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基于电荷感应的单导联心电图检测系统。

Single Position ECG Detection System Based on Charge Induction.

机构信息

School of Electronic Science and Engineering, Nanjing University, Nanjing 210023, China.

出版信息

Sensors (Basel). 2023 May 15;23(10):4771. doi: 10.3390/s23104771.

Abstract

With the growing incidence of cardiovascular disease (CVD) in recent decades, the demand for out-of-hospital real-time ECG monitoring is increasing day by day, which promotes the research and development of portable ECG monitoring equipment. At present, two main categories of ECG monitoring devices are "limb lead ECG recording devices" and "chest lead ECG recording devices", which both require at least two electrodes. The former needs to complete the detection by means of a two-hand lap joint. This will seriously affect the normal activities of users. The electrodes used by the latter also need to be kept at a certain distance, usually more than 10 cm, to ensure the accuracy of the detection results. Decreasing the electrode spacing of the existing ECG detection equipment or reducing the area required for detection will be more conducive to improving the integration of the out-of-hospital portable ECG technologies. Therefore, a single-position ECG system based on charge induction is proposed to realize ECG detection on the surface of the human body with only one electrode with a diameter of less than 2 cm. Firstly, the ECG waveform detected in a single location is simulated by analyzing the electrophysiological activities of the human heart on the human body surface with COMSOL Multiphysics 5.4 software. Then, the hardware circuit design of the system and the host computer are developed and the test is performed. Finally, experiments for static and dynamic ECG monitoring are carried out and the heart rate correlation coefficients are 0.9698 and 0.9802, respectively, which proves the reliability and data accuracy of the system.

摘要

随着近几十年来心血管疾病 (CVD) 的发病率不断上升,对院外实时心电图监测的需求日益增加,这促进了便携式心电图监测设备的研究和开发。目前,心电图监测设备主要有两类,“肢体导联心电图记录设备”和“胸导联心电图记录设备”,这两类都需要至少两个电极。前者需要通过双手膝部关节完成检测,这会严重影响使用者的正常活动。后者使用的电极也需要保持一定的距离,通常超过 10 厘米,以确保检测结果的准确性。减小现有心电图检测设备的电极间距或减小检测所需的面积将更有利于提高院外便携式心电图技术的集成度。因此,提出了一种基于电荷感应的单部位心电图系统,该系统仅使用直径小于 2 厘米的单个电极即可在人体表面进行心电图检测。首先,使用 COMSOL Multiphysics 5.4 软件分析人体表面的心脏电生理活动,对单部位检测到的心电图波形进行模拟。然后,开发系统的硬件电路设计和主机,并进行测试。最后,进行静态和动态心电图监测实验,心率相关系数分别为 0.9698 和 0.9802,证明了系统的可靠性和数据准确性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3f1/10222424/25cc6a7b4585/sensors-23-04771-g001.jpg

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