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https://www.readbyqxmd.com/read/29671366/a-new-approach-for-identification-of-heartbeats-in-multimodal-physiological-signals
#1
Omkar Singh, Ramesh Kumar Sunkaria
In this paper, a technique is proposed for detection of heartbeats in multimodal data. Recording of multiple physiological signals from the same subject is common practice nowadays. Multiple physiological signals are generally available but are processed separately without taking into consideration information from other relevant signals. The heartbeats are generally detected from R peaks in electrocardiogram (ECG) signal, however, if ECG is noisy, other signals reflecting the cardiac activity may be used for identifying heartbeats...
April 19, 2018: Journal of Medical Engineering & Technology
https://www.readbyqxmd.com/read/29669562/comfort-in-palliative-sedation-compas-a-transdisciplinary-mixed-method-study-protocol-for-linking-objective-assessments-to-subjective-experiences
#2
Stefaan Six, Steven Laureys, Jan Poelaert, Johan Bilsen, Peter Theuns, Reginald Deschepper
BACKGROUND: In case of untreatable suffering at the end of life, palliative sedation may be chosen to assure comfort by reducing the patient's level of consciousness. An important question here is whether such sedated patients are completely free of pain. Because these patients cannot communicate anymore, caregivers have to rely on observation to assess the patient's comfort. Recently however, more sophisticated techniques from the neurosciences have shown that sometimes consciousness and pain are undetectable with these traditional behavioral methods...
April 18, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29661666/pseudo-wellens-syndrome-and-intermittent-left-bundle-branch-block-in-a-case-of-acute-cholecystitis
#3
Steffen Grautoff, Martin Balog, Guenther Winde
We present a case of a 54-year-old male patient who was admitted to our Emergency Department (ED) with localized epigastric pain. Inflammation markers, ultrasound, and CT scan were inconsistent with an initial diagnosis of cholecystitis. However, there was additional evidence of cholecystolithiasis. The ECG showed new anterior biphasic T waves typical for a Wellens' type A ECG. Additionally, the patient had an intermittent left bundle branch block (LBBB). The diagnostic challenges in differentiating possible diagnoses will be described, to which in this case, were either acute cholecystitis or acute coronary syndrome (ACS)...
April 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29661665/combining-early-post-resuscitation-eeg-and-hrv-features-improves-the-prognostic-performance-in-cardiac-arrest-model-of-rats
#4
Chenxi Dai, Zhi Wang, Liang Wei, Gang Chen, Bihua Chen, Feng Zuo, Yongqin Li
OBJECTIVE: Early and reliable prediction of neurological outcome remains a challenge for comatose survivors of cardiac arrest (CA). The purpose of this study was to evaluate the predictive ability of EEG, heart rate variability (HRV) features and the combination of them for outcome prognostication in CA model of rats. METHODS: Forty-eight male Sprague-Dawley rats were randomized into 6 groups (n=8 each) with different cause and duration of untreated arrest. Cardiopulmonary resuscitation was initiated after 5, 6 and 7min of ventricular fibrillation or 4, 6 and 8min of asphyxia...
April 9, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29625195/idiopathic-premature-ventricular-complexes-originating-from-the-distal-great-cardiac-vein-clinical-cardiac-and-electrophysiological-characteristics-and-catheter-ablation-outcome
#5
Wenkui Lv, Xianhui Zhou, Gulinuer Yiming, Ling Zhang, Qina Zhou, Yaodong Li, Qiang Xing, Jianghua Zhang, Yanmei Lu, Hongli Wang, Guiqiu Cao, Baopeng Tang
AIMS: Although catheter ablation for idiopathic ventricular arrhythmia (VA) has been generally well-established, VA originating from the great cardiac vein (GCV) may be clinically challenging due to its epicardial origin, proximity to coronary arteries and limited accessibility. The purpose of this study was to explore its electrophysiological characteristics and identify effective mapping/ablation strategies for idiopathic premature ventricular complexes (PVCs) originating from the GCV...
April 3, 2018: Life Sciences
https://www.readbyqxmd.com/read/29622975/ischemia-modified-albumin-ima-in-acute-coronary-syndrome-acs-and-left-bundle-branch-block-lbbb-does-it-make-the-difference
#6
Mohamed Abdel Kader Abdel Wahab
Background: Management of patients with a suspected ACS and LBBB is a challenge to the clinician. Aim: To detect the ability of IMA to exclude myocardial ischemia in suspected patients with ACS and LBBB. Material and methods: A total of 68 patients with suspected ACS and LBBB (group I) and another twenty patients age and sex matched known to have LBBB with normal coronary angiography (group II) were included in this study and subjected to: routine laboratory tests, 12 lead ECG, echocardiography, and measurement of serum troponin I (TnI) and IMA (measured by ELISA)...
September 2017: The Egyptian heart journal: (EHJ): official bulletin of the Egyptian Society of Cardiology
https://www.readbyqxmd.com/read/29622965/the-relation-between-coronary-artery-disease-severity-and-fragmented-qrs-complex-in-patients-with-left-bundle-branch-block
#7
Mohamed M Al-Daydamony, Tamer M Mustafa
Background: The diagnosis of coronary artery disease (CAD) in patients with LBBB represents a clinical challenge. The presence of fragmented QRS (fQRS) complex on surface ECG may be related to myocardial ischemia, scarring or fibrosis. Objectives: To investigate the relation between fQRS and the presence and severity of CAD in patients with LBBB. Patients and methods: 56 patients with symptoms suggesting CAD and complete LBBB were submitted to full history taking and clinical examination, complete 12-leads electrocardiography (ECG) to confirm the diagnosis of LBBB and to diagnose the fragmented wide QRS (f-wQRS) complex, echocardiography, and coronary angiography; lesions with ⩾70% narrowing in major epicardial artery or ⩾50% narrowing in the left main coronary artery were considered significant; and Gensini score was calculated...
June 2017: The Egyptian heart journal: (EHJ): official bulletin of the Egyptian Society of Cardiology
https://www.readbyqxmd.com/read/29599945/a-digital-compressed-sensing-based-energy-efficient-single-spot-bluetooth-ecg-node
#8
Kan Luo, Zhipeng Cai, Keqin Du, Fumin Zou, Xiangyu Zhang, Jianqing Li
Energy efficiency is still the obstacle for long-term real-time wireless ECG monitoring. In this paper, a digital compressed sensing- (CS-) based single-spot Bluetooth ECG node is proposed to deal with the challenge in wireless ECG application. A periodic sleep/wake-up scheme and a CS-based compression algorithm are implemented in a node, which consists of ultra-low-power analog front-end, microcontroller, Bluetooth 4.0 communication module, and so forth. The efficiency improvement and the node's specifics are evidenced by the experiments using the ECG signals sampled by the proposed node under daily activities of lay, sit, stand, walk, and run...
2018: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29582136/unexplained-cardiac-arrest-a-tale-of-conflicting-interpretations-of-kcnq1-genetic-test-results
#9
Han Chow Chua, Helge Servatius, Babken Asatryan, André Schaller, Claudine Rieubland, Fabian Noti, Jens Seiler, Laurent Roten, Samuel H Baldinger, Hildegard Tanner, Juerg Fuhrer, Andreas Haeberlin, Anna Lam, Stephan A Pless, Argelia Medeiros-Domingo
OBJECTIVE: Unexplained cardiac arrest (UCA) is often the first manifestation of an inherited arrhythmogenic disease. Genetic testing in UCA is challenging due to the complexities of variant interpretation in the absence of supporting cardiac phenotype. We aimed to investigate if a KCNQ1 variant [p.(Pro64_Pro70del)], previously reported as pathogenic, contributes to the long-QT syndrome phenotype, co-segregates with disease or affects KCNQ1 function in vitro. METHODS: DNA was extracted from peripheral blood of a 22-year-old male after resuscitation from UCA...
March 26, 2018: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://www.readbyqxmd.com/read/29579189/cardiac-voltage-gated-sodium-channel-mutations-associated-with-left-atrial-dysfunction-and-stroke-in-children
#10
Adrien Moreau, Alexandre Janin, Gilles Millat, Philippe Chevalier
Aims: Cardiac atrial arrhythmias are the most common type of heart rhythm disorders. Its genetic elucidation remains challenging with poor understanding of cellular and molecular processes. These arrhythmias usually affect elderly population but in rare cases, young children may also suffer from such electrical diseases. Severe complications, including stroke, are commonly age related. This study aims to identify a genetic link between electro-mechanic atrial dysfunction and stroke in children...
March 22, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/29562576/evaluate-of-the-effect-of-low-tube-voltage-on-the-radiation-dosage-using-640-slice-coronary-ct-angiography
#11
Shihe Liu, Qing Fu, Hualong Yu, Chuanyu Zhang, Qing Yang, Yabin Hu, Wenjian Xu
BACKGROUND: 640-slice coronary CT angiography is becoming an accurate and reliable method of diagnosing coronary heart disease. However, how to reduce the radiation dosage while ensuring the clinically acceptable image quality remains a quite challenging issue. OBJECTIVE: To evaluate the effect of low tube voltage on radiation dosage under 640-slice coronary CT angiography (CCTA). METHODS: Four hundred patients (236 males, 164 females) with coronary heart disease and underwent CCTA using DCVT were classified into A1 (tube voltage: 120 kV; exposure phase window: 30-80%), B1 (120 kV; 70-80%), A2 (100 kV; 30-80%) and B2 group (100 kV; 70-80%), respectively...
March 15, 2018: Journal of X-ray Science and Technology
https://www.readbyqxmd.com/read/29550833/a-case-of-lown-ganong-levine-syndrome-due-to-an-accessory-pathway-of-james-fibers-or-enhanced-atrioventricular-nodal-conduction-eavnc
#12
Juanita Hunter, Emmanouil Tsounias, John Cogan, Ming-Lon Young
BACKGROUND Lown-Ganong-Levine syndrome, includes a short PR interval, normal QRS complex, and paroxysmal tachycardia. The pathophysiology of this syndrome includes an accessory pathway connecting the atria and the atrioventricular (AV) node (James fiber), or between the atria and the His bundle (Brechenmacher fiber). Similar features are seen in enhanced atrioventricular nodal conduction (EAVNC), with the underlying pathophysiology due to a fast pathway to the AV node, and with the diagnosis requiring specific electrophysiologic criteria...
March 18, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/29549620/efficient-computational-modeling-of-human-ventricular-activation-and-its-electrocardiographic-representation-a-sensitivity-study
#13
Jonathan P Cranford, Thomas J O'Hara, Christopher T Villongco, Omar M Hafez, Robert C Blake, Joseph Loscalzo, Jean-Luc Fattebert, David F Richards, Xiaohua Zhang, James N Glosli, Andrew D McCulloch, David E Krummen, Felice C Lightstone, Sergio E Wong
Patient-specific models of the ventricular myocardium, combined with the computational power to run rapid simulations, are approaching the level where they could be used for personalized cardiovascular medicine. A major remaining challenge is determining model parameters from available patient data, especially for models of the Purkinje-myocardial junctions (PMJs): the sites of initial ventricular electrical activation. There are no non-invasive methods for localizing PMJs in patients, and the relationship between the standard clinical ECG and PMJ model parameters is underexplored...
March 16, 2018: Cardiovascular Engineering and Technology
https://www.readbyqxmd.com/read/29537024/electrohydrodynamic-printing-of-silver-nanowires-for-flexible-and-stretchable-electronics
#14
Zheng Cui, Yiwei Han, Qijin Huang, Jingyan Dong, Yong Zhu
A silver nanowire (AgNW) based conductor is a promising component for flexible and stretchable electronics. A wide range of flexible/stretchable devices using AgNW conductors has been demonstrated recently. High-resolution, high-throughput printing of AgNWs remains a critical challenge. Electrohydrodynamic (EHD) printing has been developed as a promising technique to print different materials on a variety of substrates with high resolution. Here, AgNW ink was developed for EHD printing. The printed features can be controlled by several parameters including AgNW concentration, ink viscosity, printing speed, stand-off distance, etc...
March 14, 2018: Nanoscale
https://www.readbyqxmd.com/read/29529528/investigating-the-contribution-of-distance-based-features-to-automatic-sleep-stage-classification
#15
Ali Abdollahi Gharbali, Shirin Najdi, José Manuel Fonseca
OBJECTIVE: In this paper, the contribution of distance-based features to automatic sleep stage classification is investigated. The potency of these features is analyzed individually and in combination with 48 conventionally used features. METHODS: The distance-based set consists of 32 features extracted by calculating Itakura, Itakura-Saito and COSH distances of autoregressive and spectral coefficients of Electrocardiography (EEG) (C3 -A2 ), Left EOG, Chin EMG and ECG signals...
March 7, 2018: Computers in Biology and Medicine
https://www.readbyqxmd.com/read/29523189/a-case-of-acute-necrotizing-pancreatitis-complicated-with-non-st-elevation-myocardial-infarction
#16
Udaya Ralapanawa, Thilak Jayalath, Dhanusha Senadhira
BACKGROUND: Acute pancreatitis is an inflammatory condition with varying severity and a range of local and systemic complications. Here we report a patient with acute necrotizing pancreatitis complicated with a true non ST elevation myocardial infarction. CASE PRESENTATION: A 58 year old lady was admitted to our unit with acute onset epigastric pain and vomiting for 4 h duration. Following admission she complained of retrosternal tightening type of a chest pain...
March 9, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29504070/continuous-remote-monitoring-of-copd-patients-justification-and-explanation-of-the-requirements-and-a-survey-of-the-available-technologies
#17
Ivan Tomasic, Nikica Tomasic, Roman Trobec, Miroslav Krpan, Tomislav Kelava
Remote patient monitoring should reduce mortality rates, improve care, and reduce costs. We present an overview of the available technologies for the remote monitoring of chronic obstructive pulmonary disease (COPD) patients, together with the most important medical information regarding COPD in a language that is adapted for engineers. Our aim is to bridge the gap between the technical and medical worlds and to facilitate and motivate future research in the field. We also present a justification, motivation, and explanation of how to monitor the most important parameters for COPD patients, together with pointers for the challenges that remain...
March 5, 2018: Medical & Biological Engineering & Computing
https://www.readbyqxmd.com/read/29486898/magnetocardiographic-classification-and-non-invasive-electro-anatomical-imaging-of-outflow-tract-ventricular-arrhythmias-in-recreational-sport-activity-practitioners
#18
Gianmarco Lombardi, Anna Rita Sorbo, Gianluigi Guida, Lara La Brocca, Riccardo Fenici, Donatella Brisinda
Ventricular arrhythmias (VAs) with left bundle-branch-block and inferior axis morphology (LBBB-IA), suggestive of outflow tract (OT) origin, are a challenge in sports medicine because they can be benign or expression of a silent cardiomyopathy. Non-invasive classification is essential to plan ablation strategy if required. We aimed to evaluating magnetocardiographic (MCG) discrimination of OT-VAs site of origin (SoO). MCG and ECG data of 26 sports activity practitioners, with OT-VAs were analyzed. OT-VAs-SoO was classified with discriminant analysis (DA) of 8 MCG parameters and with invasively-validated ECG algorithms...
February 16, 2018: Journal of Electrocardiology
https://www.readbyqxmd.com/read/29485406/a-deep-learning-approach-for-fetal-qrs-complex-detection
#19
Wei Zhong, Lijuan Liao, Xuemei Guo, Guoli Wang
OBJECTIVE: Non-Invasive foetal electrocardiography (NI-FECG) has the
 potential to provide more additional clinical information for detecting and diagnosing
 fetal diseases. We propose and demonstrate a deep learning approach for fetal QRS
 complex detection from raw NI-FECG signals by using Convolutional Neural Network
 (CNN) model. The main objective is to investigate whether reliable fetal QRS complex
 detection performance can still be obtained from features of single-channel NI-FECG
 signals, without canceling maternal ECG (MECG) signals...
February 27, 2018: Physiological Measurement
https://www.readbyqxmd.com/read/29484531/p-and-t-wave-detection-and-delineation-of-ecg-signal-using-differential-evolution-de-optimization-strategy
#20
D Panigrahy, P K Sahu
Generally, P and T waves in an electrocardiogram (ECG) signal are lower in amplitude compared to amplitude of QRS complex and contaminated with noises from various sources. Due to these problems and lack of universal delineation rule, the automated detection and delineation of T and P waves (on, off, and peak position of T and P wave) in the ECG signal are challenging task. The effectiveness for detection of on, off, and peak position of T and P wave by using differential evolution (DE) algorithm with the denoising technique has been verified in this manuscript...
February 26, 2018: Australasian Physical & Engineering Sciences in Medicine
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