TWM530126U - Apparatus for examining and processing heartbeat signal based on fitting curve - Google Patents

Apparatus for examining and processing heartbeat signal based on fitting curve Download PDF

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Publication number
TWM530126U
TWM530126U TW105205528U TW105205528U TWM530126U TW M530126 U TWM530126 U TW M530126U TW 105205528 U TW105205528 U TW 105205528U TW 105205528 U TW105205528 U TW 105205528U TW M530126 U TWM530126 U TW M530126U
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Taiwan
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heartbeat signal
processing unit
wave
heartbeat
characteristic wave
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TW105205528U
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Chinese (zh)
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林俊成
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國立勤益科技大學
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Abstract

An apparatus for examining a heartbeat signal based on a fitting curve is provided. The apparatus includes an input/output unit and a processing unit. A heartbeat signal which has passed an average process is obtained by the input/output unit, and a characteristic wave is acquired from the heartbeat signal by the processing unit. A plurality of characteristic points of the characteristic wave are recognized by the processing unit. Based on the characteristic points, the characteristic wave is divided to a plurality of characteristic wave segments by the processing unit. Fitting is performed to the characteristic wave segments by the processing unit, so as to obtain a fitting curve. Based on the fitting curve, an evaluation parameter of the characteristic wave is calculated by the processing unit. Whether the heartbeat signal is an abnormal heartbeat signal is determined according to the evaluation parameter by the processing unit.

Description

基於擬合曲線之心跳訊號的檢測裝置Detection device for heartbeat signal based on fitting curve

本新型是有關於一種檢測裝置,且特別是關於一種基於擬合曲線之心跳訊號的檢測裝置。The present invention relates to a detecting device, and more particularly to a detecting device based on a heartbeat signal of a fitting curve.

隨著生活水準的提升,重大疾病的預防以及檢測已經逐漸受到現代人的重視。受助於科技的進步,藉由量測相關的生理訊號並進行分析,許多重大疾病的早期徵兆得以被察覺,而患者們可以及早接受治療以避免病情惡化。With the improvement of living standards, the prevention and detection of major diseases have gradually received the attention of modern people. Thanks to advances in technology, by measuring relevant physiological signals and analyzing them, early signs of many major diseases can be detected, and patients can receive treatment early to avoid deterioration.

心臟疾病屬於現代社會的重大疾病之一,並且是造成猝死的常見原因。醫師們大多透過心電圖來判斷受試者是否具有心臟疾病。於心電圖中,一個完整的心跳波形代表一次心肌動作周期中,心肌細胞的電位變化情形。一般而言,醫師可以觀察受試者的心跳波形來判斷受試者是否可能患有心臟疾病或者判斷受試者是否可能為罹患心臟疾病的高危險群。Heart disease is one of the major diseases in modern society and is a common cause of sudden death. Most doctors use an electrocardiogram to determine whether a subject has heart disease. In the electrocardiogram, a complete heartbeat waveform represents the change in the potential of cardiomyocytes during a myocardial action cycle. In general, the physician can observe the subject's heartbeat waveform to determine if the subject is likely to have a heart disease or to determine if the subject is at high risk of developing a heart disease.

近年來,許多研究顯示心跳訊號中的不正常電位對於評估心律不整危險性而言是一項重要的指標,並且可協助診斷罹患急性心肌缺血(Acute Myocardial Ischemia)、心肌梗塞(Myocardial Infraction)、左心室肥大(Left Ventricular Hypertrophy)、心室型心律不整(Ventricular Arrhythmia)、心室頻脈(Ventricular Tachycardia)等心臟疾病的患者或高危險群。In recent years, many studies have shown that abnormal potentials in heartbeat signals are an important indicator for assessing the risk of arrhythmia and can assist in the diagnosis of Acute Myocardial Ischemia, Myocardial Infraction, Patients with heart disease such as Left Ventricular Hypertrophy, Ventricular Arrhythmia, Ventricular Tachycardia, or high-risk groups.

然而,前述心跳訊號中的不正常電位通常具有較小的振幅,因此較難透過肉眼來察覺。對應於此,如何正確地由心跳訊號中檢測前述的不正常電位,仍是本領域技術人員努力的目標之一。However, the abnormal potential in the aforementioned heartbeat signal usually has a small amplitude and is therefore difficult to perceive through the naked eye. Corresponding to this, how to correctly detect the aforementioned abnormal potential from the heartbeat signal is still one of the goals of those skilled in the art.

本新型提供一種心跳訊號的檢測裝置,能夠有效地檢測出心跳訊號中的不正常電位,進而判斷心跳訊號是否為異常。The present invention provides a heartbeat signal detecting device, which can effectively detect an abnormal potential in a heartbeat signal, and thereby determine whether the heartbeat signal is abnormal.

本新型的實施例提供一種心跳訊號的檢測裝置。檢測裝置包括輸入輸出單元與處理單元。輸入輸出單元用於取得經平均處理的心跳訊號。處理單元耦接輸入輸出單元。處理單元由心跳訊號擷取特徵波,並且辨識特徵波的多個特徵點,藉以基於前述特徵點,區分特徵波為多個特徵波區段。處理單元對特徵波區段進行擬合以取得對應特徵波的擬合曲線,並且基於擬合曲線,計算評估參數。前述評估參數反應於特徵波的特殊電位。處理單元由評估參數判斷心跳訊號是否為異常心跳訊號。The embodiment of the present invention provides a detecting device for a heartbeat signal. The detecting device includes an input and output unit and a processing unit. The input and output unit is used to obtain an averaged heartbeat signal. The processing unit is coupled to the input and output unit. The processing unit extracts the characteristic wave from the heartbeat signal, and identifies a plurality of feature points of the characteristic wave, thereby distinguishing the characteristic wave into the plurality of characteristic wave segments based on the foregoing feature points. The processing unit fits the characteristic wave segment to obtain a fitting curve of the corresponding characteristic wave, and calculates an evaluation parameter based on the fitting curve. The aforementioned evaluation parameters are reflected in the special potential of the characteristic wave. The processing unit determines whether the heartbeat signal is an abnormal heartbeat signal by the evaluation parameter.

基於上述,本申請實施例所提供之心跳訊號的檢測裝置,由經平均處理的心跳訊號或平均訊號心電圖機所提供的心跳訊號中辨識出特徵波與多個特徵點以區分特徵波為多個特徵波區段,然後分別對特徵波區段進行擬合以最終取得對應特徵波的擬合曲線。基於前述擬合曲線,進一步地計算評估參數。前述評估參數可反應特徵波之中的不正常電位。最後,由評估參數判斷心跳訊號是否為異常心跳訊號。藉此,本申請實施例所提供之心跳訊號的檢測裝置,可有效檢測與利用心跳訊號中的不正常電位,進而準確地判斷心跳訊號是否為異常。Based on the above, the detecting device for the heartbeat signal provided by the embodiment of the present application identifies the characteristic wave and the plurality of feature points from the heartbeat signal provided by the averaged heartbeat signal or the average signal electrocardiograph to distinguish the characteristic wave into multiple The characteristic wave segments are then fitted to the characteristic wave segments to finally obtain a fitting curve of the corresponding characteristic waves. The evaluation parameters are further calculated based on the aforementioned fitting curve. The aforementioned evaluation parameters may reflect an abnormal potential among the characteristic waves. Finally, the evaluation parameter determines whether the heartbeat signal is an abnormal heartbeat signal. Therefore, the detection device of the heartbeat signal provided by the embodiment of the present invention can effectively detect and utilize the abnormal potential in the heartbeat signal, thereby accurately determining whether the heartbeat signal is abnormal.

為讓本新型的上述特徵和優點能更明顯易懂,下文特舉實施例,並配合所附圖式作詳細說明如下。The above described features and advantages of the present invention will be more apparent from the following description.

現將詳細參考本新型之示範性實施例,在附圖中說明所述示範性實施例之實例。另外,凡可能之處,在圖式及實施方式中使用相同標號的元件與構件代表相同或類似部分。Reference will now be made in detail to the exemplary embodiments embodiments In addition, wherever possible, elements and components in the drawings and the embodiments may have the same or similar parts.

於本新型實施例所提供之心跳訊號的檢測裝置,主要的檢測對象為心跳訊號中的特殊電位,特別是在心跳訊號中的QRS波群(QRS Complex)內的特殊電位。圖1為繪示一個理想完整的心跳波形的示意圖。參照圖1,一般而言,在心跳訊號中,完整的心跳波形包含P波、QRS波群以及T波。QRS波群是由Q波、R波以及S波所形成的波群。P波、QRS波群以及T波分別對應心跳周期間的心房去極化期、心室去極化期與心室再極化期。前述特殊電位即是QRS波群內部的不正常電位(Abnormal Intra-QRS Potential, AIQP)。一般而言,QRS波群內部的不正常電位相較於QRS波群而言,具有較小的振福以及較高的頻率,因此不易由肉眼觀察來發覺。In the detection device of the heartbeat signal provided by the new embodiment, the main detection object is a special potential in the heartbeat signal, especially a special potential in the QRS complex in the heartbeat signal. Figure 1 is a schematic diagram showing an ideal complete heartbeat waveform. Referring to FIG. 1, in general, in a heartbeat signal, a complete heartbeat waveform includes a P wave, a QRS complex, and a T wave. The QRS complex is a group of waves formed by Q waves, R waves, and S waves. The P wave, the QRS complex, and the T wave correspond to the atrial depolarization period, the ventricular depolarization phase, and the ventricular repolarization phase, respectively, during the heartbeat cycle. The aforementioned special potential is the Abnormal Intra-QRS Potential (AIQP) inside the QRS complex. In general, the abnormal potential inside the QRS complex has a smaller vibration and a higher frequency than the QRS complex, and thus is not easily detected by the naked eye.

圖2是依照本新型實施例所繪示之心跳訊號的檢測裝置的示意圖。參照圖2,檢測裝置100至少包括輸入輸出單元120以及處理單元140。輸入輸出單元120作為檢測裝置100與外部裝置之間的訊號傳輸介面,其例如為支援乙太網路(Ethernet)標準、藍芽(Bluetooth)通訊標準、ZIGBEE通訊標準、Wi-Fi通訊標準等有線通訊標準與無線通訊標準的通訊介面,或者是相容於序列先進附件(Serial Advanced Technology Attachment, SATA)標準、通用序列匯流排(Universal Serial Bus, USB)標準或其他合適標準的連接介面。2 is a schematic diagram of a device for detecting a heartbeat signal according to an embodiment of the present invention. Referring to FIG. 2, the detecting apparatus 100 includes at least an input and output unit 120 and a processing unit 140. The input/output unit 120 serves as a signal transmission interface between the detecting device 100 and an external device, and is, for example, supporting an Ethernet standard, a Bluetooth communication standard, a ZIGBEE communication standard, and a Wi-Fi communication standard. The communication interface of the communication standard and the wireless communication standard, or the connection interface compatible with the Serial Advanced Technology Attachment (SATA) standard, the Universal Serial Bus (USB) standard or other suitable standards.

處理單元140可以是任何類型的控制電路,例如系統晶片(system-on-chip,SOC)、應用處理器(application processor)、媒體處理器(media processor)、微處理器(microprocessor)、中央處理單元(central processing unit,CPU)、數位信號處理器(digital signal processor)或其他類似者。The processing unit 140 can be any type of control circuit, such as a system-on-chip (SOC), an application processor, a media processor, a microprocessor, a central processing unit. (central processing unit, CPU), digital signal processor or the like.

值得注意的是,於本新型另一實施例中,檢測裝置100還可以包括顯示器、揚聲器、儲存單元等元件,但不限於此。檢測裝置100例如是以常見的桌上型電腦、筆記型電腦、智慧型行動裝置、平板電腦(Tablet)、個人數位助理器(Personal Digital Assistant,PDA)等電子裝置實現,但本新型不限於此。It should be noted that in another embodiment of the present invention, the detecting device 100 may further include components such as a display, a speaker, a storage unit, and the like, but is not limited thereto. The detecting device 100 is realized by, for example, an electronic device such as a common desktop computer, a notebook computer, a smart mobile device, a tablet, or a personal digital assistant (PDA), but the present invention is not limited thereto. .

圖3是依照本申請說明所繪示之心跳訊號的檢測方法的流程圖。圖3所示的檢測方法可由圖2所示的檢測裝置100執行,但本新型不限於此。參照圖2與圖3,於本實施例中,檢測裝置100藉由其輸入輸出單元120取得經平均處理的心跳訊號(步驟S310)。心跳訊號包括多個資料點,其單位例如為微伏(µV)。在此,檢測裝置100例如是藉由輸入輸出單元120而直接地從平均訊號心電圖機接收心跳訊號,但本新型不以此為限。3 is a flow chart of a method for detecting a heartbeat signal according to the description of the present application. The detecting method shown in FIG. 3 can be performed by the detecting device 100 shown in FIG. 2, but the present invention is not limited thereto. Referring to FIG. 2 and FIG. 3, in the present embodiment, the detecting device 100 obtains the averaged heartbeat signal by its input/output unit 120 (step S310). The heartbeat signal includes a plurality of data points, the unit of which is, for example, microvolts (μV). Here, the detecting device 100 receives the heartbeat signal directly from the average signal electrocardiograph, for example, by the input/output unit 120, but the present invention is not limited thereto.

於另一實施例中,檢測裝置100更執行平均處理來取得心跳訊號。詳細而言,檢測裝置100例如是藉由輸入輸出單元120而從高解析心電圖機或其他類型的心電圖機接收多個心跳訊號(先前心跳訊號),然後由處理單元140將前述心跳訊號(先前心跳訊號)對準並進行平均以取得樣版心跳訊號。接著,處理單元140再根據樣版心跳訊號來從後續接收的心跳訊號(目前心跳訊號)中選擇相近者作為檢測方法的實施對象。具體而言,當後續接收的心跳訊號(目前心跳訊號)與樣版心跳訊號的交互相關係數大於一個閥值時,將心跳訊號(目前心跳訊號)視為可接受檢測的心跳訊號。前述閥值例如是0.98。值得注意的是,樣版心跳訊號也可基於可接受檢測的心跳訊號而進行更新。In another embodiment, the detecting device 100 performs an averaging process to obtain a heartbeat signal. In detail, the detecting device 100 receives a plurality of heartbeat signals (previous heartbeat signals) from a high-resolution electrocardiograph or other type of electrocardiograph, for example, by the input-output unit 120, and then the heartbeat signal (previous heartbeat) is processed by the processing unit 140. Signal) Align and average to get the sample heartbeat signal. Then, the processing unit 140 selects a similar person from the subsequently received heartbeat signal (current heartbeat signal) according to the template heartbeat signal as an implementation object of the detection method. Specifically, when the correlation coefficient of the subsequently received heartbeat signal (current heartbeat signal) and the sample heartbeat signal is greater than a threshold, the heartbeat signal (current heartbeat signal) is regarded as a heartbeat signal that can be detected. The aforementioned threshold is, for example, 0.98. It is worth noting that the sample heartbeat signal can also be updated based on the heartbeat signal that can be detected.

具體而言,由平均訊號心電圖機所接收的心跳訊號以及透過執行平均處理所取得的心跳訊號都具有較低的隨機雜訊,藉以避免隨機雜訊影響檢測方法與檢測裝置100在檢測心跳訊號是否為異常心跳訊號上的準確性。Specifically, the heartbeat signal received by the average signal electrocardiograph and the heartbeat signal obtained by performing the averaging process have lower random noise to avoid the random noise affecting detection method and whether the detecting device 100 is detecting whether the heartbeat signal is detected. The accuracy on the abnormal heartbeat signal.

重新參照圖2與圖3,於本實施例中,在取得心跳訊號後(步驟S310),處理單元140更由心跳訊號中擷取特徵波(步驟S320)。在此,特徵波即為前述的QRS波群,並且包括多個資料點。簡單來說,處理單元140可以透過心跳訊號在時間軸上的訊號強度來辨識QRS波群,並且從心跳訊號的訊號最強處向前與向後搜尋QRS波群的起點(Onset)與終點(Offset)。在本新型的一實施例中,於擷取特徵波前,處理單元140還可以對心跳訊號進行帶通濾波(Band-pass Filtering)處理。帶通濾波處理的截止頻率例如是設定於150赫茲(Hertz, Hz)到250赫茲之間。Referring back to FIG. 2 and FIG. 3, in the embodiment, after the heartbeat signal is obtained (step S310), the processing unit 140 further extracts the feature wave from the heartbeat signal (step S320). Here, the characteristic wave is the aforementioned QRS complex and includes a plurality of data points. Briefly, the processing unit 140 can identify the QRS complex by the signal strength of the heartbeat signal on the time axis, and search for the start and end points (Offset) of the QRS complex forward and backward from the strongest signal of the heartbeat signal. . In an embodiment of the present invention, the processing unit 140 may perform a band-pass filtering process on the heartbeat signal before extracting the feature wavefront. The cutoff frequency of the band pass filtering process is set, for example, between 150 Hz (Hertz, Hz) and 250 Hz.

參照圖2與圖3,擷取特徵波後(步驟S320),在本實施例中,處理單元140辨識特徵波的多個特徵點(步驟S330),並且基於前述特徵點,區分特徵波為多個特徵波區段(步驟S340)。參照圖1,QRS波群是由Q波、R波以及S波所組成。Q波為QRS波群起點(Onset)後的第一個反向波,而S波為R波後的第一個反向波。Q波、R波以及S波的波峰分別為q點、r點以及s點。一般而言,r點為QRS波群內的最大正振幅的波峰,而q點、s點分別為QRS波群內具有負振幅的波峰。Referring to FIG. 2 and FIG. 3, after extracting the feature wave (step S320), in the embodiment, the processing unit 140 identifies a plurality of feature points of the feature wave (step S330), and distinguishes the feature wave based on the feature point. Feature wave segments (step S340). Referring to Figure 1, the QRS complex is composed of Q waves, R waves, and S waves. The Q wave is the first reverse wave after the QRS start point (Onset), and the S wave is the first reverse wave after the R wave. The peaks of the Q wave, the R wave, and the S wave are q point, r point, and s point, respectively. In general, r is the peak of the largest positive amplitude in the QRS complex, and q and s are the peaks with negative amplitude in the QRS complex, respectively.

處理單元140例如是以QRS波群的起點(Onset)、QRS波群的終點(Offset)、q點、r點以及s點等特徵波中的資料點作為特徵點,然後將特徵波區分為QRS波群的起點(Onset)至q點、q點至r點、r點至s點以及s點至QRS波群的終點(Offset)等特徵波區段。具體而言,將特徵波區分為多個特徵波區段的目的,在於可以分段地對特徵波進行曲線擬合,藉以避免大振幅且陡峭的Q波、R波以及S波影響QRS波群內部的不正常電位(AIQP)的檢測。The processing unit 140 is, for example, a data point in a characteristic wave such as an onset of a QRS complex, an end point of an QRS complex, an offset, a q point, an r point, and an s point, and then distinguishes the feature wave into a QRS. The characteristic wave segment such as the start point (Onset) of the wave group to q point, q point to r point, r point to s point, and s point to the end point (Offset) of the QRS complex. Specifically, the purpose of distinguishing a characteristic wave into a plurality of characteristic wave segments is that the characteristic waves can be curve-fitted in stages to avoid large amplitude and steep Q waves, R waves, and S waves affecting the QRS complex. Detection of internal abnormal potential (AIQP).

參照圖2與圖3,於本實施例中,處理單元140對前述特徵波區段進行擬合(Fitting)以取得對應特徵波的擬合曲線(步驟S350)。處理單元140以多項式函數搭配最小誤差平方來分別對各個特徵波區段進行曲線擬合,並且整合對應各個特徵波區段的擬合曲線區段,進而取得對應整個特徵波的擬合曲線。具體而言,假設任一特徵波區段為 u(n),並且 n為離散時間變數,則設計用於近似 u(n)m階多項式函數 û(n)如下所示。 û(n)=a 0+ a 1n + a 2n 2+…+a mn m …… (1) Referring to FIG. 2 and FIG. 3, in the embodiment, the processing unit 140 performs fitting on the feature wave segment to obtain a fitting curve of the corresponding feature wave (step S350). The processing unit 140 performs curve fitting on each of the characteristic wave segments with a polynomial function and a minimum error square, and integrates the fitting curve segments corresponding to the respective characteristic wave segments, thereby obtaining a fitting curve corresponding to the entire characteristic wave. Specifically, assuming that any of the characteristic wave segments is u(n) and n is a discrete time variable, the m- th order polynomial function û(n) designed to approximate u(n) is as follows. û(n)=a 0 + a 1 n + a 2 n 2 +...+a m n m ...... (1)

值得注意的是, nm皆為正整數,而 a 0 a 1 a 2 、…、 a m m階多項式函數 û(n)的係數。以 m階多項式函數 û(n)作為對應特徵波區段 u(n)的擬合曲線區段,其擬合誤差 e(n)如下所示。 e(n)= u(n) - û(n)…… (2) It is worth noting that n and m are positive integers, and a 0 , a 1 , a 2 , ..., a m are coefficients of the m- th order polynomial function û(n) . The m- th order polynomial function û(n) is taken as the fitting curve segment corresponding to the characteristic wave segment u(n) , and the fitting error e(n) is as follows. e(n)= u(n) - û(n) ...... (2)

使擬合誤差 e(n)的平方總和為目標函數 X,並且使目標函數 X達到最小值的情況,可以求得一組最佳的 m階多項式函數 û(n)的係數組合 a 0 a 1 a 2 、…、 a m By making the sum of the squares of the fitting error e(n) the objective function X and making the objective function X reach the minimum value, a coefficient combination a 0 , a of a set of optimal m- order polynomial functions û(n) can be obtained. 1 , a 2 , ..., a m .

參照圖2與圖3,於本實施例中,於取得擬合曲線以及相關的擬和誤差後,處理單元140基於擬合曲線計算評估參數(步驟S360)。詳細而言,處理單元140計算擬合曲線與特徵波間的擬合誤差後,更計算擬合誤差的均方根值與特徵波的均方根值之間的比值以取得評估參數。Referring to FIG. 2 and FIG. 3, in the present embodiment, after obtaining the fitting curve and the associated fitting error, the processing unit 140 calculates the evaluation parameter based on the fitting curve (step S360). In detail, after the processing unit 140 calculates the fitting error between the fitting curve and the characteristic wave, the ratio between the root mean square value of the fitting error and the root mean square value of the characteristic wave is calculated to obtain the evaluation parameter.

更詳細而言,對於特徵波無法由擬合曲線進行擬合的部分,可能包含了QRS波群內部的不正常電位(AIQP)。因此,可基於擬合誤差 e(n)而取得相關於不正常電位(AIQP)的電位參數 AIQP_L,其如下所示。 In more detail, the portion of the characteristic wave that cannot be fitted by the fitting curve may include an abnormal potential (AIQP) inside the QRS complex. Therefore, the potential parameter AIQP_L related to the abnormal potential (AIQP) can be obtained based on the fitting error e(n) as shown below.

值得注意的是, n 1 n 2 皆為正整數,擬合誤差 e(n)為擬合曲線與特徵波間的誤差,而 QRSD則為QRS波群的區間長度。另一方面,考量到QRS波群的總能量對於不正常電位(AIQP)的影響,處理單元140更定義電位參數 AIQP_L對應於QRS波群的均方根值之間的比值為評估參數 AQR,其如下所示。 It is worth noting that n 1 and n 2 are positive integers, the fitting error e(n) is the error between the fitted curve and the characteristic wave, and QRSD is the interval length of the QRS complex. On the other hand, considering the influence of the total energy of the QRS complex on the abnormal potential (AIQP), the processing unit 140 further defines that the ratio between the potential parameter AIQP_L corresponding to the root mean square value of the QRS complex is the evaluation parameter AQR , which As follows.

值得注意的是, s(n)為特徵波(QRS波群)。換言之,評估參數 AQR為擬合誤差的均方根值與特徵波的均方根值之間的比值。在取得評估參數 AQR後,處理單元140更由評估參數 AQR判斷心跳訊號是否為異常心跳訊號(步驟S370)。評估參數 AQR可以反應出QRS波群內部是否包含不正常電位(AIQP,即特殊電位)。 It is worth noting that s(n) is a characteristic wave (QRS complex). In other words, the evaluation parameter AQR is the ratio between the root mean square value of the fitting error and the root mean square value of the characteristic wave. After the evaluation parameter AQR is obtained, the processing unit 140 further determines whether the heartbeat signal is an abnormal heartbeat signal by the evaluation parameter AQR (step S370). The evaluation parameter AQR can reflect whether the QRS complex contains an abnormal potential (AIQP, a special potential).

在本新型的一實施例中,處理單元140比較評估參數 AQR與一個臨界值,並且當評估參數 AQR大於前述臨界值時,判斷心跳訊號為異常心跳訊號。反之,則處理單元140判斷心跳訊號為非異常心跳訊號。一般而言,由異常心跳訊號所取得的評估參數 AQR相較於由非異常心跳訊號所取得的評估參數 AQR而言,是較大的。因此,藉由統計多個由異常心跳訊號所取得的評估參數 AQR以及多個由非異常心跳訊號所取得的評估參數 AQR,處理單元140可預先取得合適的臨界值。 In an embodiment of the present invention, the processing unit 140 compares the evaluation parameter AQR with a threshold value, and when the evaluation parameter AQR is greater than the threshold value, determines that the heartbeat signal is an abnormal heartbeat signal. Otherwise, the processing unit 140 determines that the heartbeat signal is a non-abnormal heartbeat signal. In general, the evaluation parameter AQR obtained from the abnormal heartbeat signal is larger than the evaluation parameter AQR obtained by the non-abnormal heartbeat signal. Thus, by evaluating the plurality of statistical parameters AQR abnormal beat signal and the acquired evaluation parameters of a non-AQR plurality of signals acquired abnormal heartbeats, pre-processing unit 140 may obtain the appropriate threshold.

圖4A-4C繪示對非異常心跳訊號進行檢測的流程示意圖。參照圖4A-4C,圖4A為一個非異常心跳訊號,而圖4B則為對圖4A的心跳訊號的QRS波群進行擬合後得到的擬合曲線。需要注意的是,曲線區段L 1、曲線區段L 2、曲線區段L 3以及曲線區段L 4分別是對各特徵波區段進行擬合後所取得的擬合曲線區段。需要注意的是,為了顯示心跳訊號與擬合曲線間的差異,圖4B以較粗的線段繪示心跳訊號。最後,圖4C繪示各特徵波區段與各擬合曲線區段L 1、L 2、L 3以及L 4間的擬合誤差。 4A-4C are schematic diagrams showing the process of detecting a non-abnormal heartbeat signal. 4A-4C, FIG. 4A is a non-abnormal heartbeat signal, and FIG. 4B is a fitting curve obtained by fitting the QRS complex of the heartbeat signal of FIG. 4A. It should be noted that the curve segment L 1 , the curve segment L 2 , the curve segment L 3 , and the curve segment L 4 are respectively fitting curve segments obtained after fitting the respective characteristic wave segments. It should be noted that in order to show the difference between the heartbeat signal and the fitting curve, FIG. 4B shows the heartbeat signal in a thicker line segment. Finally, FIG. 4C illustrates the fitting error between each characteristic wave segment and each of the fitted curve segments L 1 , L 2 , L 3 , and L 4 .

圖5A-5C繪示對異常心跳訊號進行檢測的流程示意圖。參照圖5A-5C,圖5A為一個異常心跳訊號,其包含QRS波群內部的不正常電位(AIQP)。圖5B為對圖5A的心跳訊號的QRS波群進行擬合後得到的擬合曲線,而圖5C繪示各特徵波區段與各擬合曲線區段L 2、L 3以及L 4間的擬合誤差。需要注意的是,為了顯示心跳訊號與擬合曲線間的差異,圖5B以較粗的線段繪示心跳訊號。 5A-5C are schematic diagrams showing the process of detecting an abnormal heartbeat signal. Referring to Figures 5A-5C, Figure 5A is an abnormal heartbeat signal containing an abnormal potential (AIQP) within the QRS complex. 5B is a fitting curve obtained by fitting the QRS complex of the heartbeat signal of FIG. 5A, and FIG. 5C is a diagram showing the relationship between each characteristic wave segment and each of the fitting curve segments L 2 , L 3 , and L 4 . Fit error. It should be noted that in order to show the difference between the heartbeat signal and the fitted curve, FIG. 5B shows the heartbeat signal in a thicker line segment.

在本新型的一個實施例中,由圖4A的心跳訊號取得的電位參數 AIQP_L為8.8微伏(µV),而評估參數 AQR則為1.9%。另一方面,由圖5A的心跳訊號取得的電位參數 AIQP_L為12.0微伏(µV),而評估參數 AQR則為4.6%。換言之,評估參數 AQR可明確地反應出任一心跳訊號是否包含QRS波群內部的不正常電位(AIQP)而為異常心跳訊號。 In one embodiment of the present invention, the potential parameter AIQP_L obtained from the heartbeat signal of FIG. 4A is 8.8 microvolts (μV), and the evaluation parameter AQR is 1.9%. On the other hand, the potential parameter AIQP_L obtained from the heartbeat signal of FIG. 5A is 12.0 microvolts (μV), and the evaluation parameter AQR is 4.6%. In other words, the evaluation parameter AQR can clearly reflect whether any heartbeat signal contains an abnormal potential (AIQP) inside the QRS complex and is an abnormal heartbeat signal.

在本新型的一實施例中,除了前述電位參數 AIQP_L以及評估參數 AQR外,檢測裝置100的處理單元140還可以藉由偵測QRS波群內的心室延遲電位(Ventricular Late Potentials, VLP)來判斷心跳訊號是否為異常心跳訊號。一般而言,當QRS波群內出現心室延遲電位時,可將心跳訊號視為異常心跳訊號。具體而言,處理單元140可藉由線性區別法(Linear Discriminant Method)來結合心室延遲電位、電位參數 AIQP_L以及評估參數 AQR的相關數據來判斷心跳訊號是否為異常心跳訊號。 In an embodiment of the present invention, in addition to the potential parameter AIQP_L and the evaluation parameter AQR , the processing unit 140 of the detecting device 100 can also determine by detecting the Ventricular Delay Potentials (VLP) in the QRS group. Whether the heartbeat signal is an abnormal heartbeat signal. In general, when a ventricular delay potential occurs in a QRS complex, the heartbeat signal can be considered an abnormal heartbeat signal. Specifically, the processing unit 140 can determine whether the heartbeat signal is an abnormal heartbeat signal by using a Linear Discriminant Method in combination with the ventricular delay potential, the potential parameter AIQP_L, and the correlation data of the evaluation parameter AQR .

值得注意的是,前述實施例所提及的檢測方法,主要適用於檢測由平均訊號心電圖機所接收的心跳訊號以及執行平均處理後所取得的心跳訊號。然而,當檢測裝置100的輸入輸出單元120所接收的心跳訊號(目前心跳訊號)為未經平均處理的心跳訊號時,基於心跳訊號可能具有較大的隨機誤差,較不適於採用以分段擬合後的擬合誤差為基礎而取得的評估參數來判斷心跳訊號是否為異常心跳訊號。It should be noted that the detection method mentioned in the foregoing embodiment is mainly applicable to detecting the heartbeat signal received by the average signal electrocardiograph and the heartbeat signal obtained after performing the averaging process. However, when the heartbeat signal (current heartbeat signal) received by the input/output unit 120 of the detecting device 100 is an unprocessed heartbeat signal, the heartbeat signal may have a large random error, which is less suitable for adoption. The evaluation parameters obtained based on the combined fitting error are used to determine whether the heartbeat signal is an abnormal heartbeat signal.

相對而言,對於未經平均處理的心跳訊號進行擬合可以達到降低隨機誤差的效果。因此,於本新型的一實施例中,處理單元140由心跳訊號擷取QRS波群(特徵波),並且對於QRS波群進行分段擬合後,最終取得的擬合曲線為過濾隨機誤差的QRS波群。此時,擬合誤差較難精確地反應QRS波群內的不正常電位(AIQP,即特殊電位),但擬合曲線可以視為去雜訊後的心跳訊號。Relatively speaking, fitting the unprocessed heartbeat signal can achieve the effect of reducing random errors. Therefore, in an embodiment of the present invention, the processing unit 140 extracts the QRS complex (feature wave) from the heartbeat signal, and after segmentation fitting the QRS complex, the finally obtained fitting curve is filtering the random error. QRS complex. At this time, the fitting error is more difficult to accurately reflect the abnormal potential (AIQP, that is, the special potential) in the QRS complex, but the fitting curve can be regarded as the heartbeat signal after the noise is removed.

圖6是依照本申請說明例所繪示之心跳訊號的處理方法的流程圖。前述處理方法適用於圖2所示的檢測裝置100,但本新型不限於此。一般而言,具有運算能力且可接收心跳訊號的電子裝置皆可執行前述心跳訊號的處理方法。參照圖6,於本實施例中,首先取得未經平均處理的心跳訊號(步驟S610)。接著,由未經平均處理的心跳訊號擷取特徵波(步驟S620),然後辨識特徵波的多個特徵點(步驟S630),並且基於前述特徵點,區分特徵波為多個特徵波區段(步驟S640)。FIG. 6 is a flowchart of a method for processing a heartbeat signal according to an illustrative example of the present application. The foregoing processing method is applied to the detecting device 100 shown in FIG. 2, but the present invention is not limited thereto. In general, an electronic device having computing power and capable of receiving a heartbeat signal can perform the processing method of the heartbeat signal. Referring to Fig. 6, in the present embodiment, the heartbeat signal that has not been averaged is first acquired (step S610). Then, the feature wave is extracted from the unprocessed heartbeat signal (step S620), and then a plurality of feature points of the feature wave are identified (step S630), and based on the feature point, the feature wave is distinguished into a plurality of feature wave segments ( Step S640).

前述的特徵波為QRS波群,而前述的特徵點為QRS波群的起點(Onset)、QRS波群的終點(Offset)、Q波波峰(q點)、R波波峰(r點)以及S波波峰(s點)。此後,對每個特徵波區段進行擬合以取得對應特徵波的擬合曲線(步驟S650)。於本實施例中,擬合曲線即為降低隨機誤差並且平滑化後的心跳訊號,並且可運用其他分析方法或檢測方法來對擬合曲線進行分析或檢測。The aforementioned characteristic wave is a QRS complex, and the aforementioned feature points are an onset of the QRS complex, an end point of the QRS complex (Offset), a Q wave crest (q point), an R wave crest (r point), and S. Wave peak (s point). Thereafter, each of the characteristic wave segments is fitted to obtain a fitting curve of the corresponding characteristic wave (step S650). In this embodiment, the fitting curve is a heartbeat signal that reduces the random error and smoothed, and other analysis methods or detection methods can be used to analyze or detect the fitting curve.

綜上所述,本新型實施例所提供之心跳訊號的檢測裝置,由經平均處理的心跳訊號或平均訊號心電圖機所提供的心跳訊號中辨識出特徵波與多個特徵點以區分特徵波為多個特徵波區段,然後分別對特徵波區段進行擬合以最終取得對應特徵波的擬合曲線。基於前述擬合曲線,進一步地計算評估參數。前述評估參數可反應特徵波之中的不正常電位。最後,由評估參數判斷心跳訊號是否為異常心跳訊號。藉此,本申請實施例所提供之心跳訊號的檢測裝置,可有效檢測與利用心跳訊號中的不正常電位,進而準確地判斷心跳訊號是否為異常。In summary, the detecting device for the heartbeat signal provided by the novel embodiment identifies the characteristic wave and the plurality of feature points from the heartbeat signal provided by the averaged heartbeat signal or the average signal electrocardiograph to distinguish the characteristic wave as A plurality of characteristic wave segments are then fitted to the characteristic wave segments to finally obtain a fitting curve of the corresponding characteristic waves. The evaluation parameters are further calculated based on the aforementioned fitting curve. The aforementioned evaluation parameters may reflect an abnormal potential among the characteristic waves. Finally, the evaluation parameter determines whether the heartbeat signal is an abnormal heartbeat signal. Therefore, the detection device of the heartbeat signal provided by the embodiment of the present invention can effectively detect and utilize the abnormal potential in the heartbeat signal, thereby accurately determining whether the heartbeat signal is abnormal.

雖然本新型已以實施例揭露如上,然其並非用以限定本新型,任何所屬技術領域中具有通常知識者,在不脫離本新型的精神和範圍內,當可作些許的更動與潤飾,故本新型的保護範圍當視後附的申請專利範圍所界定者為準。Although the present invention has been disclosed in the above embodiments, it is not intended to limit the present invention, and any person skilled in the art can make some changes and refinements without departing from the spirit and scope of the present invention. The scope of the present invention is defined by the scope of the appended claims.

100‧‧‧檢測裝置
120‧‧‧輸入輸出單元
140‧‧‧處理單元
P‧‧‧P波
Q‧‧‧Q波
R‧‧‧R波
S‧‧‧S波
T‧‧‧T波
q‧‧‧Q波的波峰
r‧‧‧R波的波峰
s‧‧‧S波的波峰
Onset‧‧‧QRS波群的起點
Offset‧‧‧QRS波群的終點
L1、L2、L3、L4‧‧‧擬合曲線區段
S310、S320、S330、S340、S350、S360、S370‧‧‧心跳訊號的檢測方法的步驟
S610、S620、S630、S640、S650‧‧‧心跳訊號的處理方法的步驟
100‧‧‧Detection device
120‧‧‧Input and output unit
140‧‧‧Processing unit
P‧‧‧P wave
Q‧‧‧Q wave
R‧‧‧R wave
S‧‧‧S wave
T‧‧‧T wave
The peak of the q‧‧‧Q wave
r‧‧‧R wave crest
The peak of the s‧‧‧S wave
The starting point of the Onset‧‧‧QRS wave group
The end point of the Offset‧‧‧QRS complex
L 1 , L 2 , L 3 , L 4 ‧‧‧Fitting curve section
Steps for detecting the heartbeat signal of S310, S320, S330, S340, S350, S360, S370‧‧
Steps for processing S610, S620, S630, S640, S650‧‧ ‧ heartbeat signals

圖1為繪示一個理想完整的心跳波形的示意圖。 圖2是依照本新型實施例所繪示之心跳訊號的檢測裝置的示意圖。 圖3是依照本申請說明所繪示之心跳訊號的檢測方法的流程圖。 圖4A-4C繪示對非異常心跳訊號進行檢測的流程示意圖。 圖5A-5C繪示對異常心跳訊號進行檢測的流程示意圖。 圖6是依照本申請說明所繪示之心跳訊號的處理方法的流程圖。Figure 1 is a schematic diagram showing an ideal complete heartbeat waveform. 2 is a schematic diagram of a device for detecting a heartbeat signal according to an embodiment of the present invention. 3 is a flow chart of a method for detecting a heartbeat signal according to the description of the present application. 4A-4C are schematic diagrams showing the process of detecting a non-abnormal heartbeat signal. 5A-5C are schematic diagrams showing the process of detecting an abnormal heartbeat signal. FIG. 6 is a flow chart of a method for processing a heartbeat signal according to the description of the present application.

100‧‧‧檢測裝置 100‧‧‧Detection device

120‧‧‧輸入輸出單元 120‧‧‧Input and output unit

140‧‧‧處理單元 140‧‧‧Processing unit

Claims (4)

一種心跳訊號的檢測裝置,包括: 輸入輸出單元,用於取得經平均處理的心跳訊號;以及 處理單元,耦接該輸入輸出單元,其中該處理單元由該心跳訊號擷取特徵波,並且辨識該特徵波的多個特徵點,藉以基於該些特徵點,區分該特徵波為多個特徵波區段, 該處理單元對該些特徵波區段進行擬合以取得對應該特徵波的擬合曲線,並且基於該擬合曲線,計算評估參數,其中該評估參數反應於該特徵波的特殊電位, 該處理單元由該評估參數判斷該心跳訊號是否為異常心跳訊號。A heartbeat signal detecting device, comprising: an input and output unit, configured to obtain an averaged heartbeat signal; and a processing unit coupled to the input and output unit, wherein the processing unit extracts a characteristic wave from the heartbeat signal, and identifies the The plurality of feature points of the characteristic wave are used to distinguish the feature wave into a plurality of feature wave segments based on the feature points, and the processing unit fits the feature wave segments to obtain a fitting curve corresponding to the characteristic wave And calculating an evaluation parameter based on the fitting curve, wherein the evaluation parameter is responsive to a special potential of the characteristic wave, and the processing unit determines, by the evaluation parameter, whether the heartbeat signal is an abnormal heartbeat signal. 如申請專利範圍第1項所述的檢測裝置,其中該輸入輸出單元取得多個先前心跳訊號,而該處理單元對該些先前心跳訊號進行平均以取得樣版心跳訊號,並且根據該樣版心跳訊號,由所接收的目前心跳訊號選擇該心跳訊號。The detecting device of claim 1, wherein the input/output unit obtains a plurality of previous heartbeat signals, and the processing unit averages the previous heartbeat signals to obtain a template heartbeat signal, and according to the template heartbeat The signal is selected by the current heartbeat signal received. 如申請專利範圍第1項所述的檢測裝置,其中該處理單元計算該擬合曲線與該特徵波間的多個擬合誤差,並且計算該些擬合誤差的均方根值與該特徵波的均方根值之間的比值以取得該評估參數。The detecting device of claim 1, wherein the processing unit calculates a plurality of fitting errors between the fitting curve and the characteristic wave, and calculates a root mean square value of the fitting errors and the characteristic wave The ratio between the root mean square values to obtain the evaluation parameters. 如申請專利範圍第1項所述的檢測裝置,其中該處理單元比較該評估參數與一臨界值,並且當該評估參數大於該臨界值時,判斷心跳訊號為該異常心跳訊號。The detecting device of claim 1, wherein the processing unit compares the evaluation parameter with a threshold value, and when the evaluation parameter is greater than the threshold value, determining that the heartbeat signal is the abnormal heartbeat signal.
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI630903B (en) * 2016-04-20 2018-08-01 國立勤益科技大學 Method and apparatus for examining and processing heartbeat signal based on fitting curve
TWI773483B (en) * 2021-08-12 2022-08-01 國立臺東專科學校 Sensing data processing method

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI630903B (en) * 2016-04-20 2018-08-01 國立勤益科技大學 Method and apparatus for examining and processing heartbeat signal based on fitting curve
TWI773483B (en) * 2021-08-12 2022-08-01 國立臺東專科學校 Sensing data processing method

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