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心室晚电位的无创逐搏检测

Noninvasive beat-to-beat detection of ventricular late potentials.

作者信息

al-Nashash H A, Kelly S W, Taylor D J

出版信息

Med Biol Eng Comput. 1989 Jan;27(1):64-8. doi: 10.1007/BF02442171.

DOI:10.1007/BF02442171
PMID:2779299
Abstract

The detection of ventricular late potentials is a subject of some clinical interest. Most techniques currently being investigated rely on signal averaging to extract the microvolt signals from the considerable amounts of noise which are present. Although this approach produces useful results, it does remove any beat-to-beat variations from the signal, and also requires that the signal be present for a considerable number of beats. The paper describes a technique for detecting ventricular late potentials from the body surface, which preserves beat-to-beat variations. The most important aspect of this technique is the use of an adaptive signal enhancer to minimise random noise. Representative results for one normal and two pathological subjects are presented and discussed. A comparison with signal averaging is made and the effectiveness of adaptive signal enhancement is illustrated.

摘要

心室晚电位的检测是一个具有一定临床意义的课题。目前正在研究的大多数技术都依赖信号平均来从大量存在的噪声中提取微伏级信号。尽管这种方法产生了有用的结果,但它确实消除了信号中逐搏变化的部分,并且还要求信号存在相当数量的搏动。本文描述了一种从体表检测心室晚电位的技术,该技术保留了逐搏变化。该技术最重要的方面是使用自适应信号增强器来最小化随机噪声。给出并讨论了一名正常受试者和两名病理受试者的代表性结果。与信号平均法进行了比较,并说明了自适应信号增强的有效性。

相似文献

1
Noninvasive beat-to-beat detection of ventricular late potentials.心室晚电位的无创逐搏检测
Med Biol Eng Comput. 1989 Jan;27(1):64-8. doi: 10.1007/BF02442171.
2
Noninvasive beat-by-beat registration of ventricular late potentials using high resolution electrocardiography.使用高分辨率心电图进行心室晚电位的无创逐搏记录。
Int J Cardiol. 1984 Aug;6(2):167-88. doi: 10.1016/0167-5273(84)90351-6.
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Beat-to-Beat ECG ventricular late potentials variance detection by filter bank and wavelet transform as beat-sequence filter.基于滤波器组和小波变换作为搏动序列滤波器的逐搏心电图心室晚电位方差检测
IEEE Trans Biomed Eng. 2004 Aug;51(8):1407-13. doi: 10.1109/TBME.2004.827937.
4
Recovery of ventricular late potentials from body surface using the signal averaging and high resolution ECG techniques.利用信号平均和高分辨率心电图技术从体表恢复心室晚电位。
Clin Cardiol. 1986 Aug;9(8):361-8. doi: 10.1002/clc.4960090802.
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Beat-to-beat detection of ventricular late potentials with high-resolution electrocardiography.采用高分辨率心电图逐搏检测心室晚电位。
Am Heart J. 1991 Feb;121(2 Pt 1):576-85. doi: 10.1016/0002-8703(91)90728-z.
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[The significance of the spinal averaging technique in cardiology (author's transl)].[脊髓平均技术在心脏病学中的意义(作者译)]
Klin Wochenschr. 1982 Apr 15;60(8):379-91. doi: 10.1007/BF01735929.
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Single-beat analysis of ventricular late potentials in the surface electrocardiogram using the spectrotemporal pattern recognition algorithm in patients with coronary artery disease.使用频谱-时间模式识别算法对冠心病患者体表心电图心室晚电位进行单搏分析。
Eur Heart J. 1998 Mar;19(3):435-46. doi: 10.1053/euhj.1997.0768.
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Enhancement of low-level ECG components in noise with time-sequenced adaptive filtering.利用时间序列自适应滤波增强噪声中低水平心电信号成分
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Late potentials and arrhythmogenesis.晚电位与心律失常的发生机制
Pacing Clin Electrophysiol. 1985 May;8(3 Pt 1):440-62. doi: 10.1111/j.1540-8159.1985.tb05784.x.
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[Methods for the detection of ventricular late potentials. High amplification ECG, signal averaging technic, frequency analysis and intracardiac mapping].[心室晚电位检测方法。高放大倍数心电图、信号平均技术、频率分析及心内标测]
Herz. 1988 Jun;13(3):147-59.

引用本文的文献

1
Hybrid time-frequency adaptive filtering for the recovery of ventricular late potentials.用于恢复心室晚电位的混合时频自适应滤波
Med Biol Eng Comput. 1995 Nov;33(6):757-61. doi: 10.1007/BF02523006.
2
Digital signal processing system for real-time His-bundle and late potential measurement.用于实时希氏束和晚电位测量的数字信号处理系统。
Med Biol Eng Comput. 1992 Sep;30(5):550-5. doi: 10.1007/BF02457836.

本文引用的文献

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Fetal electrocardiogram enhancement by time-sequenced adaptive filtering.通过时间序列自适应滤波增强胎儿心电图
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The feasibility of detecting His-bundle activity from the body surface.从体表检测希氏束活动的可行性。
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The His-Purkinje electrocardiogram in man: an initial assessment of its uses and limitations.人体希氏束-浦肯野系统心电图:对其用途及局限性的初步评估
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