• Title/Summary/Keyword: Clinical ECG

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Changes of ECG and Electrolyte in Dogs with Experimental Obstruction of Duodenum (개에 있어서 실험적 십이지장 폐색시 심전도와 전해질의 변화)

  • 최인혁;조영숙
    • Journal of Veterinary Clinics
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    • v.15 no.2
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    • pp.432-441
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    • 1998
  • The electrocardiogram (ECG) and electrolytes were measured to obtain diagnostic data after experimental obstruction of duodenum in 8 dogs. Clinical signs of these appeared lower heart rate, temperatures respiration and blood pressure than signs of preoperation. In changes of electrolytes and acid-base balances, all dogs appeared hyponatremiai hypochloremia, metabolic alkalosis, and increased pHi HCO3, scot in blood, but potassium values appeared to increase in 3 cases fl-inc.) and to decrease in 5 cases (K- dec.) Two of three in K-inc. and three of five in K-dec. died at 60 hrs and 72 hrs after obstruction respectly. In changes of ECGI amplitudes of the K-inc cases appeared high in T wave and low in R wave, but amplitudes of the K-dec cases appeared low T waver 57 segment and high in R wave. Conduction times of the K-inc appeared the shorted PR intervals but the K-dec appeared the prolonged PR interval. The changes of these appeared apparently in lead II.

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A Case of Treatment with QRS Widening in Electrocardiogram after Glyphosate Herbicide Poisoning (글리포세이트 제초제 중독 후 심전도에서 QRS파 확장을 보여 치료한 1례)

  • Lee, Joo Hwan
    • Journal of The Korean Society of Clinical Toxicology
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    • v.17 no.1
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    • pp.28-31
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    • 2019
  • Glyphosate herbicides, which are widely used worldwide, are known to have low toxicity. However, excessive intake may cause serious life-threatening complications; therefore, caution is needed when using them. A 51-year-old man visited the hospital after ingesting glyphosate herbicide. At the time of admission, his vital signs were 80/60 mmHg-115/min-20/min-$37.3^{\circ}C$. Electrocardiogram (ECG) showed QRS widening and corrected QT (QTc) prolongation, and blood tests showed metabolic acidosis. Treatment with gastric lavage, activated charcoal, sodium bicarbonate and intravenous lipid emulsion therapy was performed. After 2 hours, his blood pressure increased to 130/90 mg, and no QRS widening was observed on ECG.

Gated Conductivity Imaging using KHU Mark2 EIT System with Nano-web Fabric Electrode Interface (나노웹 섬유형 전극 인터페이스와 KHU Mark2 EIT 시스템을 이용한 생체신호 동기 도전율 영상법)

  • Kim, Tae-Eui;Kim, Hyun-Ji;Wi, Hun;Oh, Tong-In;Woo, Eung-Je
    • Journal of Biomedical Engineering Research
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    • v.33 no.1
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    • pp.39-46
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    • 2012
  • Electrical impedance tomography(EIT) can produce functional images with conductivity distributions associated with physiological events such as cardiac and respiratory cycles. EIT has been proposed as a clinical imaging tool for the detection of stroke and breast cancer, pulmonary function monitoring, cardiac imaging and other clinical applications. However EIT still suffers from technical challenges such as the electrode interface, hardware limitations, lack of animal or human trials, and interpretation of conductivity variations in reconstructed images. We improved the KHU Mark2 EIT system by introducing an EIT electrode interface consisting of nano-web fabric electrodes and by adding a synchronized biosignal measurement system for gated conductivity imaging. ECG and respiration signals are collected to analyze the relationship between the changes in conductivity images and cardiac activity or respiration. The biosignal measurement system provides a trigger to the EIT system to commence imaging and the EIT system produces an output trigger. This EIT acquisition time trigger signal will also allow us to operate the EIT system synchronously with other clinical devices. This type of biosignal gated conductivity imaging enables capture of fast cardiac events and may also improve images and the signal-to-noise ratio (SNR) by using signal averaging methods at the same point in cardiac or respiration cycles. As an example we monitored the beat by beat cardiac-related change of conductivity in the EIT images obtained at a common state over multiple respiration cycles. We showed that the gated conductivity imaging method reveals cardiac perfusion changes in the heart region of the EIT images on a canine animal model. These changes appear to have the expected timing relationship to the ECG and ventilator settings that were used to control respiration. As EIT is radiation free and displays high timing resolution its ability to reveal perfusion changes may be of use in intensive care units for continuous monitoring of cardiopulmonary function.

Effects of Acupuncture Stimulation on the Radial artery's Pressure Pulse Wave in Healthy Young Participants: Protocol for a prospective, single-Arm, Exploratory, Clinical Study

  • Shin, Jae-Young;Ku, Boncho;Kim, Tae-Hun;Bae, Jang Han;Jun, Min-Ho;Lee, Jun-Hwan;Kim, Jaeuk U.
    • Journal of Pharmacopuncture
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    • v.19 no.3
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    • pp.197-206
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    • 2016
  • Introduction: This study aims to investigate the effects of acupuncture stimulation on the radial artery's pressure pulse wave, along with various hemodynamic parameters, and to explore the possible underlying mechanism of pulse diagnosis in healthy participants in their twenties. Methods and analysis: This study is a prospective, single-arm, exploratory clinical study. A total of 25 healthy participants, without regard to gender, in their twenties will be recruited by physicians. Written informed consent will be obtained from all participants. The participants will receive acupuncture once at ST36 on both sides. The radial arterial pulse waves will be measured on the left arm of the subjects by using an applicable pulse tonometric device (KIOM-PAS). On the right arm (appearing twice), electrocardiogram (ECG), photoplethysmogram (PPG), respiration and cardiac output (CO) signals, will be measured using a physiological data acquisition system (Biopac module), while the velocity of blood flow, and the diameter and the depth of the blood vessel will be measured using an ultrasonogram machine on the right arm (appearing twice). All measurements will be conducted before, during, and after acupuncture. The primary outcome will be the spectral energy at high frequencies above 10 Hz ($SE_{10-30Hz}$) calculated from the KIOM-PAS device signal. Secondary outcomes will be various variables obtained from the KIOM-PAS device, ECG, PPG, impedance cardiography modules, and an ultrasonogram machine. Discussion: The results of this trial will provide information regarding the physiological and the hemodynamic mechanisms underlying acupuncture stimulation and clinical evidence for the influence of acupuncture on the pressure pulse wave in the radial artery. Ethics and dissemination: This study was approved by the Institutional Review Board (IRB) of Kyung Hee University's Oriental Medical Center, Seoul, Korea (KOMCIRB-150818-HR-030). The study findings will be published in peer-reviewed journals and presented at national and international conferences. Trial registration number: This trial was registered with the Clinical Research Information Service (CRIS) at the Korea National Institute of Health (NIH), Republic of Korea (KCT0001663), which is a registry in the World Health Organization's (WHO's) Registry Network.

A Study on the Development of Electrocardiography GSM 110A (국산 심전계 개발에 관한 연구)

  • Lee, Heung-Kyu;Hahm, Young-Wook;Kim, Yong-Man
    • Journal of Biomedical Engineering Research
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    • v.3 no.2
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    • pp.123-130
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    • 1982
  • In this paper, Electrocardiography principles and design philosophy are discussed. 1-channel portable automatic ECG amplifier, GSM 110A has high reliability, performance and safety. It reveals that GSM 110A satisfies the IEC, VDE standards. Clinical tests are performed and proved its performance and ease of use.

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Rhythm Classification of ECG Signal by Rule and SVM Based Algorithm (규칙 및 SVM 기반 알고리즘에 의한 심전도 신호의 리듬 분류)

  • Kim, Sung-Oan;Kim, Dae-Hwan
    • Journal of the Korea Society of Computer and Information
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    • v.18 no.9
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    • pp.43-51
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    • 2013
  • Classification result by comprehensive analysis of rhythm section and heartbeat unit makes a reliable diagnosis of heart disease possible. In this paper, based on feature-points of ECG signals, rhythm analysis for constant section and heartbeat unit is conducted using rule-based classification and SVM-based classification respectively. Rhythm types are classified using a rule base deduced from clinical materials for features of rhythm section in rule-based classification, and monotonic rhythm or major abnormality heartbeats are classified using multiple SVMs trained previously for features of heartbeat unit in SVM-based classification. Experimental results for the MIT-BIH arrhythmia database show classification ratios of 68.52% by rule-based method alone and 87.04% by fusion method of rule-based and SVM-based for 11 rhythm types. The proposed fusion method is improved by about 19% through misclassification improvement for monotonic and arrangement rhythms by SVM-based method.

A Study on the assessment of stress using Wireless ECG (무선 심전도측정을 통한 스트레스 평가에 관한 연구)

  • Lim, Chae-Young;Kim, Kyung-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.16 no.2
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    • pp.17-23
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    • 2011
  • In this paper, daily life stress monitoring system is proposed. The proposed wireless ECG module, reducing the noise and increasing the size of signal, amplification circuit was designed for. Using HRV(Heart Rate Variability), extracted by measuring R-wave, stress diagnostic algorithms to assess the stress of human emotion were developed. For monitoring the activities, the proposed system is consist of small rectangular size for portable and by simple measurement it is possible to measure at any time. Through experiments, the proposed approach to represent user's stress level can be confirmed. Through that, it can see appropriate structure to obtain R-wave for stress assess as well as high resemblance to the clinical electrocardiogram. In this paper, performed experiments was developed nonrestraint measuring and wearable wireless biometric scanner that is able to monitor the heart's electrical activity of everyday life.Using this, the algorithm system, that is able to assess stress index through time-domain and frequency-domain analysis of the front and the rear of performing stress load protocol, was developed,

A Study on the Left Ventricular Function Evaluation with ECG Gated Cardiac Blood Pool Scan (ECG Gated Cardiac Blood Poot Scan에서 좌심실기능(左心室機能) 분석(分析)에 관(關)한 연구(硏究))

  • Chung, June-Key;Lee, Jung-Kyoon;Kim, Kwang-Won;Lee, Myung-Chul;Cho, Bo-Yeon;Lee, Young-Woo;Koh, Chang-Soon;Han, Man-Chung
    • The Korean Journal of Nuclear Medicine
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    • v.14 no.1
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    • pp.29-36
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    • 1980
  • Most of clinical morbidity in cardiology are associated with abnormalities of the left ventricle. Several methods have been developed to measure the left ventricular function, including cardiac catheterization with cineangiography, echocardiography, and systolic time interval. But these methods have many limitations. ECG gated cardiac blood pool scan provides a safe, noninvasive, repeatable method for determining the left ventricular function. Utilizing the cardiac blood pool scan, we measured the left ventricular function in 165 cardiac patients, and in 26 normal subject. 1. Left ventricular ejection fractions were measured by cardiac blood pool scan, and compared in 20 patients with that measured by x-ray cineangiography. Correlation coefficient was 0.885. 2. Ejection fractions were classified by funtional class made in New York Heart Association. Ejection fractions well represented the functional status. 3. Ejection fractions decreased in cardiomyopathy ($20.1{\pm}4.8%$) and ischemic heart disease ($34.4{\pm}16.7%$). Impaired ejection fractions in myocardial infarction were associated with the extent of infarction. 4. Regional left ventricular wall motion was evaluated from the end-diastolic and end-systolic images. In cardiomyopathy diffuse hypokinesia was noted and in myocardial infarction akinesia was noted on the infarcted areas.

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Pulse Wave Velocity Measured by Radial Artery Clip-type Pulsimeter Equipped with a Hall Device and Electrocardiogram (홀소자가 구비된 요골동맥 집게형맥진기와 심전도로 측정된 맥파전달속도)

  • Lee, Kyu-Hwan;Lee, Sang-Suk
    • Journal of the Korean Magnetics Society
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    • v.23 no.4
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    • pp.130-134
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    • 2013
  • The clip-type pulsimeter equipped with a magnetic sensing Hall device and the most popular body sign of the electrocardiogram (ECG) were investigated in order to analyze the pulse wave velocity (PWV). The PWV simultaneously calculated by means of time difference between the maximum peak of ECG pulse wave and the starting point of radial artery pulse wave, and distance difference between the heart position and the radial wrist position. The PWV analyzed from the clinical data was a wider scope of 5~7 m/s with an average value of 6 m/s. By the prediction of blood vessel's elasticity from the analysis of PWV, it may be useful for developing an oriental-western diagnostic medical signal device for a U-health-care system in the future.

Remote Vital Sign Monitoring System Based on Wireless Sensor Network using Ad-Hoc Routing (애드혹 라우팅을 이용한 무선센서네트워크 기반의 원격 생체신호 모니터링 시스템)

  • Walia Gaurav;Lee Young-Dong;Chung Wan-Young
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2006.05a
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    • pp.426-429
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    • 2006
  • A distributed healthcare monitoring system prototype for clinical and trauma patients, was developed, using wireless sensor network node. The proposed system aimed to measure various vital physiological health parameters like ECG and body temperature of patients and elderly persons and transfer his/ her health status wirelessly in Ad-hoc network, to remote base station which was connected to doctor's PDA/PC or to a hospital's main Server using wireless sensor node. The system also aims to save the cost of healthcare facility for patients and the operating power of the system because sensor network is deployed widely and the distance from sensor to base station was shorter than in general centralized system. The wireless data communication will follow IEEE 802.15.4 frequency communication with ad-hoc routing thus enabling every motes attached to patients, to form a wireless data network to send data to base-station, providing mobility and convenience to the users in home environment.

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