• Title/Summary/Keyword: ST-T change

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ST Segment Shape Classification Algorithm for Making Diagnosis of Myocardial Ischemia (심근허혈 진단을 위한 ST세그먼트 형태 분류 알고리즘)

  • Cho, Ik-Sung;Kwon, Hyeog-Soong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.15 no.10
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    • pp.2223-2230
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    • 2011
  • ECG is used to diagnose heart diseases such as myocardial ischemia, arrhythmia and myocardial infarction. Particularly, myocardial ischemia causes the shape change of the ST segment, this change is transient and may occur without symptoms. So it is important to detect the transient change of ST segment through long term monitoring. ST segment classification algorithm for making diagnosis myocardial ischemia is presented in this paper. The first step in the ST segment shape classification process is to detect R wave point and feature points based adaptive threshold and window. And then, the suggested algorithm detects the ST level change, To classify the ST segment shape, the suggested algorithm uses the slope values of the four points between the S and T wave. The ECG data in the European ST-T database were used to verify the performance of the developed algorithm. The best correct rate was 99.40% and the worst correct rate was 68.48%.

An Algorithm for Classification of ST Shape using Reference ST set and Polynomial Approximation (레퍼런스 ST 셋과 다항식 근사를 이용한 ST 형상 분류 알고리즘)

  • Jeong, Gu-Young;Yu, Kee-Ho
    • Journal of Biomedical Engineering Research
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    • v.28 no.5
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    • pp.665-675
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    • 2007
  • The morphological change of ECG is the important diagnostic parameter to finding the malfunction of a heart. Generally ST segment deviation is concerned with myocardial abnormality. The aim of this study is to detect the change of ST in shape using a polynomial approximation method and the reference ST type. The developed algorithm consists of feature point detection, ST level detection and ST shape classification. The detection of QRS complex is accomplished using it's the morphological characteristics such as the steep slope and high amplitude. The developed algorithm detects the ST level change, and then classifies the ST shape type using the polynomial approximation. The algorithm finds the least squares curve for the data between S wave and T wave in ECG. This curve is used for the classification of the ST shapes. ST type is classified by comparing the slopes of the specified points between the reference ST set and the least square curve. Through the result from the developed algorithm, we can know when the ST level change occurs and what the ST shape type is.

Realtime Wireless Monitoring of Abnormal ST in ECG Using PC Based System

  • Jeong, Gu-Young;Yu, Kee-Ho;Kim, Nam-Gyun;Inooka, Hikaru
    • 제어로봇시스템학회:학술대회논문집
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    • 2004.08a
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    • pp.176-180
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    • 2004
  • The ST-segment that the beginning part of T wave is the important diagnostic parameter to finding myocardial ischemia. Abnormal ST appears in two types. One is the level change, and the other is the pattern change. In this paper, we describe the monitoring of abnormal ST using PC based system. Hardware of this system consists of transmitter, receiver and PC. The function of transmitter is measuring ECG in three channels which are selected manually and transmitting the data to receiver by digital radio way. Connection with receiver and PC is by RS232C, and the data received on the PC is analyzed automatically by ECG analysis algorithm and saved to file. In the algorithm part for detecting abnormal ST, ST-segments are approximated by a polynomial. This method can detect all of the deviation and pattern change of ST-segment regardless the change in the heart rate or sampling rate. To gain algorithm reliability, the method rejects distorted polynomial approximation by calculation the difference between the approximated ST-segment and original ST-segment. In pre-signal processing, the wavelet transformation separates high frequency bands including QRS complex from the original ECG. Consequently, the process improves the performance of detecting each feature points.

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ST-T Changes of Multichannel Magnetocardiographic Pattern in Myocardial Ischemia (허혈에 의한 다채널 심자도의 ST-T 변화)

  • Kwon, H.;Kim, K.;Lee, Y.H.;Kim, J.M.;Lim, H.K.;Park, Y.K.;Chung, N.;Ko, Y.G.;Joung, B.;Kim, J.B.;Cho, J.R.
    • Progress in Superconductivity
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    • v.9 no.1
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    • pp.35-39
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    • 2007
  • Myocardial ischemia causes heterogeneity of ventricular repolarization and sometimes produces changes of the ST-T wave in ECG. Therefore, morphological changes of ST-T waveform in ECG have a clinical significance in diagnosing myocardial ischemia. In this study, we investigated the ST-T changes caused by myocardial ischemia in magnetocardiography (MCG). We analyzed MCG patterns of biphasic T, ST segment deviations from baseline, main current angle of $T_{peak}$ and $T_{peak}$ dispersion in 300 CAD patients without ST elevation in ECG, 122 symptomatic patients and 48 normal subjects. MCGs were recorded by multichannel SQUID system in a magnetically shielded room. As results, we found that appearances of the abnormality were strongly correlated with the severity of myocardial ischemia. Also we found that the percentage of the patients showing MCG changes were higher than those in ECG. These results show that morphological changes of ST-T waveform in MCG can be used as a marker of myocardial ischemia.

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Analyzing the Significance of T1 Slope minus Cervical Lordosis in Patients with Anterior Cervical Discectomy and Fusion Surgery

  • Lee, Ho Jin;You, Soon Tae;Sung, Jae Hoon;Kim, Il Sup;Hong, Jae Taek
    • Journal of Korean Neurosurgical Society
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    • v.64 no.6
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    • pp.913-921
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    • 2021
  • Objective : Accurate measurement of T1 slope (a component of T1s minus cervical lordosis [CL]) is often constrained by anatomical limitations. In this situation, efforts should be made to find the exact meaning of T1s-CL and whether there are any alternatives to it. Methods : We enrolled 117 patients who received two-level anterior cervical discectomy and fusion (ACDF). Occipital slope, C2 slope (C2s), C7 slope (C7s), T1, O-C2 angle (O-C2A), C2-7 angle (C2-7A), O-C7 angle (O-C7A), T1s-CL, C7-T1 angle (C7-T1A), and C2-7 sagittal vertical axis were measured. We determined 16° (T1s-CL) as the reference point for dividing subjects into the mismatch group and the balance group, and a comparative analysis was performed. Results : The mean value of C7-T1A was constantly maintained within 2.6° peri-operatively. In addition, C2s and T1s-CL showed the same absolute change (Δ|0.8|°). The mean values of T1s-CL of the mismatch and balance groups were 23.0° and 7.6°, respectively. The five factors with the largest differences between the two groups were as follows : C2s (Δ13.3°), T1s-CL (Δ15.4°), O-C2A (Δ8.7°), C2-7A (Δ14.7°), and segmental angle (Δ7.9°) before surgery. Only four factors showed statistically significant change between the two groups after ACDF : T1s-CL (Δ4.0° vs. Δ0.2°), C2s (Δ3.2° vs. Δ0.7°), O-C2A (Δ2.6° vs. Δ1.3°), C2-7A (Δ6.3° vs. Δ1.3°). A very strong correlation between T1s-CL and C2s was also found (r=|0.88-0.96|). Conclusion : C2s itself may be the essential key to represent T1s-CL. The amounts and directions of change of these two factors (T1s-CL and C2s) were also almost identical. The above phenomenon was re-confirmed once again through the correlation analysis.

Effects of electroacupuncture stimulation at Xingjian(LR2) on the facial thermal change by D.I.T.I (행간(行間)(LR2) 전침자극(電鍼刺戟)이 적외선(赤外線) 체열진단상(體熱診斷上) 안면부(顔面部) 온도변화(溫度變化)에 미치는 영향(影響))

  • Kim, Jong-uk;Choi, Sung-yong;Jin, Kyong-son;Hwang, Woo-jun;Min, Sang-jun;Lee, Sun-ho;Lee, Sang-ryong
    • Journal of Acupuncture Research
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    • v.21 no.1
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    • pp.226-239
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    • 2004
  • Objective: Purpose of this study was to examine the effect of electroacupuncture(EA) at Xingjian(LR2) as 'Fire(火)' point of The Leg Absolute Um Liver Meridan(足厥陰肝經 : Chok-Kworum-Kan-Kyong) on the facial thermal change. Methods: Subjects of this study were 15 patients with upperpart(includes head and facial part) fever of human body and two examinations were carried out in each other day. We divided cases of two examinations into two groups. One is experimental group(N=15) that was carried out electroacupuncture stimulation at Xingjian(LR2), the other is control group(N=15) which was carried out electroacupuncture stimulation at optional point(in space between 1st and 2nd fingers) except acupuncture points of 12 meridians. We took the temperature of fixed areas on face by digital infrared thermal image(D.I.T.I.) before and after electroacupuncture stimulation. Those fixed areas on face that was taken temperature are Jingming(BL1), Sibai(ST2), Dicang(ST4), Indang, Shuigou(GV26), Chengjiang(CV24) areas. In cases of temperature of Jingming(BL1), Sibai(ST2), Dicang(ST4) areas, we applied each mean of left and right temperature to statical analysis. Results: In the group of electroacupuncture stimulation at Xingjian(LR2), temperature of every fixed areas on face fell: Jingming(BL1) area's ${\Delta}T=-0.7007{\pm}0.78642$, Sibai(ST2) area's ${\Delta}T=-0.6280{\pm}0.56439$, Dicang(ST4) area's ${\Delta}T=-0.5940{\pm}0.60179$, Indang area's ${\Delta}T=-0.7200{\pm}0.64515$, Shuigou(GV26) area's ${\Delta}T=-0.6160{\pm}0.80487$, Chengjiang(CV24) area's ${\Delta}T=-0.5627{\pm}0.72615$. In Xingjian(LR2) electroacupuncture group, each temperature of Jingming(BL1), Sibai(ST2), Indang areas showed a drop significantly in comparison with control group (p<0.05). But each temperature of Dicang(ST4), Shuigou(GV26), Chengjiang(CV24) areas did not showed a drop significantly in comparison with control group(p>0.05). Conclusions: The results mentioned above showed that electroacupuncture stimulation at Xingjian(LR2) significantly decreased the temperature on face of patients with upperpart fever of human body. In Xingjian(LR2) electroacupuncture group, especially temperature of upper part of face includes eye, cheekbone, forehead regions showed a drop significantly in comparison with control group.

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Assessment of genetic diversity of Typha angustifolia in the development of cattail stands

  • Min, So-Jung;Kim, Heung-Tae;Kim, Jae-Geun
    • Journal of Ecology and Environment
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    • v.35 no.1
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    • pp.27-34
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    • 2012
  • Typha angustifolia has ecological characteristics of clonal growth similar to Phragmites australis. The plant spreads byclonal growth and seed dispersal. In this study, for the three stands which have different settlement age at the Baksilji wetland in Korea, genetic diversity was estimated by random amplification of polymorphic DNA analysis to evaluate the change in genetic diversity of T. angustifolia during stand development in the same population. Stand (ST) 1 was the oldest and ST 4 was the youngest. ST 5 was in a small ditch out of the Baksilji. Although the ST 1, ST 2, and ST 3 did not differ significantly in vegetational or physical environment, the genetic diversity estimated according to Nei's gene diversity (h) and the Shannon index (i) increased in the order of ST 1 < ST 2 < ST 3 contrary to formative age. The genetic diversity of ST 4 was much higher than that of the other three stands. ST 4 has similar abiotic environmental conditions with slight T. angustifolia dominance, and seems to be in the early establishment stage. ST 5 differed from the other stands in vegetational and soil environments, which can result in stressful cattail conditions. Even though the ST 5 stand was not younger than the ST 4 stand, ST 5 showed the highest genetic diversity. Our results indicate that after early settlement of the T. angustifolia population, genetic diversity within the species decreased over time and that the decreasing pattern of genetic diversity within T. angustifolia stands is not likely to occur under stressful conditions.

Characteristics of Acupuncture at Chok-Samni(ST36) on Facial Thermographic Change of D.I.T.I. (D.I.T.I.를 이용한 족삼리(ST36)자침이 안면부 절대온도변화에 미치는 영향)

  • Cho Eun Hee;Park Min Cheol;Choi Deok Hwa
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.17 no.6
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    • pp.1493-1499
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    • 2003
  • This study was examined for effects of acupuncture of Chok-Samni(ST36) on the facial thermography in health subjects, The volunteers who participating in this study had taken rest for 15 mins in room temperature (19-21 ℃) before the examination and informed them what to prohibit smoking, drinking and administration of drug for the previous day, The thermography of face was taken using Digital Infrared Thermographic Imaging (D.I.T.I. : Dorex, DTI-16UT1, U.S.A.) by time interval of 35 minutes at 15 min before and 20 min after acupuncture stimulation. Thermal temperature of Yangbaek(GB14), Myon-koryo(ST3) and Chichang(ST4) was measured and compared, The results showed that acupuncture of Chok-Samni(ST36) decreased the Absolute difference of temperature between Myon-koryo(ST3) and Chichang(ST4) (p<0,05, Data were represented mean±S,E.M.(n=33)), But, acupuncture of Chok-Samni(ST36) particularly decreased the absolute difference of temperature between Yangbaek(GB14) and Chichang(ST4) and particularly decreased the absolute difference of temperature between Vangbaek(GB14) and Myon-koryo(ST3) (p<0,05, Data were represented mean±S,E.M.(n=33)). Also, it was observed that acupuncture of Chok-Samni(ST36) decreased variety of the color tone of thermographic contour line and decreased thermal distribution. The results showed that acupuncture of Chok-5amni(ST36) significantly decreased the absolute difference of temperature of partial facial surface. Hereafter, study about if acupuncture of Chok-Samni(ST36) significantly decrease the absolute difference of temperature of all the areas of facial surface is requested. Also, continued study of effects of acupuncture of other meridian on the facial thermography is requested.

Theoretical Review on the Welfare Policy of Science & Technology Personnel (과학기술인 복지 정책에 관한 이론적 고찰 - Soft Infra 구축을 중심으로 -)

  • Lee Jong Min;Park Jeong Su;Hwang Du Hui;Jeong Seon Yang
    • Proceedings of the Technology Innovation Conference
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    • 2005.06a
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    • pp.140-158
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    • 2005
  • Science & Technology (S&T) is the most important thing to attain competitiveness in the 21st century. Our traditional S&T policies have been focused on hardware infra structure. But, we should consider soft infra of S&T to enhance welfare development of S&T personnel. S&T should be had a correct understanding method of the creation for S&T culture. It implies that S&T policy in the 21st century should consider non-material factors which include social, human, environment and culture. Under this background. This paper defines the concept of welfare of S&T personnel. Also this paper deals with the change of S&T policy of Korea and analyzes the characteristic of each phase. This paper argues that all actors (for example S&T personnel, corporate using S&T, public) should participate in the process of S&T innovation since the 21st century is the generation of popularization of S&T. The purpose of this paper is to suggest a few methods of welfare improvement of S&T personnel to reinforce soft infra structure of S&T.

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The Change of Taurine Transport in Osteocytes by Oxidative Stress, Hypertonicity and Calcium Channel Blockers

  • Kang, Young-Sook;Kim, Soon-Joo
    • Biomolecules & Therapeutics
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    • v.16 no.3
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    • pp.219-225
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    • 2008
  • Taurine is the most abundant amino acid in many tissues and is found to be enhancing the bone tissue formation or inhibits the bone loss. Although it is reported that taurine reduces the alveolar bone loss through inhibiting the bone resorption, its functions of taurine and expression of taurine transporter (TauT) in bone have not been identified yet. The purpose of this study is to clarify the uptake mechanism of taurine in osteoblast using mouse osteoblast cell lines. In this study, mouse stromal ST2 cells and mouse osteoblast-like MC3T3-E1 cells as osteoblast cell lines were used. The activity of taurine uptake was assessed by measuring the uptake of [$^3H$]taurine in the presence or absence of inhibitors. TauT mRNA was detected in ST2 and MC3T3-E1 cells. [$^3H$]Taurine uptake by these cells was dependent on the presence of extracellular calcium ion. The [$^3H$]taurine uptake in ST2 cells treated with 4 mM calcium was increased by 1.7-fold of the control which was a significant change. In contrast, in $Ca^{++}$-free condition and L-type calcium channel blockers (CCBs), taurine transport to osteocyte was significantly inhibited. In oxidative stress conditions, [$^3H$]taurine uptake was decreased by TNF-$\alpha$ and $H_2O_2$. Under the hyperosmotic conditions, taurine uptake was increased, but inhibited by CCBs in hyperosmotic condition. These results suggest that, in mouse osteoblast cell lines, taurine uptake by TauT was increased by the presence of extracellular calcium, whereas decreased by CCBs and oxidative stresses, such as TNF-$\alpha$ and $H_2O_2$.