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改进的谱分析法定量估算T波电交替的研究 被引量:8

Quantitative Estimation of T-Wave Alternans Based on an Improved Spectral Technology
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摘要 T波交替现象已成为医生用于评估心脏病人的指标之一。但TWA检测中的定量问题尚未解决。本研究在传统谱分析方法的基础上进行了改进,采用定长积分平均的方式替代原有的单参照点模式,数据结果表明改进后算法的时域抗干扰能力有了显著的提高。采用线性模型人工合成TWA信号进行仿真研究,针对非理想状态下的TWA信号,基于实际情况中生理信号的多变性和不均匀性,修正了David S.Rosenbaum等人的估算式,提出了一种新的TWA定量分析方法,测试结果表明在信噪比大于10 dB时,估算的TWA幅值的绝对误差控制在±5μV以内。 T-wave alternans(TWA) is one of significant and important diagnostic parameters of heart disease patients.However,quantitative analysis of TWA is far from easy.This article adopted the integral average of fixed length method instead of the traditional single reference mode to improve the performance of quantitative analysis of TWA.The data revealed that anti-interference capabilities of time domain were significantly improved.Moreover,we utilized the synthesized linear model to simulate artificial TWA signals.Based on variability and heterogeneity of physiological signals in practical application,we revised the David S.group proposed estimation formula of TWA magnitude.The results demonstrated that TWA magnitude could be quantitative measurement and the absolute error could be controlled within ± 5 μV when SNR of signal is greater than 10 dB.
出处 《中国生物医学工程学报》 CAS CSCD 北大核心 2011年第2期213-219,共7页 Chinese Journal of Biomedical Engineering
基金 "985"青年教师培养基金(TJU-YFF-08B44) 天津市生物医学检测技术及仪器重点实验室开放基金
关键词 心电图 T波交替 改进的谱分析法 人工合成模拟心电信号 定长积分平均方法 electrocardiogram T-wave alternans improved spectral method synthesize simulation of TWA signal integral average of fixed length method
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参考文献21

  • 1Ikeda T,Saito H,Tanno K,et al.T-wave alternans as a predictor for sudden cardiac death after myocardial infarction[J].Am J Cardiology,2002,89:79-82.
  • 2Stevens JM,Clarke M,Jones RW,Electrical alternans detection during exercise and prediction of future cardiac health[J].Computers in Cardiology,1998,25:729-731.
  • 3Radoi N,Pescariu S,Ivanica G,et al.Microvolt t-wave alternans:a new method to evaluate the risk of sudden cardiac death[J].TMJ,2004,52(2):179-183.
  • 4El-Sherif N Turitto G,Pedalino RP,et al.T-wave alternans and arrhythmia risk stratification[J].Annals of Noninvasive Electrocardiology,2001,6(4):323-332.
  • 5Murda'h MA,McKenna WJ,Camm AJ,Repolarization alternans:techniques,mechanisms,and cardiac vulnerability[J].Pacing and Clinical Electrophysiology,1997,20(10):2641-2657.
  • 6Martinez JP,Olmos S.Methodological principles of T Wave alternans analysis:A unified framework[J].IEEE Transactions on Biomedical Engineering,2005,52(4):599-613.
  • 7Shen TW,Tsao YT.An improved spectral method of detecting and quantifying TWave alternans for SCD risk evaluation[J].Computers in Cardiology.2008,35:609-612.
  • 8Eduardo MM,Pedro AL,Fernando CR.Enhanced spectral method for T-Wave altemans analysis[J].Intelligent Signal Processing,2007.WISP 2007.IEEE International Symposium on.2007 Page(s):1-6.
  • 9Martfnez JP,Olmos S,Lamina P.T wave alternans detection:A simulation study and analysis of the European ST-T database[J].Computers in Cardiology,2000,27:155-158.
  • 10Burattini L,Zareba W,Couderc JP,et al.Computer detection of non-Stationary T Wave alternans using a new correlation method[J].Computers in Cardiology,1997,24:657-660.

二级参考文献45

  • 1安勇,张志菓,张建兴,李川勇.心绞痛患者T波交替的检测与分析[J].北京生物医学工程,2007,26(4):381-385. 被引量:1
  • 2Herlng HE. Experimentelle studlen an Sliugetieren tiber das Elektrocardiogram[J]. Zeitschrift fur experimenteUe PathoIogie and Therapie, 1909, 7 : 363 - 378.
  • 3Kaher HH, Schwartz ML. Electricular altermans [ J]. NY State J Med, 1948, 1: 164.
  • 4Hellerstein HK, Liebow IM. Electrical ahernan in experimental coronary artery occlusion [J]. Am J Physiol, 1950, 160:366 - 374.
  • 5Adam DR, Smith JM, Akselrod S, et al. Fluctuations in T-wave morphology and susceptibility to ventricular fibrillation [ J ]. J Electrocardiol, 1984, 17 ( 3 ) : 209 - 218.
  • 6Rosenbaum DR, Jackson LE, Smith JM, et al. Electrical altemans and vulnerability to ventricular arrhythmias [ J ]. N Engl J Med, 1994, 330(4) : 235 -241.
  • 7Laguna P, Ruiz M, Moody GB, et al. Repolarization alternans detection using the KL transform and the beatquency spectrum [A]. In: Computers in Cardiology [C ]. New York: IEEE, 1996. 673-676.
  • 8Nearing BD, Huang AH, Verrier RL. Dynamic tracking of cardiac vulnerability by complex demodulation of the T wave [J]. Science, 1991, 252(5004): 437 -440.
  • 9Nearing BD, Verrier RL. Modified moving average analysis of T- wave ahemans to predict ventricular fibrillation with high accuracy [J]. J Appl Physiol, 2002, 92(2): 541 -549.
  • 10Burattini L, Zareba W, Couderc JP, et al. Computer detection of nonstationary T-wave ahernans using a new correlative method [A]. In: Computers in Cardiology [ C]. New York: IEEE, 1997. 673-676.

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