invention, only to distinguish the elements described in the same technical terms. Or just operate.

Secondly, the terms "including", "including", "having", "containing", and the like, as used herein, are all open terms, meaning, but not limited to.

FIG. 1 is a schematic diagram of a method for recommending an electrocardiogram diagnosis according to an embodiment of the invention. As shown in the figure, an electrocardiographic diagnosis suggesting method 100 includes the following steps. In step 110, a first electrocardiogram of a user is first measured, and in step 120, the first electrocardiogram is stored. In step 130, it is determined whether the first electrocardiogram is normal according to the physical quality of the user, which may be judged by analyzing the big data, or judged by the user's long-term medical and diagnostic records, or may be determined by one. A qualified doctor judges based on the user's physical quality. For example, if an athlete's heartbeat is about 40 beats per minute, the heartbeat measured in the first electrocardiogram is 40, which is judged to be normal.

Then, in step 140, when the user again measures the electrocardiogram, a second electrocardiogram can be obtained, and in step 150, the second electrocardiogram is stored. Next, the electrocardiogram diagnosis suggesting method 100 of the present invention proceeds to step 160 to compare the difference between the user's first electrocardiogram and the second electrocardiogram. Then, in step 170, a graphical output interface 200 is displayed based on the comparison result described above. Wherein, when the aforementioned athlete is in the second electrocardiogram and the displayed heartbeat is also about 40 degrees, the electrocardiogram diagnosis suggesting method 100 according to the present invention can still judge it as normal to conform to the physical quality of the athlete.

Referring also to Fig. 2, there is shown a schematic diagram of a graphical output interface 200 in accordance with the electrocardiographic diagnostic suggestion method of Fig. 1. As shown in the figure, the graphical output interface 200 can conveniently and clearly display the measurement results of the user, and the user can quickly understand the difference between the electrocardiogram measurement result and the first electrocardiogram. The electrocardiogram diagnosis suggesting method 100 of the present invention can more effectively display the difference in the color and the graphic on the graphical output interface 200 according to the difference from the first electrocardiogram. At the same time, you can use the color, brightness, graphics and text descriptions to suggest the user's subsequent processing methods, so that the user can judge whether to seek medical treatment, or need to re-measure to determine the subsequent processing.

The graphical output interface 200 includes a measurement waveform output interface 210, and the measurement waveform output interface 210 includes a first electrocardiogram waveform 212 and a second electrocardiogram waveform 214, wherein the first electrocardiogram waveform 212 is the first electrocardiogram described above. The portion of the measurement waveform, and the second electrocardiogram waveform 214 is the measurement waveform of the corresponding second electrocardiogram for comparison by the user and the medical staff.

In addition, the graphical output interface 200 further includes a comprehensive judgment output interface 220 and a determination result graphical output interface 230.

Each of the judgment result graphical output interface 230 may be a circular display area surrounded by a plurality of sector-shaped display blocks, and each of the sector display blocks represents a judgment of an electrocardiographic measurement result. In some embodiments, it may have the following sector representation blocks, although the invention is not limited thereto.

Heart rate sector display block

When the heart rate in the second electrocardiogram differs from the heart rate in the first electrocardiogram by more than 20 bpm (Beat Per Minute; number of times per minute), at this time, the fan-shaped display block representing the heart rate will be highlighted, for example, with high brightness or high chroma. The color is presented, such as bright red. If the heart rate in the second electrocardiogram differs from the heart rate in the first electrocardiogram by less than 20 bpm, it may be represented by light red, light green or other colors to distinguish from the difference. However, the present invention is not limited thereto. If the heartbeat of the user is in the first electrocardiogram, the heart rate of a normal person is, for example, between 60 and 120 bpm, if the heart rate in the second electrocardiogram is not In this section, you can also use the highlighted way to remind the user.

Fan-shaped display block of Rhythm

When the heart rate in the second electrocardiogram exhibits non-sinus rhythm or P wave does not appear, the fan-shaped display block representing the heart rhythm will be highlighted, for example, in high-brightness or high-color color. Rendered, such as bright red. Conversely, it can be represented by light red, light green or other colors.

Sector display block of PR interval

When the PR interval in the second electrocardiogram is greater than the PR interval in the first electrocardiogram by about 30 ms (milli second; millisecond), the PR interval in the second electrocardiogram is gradually longer, or only P is present in the second electrocardiogram In the case where the QRS complex does not appear in the wave, the sector display block representing the PR interval will be highlighted, for example, in a high-brightness or high-color color, such as bright red. Conversely, it can be represented by light red, light green or other colors.

Fan-shaped display block of QRS duration

When the QRS interval in the second electrocardiogram is greater than the QRS interval in the first electrocardiogram by about 5 to 20 ms, the waveform characteristics of the new Right Bundle Branch Block (RBBB) may also appear as a new left. The waveform characteristics of the bundle branch block (LBBB; Left Bundle Branch Block) indicate that the sector display block representing the QRS interval will be highlighted, for example, in a high-brightness or high-color color, such as bright red. Conversely, it can be represented by light red, light green or other colors.

Sector display block of QTc interval

When the QTc interval in the second electrocardiogram is greater than in the first electrocardiogram When the QTc interval is about 20ms or the QTc interval is greater than 470ms, the sector display block representing the QTc interval will be highlighted, for example, in a high-brightness or high-color color, such as bright red. Conversely, it can be represented by light red, light green or other colors. Wherein, the aforementioned QTc=QT/√(RR interval).

Fan display block of the axis (Axis)

When the angle of the heart in the second electrocardiogram differs from the angle of the heart in the first electrocardiogram by more than 30 degrees, for example, greater than 60 degrees, the sector display block representing the axis will be highlighted, for example, with high brightness or high chroma The color is presented, such as bright red. Conversely, it can be represented by light red, light green or other colors.

Sector display block of Premature Atrial Contraction (PAC)

When there is no early atrial contraction in the first electrocardiogram, and a waveform of early atrial contraction occurs in the second electrocardiogram; more than twice the early atrial contraction occurs in the second electrocardiogram compared to the number of early atrial contractions in the first electrocardiogram In the case of a waveform of two or more early atrial contractions in the second electrocardiogram, the fan-shaped display block representing the early contraction of the atrium will be highlighted, for example, in a high-brightness or high-color color, such as bright red. Conversely, it can be represented by light red, light green or other colors. In addition, if Supraventricular Arrhythmia occurs, for example, if two consecutive PACs appear, the "Couplet PACs" are further noted in the Summary of Changes on the left side of the sector display block, and if there are three consecutive PACs, the annotation is noted. "Triplet PACs", if there are more than four consecutive PACs, note "atrial arrhythmia".

Sector display block of Premature ventricular contraction (PVC)

When the early ventricular contraction did not occur in the first electrocardiogram, the early ventricular contraction waveform appeared in the second electrocardiogram; more than twice the early ventricular contraction occurred in the second electrocardiogram compared to the number of early ventricular contractions in the first electrocardiogram Situation; when there are more than two consecutive ventricular early contraction waveforms in the second electrocardiogram; or two different waveforms of early ventricular contraction waveforms, the sector display block representing the early contraction of the ventricle will be highlighted, for example, Brightness or high chroma color, such as bright red. Conversely, it can be represented by light red, light green or other colors. In addition, if a ventricular arrhythmia (ventricular arrythmia) occurs, for example, if two consecutive PVCs appear, the "Summary of Changes" on the left side of the sector display block is further noted as "Couplet PVCs", and if three consecutive PVCs appear, note " Triplet PVCs, if there are more than four consecutive PVCs, note "ventricular arrhythmia".

Sector display block with ST elevation

When compared to the first electrocardiogram, the voltage difference between the two adjacent leads outside the V2-V3 lead appearing in the second electrocardiogram is greater than a predetermined voltage, for example, 0.01 to 0.2 mV; Or when the V2-V3 lead in the second electrocardiogram is greater than a predetermined voltage, for example, 0.015 to 0.25 mV, the sector display block representing the rise of the ST period will be highlighted, for example, with high brightness or high chroma. The color is presented, such as bright red. Conversely, it can be represented by light red, light green or other colors.

Sector display block with ST depression (ST depression)

When a new ST period drop occurs in the second electrocardiogram compared to the first electrocardiogram, the voltage difference between the two adjacent leads is greater than a predetermined voltage, for example, 0.01 to 0.1 mV, which represents a decrease in the ST period. The fan-shaped display block will be highlighted, for example, in a high-brightness or high-color color, such as bright red. Conversely, it can be represented by light red, light green or other colors.

Fan-shaped display block of Abnormal Q waves

In the second electrocardiogram, a new Q wave appears in the V2-V3 lead for more than a predetermined time, for example, 0.01 to 0.05 seconds; or in the second electrocardiogram, a new one appears in a part of the lead group When the Q wave is greater than a predetermined time, for example, 0.01 to 0.06 seconds and greater than a predetermined voltage, for example, 0.01 to 0.2 mV, the sector display block representing the abnormal Q wave will be highlighted, for example, with high brightness or high chroma. The color is presented, such as bright red. Conversely, it can be represented by light red, light green or other colors.

Sector display block of T wave

In the second electrocardiogram, if a new T wave inversion occurs or a new T wave alternates between normal and inverted, the sector display block representing the T wave will be highlighted, for example, in a high-brightness or high-color color, such as Bright red and so on. Conversely, it can be represented by light red, light green or other colors.

Voltage changes

When compared to the first electrocardiogram, in the second electrocardiogram, the sum of the R wave plus the S wave in the Limb leads changes by more than 10% or the R wave plus the S wave in the chest leads If the sum change is greater than 10%, the sector display block representing the voltage change will be highlighted, for example, in a high-brightness or high-color color, such as bright red. On the contrary, it can be light red and light green. Color or other colors to represent.

Fan-shaped display block of Atrial fibrillation

When a waveform of atrial fibrillation occurs in the second electrocardiogram, the fan-shaped display block representing atrial fibrillation will be highlighted, for example, in a high-brightness or high-color color, such as bright red. Conversely, it can be represented by light red, light green or other colors.

By highlighting the fan-shaped blocks, the user can quickly find out the diseases or signs that may occur on the body, and effectively understand the changes in the body, so as to facilitate subsequent medical treatment or continuous observation, and reduce sudden accidents.

In addition, the comprehensive judgment output interface 220 is used to provide a result of the user's comprehensive judgment, which may include a plurality of display blocks, respectively representing different integrated colors or brightness to represent the result of the comprehensive judgment, such as no change display block. 222 may be displayed in green, while the display block 224 may be displayed in yellow, the display may be displayed in orange, and the display block 228 may be displayed in red, which represents The recommendations made by the electrocardiogram diagnosis suggestion method 100 of the present invention after comprehensive judgment.

In an embodiment, the comprehensive determination output interface 220 further includes a suggested subsequent processing text block 229. When the display is possible to change the display block 224, it is recommended that the user perform the measurement again to further determine the result of each check. Correctness. When displayed as a possible change display block 226, it is suggested that the user may consider seeking assistance from a doctor. When displayed as a significant change to display block 228, it is recommended that the user should immediately seek assistance from a physician.

In an embodiment, the graphical output interface 200 of the electrocardiogram diagnosis suggesting method 100 of the present invention further includes a measurement result comprehensive description output. The interface 240 is used to describe the actual measurement data of the abnormal item according to the measurement result, for the user to refer to, and can provide the doctor with an abnormal item and content to facilitate the symptomatic medicine.

Referring further to FIG. 3, it is a schematic diagram showing an abnormality indication of a graphical output interface in accordance with the electrocardiographic diagnosis suggestion method of FIG. As shown in the figure, the graphical output interface may further include an abnormality indicating block 310, which can automatically mark the waveform difference for the user or the doctor to interpret, thereby greatly increasing the correctness of the diagnosis, for example, FIG. The heart rate difference position shown in is indicated as the abnormality display block 310.

In addition, referring to FIG. 4, it is a schematic diagram showing a superimposed display of a graphical output interface in accordance with the electrocardiographic diagnosis suggesting method of FIG. 1. As shown in the figure, when the doctor or user wants to perform an ECG comparison, first, a lead can be selected, referring to the lead selection area 410 in the figure. Then, the graphical output interface outputs the selected lead electrocardiogram, and then, in the electrocardiogram of the selected lead, a first selection block 420 and a second selection block 430 are selected. At this time, in a stacked display block 440, the waveforms of the first selected block 420 and the second selected block 430 are displayed for comparison by a user or a doctor for specific conditions, further Increase the correctness of the diagnosis.

The output interfaces in the graphical output interface 200 of the electrocardiogram diagnosis suggesting method 100 of the present invention can be integrated into one screen for user reference, or can be separately displayed on multiple screens to display various items in detail. The data and the figures are not departing from the spirit and scope of the invention.

In an embodiment, the electrocardiogram diagnosis suggesting method 100 of the present invention further includes a step 180, when the second electrocardiogram is judged to be normal, The second electrocardiogram is updated to be the first electrocardiogram, which serves as a criterion for judging the next measurement, and is useful for the user to compare.

In one embodiment, the first electrocardiogram and the second electrocardiogram measured by the electrocardiogram diagnosis suggesting method 100 of the present invention may be stored in a handheld electronic device, such as a mobile phone or a tablet computer, neither of which is It is within the spirit and scope of the invention.

In an embodiment, the first electrocardiogram and the second electrocardiogram measured by the electrocardiogram diagnosis suggesting method 100 of the present invention may be stored in a cloud server or a desktop computer, without departing from the invention. Spirit and scope.

In summary, the method for recommending an electrocardiogram diagnosis according to the present invention can facilitate the user to measure the electrocardiogram, and provide an easy-to-understand graphical interface and correct measurement data, which not only allows the user to understand the physical condition. It can also provide users with follow-up medical advice, and at the same time, it is convenient for doctors to quickly understand the information of users during measurement, and effectively improve the quality of medical care.

The present disclosure has been disclosed in the above embodiments, and is not intended to limit the disclosure. Any one of ordinary skill in the art can make various changes and refinements without departing from the spirit and scope of the disclosure. The scope of protection is subject to the definition of the scope of the patent application.

Claims (10)

A method for recommending an electrocardiogram diagnosis, comprising: measuring a first electrocardiogram of a user; storing the first electrocardiogram; measuring a second electrocardiogram of the user; storing the second electrocardiogram; comparing the first of the user a difference between the electrocardiogram and the second electrocardiogram; and displaying a graphical output interface based on the comparison result. The method for recommending an electrocardiogram diagnosis according to claim 1, further comprising determining whether the first electrocardiogram is normal according to the physical quality of the user. The method for recommending an electrocardiogram diagnosis according to claim 2, further comprising updating the second electrocardiogram into the first electrocardiogram when the second electrocardiogram is judged to be normal. The method for recommending an electrocardiogram diagnosis according to claim 1, wherein the first electrocardiogram and the second electrocardiogram are stored in a handheld electronic device or a cloud server, wherein the handheld electronic device comprises a mobile phone or a tablet computer. The electrocardiogram diagnosis suggesting method according to claim 1, wherein the graphical output interface comprises a measurement waveform output interface. The electrocardiogram diagnosis suggesting method according to claim 5, wherein the graphical output interface comprises a comprehensive judgment output interface. The electrocardiogram diagnosis suggesting method according to claim 6, wherein the graphical output interface comprises a graphical output interface of each judgment result. The electrocardiogram diagnosis suggesting method according to claim 7, wherein the graphical output interface comprises a measurement result comprehensively explaining an output interface. The electrocardiogram diagnosis suggesting method according to claim 8, wherein the graphical output interface comprises an abnormality indicating block. The method for recommending an electrocardiogram diagnosis according to claim 9, further comprising: selecting a lead; selecting a first selected block; selecting a second selected block; and displaying the overlapping in a stacked display block The first selected block and the second selected block.