• 전기학회논문지
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• 제60권12호
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• pp.2380-2385
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• 2011

With the advent of ubiquitous healthcare technology to provide a patient with the necessary medical services in anywhere and anytime scheme, the importance of securing safe communication without tampering the medical data by the unauthorized users is getting more emphasized. With this aim, a novel method for constructing encryption keys on the basis of biometrical measurement of electrocardiogram (ECG) is suggested in this study. The experiments on MIT/BIH database show that our proposed method can achieve safe communication by successfully ciphering and deciphering ECG data including premature ventricular contraction arrhythmia signal with compromising its fiducial features as biometric key to transmit the data via the internet network.

• 한국지능시스템학회:학술대회논문집
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• 한국퍼지및지능시스템학회 2005년도 추계학술대회 학술발표 논문집 제15권 제2호
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• pp.110-113
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• 2005

본 논문은 가중 퍼지소속함수 기반 신경망(Neural Network with Weighted fuzzy Membership Funcstions, NEWFM)을 이용하여 심전도 신호로부터 조기심실수축(Premature Ventricular Contraction, PVC)을 판별하는 퍼지규칙을 추출하고 있다. NEWFM은 자기적응적(self adaptive) 가중 퍼지소속함수를 가지고 주어진 입력 데이터로부터 학습하여 퍼지규칙을 생성하고 이를 기반으로 정상 파형과 PVC 파형을 구분한다. 분류 성능 평가를 위하여 MIT/BIH 부정맥 데이터 베이스를 사용하였으며, NEWFM의 입력은 심전도의 파형에 웨이블릿 변환을 적용하여 추출된 웨이블릿 계수를 사용하였다. 여기에 비중복면적 분산 측정법을 적용하여 중요도가 낮은 계수를 제거하면서 최소의 m 개 특징입력만을 사용한 하이퍼박스로 단순화 시킨다. 이러한 방법으로 추출된 2개의 웨이블릿 계수를 사용한 퍼지규칙은 $96\%$의 PVC 분류성능을 보여준다.

• 한국임상수의학회지
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• 제16권2호
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• pp.239-247
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• 1999

We estimated the changes of ECG and electrolytes in serum after intravenous administration of Succinylcholine Chloride (SCC), 0.15 mg/kg in ten normal mongrel dogs (mean 13 kg). Hyperkalemia was observed in the highest level by 6.46$\pm$0.8 mEq/L at ten minutes after the administration of SCC. The ECG appeared temporary the most severe changes as the increased T wave, the disappeared P wave, the prolonged of conduction times (PR, QTc intervals and QRS complex), and arrhythmia as ventricular premature contraction at 3 and 5 minutes after the administration SCC. Therefore, the changes of ECG after administration of SCC were suggested to specific and independent from hyperkalemic changes. Because these changes were observed to differ from ECG by hyperkalemia, and the highest period of $K^＋$value in serum differ from the appearance period of severe changes of ECG and arrhythmia by SCC.

• 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.

• 전자공학회논문지B
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• 제33B권7호
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• pp.99-106
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• 1996

Estimation and removal procedures for baseline drift have been developed using linear, cubic spline, and bilineared transformed high pass filter. Linear and cubic spline interpolation with the PQ and TP segmens, which are considered to be isoelectric, as fiducial points ahve been estimated respectively. For a quantitative validation of the estimation procedure, 4 ECGs with arfificial baseline drift were constructed and analyzed by mean square error calculations and amplitude histograms. Also real ECGs were analyzed in a test set of the CSE data set 3 and set 4. Baseline drift detecton rule were designed and new method for the decision of fiducial point were constructed to avoid distorting as the case of premature ventricular or atrial contraction. From these comparison, proposed cubic spline method with PQ and TP segment (CS_PQ & TP) emerged as the most efficient method.

• 한국정보통신학회논문지
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• 제20권2호
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• pp.427-436
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• 2016

일반적으로 QRS간격은 시작점을 기준으로 끝점까지의 간격을 말하지만 그 기준이 모호하고 Q와 S의 검출이 정확하지 않아 부정맥 분류 성능을 저하시키는 경우가 발생한다. 본 연구에서는 심전도신호 중 가장 큰 피크인 R파를 정확히 검출한 후 이를 기준으로 위상 변이 추적 기법을 적용하여 Q와 S의 시작점과 끝점을 추출하는 방법을 제안한다. 먼저 전처리 과정을 통해 잡음이 제거된 정확한 R파를 검출한다. 이후 심전도신호의 미분값을 통해 QRS패턴을 분류하고, R파를 기준으로 위상이 변화되는 방향과 횟수를 추적함으로써 Q, S의 시작점과 끝점을 추출하는 방법이다. 제안한 방법의 우수성을 입증하기 위해 MIT-BIH 부정맥 데이터베이스 48개의 레코드를 대상으로 R파 검출율은 99.60%의 성능을 나타내었고, 위상 변이 추적 기법의 경우 조기심실수축(PVC)이 30개 이상 포함된 MIT-BIH 10개의 레코드를 대상으로 조기심실수축 분류율을 각각 비교 분석한 결과 94.12%로 우수하게 나타났다.

• Archives of Plastic Surgery
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• 제38권1호
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• pp.85-88
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• 2011

Purpose: Takotsubo cardiomyopathy is a relatively uncommon type of stress-induced cardiomyopathy characterized by transient left ventricular regional wall motion abnormalities. Emotional and physical stresses play a key role in this type of cardiomyopathy in postmenopausal women. The current hypothesis is that the syndrome represents a form of catecholamine surge due to stress or epinephrine-mediated acute myocardial stunning. Methods: A 44-year-old woman had suffered premature ventricular contraction following a cardiogenic shock during a breast augmentation surgery under enflurane anesthesia and tumescent solution infiltration. She was treated with cardiopulmonary resuscitation at a local clinic. Then she was brought to the Emergency Department of the authors' hospital. Results: The woman's echocardiogram showed an ejection fraction of 20~25% with associated basal hyperkinesis and left ventricular apical ballooning. The patient was admitted to the ICU and required inotropic support for two weeks. The patient's condition dramatically improved, and her ejection fraction returned to 70%. Conclusion: It is believed that there were multiple triggering factors of the onset of Takotsubo cardiomyopathy in the woman's social and family history, including infiltration of a large volume of the tumescent solution and VPCs induced by enflurane anesthesia without premedication. The importance of careful history-taking, careful pre-operative consultation on psychological suffering especially for breast surgery, premedication before surgery, patient reassurance, and post-operative psychosocial and emotional assistance was again seen in this case.

• 한국정보통신학회논문지
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• 제18권7호
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• pp.1531-1539
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• 2014

조기심실수축(PVC)은 가장 보편적인 부정맥으로 심실세동, 심실빈맥 등과 같은 위험한 상황을 유발할 수 있는 가능성을 가지고 있기 때문에 이의 조기 검출은 매우 중요하다. 하지만 ECG 신호의 개인 차이가 있음에도 불구하고, 일반적인 신호의 판단 규칙에 따라 진단을 수행함으로써 성능하락이 나타날 수 밖에 없다. 이러한 문제점을 극복하기 위해서는 개인에 따른 이상 신호를 검출한 후 다양한 QRS 패턴을 고려하여 PVC를 분류할 수 있는 알고리즘이 필요하다. 본 연구에서는 개인별 이상신호 검출과 QRS 패턴 변화에 따른 PVC 분류 기법을 제안한다. 이를 위해 전 처리 과정과 차감기법을 통해 R파를 검출하였으며, 개인별 이상신호를 검출하였다. 이후 QRS 패턴에 따른 QS 간격과 R파의 진폭 변화율에 따라 PVC를 분류하였다. 제안한 알고리즘의 이상 신호 검출 및 PVC 분류 성능을 평가하기 위해서 MIT-BIH 부정맥 데이터베이스를 사용하였다. 성능평가 결과, 이상 신호 검출률은 98.33%, PVC는 각각 94.46%의 평균 분류율을 나타내었다.

• 디지털산업정보학회논문지
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• 제13권4호
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• pp.91-98
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• 2017

Previous works for detecting arrhythmia have mostly used nonlinear method such as artificial neural network, fuzzy theory, support vector machine to increase classification accuracy. Most methods require higher computational cost and larger processing time. Therefore it is necessary to design efficient algorithm that classifies PVC(premature ventricular contraction) and decreases computational cost by accurately detecting minimal feature point based on only R peak through optimal R wave. We propose an optimal R wave detection and PVC classification method through extracting minimal feature point in IoT environment. For this purpose, we detected R wave through optimal threshold value and extracted RR interval and R peak pattern from noise-free ECG signal through the preprocessing method. Also, we classified PVC in realtime through RR interval and R peak pattern. The performance of R wave detection and PVC classification is evaluated by using record of MIT-BIH arrhythmia database. The achieved scores indicate the average of 99.758% in R wave detection and the rate of 93.94% in PVC classification.

• Journal of Chest Surgery
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• 제26권7호
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• pp.526-531
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• 1993

Sixty-one consecutive patients with coronary artery bypass graft for myocardial revascularization were retrospectively reviewed to analyze various pattern of postoperative complication and death during hospital stay from Nov. 1988 to Oct. 1992. Fortytwo of the patients were male and nineteen female. The mean age was 56 and 51 years in male and female. Preoperative diagnosises were unstable angina in 14 of patients, stable angina in 28, postmyocardial infarction state in 15, and state of failed percutaneous transluminal coronary angioplasty in 4. 141 stenosed coronary arteries were bypassed with use of 20 pedicled internal mammary artery and 124 reversed saphenous vein grafts. Postoperative complications and perioperative death were as follows: 1. Of 61 patients undergoing operation, peri and postoperative over all complication occured in 15 patients [ 25% ]; newly developed myocardial infarction in 4, intractable cardiac arrhythmia including atrial fibrillation and frequent ventricular premature contraction in 3, bleeding from gastrointestinal tract in 2, persistent vegetative state as a sequele of brain hypoxia in 1, wound necrosis in 1, left hemidiaphragmatic palsy in 3 and poor blood flow through graft in 2. 2. Operative mortality was 8%[5 patients]. 3 out of these died in operating room; 1 patient by bleeding from rupture of calcified aortic wall, 1 by air embolism through left atrial vent catheter, 1 by low cardiac output syndrome. 2 patients died during hospital stay; 1 by acute respiratory distress syndrome with multiuple organ failure, 1 by brain death after delayed diagnosis of pericardial tamponade.