低成本的无纸心电图,适用于低收入国家,采用V导线和QRS检测算法
Peter Finch1, Maclean Ndovie2, Michael Rashid3
1Senior Lecturer, Kamuzu University of Health Sciences, Blantyre, Malawi.
Tropical doctor
|February 10, 2025
概括
开发了一种低成本,支持蓝牙的12导电心电图 (ECG) 设备. 该设备与标准方法的相关性很好,显示了可访问的心脏监测的潜力.
科学领域:
- 生物医学工程 生物医学工程
- 心脏病学 心脏病学
- 医疗器械 医疗器械
背景情况:
- 电心电图 (ECG) 对于诊断心脏疾病至关重要.
- 现有的12导电心电图装置可能昂贵且难以获得.
- 需要低成本,便携式的心电图解决方案.
研究的目的:
- 开发和评估一个低成本的12导电心电图记录装置.
- 通过将其读数与已确定的心电图数据进行比较来评估开发的设备的准确性.
- 探索使用矢量分析用于ECG导向导出的可行性.
主要方法:
- 使用ADS1293模拟前端和ESP32微处理器构建了一个12导电心电图装置.
- 数据通过蓝牙传输到智能手机进行分析.
- 使用向量分析将心电图引线与0° (引线I) 和+30° (-aVR) 参考向量进行比较.
- 分析了120名Blantyre患者和PhysioNet心电图数据库的数据.
主要成果:
- 对患者和数据库心电图的测量和导出的V线索之间观察到显著的交叉相关性.
- 相关系数在0.43到0.85之间,取决于参考向量和数据源.
- 在同步的PhysioNet数据中,对于平均横轴向量发现了良好的相关性 (r=0.91).
- 对于异步的Blantyre数据,观察到较低的相关性 (r=0.13),可能是由于QRS检测算法.
结论:
- 开发的低成本心电图装置显示了记录12导电心电图的有希望的准确性.
- 矢量分析可以有效地用于导出心电图线索,特别是同步数据.
- 该设备有可能改善对心脏监测的可访问性.
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