• Title/Summary/Keyword: Electrocardiography

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Detection of Arrhythmias by Holter Monitoring and Use of Wearable Electrocardiography Devices Holter and wearable devices for arrhythmia detection

  • Ji Yeon Chang;Jae Kyung Kim
    • International Journal of Advanced Culture Technology
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    • v.11 no.2
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    • pp.310-314
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    • 2023
  • In this paper, we show that the limitations of Holter monitoring and Wearable Electrocardiogarphy Devices and their arrhythmia detection. Sudden death caused by cardiovascular disease, often referred to as the "silent killer" due to its unpredictable nature, is a major health concern. Electrocardiography (ECG) is a basic diagnostic tool for detecting heart disease, but its limitations make it difficult to detect arrhythmia, a significant indicator of an irregular heart state. To address this limitation, a long-term continuous ECG recording device has been developed, Holter ECG device and wearable device. A significant number of studies have focused on the differences between Holter monitoring and wearable devices. The Holter tests were useful for detecting regularly occurring arrhythmias, whereas wearable patches were better at detecting random and infrequent arrhythmias. Wearable patches were effective in detecting episodes of arrhythmia and myocardial ischemia. Despite the concern, wearable devices had less signal loss than Holter monitoring and patients also preferred wearable devices over Holter monitoring due to convenience. These results could mean that the wearable devices can perfectly replace the Holter test.

Pain medication and long QT syndrome

  • Klivinyi, Christoph;Bornemann-Cimenti, Helmar
    • The Korean Journal of Pain
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    • v.31 no.1
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    • pp.3-9
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    • 2018
  • Long QT syndrome is a cardiac repolarization disorder and is associated with an increased risk of torsades de pointes. The acquired form is most often attributable to administration of specific medications and/or electrolyte imbalance. This review provides insights into the risk for QT prolongation associated with drugs frequently used in the treatment of chronic pain. In the field of pain medicine all the major drug classes (i.e. NSAIDs, opioids, anticonvulsive and antidepressant drugs, cannabinoids, muscle relaxants) contain agents that increase the risk of QT prolongation. Other substances, not used in the treatment of pain, such as proton pump inhibitors, antiemetics, and diuretics are also associated with long QT syndrome. When the possible benefits of therapy outweigh the associated risks, slow dose titration and electrocardiography monitoring are recommended.

Subaortic Stenosis in Dogs. (개의 대동맥협착증)

  • 허진영;최지혜;최호정;이희천;이영원;박수원;엄기동;한정희;윤화영
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.523-528
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    • 1999
  • Subaortic stenosis in a 2.9kg, 3-month-old pug dog and a 11 kg, 4-month-old Rott -weiler dog showing signs of dyspnea, tachypnea, anorexia, exercise intolerance and depression was diagnosed with electrocardiography, thoracic radiography and ultrasonographic evaluation. In electrocardiography, PR interval widening, R wave amplitude increase in lead II in case 2, ST segment depression and left axis deviation in case 1 and 2 were identified. In thoracic radiographs, enlarged left ventricle and atrium, caudal displacement of left crus of diaphragm and caudal part of cranial mediastinum widening were identified in ventrodorsal view. In lateral view, left ventricular enlargement, secondary dorsal deviation of trachea and post-stenotic dilation of aorta were seen. Also, edematous pulmonary changes were shown in peri-hilar area. In ultrasonographic examination, left ventricular dilatation, pericardial effusion and subaortic valvular ridge were seen with real time B-mode in right parasternal long axis view. Aortic valve regurgitation was identified in color-Doppler mode.

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A case of pulmonic stenosis in a Shihtzu dog

  • Park, Chul;Yoo, Jong-Hyun;Jung, Dong-In;Kim, Ju-Won;Kang, Byeong-Teck;Park, Hee-Myung
    • Korean Journal of Veterinary Research
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    • v.47 no.1
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    • pp.99-102
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    • 2007
  • A 3-year-old, intact female, Shih-tzu dog was presented with a 15-day history of vomiting,depression, and anorexia. On physical examination, systolic ejection murmurs with precordial thril atthe left heart base were detected. A diagnosis of congenital pulmonic stenosis (PS) was made mainlyfrom the thoracic radiography, electrocardiography, and echocardiography. On complete blood counts andconfirmed that main pulmonary artery was tremendously buldged and electrocardiography was suggestiveof severe right ventricular hypertrophy. Echocardiographic findings revealed the pulmonic valve stenosiscontaining valvular dysplasia and poststenotic dilation. On Doppler echocardiography, ejection velocityof the lesion accounted for 3.38 m/sec, meaning mild velocity through the stenotic area. The dog'sproblem and resulted in death. However, there has been no reliable relation between PS and CRF. Primarymalformation of pulmonic valve was confirmed at necropsy after death.

Preliminary Study on the Detection of Late Potentials using High-Resolution Electrocardiography (HRECG에 의한 Late Potential의 검출에 관한 예비 연구)

  • Woo, Eung-Je;Park, Seung-Hun
    • Proceedings of the KOSOMBE Conference
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    • v.1993 no.05
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    • pp.63-65
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    • 1993
  • We have done a preliminary study on the detection of ventricular late potentials using high-resolution electrocardiography. We designed a battery powered low-noise ECG amplifier. We used the XYZ lead system and the amplifier provides 3 channels of X, Y, and Z signals with a conventional gain and another 3 channels of the amplitude-limited X, Y, and Z signals with high-gain. 12-bit data acquisition system interfaces the amplifiers to a personal computer for further signal analysis. Beat alignment algorithm was implemented on the low-gain signals to synchronize the signal averaging of the high-gain amplitude-limited signals. We suggest the use of the weighted vector sum of X', Y', and Z' signals based on the SNR of each channel. We speculate that this new method will increase the accuracy of the LP detector at the expense of more complicated hardware.

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Cellular Automata Model of Depolarization Process in Myocardial Cells (심실 세포에서 탈분극 과정의 세포 오토마타 모델)

  • Chang, Yong-Hoon;Jeon, Gye-Rok;Lee, Kwon-Soon;Eom, Sang-Hee;Lee, Sang-Yeol
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.05
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    • pp.82-86
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    • 1995
  • Using electrocardiography is a common method to diagnose heart disease, Modeling and simulation of activation process for the heart system is useful to understand electrocardiography. This paper proposes a two-dimensional cellular automata model for the activation process of the ventricles. The model represents the geometry of the ventricles by the ellipsoidal shape in two dimension. In the model, ventricles are divided into four layers, each of which has a set of cells with preassigned properties. The proposed model takes Into account the local orientation of the myocardial fibers and their distributed velocity, and refractory period. Simulation experiment is performed to measure activation potential for each cell in each layer within the ventricles.

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Study on Prevention of Drowsiness Driving using Electrocardiography(LF/HF) Index (심전도(LF/HF)를 활용한 졸음운전 예방 연구)

  • Moon, Kwangsu;Hwang, Kyungin;Choi, Eunju;Oah, Shezeen
    • Journal of the Korean Society of Safety
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    • v.30 no.2
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    • pp.56-62
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    • 2015
  • The purpose of this study was to identify the relationship between the index of Electrocardiography(LF/HF) and the occurrence of drowsiness driving while driving in a simulated situation. Participants were 31 undergraduate students with an experience in driving and they participated 30 minutes driving under enough sleep condition and 1 hour under the sleep deprivation condition. The Euro Truck Simulator II was used for driving simulation task and ECG and perceived drowsiness of each participants were measured during two driving conditions. Perceived sleepiness recorded by the checklist every 10 minutes and ECG data extracted before and after 15 seconds of every 10 minutes to verify the relationship between two variables. The results showed that the level of perceived sleepiness under sleep deprivation condition was higher than that under the enough sleep condition, and the level of LF/HF under sleep deprivation condition was lower than that under the enough sleep condition. In addition, the result of analysis of repeated measure ANOVA for ECG indicated that authentic sleepiness revealed in 20 minutes after the start of driving under the sleep deprivation condition. However, the result of perceived drowsiness indicated that authentic sleepiness revealed in 30 minutes after the start of driving. These result suggest that the time difference between biological and perceived response on drowsiness may be exist. Finally, the significant negative correlation between the LF/HF level and perceived drowsiness was observed. These findings suggest that ECG(LF/HF) can be an possible index to measure drowsiness driving.

Feasibility of Using Similar Electrocardiography Measured around the Ears to Develop a Personal Authentication System (귀 주변에서 측정한 유사 심전도 기반 개인 인증 시스템 개발 가능성)

  • Choi, Ga-Young;Park, Jong-Yoon;Kim, Da-Yeong;Kim, Yeonu;Lim, Ji-Heon;Hwang, Han-Jeong
    • Journal of Biomedical Engineering Research
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    • v.41 no.1
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    • pp.42-47
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    • 2020
  • A personal authentication system based on biosignals has received increasing attention due to its relatively high security as compared to traditional authentication systems based on a key and password. Electrocardiography (ECG) measured from the chest or wrist is one of the widely used biosignals to develop a personal authentication system. In this study, we investigated the feasibility of using similar ECG measured behind the ears to develop a personal authentication system. To this end, similar ECGs were measured from thirty subjects using a pair of three electrodes attached behind each of the ears during resting state during which the standard Lead-I ECG was also simultaneously measured from both wrists as baseline ECG. The three ECG components, Q, R, and S, were extracted for each subject as classification features, and authentication accuracy was estimated using support vector machine (SVM) based on a 5×5-fold cross-validation. The mean authentication accuracies of Lead I-ECG and similar ECG were 90.41 ± 8.26% and 81.15 ± 7.54%, respectively. Considering a chance level of 3.33% (=1/30), the mean authentication performance of similar ECG could demonstrate the feasibility of using similar ECG measured behind the ears on the development of a personal authentication system.

The changes of electrocardiography and signal-averaged electrocardiography after surgical repair of Tetralogy of Fallot (활로씨 4징의 교정 수술 후 심전도와 신호 평준화 심전도의 변화)

  • Seo, Hye-Eun;Lim, Hae-Ri;Kim, Yeo-Hyang;Hyun, Myung-Chul;Lee, Sang-Bum
    • Clinical and Experimental Pediatrics
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    • v.50 no.5
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    • pp.462-468
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    • 2007
  • Purpose : The purpose of this study was to analyze the changes of the late potential of Signal- averaged electrocardiography (SAECG) and Electrocardiography (ECG) parameters during follow up of those who had taken surgical repair of Tetralogy of Fallot (TOF). Methods : Nine patients who had taken surgical repair of TOF since 1985 checked SAECG and standard 12 leads ECG twice in 1999 and 2005 in Kyungpook national university hospital. We evaluated changes of QRS duration, QT interval and JT interval, QRS dispersion, QT dispersion and JT dispersion of standard 12 leads ECG and Filtered QRS (f-QRS), High frequency low amplitude potential (HFLA), Root mean square in terminal 40 ms (RMS) and Mean voltage in terminal 40 ms (MV) of SAECG between in 1999 and 2005. Results : There were significant decrease of JT dispersion ($101.11{\pm}50.11$ vs $71.11{\pm}22.61ms$, P< 0.05) and significant increase of HFLA ($24.67{\pm}13.19$ vs $32.89{\pm}14.21ms$, P<0.05). But there were no significant changes in other parameters. Conclusion : In repaired TOF patients, we evaluated ECG and SAECG to detect possible late complications such as tricuspid regurgitation, right ventricular enlargement, ventricualar arrythmia and sudden death. And there were significant changes of ECG and SAECG in some parameters (JT dispersion, HFLA). But to see the relationships between the changes of these parameters and the long term prognosis, we need to check more patients and longer follow-up.