CN103599591A - Method and system for detecting pace-making pulses of pacemaker through electrocardiocorder - Google Patents
Method and system for detecting pace-making pulses of pacemaker through electrocardiocorder Download PDFInfo
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- CN103599591A CN103599591A CN201310583743.1A CN201310583743A CN103599591A CN 103599591 A CN103599591 A CN 103599591A CN 201310583743 A CN201310583743 A CN 201310583743A CN 103599591 A CN103599591 A CN 103599591A
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Abstract
The invention discloses a method and a system for detecting pace-making pulses of a pacemaker through an electrocardiocorder. The method comprises steps that: A, a movable probing electrode is connected with the electrocardiocorder; B, a detected pace-making pulse signal is marked through the probing electrode; C, false detection and missing detection situations of the pace-making pulse signal are automatically analyzed according to marks; and D, a position of the probing electrode is adjusted according to the false detection and missing detection situations, and formal recording is carried out. According to the method and the system, position detection of the pacemaker through the pace-making pulse is more accurate, evaluate detection accuracy and efficiency of the pacemaker can be effectively improved, a false detection rate and a missing detection rate are reduced, and subsequent re-detection because of detection failure is avoided.
Description
Technical field
The present invention relates to medical treatment electronic equipment field, relate in particular to a kind of method and system that detects pacemaker pacemaker impulse by electrocardiorecorder.
Background technology
In prior art, ambulatory electrocardiogram (ambulatory electrocardiograph, AECG) Shi You U.S. Norman J.Holter advanced an idea for the electrocardiogram that records body surface of long-time continuous in nineteen fifty-seven, and dropped into clinical use in 1961.Through the developments of more than 50 years and perfect, become at present the application of noinvasive electrocardio auxiliary diagnosis technical field very widely, one of the most conventional Electrocardioscopy instrument clinically.It is the ECG information under different situations in (24 hours to a couple of days) continuous overall process that records physical activity (activity, dining, work and study and sleep etc.) for a long time, can find the ND arrhythmia of conventional ECG and myocardial ischemia etc.
Cardiac pacemaker (cardiac pacemaker) is a kind of electronic therapeutic instrument being implanted in body, the electric pulse of energy is provided by battery by pulse generator granting, by the conduction of lead electrode, the cardiac muscle that stimulating electrode contacts, make heart excitement and shrink, thereby reaching treatment due to the object of some arrhythmia caused heart dysfunction.
It is exactly that ambulatory electrocardiogram detects that cardiac pacemaker function is carried out to one of most important means of tracking evaluation; In recent years, because cardiac pacemaker function becomes increasingly complex, the pacemaker impulse voltage amplitude of output is more and more lower, width is more and more narrow, also just more and more higher by the ambulatory electrocardiogram detection difficulty of body surface; Ambulatory electrocardiogram will improve the accuracy that detects pacemaker impulse, not only will improve detection sensitivity, and be to select electrode position accurately.Existing product has certain improvement and raising improving detection sensitivity, but electrode position is without any measure accurately for How to choose, and the explanation in can only be to specifications goes to select, but often this optimum electrode position again because of people.
Therefore, prior art has yet to be improved and developed.
Summary of the invention
In view of above-mentioned the deficiencies in the prior art, the object of the present invention is to provide a kind of method and system that detects pacemaker pacemaker impulse by electrocardiorecorder, be intended to solve pacemaker pacemaker impulse in prior art and detect inaccurate problem.
Technical scheme of the present invention is as follows:
By electrocardiorecorder, detect a method for pacemaker pacemaker impulse, wherein,
A, general movably exploring electrode are connected on electrocardiorecorder;
B, by described exploring electrode, the pacemaker impulse signal detecting is carried out to labelling;
C, according to described labelling automatic analysis, go out flase drop and the undetected situation of pacemaker impulse signal;
Flase drop and undetected situation that D, basis analyze are adjusted exploring electrode position, and carry out offical record.
The described method that detects pacemaker pacemaker impulse by DCG Recorder, wherein, in described step B, the mode of labelling comprises graphical indicia and/or voice mark.
By electrocardiorecorder, detect a system for pacemaker pacemaker impulse, wherein, comprising: movably exploring electrode and the electrocardiorecorder that is attached thereto; Also comprise:
Mark module, for carrying out labelling by described exploring electrode to the pacemaker impulse signal detecting;
Analysis module, for going out flase drop and the undetected situation of pacemaker impulse signal according to described labelling automatic analysis;
Adjusting module, for adjusting exploring electrode position according to the flase drop analyzing and undetected situation, and carries out offical record.
The described system that detects pacemaker pacemaker impulse by electrocardiorecorder, wherein, the electrode tip of described exploring electrode is silver chloride electrode head.
The described system that detects pacemaker pacemaker impulse by electrocardiorecorder, wherein, the top of described exploring electrode is provided with for by the fixing rubbery human body of exploring electrode of air pressure mode.
The described system that detects pacemaker pacemaker impulse by electrocardiorecorder, wherein, the surface of described silver chloride electrode head is provided with button electrode joint pin.
The described system that detects pacemaker pacemaker impulse by electrocardiorecorder, wherein, the mode of described labelling comprises graphical indicia and/or voice mark.
Beneficial effect: the present invention is by carrying out preview by exploring electrode to electrocardiogram in advance, then pacemaker impulse signal is carried out to labelling, thereby analyze flase drop and the undetected situation of pacemaker impulse signal, then according to flase drop and undetected situation, automatically adjust exploring electrode position, carry out offical record, by the present invention, detection position to the pacemaker impulse of cardiac pacemaker is more accurate, effectively improve pacemaker and evaluate accuracy in detection and efficiency, reduced loss and false drop rate, having avoided follow-up discovery to detect unsuccessfully also needs situation about again detecting to occur.
Accompanying drawing explanation
Fig. 1 is the ambulatory electrocardiogram in a preferred embodiment of the present invention.
Fig. 2 is flase drop and the undetected labelling schematic diagram in the ambulatory electrocardiogram in a preferred embodiment of the present invention.
Fig. 3 is the structural representation of the exploring electrode in the present invention.
The specific embodiment
The invention provides a kind of method and system that detects pacemaker pacemaker impulse by electrocardiorecorder, for making object of the present invention, technical scheme and effect clearer, clear and definite, below the present invention is described in more detail.Should be appreciated that specific embodiment described herein, only in order to explain the present invention, is not intended to limit the present invention.
A kind of method that detects pacemaker pacemaker impulse by electrocardiorecorder provided by the present invention, it comprises step:
S101, general movably exploring electrode are connected on electrocardiorecorder;
S102, by described exploring electrode, the pacemaker impulse signal detecting is carried out to labelling;
S103, according to described labelling automatic analysis, go out flase drop and the undetected situation of pacemaker impulse signal;
Flase drop and undetected situation that S104, basis analyze are adjusted exploring electrode position, and carry out offical record.
Pacemaker in the present embodiment refers to cardiac pacemaker, and it is a kind of electronic therapeutic instrument being implanted in body, and cardiac pacemaker function is carried out tracking evaluation and implemented ambulatory electrocardiogram and detect.First, before carrying out ambulatory electrocardiogram detection, can adopt mobile exploring electrode to be connected on electrocardiorecorder, with preview electrocardiogram, then by electrocardiorecorder, the pacemaker impulse signal detecting is carried out to labelling, labelling wherein can be graphical indicia and/or voice mark, then by automatic analysis, judges that the flase drop of pacemaker impulse signal or undetected situation adjust the position of exploring electrode, finds to change fixedly adhesive electrode behind an optimum position again and carry out offical record.Adopt and effectively to have improved pacemaker after the present embodiment and evaluate accuracy in detection and efficiency, reduce loss, avoid detecting 24 hours after (or longer time) and find to detect unsuccessfully needing situation about again detecting.
In the ambulatory electrocardiogram detecting, as shown in Figure 1, wherein T1 refers to the pacemaker impulse signal labelling of electrocardiorecorder record, and T2 refers to ECG-QRS Wave, and T3 refers to pacemaker impulse vestige.By above-mentioned information, can analyze flase drop and undetected situation.This pacemaker impulse signal labelling be arranged on pacemaker impulse vestige directly over.
In the present embodiment, to the analysis of the flase drop of pacemaker impulse signal or undetected situation, be that the labelling recording by electrocardiorecorder is realized, as shown in Figure 2, in the figure, 1. have obvious pacemaker impulse vestige but there is no pacemaker impulse signal labelling, when LCD graph scanning arrives this, without pacemaker impulse prompt tone, it is undetected that this situation belongs to pacemaker impulse, 2. put pace-making pulse signal labelling and be positioned at the T ripple position of ecg wave form, belong to pacemaker impulse flase drop situation.
Known according to above-mentioned rule, while there is pacemaker impulse vestige on electrocardiogram, now but there is no pacemaker impulse signal labelling, illustrate that this situation belongs to pacemaker impulse undetected, and there is pacemaker impulse signal labelling on electrocardiogram, but on electrocardiogram, there is not pacemaker impulse vestige, illustrate that this situation belongs to pacemaker impulse flase drop, specifically can graph scanning analyze pacemaker impulse vestige and pacemaker impulse signal on electrocardiogram and mark whether to appear at correspondence position, judge whether to exist undetected and flase drop situation, specifically can go out this undetected and flase drop situation by software automatic analysis, thereby adjust electrode position according to undetected and flase drop situation, make undetected minimum with flase drop situation.
In addition, except this graphical indicia, pacemaker impulse signal labelling can also be set in the mode of voice mark, and judge whether to occur undetected and flase drop situation according to above-mentioned same method.
When carrying out preview,, in step S102, described electrocardiorecorder is set and enters under high sampling rate pattern in the present embodiment, for example, sample rate be arranged on 1024 times/second or more than, thereby realize accurate recording.
A kind of system preferred embodiment that detects pacemaker pacemaker impulse by electrocardiorecorder provided by the present invention, it comprises:
Movably exploring electrode and the electrocardiorecorder that is attached thereto; Also comprise:
Mark module, for carrying out labelling by described exploring electrode to the pacemaker impulse signal detecting;
Analysis module, for going out flase drop and the undetected situation of pacemaker impulse signal according to described labelling automatic analysis;
Adjusting module, for adjusting exploring electrode position according to the flase drop analyzing and undetected situation, and carries out offical record.
By above-mentioned module, realize and accurately find optimum electrode position, improve pacemaker and evaluate accuracy and efficiency, reduce loss and false drop rate.
In the present embodiment, as shown in Figure 3, the electrode tip of described exploring electrode is silver chloride electrode 200, thereby reduces polarizing voltage.The top of this exploring electrode is provided with for passing through the fixedly rubbery human body 100 of exploring electrode of air pressure mode, and this air pressure suction type can conveniently move, adsorb.And electrode tip has less electrode contact point, improve positioning precision.
As shown in Figure 3, on the surface of described silver chloride electrode 200, be provided with button electrode joint pin 300, this button electrode joint pin 300 has the junction button identical with the disposable mornitoring electrode of button, without switching.State generally, this silver chloride electrode 200 is a semicircular electrode head, this silver chloride electrode 200 centre are connected with rubbery human body 100 by a connection piece, and this connector is a cylindrical structural, and described button electrode joint pin 300 is set on the surface of this semicircular electrode head.
In said system, the mode of labelling comprises graphical indicia and voice mark, certainly, can be also to select one.The hommization more of the function of auditory tone cues, more can reach the object of pointing out doctor.
Equally, described electrocardiorecorder is set and enters under high sampling rate pattern, for example, sample rate be arranged on 1024 times/second or more than, thereby realize accurate recording.
In sum, the present invention is by carrying out preview by exploring electrode to electrocardiogram in advance, then pacemaker impulse signal is carried out to labelling, thereby analyze flase drop and the undetected situation of pacemaker impulse signal, then according to flase drop and undetected situation, automatically adjust exploring electrode position, carry out offical record, by the present invention, detection position to the pacemaker impulse of cardiac pacemaker is more accurate, effectively improve pacemaker and evaluate accuracy in detection and efficiency, reduced loss and false drop rate, having avoided follow-up discovery to detect unsuccessfully also needs situation about again detecting to occur.
Should be understood that, application of the present invention is not limited to above-mentioned giving an example, and for those of ordinary skills, can be improved according to the above description or convert, and all these improvement and conversion all should belong to the protection domain of claims of the present invention.
Claims (7)
1. by electrocardiorecorder, detect a method for pacemaker pacemaker impulse, it is characterized in that,
A, general movably exploring electrode are connected on electrocardiorecorder;
B, by described exploring electrode, the pacemaker impulse signal detecting is carried out to labelling;
C, according to described labelling automatic analysis, go out flase drop and the undetected situation of pacemaker impulse signal;
Flase drop and undetected situation that D, basis analyze are adjusted exploring electrode position, and carry out offical record.
2. the method that detects pacemaker pacemaker impulse by DCG Recorder according to claim 1, is characterized in that, in described step B, the mode of labelling comprises graphical indicia and/or voice mark.
3. by electrocardiorecorder, detect a system for pacemaker pacemaker impulse, it is characterized in that, comprising: movably exploring electrode and the electrocardiorecorder that is attached thereto; Also comprise:
Mark module, for carrying out labelling by described exploring electrode to the pacemaker impulse signal detecting;
Analysis module, for going out flase drop and the undetected situation of pacemaker impulse signal according to described labelling automatic analysis;
Adjusting module, for adjusting exploring electrode position according to the flase drop analyzing and undetected situation, and carries out offical record.
4. the system that detects pacemaker pacemaker impulse by electrocardiorecorder according to claim 3, is characterized in that, the electrode tip of described exploring electrode is silver chloride electrode head.
5. the system that detects pacemaker pacemaker impulse by electrocardiorecorder according to claim 3, is characterized in that, the top of described exploring electrode is provided with for passing through the fixedly rubbery human body of exploring electrode of air pressure mode.
6. the system that detects pacemaker pacemaker impulse by electrocardiorecorder according to claim 4, is characterized in that, the surface of described silver chloride electrode head is provided with button electrode joint pin.
7. the system that detects pacemaker pacemaker impulse by electrocardiorecorder according to claim 3, is characterized in that, the mode of described labelling comprises graphical indicia and/or voice mark.
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN107102218A (en) * | 2016-02-19 | 2017-08-29 | 创领心律管理医疗器械（上海）有限公司 | Pulse generating unit |
| CN107847174A (en) * | 2015-10-08 | 2018-03-27 | 深圳迈瑞生物医疗电子股份有限公司 | Pacing signal processing method, system and ECG monitor |
| CN109107041A (en) * | 2018-07-13 | 2019-01-01 | 成都心吉康科技有限公司 | Pace-making signal detection method, device and wearable health equipment |
| CN114712711A (en) * | 2022-04-11 | 2022-07-08 | 攀钢集团总医院 | Impedance detection system for right ventricular septum pacing active fixed helical electrode group |
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| CN2762752Y (en) * | 2004-07-28 | 2006-03-08 | 王湘生 | Digital distance transmission monitor for burying pacemaker |
| US20070282383A1 (en) * | 2006-06-02 | 2007-12-06 | Semiconductor Energy Laboratory Co., Ltd. | Cardiac pacemaker device |
| US20130030482A1 (en) * | 2011-07-26 | 2013-01-31 | General Electric Company | System and method of electrical current detection in electrophysiology study |
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Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN2762752Y (en) * | 2004-07-28 | 2006-03-08 | 王湘生 | Digital distance transmission monitor for burying pacemaker |
| US20070282383A1 (en) * | 2006-06-02 | 2007-12-06 | Semiconductor Energy Laboratory Co., Ltd. | Cardiac pacemaker device |
| US20130030482A1 (en) * | 2011-07-26 | 2013-01-31 | General Electric Company | System and method of electrical current detection in electrophysiology study |
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107847174A (en) * | 2015-10-08 | 2018-03-27 | 深圳迈瑞生物医疗电子股份有限公司 | Pacing signal processing method, system and ECG monitor |
| CN107847174B (en) * | 2015-10-08 | 2022-06-24 | 深圳迈瑞生物医疗电子股份有限公司 | Pace-making signal processing method and system and electrocardiogram monitor |
| CN107102218A (en) * | 2016-02-19 | 2017-08-29 | 创领心律管理医疗器械（上海）有限公司 | Pulse generating unit |
| CN107102218B (en) * | 2016-02-19 | 2019-09-17 | 创领心律管理医疗器械（上海）有限公司 | Pulse generating unit |
| CN109107041A (en) * | 2018-07-13 | 2019-01-01 | 成都心吉康科技有限公司 | Pace-making signal detection method, device and wearable health equipment |
| CN109107041B (en) * | 2018-07-13 | 2021-11-12 | 成都心吉康科技有限公司 | Pace-making signal detection method and device and wearable health equipment |
| CN114712711A (en) * | 2022-04-11 | 2022-07-08 | 攀钢集团总医院 | Impedance detection system for right ventricular septum pacing active fixed helical electrode group |
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