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商用心电图检测与传输系统综述——预防心脏骤停的模糊逻辑方法

A Review of the Commercially Available ECG Detection and Transmission Systems-The Fuzzy Logic Approach in the Prevention of Sudden Cardiac Arrest.

作者信息

Lewandowski Michał

机构信息

2nd Department of Arrhythmia, National Institute of Cardiology, 04-628 Warsaw, Poland.

出版信息

Micromachines (Basel). 2021 Nov 30;12(12):1489. doi: 10.3390/mi12121489.

DOI:10.3390/mi12121489
PMID:34945338
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8705604/
Abstract

Sudden cardiac death (SCD) constitutes a major clinical and public health problem, whose death burden is comparable to the current worldwide pandemic. This comprehensive review encompasses the following topics: available rescue systems, wearable electrocardiograms (ECG), detection and transmission technology, and a newly developed fuzzy logic algorithm (FA) for heart rhythm classification which is state-of-the art in the field of SCD prevention. Project "PROTECTOR", the Polish Rapid Transtelephonic ECG to Obtain Resuscitation for development of a rapid rescue system for patients at risk of sudden cardiac arrest (SCA), is presented. If a lethal arrhythmia is detected on the basis of FA, the system produces an alarm signal audible for bystanders and transmits the alarm message along with location to the emergency medical center. Phone guided resuscitation can be started immediately because an automated external defibrillator (AED) localization map is available. An automatic, very fast diagnosis is a unique feature of the PROTECTOR prototype. The rapid detection of SCA is based on a processor characterized by 100% sensitivity and 97.8% specificity (as measured in the pilot studies). An integrated circuit which implements FA has already been designed and a diagnosis is made within few seconds, which is extremely important in ischemic brain damage prophylaxis. This circuit could be implemented in smart implants (Sis).

摘要

心脏性猝死（SCD）是一个重大的临床和公共卫生问题，其死亡负担与当前全球大流行相当。本综述涵盖以下主题：可用的救援系统、可穿戴心电图（ECG）、检测与传输技术，以及一种新开发的用于心律分类的模糊逻辑算法（FA），该算法在SCD预防领域处于先进水平。介绍了“PROTECTOR”项目，这是波兰的一个通过快速远程心电图获取复苏的项目，旨在为有心脏骤停（SCA）风险的患者开发一种快速救援系统。如果基于FA检测到致命性心律失常，该系统会产生一个旁观者可听到的警报信号，并将警报信息连同位置发送到紧急医疗中心。由于有自动体外除颤器（AED）定位图，可立即启动电话指导的复苏。自动、快速诊断是PROTECTOR原型的一个独特特征。SCA的快速检测基于一个灵敏度为100%、特异性为97.8%的处理器（在试点研究中测量）。已经设计了一种实现FA的集成电路，并且能在几秒钟内做出诊断，这在预防缺血性脑损伤方面极其重要。该电路可在智能植入物（Sis）中实现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c192/8705604/d60fa421f01b/micromachines-12-01489-g010.jpg
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本文引用的文献

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Reply: Sudden Death: Thinking Beyond the Heart.回复：心源性猝死：跳出心脏思考。
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The Shadows of Sudden Cardiac Death.心脏性猝死的阴影
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