• Proceedings of the KIEE Conference
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• 2008.10b
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• pp.472-473
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• 2008

심실조기수축(PVC: Premature Ventricular Contraction)은 성인에게서 가장 흔하게 발생되는 심장 부정맥 증상 중의 하나이다. 심실조기수축 부정맥이 자주 발현되는 사람의 경우 관상 동맥질환, 고혈압 등의 심혈관계 질환이 진행되고 있을 가능성이 많고, 심실빈맥이나 심실세동으로 전이되는 경우 심정지 등을 유발하여 사망에 이르기 때문에 지속적으로 관찰이 필요한 증상이다. 따라서 본 연구에서는 R-R 간격 정보를 이용하여 심실조기수축 부정맥 증상을 실시간으로 검출할 수 있는 신호처리 알고리즘을 구현하고자 하였다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2013.07a
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• pp.355-356
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• 2013

심장의 활동을 전기적 변위로 표현되는 심전도 신호는 심장병 진단에 중요한 임상적 파라미터들을 제공한다. 특히 심전도 신호에서 P, QRS Complex,, T 특징점들로 대표되는 파형 변곡점들의 시간상 위치와 크기 및 형태학적 모양은 심장의 이상 리듬을 나타내는 부정맥여부를 검출하는데 핵심적인 역할을 한다. 본 연구에서는 특히 QRS complex 구간에 대한 첨도치의 연산 해석을 통하여 정상적인 심전도 리듬과 심실조기수축 부정맥 리듬을 구분하는 방법을 제시하고 또한 스마트폰을 기반으로 하는 심전도 모니터링 시스템에 적용하고자 하였다.

• Clinical and Experimental Pediatrics
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• v.60 no.11
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• pp.344-352
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• 2017

Arrhythmias in the neonatal period are not uncommon, and may occur in neonates with a normal heart or in those with structural heart disease. Neonatal arrhythmias are classified as either benign or nonbenign. Benign arrhythmias include sinus arrhythmia, premature atrial contraction, premature ventricular contraction, and junctional rhythm; these arrhythmias have no clinical significance and do not need therapy. Supraventricular tachycardia, ventricular tachycardia, atrioventricular conduction abnormalities, and genetic arrhythmia such as congenital long-QT syndrome are classified as nonbenign arrhythmias. Although most neonatal arrhythmias are asymptomatic and rarely life-threatening, the prognosis depends on the early recognition and proper management of the condition in some serious cases. Precise diagnosis with risk stratification of patients with nonbenign neonatal arrhythmia is needed to reduce morbidity and mortality. In this article, I review the current understanding of the common clinical presentation, etiology, natural history, and management of neonatal arrhythmias in the absence of an underlying congenital heart disease.

• Proceedings of the KOSOMBE Conference
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• v.1997 no.11
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• pp.439-442
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• 1997

In our research, we will extract diagnostic parameters by LPC method and wavelet transform. Then, we will design artificial neural network which is based on RBF that can express input features in terms of fuzzy. Because PVC(Premature Ventricular Contraction) has possibility to cause heart attack, the detection of PVC is a very significant problem. To deal with this problem, LPC method which gives different coefficients or different morphologies and wavelet transform which has superior localization nature of time-frequency, are used to extract effective parameters or classification of normal and PVC. Because RBF network can allocate an input feature to the membership degree of each category, total system will be more flexible.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
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• v.1 no.3
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• pp.21-26
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• 2008

In this paper, we extracted descending slope tracing waves (DSTW) and form factors (FF), and compared the detecting results of premature ventricular contraction (PVC) which were derived from DSTW and FF in order to find an efficient method. The 2nd. derivatives and DSTW were employed to extract correct R-waves from ECG. To evaluate extracting methods, ECGs including PVCs from MIT/BIH database were used.

• Journal of Korea Multimedia Society
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• v.12 no.3
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• pp.451-459
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• 2009

This paper presents an approach to detect premature ventricular contraction(PVC) using discrete wavelet transform and fuzzy neural network. As the input of the algorithm, we use 14 coefficients of d3, d4, and d5, which are transformed by a discrete wavelet transform(DWT). This paper uses a neural network with weighted fuzzy membership functions(NEWFM) to diagnose PVC. The NEWFM discussed in this paper classifies a normal beat and a PVC beat. The size of the window of DWT is $-31/360{\sim}+32/360$ second(64 samples) whose center is the R wave. Using the seven records of the MIT-BIH arrhythmia database used in Shyu's paper, the classification performance of the proposed algorithm is 99.91%, which outperforms the 97.04% of Shyu's analysis. Using the forty records of the M1T-BIH arrhythmia database used in Inan's paper, the classification performance of the proposed algorithm is 98.01%, which outperforms 96.85% of Inan's one. The SE and SP of the proposed algorithm are 84.67% and 99.39%, which outperforms the 82.57% and 98.33%, respectively, of Inan's study.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.20 no.2
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• pp.437-444
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• 2016

Most methods for detecting arrhythmia require pp interval, diversity of P wave morphology, but it is difficult to detect the p wave signal because of various noise types. Therefore it is necessary to use noise-free R wave. In this paper, we propose algorithm for premature contraction arrhythmia classification through ECG pattern analysis and template threshold. For this purpose, we detected R wave through the preprocessing method using morphological filter, subtractive operation method. Also, we developed algorithm to classify premature contraction wave pattern using weighted average, premature ventricular contraction(PVC) and atrial premature contraction(APC) through template threshold for R wave amplitude. The performance of R wave detection, PVC classification is evaluated by using 6 record of MIT-BIH arrhythmia database that included over 30 PVC and APC. The achieved scores indicate the average of 99.77% in R wave detection and the rate of 94.91%, 95.76% in PVC and APC classification.

• Journal of Biomedical Engineering Research
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• v.30 no.4
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• pp.294-305
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• 2009

The bio signals essentially have different characteristics in each person. And the main purpose of automatic diagnosis algorithm based on bio signals focuses on discriminating differences of abnormal state from personal differences. In this paper, we propose automatic ECG diagnosis algorithm which discriminates normal heart beats from premature ventricular contraction using optimization of wavelet parameterization to solve that problem. The proposed algorithm optimizes wavelet parameter to let energy of signal be concentrated on specific scale band. We can reduce the personal differences and consequently highlight the differences coming from arrhythmia via this process. The proposed algorithm using ELM as a classifier show high discrimination performance between normal beat and PVC. From the experimental results on MIT-BIH arrhythmia database the performances of the proposed algorithm are 98.1% in accuracy, 93.0% in sensitivity, 96.4% in positive predictivity, and 0.8% in false positive rate. This results are similar or higher then results of existing researches in spite of small human intervention.

• Journal of the Korean Institute of Intelligent Systems
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• v.16 no.3
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• pp.378-382
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• 2006

This paper presents an approach to detect premature ventricular contractions(PVC) using the neural network with weighted fuzzy membership functions(NEWFM). NEWFM classifies normal and PVC beats by the trained weighted fuzzy membership functions using wavelet transformed coefficients extracted from the MIT-BIH PVC database. The two most important coefficients are selected by the non-overlap area distribution measurement method to minimize the classification rules that show PVC classification rate of 99.90%. By Presenting locations of the extracted two coefficients based on the R wave location, it is shown that PVC can be detected using only information of the two portions.

• Clinical and Experimental Pediatrics
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• v.61 no.11
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• pp.362-365
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• 2018

Purpose: This study aimed to analyze changes in QRS duration and cardiothoracic ratio (CTR) following pulmonary valve replacement (PVR) in patients with tetralogy of Fallot (TOF). Methods: Children and adolescents who had previously undergone total repair for TOF (n=67; median age, 16 years) who required elective PVR for pulmonary regurgitation and/or right ventricular out tract obstruction were included in this study. The QRS duration and CTR were measured pre- and postoperatively and postoperative changes were evaluated. Results: Following PVR, the CTR significantly decreased (pre-PVR $57.2%{\pm}6.2%$, post-PVR $53.8%{\pm}5.5%$, P=0.002). The postoperative QRS duration showed a tendency to decrease (pre-PVR $162.7{\pm}26.4$ msec, post-PVR $156.4{\pm}24.4$ msec, P=0.124). QRS duration was greater than 180 msec in 6 patients prior to PVR. Of these, 5 patients showed a decrease in QRS duration following PVR; QRS duration was less than 180 msec in 2 patients, and QRS duration remained greater than 180 msec in 3 patients, including 2 patients with diffuse postoperative right ventricular outflow tract hypokinesis. Six patients had coexisting arrhythmias before PVR; 2 patients, atrial tachycardia; 3 patients, premature ventricular contraction; and 1 patient, premature atrial contraction. None of the patients presented with arrhythmia following PVR. Conclusion: The CTR and QRS duration reduced following PVR. However, QRS duration may not decrease below 180 msec after PVR, particularly in patients with right ventricular outflow tract hypokinesis. The CTR and ECG may provide additional clinical information on changes in right ventricular volume and/or pressure in these patients.