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https://www.readbyqxmd.com/read/28210991/extraction-of-fetal-ecg-signal-by-an-improved-method-using-extended-kalman-smoother-framework-from-single-channel-abdominal-ecg-signal
#1
D Panigrahy, P K Sahu
This paper proposes a five-stage based methodology to extract the fetal electrocardiogram (FECG) from the single channel abdominal ECG using differential evolution (DE) algorithm, extended Kalman smoother (EKS) and adaptive neuro fuzzy inference system (ANFIS) framework. The heart rate of the fetus can easily be detected after estimation of the fetal ECG signal. The abdominal ECG signal contains fetal ECG signal, maternal ECG component, and noise. To estimate the fetal ECG signal from the abdominal ECG signal, removal of the noise and the maternal ECG component presented in it is necessary...
February 16, 2017: Australasian Physical & Engineering Sciences in Medicine
https://www.readbyqxmd.com/read/28204915/-acute-chest-pain-and-new-ecg-changes-in-pacemaker-patients-a%C3%A2-clinical-challenge
#2
Matthias Hoyme, Ralf Surber, P Christian Schulze, Dirk Prochnau
We report the case of a 82-year-old woman who was admitted to our institution with acute chest pain, nausea, and vomiting. Because of atrial fibrillation with intermittent bradycardia, a single-chamber pacemaker was implanted 4 years ago. The initial 12-lead ECG showed atrial fibrillation with a heart rate of 70 bpm, narrow QRS, and T‑wave inversions in the inferolateral leads. Coronary artery disease was excluded by immediate cardiac catheterization. A subsequent ECG three hours later showed a ventricular paced rhythm...
February 15, 2017: Herzschrittmachertherapie & Elektrophysiologie
https://www.readbyqxmd.com/read/28185080/wellens-syndrome-can-indicate-high-grade-lad-stenosis-in-case-of-left-bundle-branch-block
#3
Steffen Grautoff
Diagnosing acute myocardial infarction (AMI) in left bundle branch block (LBBB) is challenging. Modified Sgarbossa criteria are known to help detect AMI in LBBB. This is a report about an electrocardiogram (ECG) with Wellens' signs in combination with a pre-existing LBBB. The ECG of a patient with fluctuating chest pain showed very subtle and one day later more obvious Wellens'signs. A left anterior descending artery (LAD) stenosis was diagnosed and successfully treated. Wellens' syndrome can be diagnosed in a case of LBBB and help detect a high-grade LAD stenosis even if modified Sgarbossa criteria are not met...
February 9, 2017: Herzschrittmachertherapie & Elektrophysiologie
https://www.readbyqxmd.com/read/28183320/real-time-phase-contrast-flow-cardiovascular-magnetic-resonance-with-low-rank-modeling-and-parallel-imaging
#4
Aiqi Sun, Bo Zhao, Yunduo Li, Qiong He, Rui Li, Chun Yuan
BACKGROUND: Conventional phase-contrast cardiovascular magnetic resonance (PC-CMR) employs cine-based acquisitions to assess blood flow condition, in which electro-cardiogram (ECG) gating and respiration control are generally required. This often results in lower acquisition efficiency, and limited utility in the presence of cardiovascular pathology (e.g., cardiac arrhythmia). Real-time PC-CMR, without ECG gating and respiration control, is a promising alternative that could overcome limitations of the conventional approach...
February 10, 2017: Journal of Cardiovascular Magnetic Resonance
https://www.readbyqxmd.com/read/28166774/highly-wearable-cuff-less-blood-pressure-and-heart-rate-monitoring-with-single-arm-electrocardiogram-and-photoplethysmogram-signals
#5
Qingxue Zhang, Dian Zhou, Xuan Zeng
BACKGROUND: Long-term continuous systolic blood pressure (SBP) and heart rate (HR) monitors are of tremendous value to medical (cardiovascular, circulatory and cerebrovascular management), wellness (emotional and stress tracking) and fitness (performance monitoring) applications, but face several major impediments, such as poor wearability, lack of widely accepted robust SBP models and insufficient proofing of the generalization ability of calibrated models. METHODS: This paper proposes a wearable cuff-less electrocardiography (ECG) and photoplethysmogram (PPG)-based SBP and HR monitoring system and many efforts are made focusing on above challenges...
February 6, 2017: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28164349/applicability-of-a-novel-formula-bogossian-formula-for-evaluation-of-the-qt-interval-in-heart-failure-and-left-bundle-branch-block-due-to-right-ventricular-pacing
#6
Gerrit Frommeyer, Harilaos Bogossian, Eleni Pechlivanidou, Philipp Conzen, Christopher Gemein, Kay Weipert, Inga Helmig, Ritvan Chasan, Victoria Johnson, Lars Eckardt, Christian W Hamm, Melchior Seyfarth, Bernd Lemke, Markus Zarse, Jörn Schmitt, Damir Erkapic
BACKGROUND: The presence of left bundle branch block (LBBB) due to right ventricular pacing represents a particular challenge in properly measuring the QTc interval. In 2014 a new formula for evaluation of QT interval in patients with LBBB was reported. METHODS: 145 patients with implantable cardioverter defibrillator (ICD) were included in this prospective multicenter observational study. Inclusion criteria were: no permanent right ventricular stimulation, an intrinsic QRS interval of <120ms and reduced left ventricular function...
February 5, 2017: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/28131609/geriatric-syncope-and-cardiovascular-risk-in-the-emergency-department
#7
Nissa J Ali, Shamai A Grossman
BACKGROUND: Syncope is a transient loss of consciousness that is caused by a brief loss in generalized cerebral blood flow. OBJECTIVE: This article reviews the background, epidemiology, etiologies, evaluation, and disposition considerations of geriatric patients with syncope, with a focus on cardiovascular risk. DISCUSSION: Although syncope is one of the most common symptoms in elderly patients presenting to the emergency department, syncope causes in geriatric patients can present differently than in younger populations, and the underlying etiology is often challenging to discern...
January 25, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28125072/set-based-discriminative-measure-for-electrocardiogram-beat-classification
#8
Wei Li, Jianqing Li, Qin Qin
Computer aided diagnosis systems can help to reduce the high mortality rate among cardiac patients. Automatical classification of electrocardiogram (ECG) beats plays an important role in such systems, but this issue is challenging because of the complexities of ECG signals. In literature, feature designing has been broadly-studied. However, such methodology is inevitably limited by the heuristics of hand-crafting process and the challenge of signals themselves. To address it, we treat the problem of ECG beat classification from the metric and measurement perspective...
January 25, 2017: Sensors
https://www.readbyqxmd.com/read/28114719/-right-bundle-branch-block-left-bundle-branch-block-pace-maker-in-case-of-acute-coronary-syndrome-is-the-ecg-of-any-value
#9
Steffen Grautoff
The 12 lead ECG is difficult to evaluate if there is a persistent right or even left bundle block or a pace maker continually stimulating the right ventricle. Despite these pre-existing or new ECG changes it might still be possible to detect variations which can hint to an ST-elevation myocardial infarction (STEMI). Diagnosing significant ST elevations in a case of right bundle block is not very challenging. If the ECG shows a left bundle block the modified Sgarbossa criteria should be used for evaluation. These criteria can also be used in a pace maker ECG...
January 2017: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/28113243/highly-reliable-key-generation-from-electrocardiogram-ecg
#10
Nima Karimian, Zimu Guo, Mark Tehranipoor, Domenic Forte
Traditional passwords are inadequate as cryptographic keys, as they are easy to forge and are vulnerable to guessing. Human biometrics have been proposed as a promising alternative due to their intrinsic nature. Electrocardiogram (ECG) is an emerging biometric that is extremely difficult to forge and circumvent, but has not yet been heavily investigated for cryptographic key generation. ECG has challenges with respect to immunity to noise, abnormalities, etc. In this paper, we propose a novel key generation approach that extracts keys from real valued ECG features with high reliability and entropy in mind...
September 8, 2016: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/28113216/high-performance-personality-heartbeat-classification-model-for-long-term-ecg-signal
#11
Pengfei Li, Yu Wang, Jiangchun He, Lihua Wang, Yu Tian, Tian-Shu Zhou, Tianchang Li, Jing-Song Li
Long-term ECG has become one of the important diagnostic assist methods in clinical cardiovascular domain. Long-term ECG is primarily used for the detection of various cardiovascular diseases that are caused by various cardiac arrhythmia such as myocardial infarction, cardiomyopathy, and myocarditis. In the past few years, the development of an automatic heartbeat classification method has been a challenge. With the accumulation of medical data, personalized heartbeat classification of a patient has become possible...
March 8, 2016: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/28108014/electrocardiographic-spatial-loops-indicate-organization-of-atrial-fibrillation-minutes-before-ablation-related-transitions-to-atrial-tachycardia
#12
Tina Baykaner, Rishi Trikha, Junaid A B Zaman, David E Krummen, Paul J Wang, Sanjiv M Narayan
BACKGROUND: During ablation for atrial fibrillation (AF), it is challenging to anticipate transitions to organized tachycardia (AT). Defining indices of this transition may help to understand fibrillatory conduction and help track therapy. OBJECTIVE: To determine the timescale over which atrial fibrillation (AF) organizes en route to atrial tachycardia (AT) using the ECG referenced to intracardiac electrograms. METHODS: In 17 AF patients at ablation (58...
January 15, 2017: Journal of Electrocardiology
https://www.readbyqxmd.com/read/28099159/reducing-false-arrhythmia-alarm-rates-using-robust-heart-rate-estimation-and-cost-sensitive-support-vector-machines
#13
Qiang Zhang, Xianxiang Chen, Zhen Fang, Qingyuan Zhan, Ting Yang, Shanhong Xia
To lessen the rate of false critical arrhythmia alarms, we used robust heart rate estimation and cost-sensitive support vector machines. The PhysioNet MIMIC II database and the 2015 PhysioNet/CinC Challenge public database were used as the training dataset; the 2015 Challenge hidden dataset was for testing. Each record had an alarm labeled with asystole, extreme bradycardia, extreme tachycardia, ventricular tachycardia or ventricular flutter/fibrillation. Before alarm onsets, 300 s multimodal data was provided, including electrocardiogram, arterial blood pressure and/or photoplethysmogram...
January 18, 2017: Physiological Measurement
https://www.readbyqxmd.com/read/28078546/postoperative-real-time-electrocardiography-monitoring-detects-myocardial-ischemia-a-case-report
#14
Homer Yang, Ashraf Fayad, Alan Chaput, Stuart Oake, Adrian D C Chan, Mary Lou Crossan
PURPOSE: This case report outlines the utility and challenges of remote continuous postoperative electrocardiography ECG) monitoring, which is routed through a secure smartphone to provide real-time detection and management of myocardial ischemia. CLINICAL FEATURES: A 42-yr-old male with previous myocardial infarction and angioplasty underwent a radical prostatectomy. At three hours and 45 min postoperatively, remote real-time ECG monitoring was initiated upon the patient's arrival on a regular surgical ward...
January 11, 2017: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/28060863/the-systematic-evaluation-of-identifying-the-infarct-related-artery-utilizing-cardiac-magnetic-resonance-in-patients-presenting-with-st-elevation-myocardial-infarction
#15
Carine E Hamo, Igor Klem, Sunil V Rao, Vincent Songco, Samer Najjar, Edward G Lakatta, Subha V Raman, Robert A Harrington, John F Heitner
BACKGROUND: Identification of the infarct-related artery (IRA) in patients with STEMI using coronary angiography (CA) is often based on the ECG and can be challenging in patients with severe multi-vessel disease. The current study aimed to determine how often percutaneous intervention (PCI) is performed in a coronary artery different from the artery supplying the territory of acute infarction on cardiac magnetic resonance imaging (CMR). METHODS: We evaluated 113 patients from the Reduction of infarct Expansion and Ventricular remodeling with Erythropoetin After Large myocardial infarction (REVEAL) trial, who underwent CMR within 4±2 days of revascularization...
2017: PloS One
https://www.readbyqxmd.com/read/28058408/msieve-differential-behavioral-privacy-in-time-series-of-mobile-sensor-data
#16
Nazir Saleheen, Supriyo Chakraborty, Nasir Ali, Md Mahbubur Rahman, Syed Monowar Hossain, Rummana Bari, Eugene Buder, Mani Srivastava, Santosh Kumar
Differential privacy concepts have been successfully used to protect anonymity of individuals in population-scale analysis. Sharing of mobile sensor data, especially physiological data, raise different privacy challenges, that of protecting private behaviors that can be revealed from time series of sensor data. Existing privacy mechanisms rely on noise addition and data perturbation. But the accuracy requirement on inferences drawn from physiological data, together with well-established limits within which these data values occur, render traditional privacy mechanisms inapplicable...
September 2016: Proceedings of the ACM International Conference on Ubiquitous Computing
https://www.readbyqxmd.com/read/28055987/heart-beat-classification-from-single-lead-ecg-using-the-synchrosqueezing-transform
#17
Christophe L Herry, Martin Frasch, Andrew Je Seely, Hau-Tieng Wu
The processing of ECG signal provides a wealth of information on cardiac function and overall cardiovascular health. While multi-lead ECG recordings are often necessary for a proper assessment of cardiac rhythms, they are not always available or practical, for example in fetal ECG applications. Moreover, a wide range of small non-obtrusive single-lead ECG ambulatory monitoring devices are now available, from which heart rate variability (HRV) and other health-related metrics are derived. Proper beat detection and classification of abnormal rhythms is important for reliable HRV assessment and can be challenging in single-lead ECG monitoring devices...
January 5, 2017: Physiological Measurement
https://www.readbyqxmd.com/read/28044401/atrioventricular-synchrony-in-the-background-of-ventricular-noise-and-undersensing
#18
Paweł T Matusik, Andrzej Ząbek, Patrycja S Matusik, Barbara Małecka, Jacek Lelakowski
The 24-hr electrocardiogram (ECG) interpretation in patients with double-chamber pacemakers may be challenging. The difficulty increases if not well-known pacemaker algorithm and device malfunction coexist. We show atrial synchronization pace (ASP) in a patient with ventricular lead damage. We provide detailed description of electrocardiogram and intracardiac electrogram. ASP may confuse 24-hr ECG monitoring interpretation, especially in patients with ventricular lead dysfunction.
January 3, 2017: Annals of Noninvasive Electrocardiology
https://www.readbyqxmd.com/read/28043359/aberrant-effects-of-altrenogest-and-exposure-to-exogenous-gonadotropins-on-follicular-cysts-appearance-in-gilts
#19
A J Ziecik, J Klos, E Przygrodzka, R Milewski, B Jana
Research was conducted to determine the effect of altrenogest and exposure to exogenous gonadotropins on ovarian function in prepubertal and mature gilts. Crossbred, presumably sexually mature gilts (n = 51), were fed with altrenogest for 18 consecutive days and the day after the last feeding with altrenogest, gilts were treated with eCG and 72 hours later challenged with hCG. Animals were slaughtered on Days 10 to 13 of their gonadotropins synchronized estrous cycle. Ovaries were examined for the number of CL, number of follicular cysts, and presence of corpora albicantia...
February 2017: Theriogenology
https://www.readbyqxmd.com/read/28043186/oral-propranolol-for-infantile-hemangiomas-a-prospective-study-on-the-role-of-48-hour-holter-monitoring-in-additional-safety-assessment
#20
Jelena Petrovic, Branislav Trifunovic, Goran Vukomanovic, Mirko Topalovic, Goran Trajkovic, Vojislav Parezanović
PURPOSE: Oral propranolol has been recently approved for infantile hemangiomas (IHs), but potential side effects stay a challenge. We sought to make an additional assessment on oral propranolol safety for this indication. MATERIALS AND METHODS: Prospective study included 108 infants consecutively treated for IHs at the University Children's Hospital Tirsova, Belgrade from January 2010 to December 2013. Propranolol was administered orally at a daily dose of 0.5 mg/kg and doubled every 48 hours in the absence of side effects until reaching the maximum dose of 2 mg/kg daily...
January 11, 2017: Journal of Dermatological Treatment
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