• Journal of the Korea Institute of Information and Communication Engineering
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• v.18 no.4
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• pp.825-832
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• 2014

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 accurate detection of P-QRS-T point, higher computational cost and larger processing time. Even if some methods have the advantage in low complexity, but they generally suffer form low sensitivity. Also, it is difficult to detect PVC accurately because of the various QRS pattern by person's individual difference. Therefore it is necessary to design an efficient algorithm that classifies PVC based on QRS pattern in realtime and decreases computational cost by extracting minimal feature. In this paper, we propose PVC classification based on QRS pattern using QS interval and R wave amplitude. For this purpose, we detected R wave, RR interval, QRS pattern from noise-free ECG signal through the preprocessing method. Also, we classified PVC in realtime through QS interval and R wave amplitude. The performance of R wave detection, PVC classification is evaluated by using 9 record of MIT-BIH arrhythmia database that included over 30 PVC. The achieved scores indicate the average of 99.02% in R wave detection and the rate of 93.72% in PVC classification.

• The Korean Journal of Physiology
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• v.16 no.1
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• pp.41-50
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• 1982

The effects of $NaHCO_3$ on the electrocardiogram of rats were studied in the induced hyperkalemia. The subjects were divided into 4 groups: the group 1 was normal control and the data on this normal control had teen obtained from the following three groups before administration of KCl or $NaHCO_3$, the group 2 (KCl) was administered 40 ml per kg body weight of the 10 per cent KCl solution, the group 3 $(NaHCO_3)$ was administered 40 ml per kg body weight of the 10 per cent $NaHCO_3$ solution, and the group 4 $(KCl+NaHCO_3)$ was received 10 per cent KCl, which was followed by administration of 10 per cent $NaHCO_3$ at one and half hours later. In KCl, the heart rate was decreased rapidly, and then maintained its level, later rapid decreasing heart rate was followed by the cardiac stand still. The mean electrical axis of QRS complex became progressively deviated to the left. The amplitude of T wave was increased transiently but was not changed thereafter. There was prolongation of the P-Q interval and the Q-T interval at the beginning and then they were shortened. In $NaHCO_3$, the heart rate was decreased rapidly at the beginning, later showed a tendency of recovery. The mean electrical axis of QRS was not changed initially, but later became deviated to the left. The amplitude of T wave was not changed. There was prolongation of the P-Q interval and the Q-T interval at the beginning and then they were shortened. In $KCl+NaHCO_3$, there were a tendency of recovery of both the amplitude of the T wave and the electrical axis of the QRS complex after administration of $NaHCO_3$ but the heart rate was not recovered. There was prolonged P-Q interval, but the Q-T interval was relatively unchanged.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.20 no.2
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• pp.427-436
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• 2016

In general, QRS duration represent a distance of Q start and S end point. However, since criteria of QRS duration are vague and Q, S point is not detected accurately, arrhythmia classification performance can be reduced. In this paper, we propose extraction of Q, S start and end point RS feature based on phase transition tracking method after we detected R wave that is large peak of electrocardiogram(ECG) signal. For this purpose, we detected R wave, from noise-free ECG signal through the preprocessing method. Also, we classified QRS pattern through differentiation value of ECG signal and extracted Q, S start and end point by tracking direction and count of phase based on R wave. The performance of R wave detection is evaluated by using 48 record of MIT-BIH arrhythmia database. The achieved scores indicate the average detection rate of 99.60%. PVC classification is evaluated by using 9 record of MIT-BIH arrhythmia database that included over 30 premature ventricular contraction(PVC). The achieved scores indicate the average detection rate of 94.12% in PVC.

• 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.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.19 no.7
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• pp.1728-1736
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• 2015

Several algorithms have been developed to classify arrhythmia which either rely on specific ECG(Electrocardiogram) database. Nevertheless personalized difference of ECG signal exist, performance degradation occurs because of carrying out diagnosis by general classification rule. Most methods require accurate detection of P-QRS-T point, higher computational cost and larger processing time. But it is difficult to detect the P and T wave signal because of person's individual difference. Therefore it is necessary to design efficient algorithm that classifies different arrhythmia in realtime and decreases computational cost by extracting minimal feature. In this paper, we propose arrhythmia classification method using QRS Pattern of ECG signal according to personalized type. For this purpose, we detected R wave through the preprocessing method and define QRS pattern of ECG signal by QRS feature Also, we detect and modify by pattern classification, classified arrhythmia duplicated QRS pattern in realtime. Normal, PVC, PAC, LBBB, RBBB, Paced beat classification is evaluated by using 43 record of MIT-BIH arrhythmia database. The achieved scores indicate the average of 99.98%, 97.22%, 95.14%, 91.47%, 94.85%, 97.48% in PVC, PAC, Normal, BBB, Paced beat classification.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.17 no.4
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• pp.945-952
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• 2013

The R wave of QRS complex is the most prominent feature in ECG because of its specific shape; therefore it is taken as a reference in ECG feature extraction. But R wave detection suffers from the fact that frequency bands of the noise/other components such as P/T waves overlap with that of QRS complex. ECG signal processing must consider efficiency for hardware and software resources available in processing for miniaturization and low power. In other words, the design of algorithm that exactly detects QRS region using minimal computation by analyzing the person's physical condition and/or environment is needed. Therefore, efficient QRS detection based on SOM(Subtractive Operation Method) is presented in this paper. For this purpose, we detected R wave through the preprocessing method using morphological filter, empirical threshold, and subtractive signal. Also, we applied dynamic backward searching method for efficient detection. The performance of R wave detection is evaluated by using MIT-BIH arrhythmia database. The achieved scores indicate the average of 99.41% in R wave detection.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.21 no.2
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• pp.450-460
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• 2017

T wave is cardiac parameters that represent ventricular repolarization, it is very important to diagnose arrhythmia. Several methods for detecting T wave have been proposed, such as frequency analysis and non-linear approach. However, detection accuracy is at the lower level. This is because of the overlap of the P wave and T wave depending on the heart condition. We propose T wave detection algorithm based on target area extraction through QRS cancellation and moving average. For this purpose, we detected Q, R, S wave from noise-free ECG(electrocardiogram) signal through the preprocessing method. And then we extracted P, T target area by applying decision rule for four PAC(premature atrial contraction) pattern another arrhythmia through moving average and detected T wave using RT interval and threshold of RR interval. The performance of T wave detection is evaluated by using 48 record of MIT-BIH arrhythmia database. The achieved scores indicate the average detection rate of 95.32%.

• Journal of Biomedical Engineering Research
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• v.25 no.2
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• pp.129-135
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• 2004

In the home health management system, we often face the situation to handle biological signals that are frequently measured from normal subjects. In such a case, it is necessary to decide whether the signal at a certain moment is normal or abnormal. Since ECC is one of the most frequently measured biological signals, we describe algorithms that detect QRS-complex and decide whether it is normal or abnormal. The developed QRS detection algorithm is a simplified version of the conventional algorithm providing enough performance for the proposed application. The developed classification algorithm that detects abnormal from mostly normal beats is based on QRS width, R-R interval and QRS shape parameter using Karhunen-Loeve transformation. The simplified QRS detector correctly detected about 99% of all beats in the MTT/BIH ECG database. The classification algorithm correctly classified about 96% of beats as normal or abnormal. The QRS detection and classification algorithm described in this paper could be used in home health management system.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.17 no.8
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• pp.1947-1954
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• 2013

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 accurate detection of P-QRS-T point, higher computational cost and larger processing time. But it is difficult to detect the P and T wave signal because of person's individual difference. Therefore it is necessary to design efficient algorithm that classifies different arrhythmia in realtime and decreases computational cost by extrating minimal feature. In this paper, we propose arrhythmia detection based on binary coding using QRS feature varibility. For this purpose, we detected R wave, RR interval, QRS width from noise-free ECG signal through the preprocessing method. Also, we classified arrhythmia in realtime by converting threshold variability of feature to binary code. PVC, PAC, Normal, BBB, Paced beat classification is evaluated by using 39 record of MIT-BIH arrhythmia database. The achieved scores indicate the average of 97.18%, 94.14%, 99.83%, 92.77%, 97.48% in PVC, PAC, Normal, BBB, Paced beat classification.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.17 no.3
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• pp.705-711
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• 2013

QRS detection of ECG is the most popular and easy way to detect cardiac-disease. But it is difficult to analyze the ECG signal because of various noise types. Also in the healthcare system that must continuously monitor people's situation, it is necessary to process ECG signal in realtime. In other words, the design of algorithm that exactly detects QRS wave using minimal computation and classifies PVC by analyzing the persons's physical condition and/or environment is needed. Thus, efficient QRS detection and PVC classification based on profiling method is presented in this paper. For this purpose, we detected QRS through the preprocessing method using morphological filter, adaptive threshold, and window. Also, we applied profiling method to classify each patient's normal cardiac behavior through hash function. The performance of R wave detection, normal beat and PVC classification is evaluated by using MIT-BIH arrhythmia database. The achieved scores indicate the average of 99.77% in R wave detection and the rate of 0.65% in normal beat classification error and 93.29% in PVC classification.