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Human ECGs corrupted with real CPR artefacts in an animal model: generating a database to evaluate and refine algorithms for eliminating CPR artefacts.

Abstract：

AIM:For the analysis of ECG rhythms during ongoing CPR, single- or two-channel methods have been proposed to eliminate artefacts from the CPR-corrupted ECG. To refine, test and evaluate these algorithms with a realistic data set, we introduce an animal model with which we created an extended database of human ECGs with real CPR artefacts. MATERIAL AND METHODS:In a pig model real CPR-related artefacts were added to annotated human emergency ECGs. Via a special catheter placed in the oesophagus, ECG sequences (duration>10s) were fed in close to the dead pig's heart. The resulting surface potential was recorded on the thorax without and during ongoing chest compressions, which were monitored using a miniature force sensor. RESULTS:The animals served as a vehicle for human ECGs, making it possible to create a database in which 918 real human ECG sequences (437 shockable and 481 non-shockable) were corrupted with CPR-induced artefacts. The achieved signal-to-noise ratios (SNR) ranged from -17 to +15 dB, sensitivity was 93.5% and specificity was 50.51%. The fed-in ECG and the uncorrupted surface ECG correlated almost perfectly (r=0.926+/-0.081; n=918), indicating negligible signal distortion due to the dead pig itself. CONCLUSION:As the generated database includes both the original and the corrupted ECG covering a wide range of SNRs as well as the compression force signal, it provides an extended data set to evaluate the reconstruction performance of CPR artefact-removal algorithms.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Granegger M,Werther T,Roehrich M,Losert U,Gilly H

doi

10.1016/j.resuscitation.2010.03.003

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

730-6

issue

6

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(10)00132-2

journal_volume

81

pub_type

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