TW200412899A - System for determining cardiac arrhythmia from electrocardiogram (ECG) - Google Patents

System for determining cardiac arrhythmia from electrocardiogram (ECG) Download PDF

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TW200412899A
TW200412899A TW092102331A TW92102331A TW200412899A TW 200412899 A TW200412899 A TW 200412899A TW 092102331 A TW092102331 A TW 092102331A TW 92102331 A TW92102331 A TW 92102331A TW 200412899 A TW200412899 A TW 200412899A
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data
ecg
medical
database
parameter
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TW092102331A
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TW555545B (en
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shu-xia Xu
Wei-Bang Yang
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Unisage Digital Co Ltd
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Abstract

A system for determining cardiac arrhythmia from electrocardiogram (ECG) comprises: recording a tester's ECG data in a database over a long period of time; obtaining the ECG data from the database or a cardiogram device in real time; using a signal processor to re-sample the ECG data to obtain data with a sufficient resolution and removing noises and signal drifting from the data; feeding the processed ECG data through a data algorithm to obtain parameter points for calculating peak values, boundary values and defined parameter points of P, Q, R, S, T; after all the data are calculated, immediately calculating each parameter and then each parameter value that frequently used for ECG; after all data are generated, comparing the obtained values with values in a medical database; using a conditional comparison to generate a comparison condition formula according to the medical research results of each cardiovascular disease; feeding related data into the conditional formula for calculation and comparing the calculation results with conditions in order to generate a reference data as suggested for the medical staff to determine the tester's heart condition.

Description

200412899 五、發明說明(1) 【發明所屬之技術領域】200412899 V. Description of the invention (1) [Technical field to which the invention belongs]

本發明所屬$ » I 統,其係由資料廑、係提供一種心電圖心律不整判斷系 、參數點、來數數估心電訊號資料、訊號處理、資料運算 及心電圖機所構構成::料比對、病理資料庫、參考資, 測者長時間之心電1二結構流程為:資料庫内記錄者直 號資料或來自心電圖Ϊ貪料,取出任-時間記錄之心電訊 訊號處理對心電气二ί^即時量測之心電訊號資料’經由 並進行消除雜訊及;二料重新取樣’取得足夠之解析度’ 訊號資料,送入資料、:移之現象,經處理後之心電 值及邊界值,已定義=π Q异出各芩數點,即計算出其峰 後,立即計算各參即:ΐΐ:點,於各 式與病理;以= 條件式:將相醫學研究 ::卜;ί件作邏輯比對,條件相符則產生牛式作算數運 醫療上之建議。胃里測者目前心臟之狀况号;枓, 並作為 【先前技術】 一於f t:在人們於接受心電圖量測時,所產 一之記錄紙,不僅保存不*,且ί生之記錄, 又若Α雷+ ~ —電圖δ己錄紙,造成診%時、μ _時 電子5己錄式之心電圖,其僅為記錄之用之不方便。 且單—使 第5頁 200412899 五、發明說明(2) 用者之記錄各自保管,無法隨時調閱診察,又無統一之管 理系統,如此造成醫療資源之浪費。 又若為須長期記錄心電圖之病患,其記錄紙不僅數量 龐大,且無法立即追蹤其病理狀態,須經由醫生或護士診 斷之後,才得以瞭解病患之心臟相關疾病之狀態,容易導 致延誤治療之黃金時段。 【發明内容】The system of the invention belongs to the data system, which is composed of the data system, which provides an ECG arrhythmia judgment system, parameter points, counted ECG signal data, signal processing, data calculation, and ECG machine. Right, pathological database, and reference information. The long-term ECG 12 structure process of the tester is as follows: the direct record data of the recorder in the database or the data from the ECG, and the ECG signal from the time record is taken to the ECG. Second, the real-time measurement of the ECG signal data passes through and eliminates noise and; the second material re-sampling 'acquires sufficient resolution' signal data, sends the data, the phenomenon of shifting, and the processed ECG value And boundary value, defined = π Q is different from each 芩 number of points, that is, after the peak is calculated, each parameter is immediately calculated: ΐΐ: points, in various types and pathology; with = conditional expression: phase medical research :: Bu; for a logical comparison, if the conditions are met, a cattle-style calculation and medical advice will be generated. Stomach tester's current heart state number; 枓, and as [prior art] One in ft: When people receive electrocardiogram measurements, the record paper produced not only does not keep a record *, but also records of life, Moreover, if Α 雷 + ~ —the electrogram δ has been recorded on the paper, it will cause an electronic 5 electrocardiogram of electrocardiogram at the time of diagnosis and μ _, which is only inconvenient for recording. And single-make page 5 200412899 V. Description of the invention (2) The user's records are kept separately, can not be accessed at any time, and there is no unified management system, which causes waste of medical resources. For patients who need to record the electrocardiogram for a long time, not only the number of recording papers is large, but also the pathological status cannot be tracked immediately. After diagnosis by a doctor or nurse, they can understand the state of the patient's heart-related diseases, which may lead to delay in treatment. Prime time. [Summary of the Invention]

發明内容係提供一種心電圖心律不整判斷系統,如第 一圖所示,其係由資料庫A 1 、心電訊號資料A 2、訊號 處理A 3、資料運算A 4、參·數點A 5、參數數值A 6、 資料比對A 7、病理資料庫A 8、參考資料A 9及心電圖 機D 3所構構成,其結構流程為:資料庫A 1内記錄者量 測者長時間之心電訊號資料,取出任一時間記錄之心電訊 號資料A 2或來自心電圖機D 3之即時量測之心電訊號資 料,經由訊號處理A 3對心電訊號資料A 2重新取樣,取 得足夠之解析度,並進行消除雜訊及消除訊號飄移之現象 ,經處理過後之心電訊號資料A 2,送入資料演算A 4中 ,算出各參數點A 5 ,即一次完整心跳之心電圖中(請配 合參閱第二、三圖所示)計算出其峰值及邊界值,已定義 P、Q、R、S、T之參數點,即每一 P點B 1 ,Q點B 2 ,R點B 3 ,S點B 4,T點B 5之數值與多次完整心 跳心電圖中相同點資料,P 1點B 6 ,Q 1點B 7 ,R 1 點B 8,S 1點B 9與T 1點B 1 〇之點。SUMMARY OF THE INVENTION The present invention provides an ECG arrhythmia judgment system, as shown in the first figure, which is composed of a database A 1, an ECG signal data A 2, a signal processing A 3, a data operation A 4, and a counting point A 5. Parameter value A 6, data comparison A 7, pathological database A 8, reference A 9 and electrocardiograph D 3, the structure process is as follows: the recorder in the database A 1 measures the long-term ECG telecommunications Data, take out the ECG signal data A 2 recorded at any time or the ECG signal data measured from the ECG D 3 in real time, and re-sample the ECG signal data A 2 through signal processing A 3 to obtain sufficient analysis And eliminate the noise and signal drift phenomenon. After processing, the ECG signal data A 2 is sent to the data calculation A 4 and each parameter point A 5 is calculated, that is, a complete heartbeat ECG (please cooperate) (See Figures 2 and 3) Calculate the peak and boundary values. The parameter points of P, Q, R, S, and T have been defined, that is, each P point B 1, Q point B 2, and R point B 3. The values of S point B 4 and T point B 5 are the same as those of multiple complete heartbeat ECG Data, P 1 point B 6, Q 1 point B 7, R 1 point B 8, S 1 point B 9 and T 1 point B 1 〇.

第6頁 五、發明說明(3) 計 寬 -各種苓數點A 4計算後, 二”心電圖常用之參數, 又 其中RR區間C2 度為心至收縮時間。 立即計算各參數值A 6 ,即 ,如R R區間C 2與Q r s 為心臟去極化,而Q R S寬 於各項數據產生後’與病理資料庫A 8作資料比對A 7,以條件式比對之方式,將各心臟病症範圍依醫學 結果產生一比對條件式,將相關數據帶入條件式作算 算,再與條件作邏輯比對,條件相符則產生一參考資 9,通知量測者與醫療人員,量測者目前心臟之狀況〃, 作為•療上之建義’如病症等級,風險指數等。 w 又其參考資料A 9可輸出為報表、報告、 藉由通訊方式交給量測者,其通訊方式包含: 定期與不定郵寄等方式。Page 6 V. Description of the invention (3) Counting width-after calculation of various numbers of A4, two "ECG commonly used parameters, and the RR interval C2 degrees is the heart to systolic time. Immediately calculate the value of each parameter A 6, ie For example, if the RR interval C 2 and Q rs are cardiac depolarizations, and QRS is wider than the data after the data is generated, the data is compared with the pathological database A 8 and A 7 is used to conditionally compare each cardiac disorder. The range generates a comparison condition formula based on the medical results. The relevant data is brought into the condition formula for calculation, and then it is logically compared with the condition. If the conditions match, a reference 9 is generated. The measurement person and the medical staff are notified. The current state of the heart is regarded as “therapeutic meanings” such as the level of illness, risk index, etc. w The reference material A 9 can be output as reports, reports, and delivered to the measurer through communication methods. The communication methods include : Regular and irregular mailing.

吕己錄槽並可 電子郵件、 實施方式】 判斷系 1,電 機D 3 料庫A 訊* "5虎處 解析度 過後之 取各參 與心電 統 極片 本發明之實施方式係提供一種心電圖心律 ’如第四圖所不’ *測者E於身上貼上電極:= D 1由連接線D 2連至心電圖機D 3 ,心 將心電訊號資料A 2送入訊號處理A 3 ;同日±,圖 1之心電訊號資料A 2亦送入訊號處理八3 ^,資 理A 3對心電訊號資料A 2重新取樣,取得=由 ,並進行消除雜訊及消除訊號飄移之現象,麵^之 心電訊號資料A 2 ,送入資料演算a 4中,麩^理 數點A 5,計异各芩數值A 6,將來自資料庠八求 200412899 五、發明說明(4) 圖機D 3之求取後之數據送入資料比對A 7與病理資料庫 A 8之心臟病症範圍做條件式比較,將其結果產生一參考 資料A 9 ,醫生F 1與護士 F 2可藉由此參考資料A 9瞭 解病患或量測者目前心臟健康狀態;又其參考資料A 9可 藉由通訊G方式交給量測者E ,通訊G方式包含:電子郵 件、定期與不定郵寄等方式。 為使本發明更加顯現出其進步性與實用性,茲將其優 點列舉如下: 1 、經由系統判斷,得以及早發現心臟相關疾病。 2、 對於病患之病理貢料’得以隨時追縱’有利於病情之 診治。 3、 提供醫療人員有效之參考資料,減少醫療過程,增加 醫療品質。 4、 提供一般人對於自身心臟相關之資料,利於相關疾病 之預防。 5、 具進步性與實用性。 6、 提昇產業競爭力。 綜上所述,本發明誠已符合發明專利之申請要件,爰 依法提出申請,祈請 鈞局審查委員明鑑,並賜予本發明 專利權,實感德便。Lu Jiluo can send e-mail, implementation method] Judgment system 1, motor D 3 library A news * " 5 after the tiger's resolution has been taken to participate in the ECG pole piece embodiment of the present invention is to provide an electrocardiogram The heart rhythm is 'not as shown in the fourth picture' * Subject E attaches an electrode to his body: = D 1 is connected to the electrocardiograph D 3 by the connecting wire D 2, and the heart sends the ECG signal data A 2 to the signal processing A 3; the same day ±, the ECG signal data A 2 in Figure 1 is also sent to the signal processor 8 3 ^, and the asset manager A 3 resamples the ECG signal data A 2 to obtain = by and perform noise elimination and signal drift, The data of the heart signal A 2 is sent to the data calculation a 4, the bran number is A 5, and the various values A 6 are calculated. The data will be obtained from the data. The data input after D 3 is entered into the data comparison. A 7 compares the condition of heart disease with the pathological database A 8 to make a conditional comparison. The result generates a reference A 9. The doctor F 1 and the nurse F 2 can use This reference A 9 understands the current state of heart health of the patient or tester; and its reference A 9 can be obtained by Communication G method is given to the surveyor E. Communication G method includes: e-mail, regular and irregular mailing. In order to make the present invention more show its progress and practicability, the advantages are listed as follows: 1. Through the system judgment, the heart-related diseases can be detected early. 2. For the patient's pathological data ‘to follow up at any time’ is conducive to the diagnosis and treatment of the condition. 3. Provide effective reference materials for medical personnel to reduce medical procedures and increase medical quality. 4. Provide general people with information about their own heart, which is conducive to the prevention of related diseases. 5. Progressive and practical. 6. Improve industrial competitiveness. In summary, the present invention has already met the requirements for the application of an invention patent. 爰 Submit an application in accordance with the law, and ask the examiner of the Bureau to make a clear reference and grant the patent right of the invention.

200412899 圖式簡單說明 第一圖係本發明之流程圖。 第二圖係本發明之一次心跳之心電圖。 第三圖係本發明之連續心跳之心電圖。 第四圖係本發明之實施例圖。 【圖號說明】 A 1 · · ·資料庫 A2···心電圖波形貧料 A 3 · · ·訊號處理 A 4 · · ·資料運算 A 5 · · ·各參數點 A 6 · · ·各參數數值 A 7 · · ·資料比對 A 8 · · ·病理資料庫 A 9 · · ·參考資料 B 1 · · · P 點 B 2 · · · Q 點 B 3 · · · R 點 B 4 · · · S 點 B 5 · · · T 點 B 6 · · · P 1 點 B 7 · · · Q 1 點 B 8 · · · R 1 點 B 9 · · · S 1 點200412899 Brief description of the diagram The first diagram is a flowchart of the present invention. The second diagram is an electrocardiogram of a heartbeat of the present invention. The third figure is an electrocardiogram of continuous heartbeat of the present invention. The fourth diagram is an embodiment diagram of the present invention. [Illustration of drawing number] A 1 · · · Database A2 · · · ECG waveform lean material A 3 · · · Signal processing A 4 · · · Data operation A 5 · · · Each parameter point A 6 · · · Each parameter value A 7 · · · Data comparison A 8 · · · Pathology database A 9 · · · Reference B 1 · · · P point B 2 · · · · Q point B 3 · · · R point B 4 · · · S Point B 5 · · · T point B 6 · · · P 1 point B 7 · · · Q 1 point B 8 · · · R 1 point B 9 · · · S 1 point

第9頁 200412899 圖式簡單說明 B 1 0 · • T 1 點 C 1 • Q R S 寬度 C 2 • R R 間 D 1 •電 極 片 D 2 •連 接 線 D 3 • 心 電 圖 機 E • •量 測 者 F 1 •醫 生 F 2 •護 士 G • •通 訊 方 式Page 9 200412899 Illustration of the diagram B 1 0 • • T 1 point C 1 • QRS width C 2 • RR interval D 1 • electrode pad D 2 • connecting wire D 3 • electrocardiograph E • • measurer F 1 • Doctor F 2 • Nurse G • • Communication

第10頁Page 10

Claims (1)

200412899 六、申請專利範圍 ^、 1 、一種心電圖心律不整判斷系統,其係由資 心電訊號資料、訊號處理、資料運算、參數點、表婁庫、 、資料比對、病理資料庫、參考資料及心電圖機所^數值 ’其結構流程為:資料庫内犯錄者里測者長時間之心成 號資料,取出任一時間記錄之心電訊號資料或來自心電。^ 機之即時量測之心電訊號資科,經由訊號處理對心電訊= 資料重新取樣,取得足夠之解析度’並進行消除雜訊及消 除訊號飄移之現象,經處理後之心電訊號資料,送入資料 演算,算出各參數點,即計算出其峰值及邊界值,已定義 P、Q、R、S、丁之參數點,於各苓數點計算後,立即 計算各參數值,即計算各種心電圖常用之參數值,於各項 數據產生後,與病理資料庫作資料比對,以條件式比對之 方式’將各心臟病症範圍依醫學研究結果 式,將相關數據帶入條件式作曾 生一比對條件 比對,條件相符則產生一參運與條件作邏輯 員,量測者目前心臟二,二 I σ量測者與醫療人 2、如申請專:ίϊί,亚作為醫療上之建議。 整判斷系統,直中兮^ ▲第1項所述之一種心電圖心律不 及病 整判斷系、统,其中該土 ::、1項所述之-種心電圖心律不 及相關資料儲存方^〔貝料輸出為報表、報告、記錄檔 4如申請專利範圍第1 所、+、 整判斷系統,並中该夫=弟1項所述之一種心電圖心律不 考貢料藉由通訊方式交給量測者, IMi! 200412899 六、申請專利範圍 其通訊方式為電子郵件、定期與不定郵寄及相關資料傳遞 之方式。 5、如申請專利範圍第1項所述之一種心電圖心律不 整判斷系統,其中該參考資料為醫療建議、病症等級、風 險指數、危險程度及相關於醫療之病症建議。200412899 6. Scope of patent application ^, 1. An ECG arrhythmia judgment system, which is composed of the ECG signal data, signal processing, data calculation, parameter points, table library, data comparison, pathological database, reference data The structure of the value of the ECG machine is as follows: the long-term heart number data of the testee in the database, and the ECG signal data recorded at any time or from the ECG. ^ Real-time measurement of ECG signal equipment, ECG signal is re-sampled through signal processing to obtain sufficient resolution, and the noise and signal drift are eliminated. The processed ECG signal data , Enter the data calculation, calculate each parameter point, that is, calculate its peak value and boundary value. The parameter points of P, Q, R, S, and D have been defined. After calculating the number of points, calculate the parameter values immediately, that is, Calculate the values of various parameters commonly used in electrocardiograms. After each data is generated, compare it with the pathological database and use the conditional comparison method to 'change the range of each heart disease according to the medical research result formula and bring the relevant data into the conditional formula. Make a comparison between the former and the first. If the conditions match, a participant and the condition will be generated as a logic member. The person who measures the current heart will be two, the two I σ will measure the person and the medical person. Suggestions. ^ ▲ A kind of ECG arrhythmia as described in item 1 is worse than the system for judging the maladjustment, where the soil ::, 1 of the above-a kind of ECG arrhythmia is not as good as the relevant data storage method The output is a report, report, and record file. 4 As described in the first patent application scope, +, and judgment system, and one of the ECG rhythms described in item 1 of the husband = brother is not tested and submitted to the measurer through communication. , IMi! 200412899 VI. Patent application scope The communication method is e-mail, regular and variable mail and related information transmission. 5. An electrocardiogram arrhythmia judgment system as described in item 1 of the scope of patent application, wherein the reference material is medical advice, illness level, risk index, degree of danger, and medical-related illness advice. 第12頁Page 12
TW092102331A 2003-01-30 2003-01-30 System for determining cardiac arrhythmia from electrocardiogram (ECG) TW555545B (en)

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AU2002302003B2 (en) 2001-11-28 2008-05-22 Cardanal Pty Ltd Method and system for processing electrocardial signals
US7597667B2 (en) 2006-05-16 2009-10-06 Rossmax International Ltd. Method for judging irregular heartbeat
WO2012092766A1 (en) * 2011-07-25 2012-07-12 深圳市理邦精密仪器股份有限公司 Method and system for automated detection and analysis in pediatric electrocardiography
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