• Journal of Chest Surgery
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• 제25권6호
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• pp.672-677
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• 1992

This is a clinical review of the results from electric cardioversion and pharmacological therapy used in our hospital for reverting cardiac arrythmia in patients with mitral valve surgery between Jan. 1990 and Jun. 1991. Of 62 evaluated patients, 16 patients had regular sinus rhythm and the other 46 had arrhythmias [42; atrial fibrillation 1; atrial flutter 1; premature ventricular contraction] preoperatively. In 2 of patients with sinus rhythm, atrial fibrillation newly developed after surgery and was converted into sinus rhythm soon by intravenous administration of digoxin. Remaining 14 patient resumed sinus rhythm spontaneously. In patients with preoperative arrythmia, 3 patients reverted into sinus rhythm from atrial fibrillation by electric cardioversion at operative field, 1 patient by lidocain and mexiletine, 4 patients by combined use of digoxin and verapamil, 4 patients by 2 times of oral quinidine and 9 patient by long term use of oral amiodarone. Throughout this consecutive trials of anti-arrhythmic drugs and electric cardioversion, Conversion into normal sinus rhythm occurred in 48% of patients with arrhythmia developed after mitral valve surgery.

• 대한의용생체공학회:의공학회지
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• 제21권2호
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• pp.165-174
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• 2000

본 논문에서는 M 채널 필터 뱅크를 이용하여 심전도 자동 진단 시스템에서 매우 중요한 파라미터로 사용되는 QRS complex 검출을 실시하였다. 제안된 알고리즘에서는 심전도 신호를 M개의 균일한 주파수 대역으로 분할(decomposition)하고, 분할된 서브밴드(subband) 신호들 중에서 QRS complex의 에너지 분포가 가장 많이 존재하는 5∼25Hz 영역의 서브밴드 신호들을 선택하여 feature를 계산함으로써 QRS complex 검출을 실시하였다. 제안된 알고리즘의 성능 비교를 위하여 MIT-BIH arrhythmia database를 사용하였으며, sensitivity는 99.82%, positive predictivity는 99.82, 평균 검출율은 99.67%로 기존의 알고리즘에 비해 높은 검출 성능을 나타내었다. 또한 polyphase representation을 이용하여 M 채널 필터 뱅크를 구현한 결과 연산 시간이 단추되어 실시간 검출이 가능함을 확인하였다.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1988년도 전기.전자공학 학술대회 논문집
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• pp.731-733
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• 1988

This paper describes a design of hardware system for real time automatic diagnosis of ECG arrhythmia based on pipeline processor consisting of the three microcomputer. ECG data is acquisited by 12 bit A/D converter with hardware QRS triggered detector. Four diagnostic parameters - heart rate, morphology, axis, and ST segment - are used for the classification and the diagnosis of arrhythmia. The functions of the main CPU were distributed and processed with three microcomputers. There-fore the effective data process and the real time process using microcomputer can be obtained. The interconnection structure consisting of two common memory units is designed to decrease the delay time caused by data transfer between processors and by which the delay time can be taken 1 % of one clock period.

• 대한전기학회논문지:시스템및제어부문D
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• 제55권3호
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• pp.142-145
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• 2006

Detection methods for atrial tachycardia and atrial fibrillation on the time axis have the advantages of light operational load and are easy to apply to various applications. Despite these advantages, arrhythmia detection algorithm on the time axis cannot stand much noise such as motion artifacts, moreover the peak detection algorithm has high complexity. In this paper, we use a spectrum analysis method for the detection of atrial tachycardia and atrial fibrillation. By applying spectrum analysis and digital filtering on obtained electrogram signals, we can diagnose heart arrhythmia without using peak detection algorithm.

• Journal of Chest Surgery
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• 제47권3호
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• pp.294-297
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• 2014

Cardiac complications such as arrhythmia and heart failure are common in Graves disease. Early detection and proper treatment of hyperthyroidism are important because cardiac complications are reported to be reversible if the thyroid function is normalized by medical treatment. We report here a case of cardiac complication of Graves disease that was too late to reverse with medical treatment and required surgical treatment.

• International Journal of Arrhythmia
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• 제17권1호
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• pp.41-45
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• 2016

Atrial fibrillation (AF) can occur in acute coronary syndrome (ACS), which is a serious medical condition and may require the use of antiplatelet agents in addition to anticoagulants for stroke prevention. Recently, novel or non-vitamin K antagonist oral anticoagulants (NOACs) have been increasingly used for stroke prevention in patients with AF instead of traditional OACs. The duration of treatment or treatment with a stepwise approach (e.g. triple, double, or monotherapy) is determined depending on the clinical setting and the balance between the risks of ischemic stroke and bleeding. However, some concerns and controversies in the use of NOACs in patients with AF and ACS need to be addressed. Here, the current management for NOAC therapy in patients with ACS and AF will be reviewed based on recently published guidelines.

• 순환기질환의공학회:학술대회논문집
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• 순환기질환의공학회 2006년도 제6회 학술대회
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• pp.38-39
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• 2006

• International Journal of Control, Automation, and Systems
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• 제3권4호
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• pp.571-579
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• 2005

In this paper, we proposed an algorithm for arrhythmia classification, which is associated with the reduction of feature dimensions by linear discriminant analysis (LDA) and a support vector machine (SVM) based classifier. Seventeen original input features were extracted from preprocessed signals by wavelet transform, and attempts were then made to reduce these to 4 features, the linear combination of original features, by LDA. The performance of the SVM classifier with reduced features by LDA showed higher than with that by principal component analysis (PCA) and even with original features. For a cross-validation procedure, this SVM classifier was compared with Multilayer Perceptrons (MLP) and Fuzzy Inference System (FIS) classifiers. When all classifiers used the same reduced features, the overall performance of the SVM classifier was comprehensively superior to all others. Especially, the accuracy of discrimination of normal sinus rhythm (NSR), arterial premature contraction (APC), supraventricular tachycardia (SVT), premature ventricular contraction (PVC), ventricular tachycardia (VT) and ventricular fibrillation (VF) were $99.307\%,\;99.274\%,\;99.854\%,\;98.344\%,\;99.441\%\;and\;99.883\%$, respectively. And, even with smaller learning data, the SVM classifier offered better performance than the MLP classifier.

• 대한의용생체공학회:의공학회지
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• 제29권6호
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• pp.466-476
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• 2008

The more people use ambulatory electrocardiogram(ECG) for arrhythmia detection, the more researchers report the automatic classification algorithms. Most of the previous studies don't consider the un-balanced data distribution. Even in patients, there are much more normal beats than abnormal beats among the data from 24 hours. To solve this problem, the hierarchical classification using 21 features was adopted for arrhythmia abnormal beat detection. The features include R-R intervals and data to describe the morphology of the wave. To validate the algorithm, 44 non-pacemaker recordings from physionet were used. The hierarchical classification model with 2 stages on domain knowledge was constructed. Using our suggested method, we could improve the performance in abnormal beat classification from the conventional multi-class classification method. In conclusion, the domain knowledge based hierarchical classification is useful to the ECG beat classification with unbalanced data distribution.

• 사상체질의학회지
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• 제22권2호
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• pp.115-122
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• 2010

1. Objectives: This case study reports clinical improvement of a Soyangin benign arrhythmia patient who showed improvement of palpitation symptoms after treatment with Hyeongbangjihwang-tang. 2. Methods: The patient's subjective and objective symptoms were observed daily, and the VAS scores and duration times of palpitation were recorded daily throughout the hospitalization period. 3. Results: The general condition of the patient improved by the end of hospitalization. The VAS score dropped from 4-10 to 0-1, and the duration of palpitation dropped from 50-160 min to 0-5 min. Other symptoms such as diarrhea and lower back pain also showed improvement. 4. Conclusion: This case study shows the effectiveness of Hyeongbangjihwang-tang in the treatment of palpitation. Although the literature on Hyeongbangjihwang-tang does not report its usage on palpitation, the prescription was shown to be effective in the case where the palpitation symptom is concomitant to the general symptomatology of the Mangeum disease, a pathology indicative of Hyeongbangjihwang-tang.