JP2011506024A - 人体構造的に方向づけられたecgデータ表示を使用した被疑冠状動脈の自動識別 - Google Patents
人体構造的に方向づけられたecgデータ表示を使用した被疑冠状動脈の自動識別 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/339—Displays specially adapted therefor
- A61B5/341—Vectorcardiography [VCG]
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16Z—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS, NOT OTHERWISE PROVIDED FOR
- G16Z99/00—Subject matter not provided for in other main groups of this subclass
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/339—Displays specially adapted therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7235—Details of waveform analysis
- A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7271—Specific aspects of physiological measurement analysis
- A61B5/7275—Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
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Abstract
Description
本発明は15、16、17、18又はそれ以上のリード線システムと同様に、56及び128リード線ボディ面マッピングシステムを含む従来の12リード線ECGシステムでの使用に適している。当業者には知られている減少した正確さで、三極リード線(EASI及びその他)、5及び8リード線システムもまた、12リード線を得るために使用できる。例えば、米国特許第5,377,687号(エヴァンズ等)及び米国特許第6,217,525号(メデマ等)を参照されたい。要するに、本発明の実施態様は、リード線及び電極の何れの数も使用できる。
Claims (15)
- 心臓に関して異なる位置から心臓の電気的活動の捕捉のための一組の電極と、強調された電極信号を作るように働く前記電極に結合されたECG捕捉モジュールと、異なる位置から心臓の電気的活動を測定する複数のリード線信号の作成のため前記電極信号を結合するように働く前記電極信号に応答するECGプロセッサであって、前記リード線信号のST上昇を検出する前記ECGプロセッサと、検出されるST上昇に応答して、人体構造的リード線位置に関係してグラフ的にST上昇データを表示するディスプレイとを有し、グラフ的表示が急性虚血イベントに関連する疑惑の被疑冠状動脈又は分岐の識別を示す、急性心筋梗塞に関連する被疑冠状動脈を識別するECG監視システム。
- 前記ECGプロセッサは、複数の胸部電極信号に応答して、ST上昇データを作成し、被験者の人体構造に関して水平に方向づけられる胸部グラフの作成のため前記ST上昇データを使用し、前記胸部グラフがLCx、RCA及びLAD冠状動脈閉塞の一つ以上を示す、請求項1に記載のECG監視システム。
- 前記胸部グラフが、ST上昇データ値により描写される形状をさらに有する、請求項2に記載のECG監視システム。
- 前記形状が前記胸部グラフのST上昇データ値を接続することにより形成される、請求項3に記載のECG監視システム。
- ST上昇データ値が前記胸部グラフの一方の極性を持って位置付けされ、ST下降データ値が前記胸部グラフの反対の極性を持って位置付けされる、請求項3に記載のECG監視システム。
- 前記ECGプロセッサは、複数の肢電極信号に応答して、ST上昇データを作成し、被験者の人体構造に関して垂直に方向づけられる肢リード線グラフの作成のため前記ST上昇データを使用し、前記肢リード線グラフがLCx、RCA及びLAD冠状動脈閉塞の一つ以上を示す、請求項1に記載のECG監視システム。
- 前記肢リード線グラフが、ST上昇データ値により描写される形状をさらに含む、請求項6に記載のECG監視システム。
- 前記形状が前記肢リード線グラフのST上昇データ値を接続することにより形成される、請求項7に記載のECG監視システム。
- ST上昇データ値が前記肢リード線グラフの一方の極性を持って位置付けされ、ST下降データ値が前記肢リード線グラフの反対の極性を持って位置付けされる、請求項7に記載のECG監視システム。
- ボディの肢及び胸部の種々異なる人体構造的位置に関連したnリード線のECG信号を受信するステップと、ST上昇データに対する前記ECG信号を分析するステップと、ボディの人体構造的位置に関係する前記ST上昇データをグラフ的に表示するステップと、被疑冠状動脈として特定の冠状動脈又は分岐をグラフ的表示から識別するステップとを有する、虚血イベントに関連する被疑冠状動脈を識別するためにnリード線ECG監視システムを操作する方法。
- 前記分析するステップは更に、ST上昇データ及びST下降データに対する前記ECG信号を分析するステップを有し、前記表示するステップは更に、ボディの人体構造的位置に関係する前記ST上昇データ及び前記ST下降データをグラフ的に表示するステップを有する、請求項10に記載の方法。
- 前記表示するステップは更に、肢電極と関連するST上昇データを含む第1のグラフを表示するステップと、胸部電極と関連するST上昇データを含む第2のグラフを表示するステップとを有する、請求項10に記載の方法。
- 第1及び第2のグラフは各々、ST上昇データにより描写される形状を含み、前記グラフの前記形状の位置は被疑冠状動脈として特定の冠状動脈又は分岐を識別する、請求項12に記載の方法。
- 前記分析するステップは更に、ST上昇データを閾値と比較するステップを有する、請求項10に記載の方法。
- ボディの肢及び胸部の種々異なる人体構造的位置と関連するnリード線のECG信号を受信するステップと、ST上昇データに対する前記ECG信号を分析するステップと、ボディの人体構造的位置に関係して前記ST上昇データをグラフ的に表示するステップと、あとで少なくとも一回前記受信するステップおよび分析するステップを繰り返すステップと、以前に表示されたST上昇データと後の時間のST上昇データとを同時且つグラフ的に表示するステップと、特に識別された冠状動脈又は分岐に関連する冠状動脈疾患の症状の経過を、同時且つグラフ的表示から識別するステップとを有する、虚血イベントに関連する被疑冠状動脈の兆しの経過を監視するためのnリード線ECG監視システムを操作する方法。
Applications Claiming Priority (3)
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US1461307P | 2007-12-18 | 2007-12-18 | |
US61/014,613 | 2007-12-18 | ||
PCT/IB2008/055149 WO2009077915A1 (en) | 2007-12-18 | 2008-12-08 | Automated identification of culprit coronary artery using anatomically oriented ecg data display |
Publications (2)
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JP2011506024A true JP2011506024A (ja) | 2011-03-03 |
JP5667448B2 JP5667448B2 (ja) | 2015-02-12 |
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JP2010538965A Active JP5667448B2 (ja) | 2007-12-18 | 2008-12-08 | 人体構造的に方向づけられたecgデータ表示を使用した被疑冠状動脈の自動識別 |
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US (1) | US9462955B2 (ja) |
EP (1) | EP2234538B1 (ja) |
JP (1) | JP5667448B2 (ja) |
CN (1) | CN101902959B (ja) |
BR (1) | BRPI0820843A2 (ja) |
RU (1) | RU2512931C2 (ja) |
WO (1) | WO2009077915A1 (ja) |
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JP2015139708A (ja) * | 2014-01-30 | 2015-08-03 | バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd. | 改良された心電図記録(ecg)グラフの表示 |
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BRPI0820843A2 (pt) | 2015-06-16 |
CN101902959B (zh) | 2013-11-20 |
RU2010129953A (ru) | 2012-01-27 |
EP2234538A1 (en) | 2010-10-06 |
RU2512931C2 (ru) | 2014-04-10 |
US9462955B2 (en) | 2016-10-11 |
WO2009077915A1 (en) | 2009-06-25 |
CN101902959A (zh) | 2010-12-01 |
EP2234538B1 (en) | 2016-03-23 |
JP5667448B2 (ja) | 2015-02-12 |
US20110060234A1 (en) | 2011-03-10 |
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