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远程心电图监测在急性心肌梗死 PCI 中的早期诊断中的应用价值。

Application Value of Remote ECG Monitoring in Early Diagnosis of PCI for Acute Myocardial Infarction.

机构信息

First People's Hospital of Chenzhou City (Emergency Department), Chenzhou, 423000 Hunan, China.

出版信息

Biomed Res Int. 2022 Aug 8;2022:8552358. doi: 10.1155/2022/8552358. eCollection 2022.

DOI:10.1155/2022/8552358
PMID:35978639
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9377919/
Abstract

The blockage of blood in the vessels results in heart attacks and cardiac arrests which are referred to as myocardial infarction. Early detection of such infarction is feasible through percutaneous coronary intervention (PCI) based on electrocardiogram (ECG) monitoring. The variations in blood flow and clot are precisely observed through periodic ECG monitoring and previous correlations. This article introduces a concentrated value assessment model (CVAM) for determining PCI levels in treating myocardial infarction. The ECG observations from the previous observation sessions are accumulated and organized for validating the infarction rate. This requires the accompanying concentrated data like a heartbeat, blood pressure, and flow rate observed in different sessions. Based on the session observation and normal data correlation, the PCI level is recommended for the patient. In this analysis process, the value shift due to blocks and high and low blood pressure is accounted for through the deep learning paradigm. This paradigm correlates the above factors with the ECG values for precisely determining PCI from the last known concentration. The learning paradigm is trained based on session and normal observation data through different intervals. This model is validated using the metrics precision, analysis rate, diagnosis recommendation, and complexity.

摘要

血管中的血液阻塞会导致心脏病发作和心脏骤停,这被称为心肌梗死。通过基于心电图 (ECG) 监测的经皮冠状动脉介入治疗 (PCI) 可以早期发现这种梗塞。通过定期的 ECG 监测和以前的相关性,可以精确观察血流和血栓的变化。本文提出了一种集中值评估模型 (CVAM),用于确定治疗心肌梗死的 PCI 水平。从前几次观察中积累和组织 ECG 观察结果,以验证梗塞率。这需要伴随集中的数据,如在不同会话中观察到的心跳、血压和流速。根据会议观察和正常数据相关性,为患者推荐 PCI 水平。在这个分析过程中,深度学习范例考虑了由于阻塞和高低血压导致的数值变化。该范例将上述因素与 ECG 值相关联,以便从上次已知的浓度中准确确定 PCI。学习范例是通过不同的间隔基于会话和正常观察数据进行训练的。该模型使用精度、分析率、诊断建议和复杂度等指标进行验证。

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本文引用的文献

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Eur J Intern Med. 2022 Jun;100:69-76. doi: 10.1016/j.ejim.2022.03.009. Epub 2022 Mar 19.
2
DeepMI: Deep multi-lead ECG fusion for identifying myocardial infarction and its occurrence-time.DeepMI:用于识别心肌梗死及其发生时间的深度多导联 ECG 融合。
Artif Intell Med. 2021 Nov;121:102192. doi: 10.1016/j.artmed.2021.102192. Epub 2021 Oct 12.
3
Diagnostic performance of a new ECG algorithm for reducing false positive cases in patients suspected acute coronary syndrome.
利用机器学习预测急性冠状动脉综合征的不良事件:一项回顾性研究。
Clin Cardiol. 2023 Dec;46(12):1594-1602. doi: 10.1002/clc.24127. Epub 2023 Aug 31.
用于降低疑似急性冠脉综合征患者中假阳性病例的新型心电图算法的诊断性能。
J Electrocardiol. 2021 Nov-Dec;69:60-64. doi: 10.1016/j.jelectrocard.2021.07.005. Epub 2021 Jul 16.
4
Noninvasive prediction of late potentials in the signal-averaged ECG in patients with chronic Chagas disease.慢性恰加斯病患者信号平均心电图中晚期电位的无创预测
J Electrocardiol. 2021 Nov-Dec;69:55-59. doi: 10.1016/j.jelectrocard.2021.09.011. Epub 2021 Sep 20.
5
Predicting efficacy of combined assessment with fragmented QRS and severely depressed heart rate variability on outcome of patients with acute myocardial infarction.预测碎裂 QRS 波与重度压低心率变异性联合评估对急性心肌梗死患者预后的效果。
Heart Vessels. 2022 Feb;37(2):239-249. doi: 10.1007/s00380-021-01930-y. Epub 2021 Aug 23.
6
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J Electrocardiol. 2021 Jan-Feb;64:50-57. doi: 10.1016/j.jelectrocard.2020.11.018. Epub 2020 Dec 5.
10
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Int J Cardiol. 2020 Dec 1;320:7-11. doi: 10.1016/j.ijcard.2020.07.025. Epub 2020 Jul 21.