在使用波波变换的静脉动心脏病患者的QRS综合体内高频功率概况的时间频率分析
Kei Hiramatsu1, Satoshi Yanagisawa2, Yasuya Inden1
1Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Journal of electrocardiology
|May 24, 2025
概括
时间频率分析显示,心室动脉冲动 (VT) 患者的QRS复合体中的高频功率更高. 导管切除减少了这些高频组件,这表明这种方法有助于分层静脉瘤风险.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 信号处理 信号处理
背景情况:
- 使用连续波形变换的时间频率分析检测到QRS复合体内隐藏的频率功率.
- 这些频率配置文件可能表明心肌损伤和电散.
研究的目的:
- 评估患者的频率功率概况,在病史上有心室动脉冲动 (VT).
- 评估VT的导管切除后频率功率配置的变化.
主要方法:
- 包括13名有静脉瘤史的患者和15名没有,接受植入式心脏转换器-除器植入.
- 从QRS开始到T波在V5开始的计算时间频率权力,使用3分钟心电图.
- 在尺度带 (40, 80, 150, 200, 250 Hz) 中分析频率功率,使用三个连续节拍的平均值.
主要成果:
- 与非VT组相比,在VT组中观察到明显更高的高频信号功率 (250/80 Hz,200/80 Hz,150/80 Hz).
- 在接受静脉切除术的患者中,高频组件比率 (250/80 Hz,150/80 Hz) 在切除后显著下降.
- 在QRS复合体内,高峰信号功率在250Hz时,在切除后显示显著延长.
结论:
- 在静脉瘤患者中,将功率分配转移到高频频段是相关的.
- 时间频率分析是分层心室失常风险的一个有价值的工具.
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