Abstract：
:Hidden Markov modelling (HMM) is a powerful stochastic modelling technique that has been successfully applied to automatic speech recognition problems. We are currently investigating the application of HMM to electrocardiographic signal analysis with the goal of improving ambulatory ECG analysis. The HMM approach specifies a Markov chain to model a "hidden" sequence that in this case is the underlying state of the heart. Each state of the Markov chain has an associated output function that describes the statistical characteristics of measurement samples generated during that state. Given a measurement sequence and HMM parameter estimates, the most likely underlying state sequence can be determined and used to infer beat classification. Advantages of this approach include resistance to noise, ability to model low-amplitude waveforms such as the P wave, and availability of an algorithm for automatically estimating model parameters from training data. We have applied the HMM approach to QRS complex detection and to arrhythmia analysis with encouraging results.
journal_name
J Electrocardioljournal_title
Journal of electrocardiologyauthors
Coast DA,Cano GG,Briller SAdoi
10.1016/0022-0736(90)90099-nsubject
Has Abstractpub_date
1990-01-01 00:00:00pages
184-91eissn
0022-0736issn
1532-8430journal_volume
23 Supplpub_type
杂志文章abstract：BACKGROUND:Coronary artery disease (CAD) is a leading cause of death and disability. Conventional non-invasive diagnostic modalities for the detection of stable CAD at rest are subject to significant limitations: low sensitivity, and personal expertise. We aimed to develop a reliable and time-cost efficient screening t...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/j.jelectrocard.2019.12.018
更新日期：2020-01-01 00:00:00
abstract：:The authors have proposed a new four-step screening algorithm to detect asymptomatic coronary artery disease (CAD) in flight school candidates, cadets, and rated flyers of the Unites States Air Force (USAF). In step 1, the USAF Armstrong Laboratory (USAF/AL) risk profile and improved 16-lead high-resolution electrocar...
journal_title：Journal of electrocardiology
pub_type： 杂志文章,评审
doi：10.1016/s0022-0736(96)80043-4
更新日期：1996-01-01 00:00:00
abstract：:Sudden cardiac death (SCD) in hypertrophic cardiomyopathy (HCM) is caused by ventricular tachyarrhythmia that can be effectively treated by implantable cardioverter defibrillator (ICD) therapy. We report of a 28-year-old man with HCM and a dual chamber ICD, originally implanted for primary prevention of SCD, (programm...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/j.jelectrocard.2017.06.005
更新日期：2017-01-01 00:00:00
abstract：:Ventricular tachycardia arising from a healed myocardial infarction scar continues to be a significant cause of morbidity and mortality. Drug therapy has been inadequate to meet this challenge, and implantable devices are limited by expense and technical problems. We have proposed the use of gene therapy for cardiac a...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/j.jelectrocard.2007.05.036
更新日期：2007-11-01 00:00:00
abstract：:The amplitude of ECG wave forms can be evaluated rapidly and accurately with the help of a transparent overlay depicting images of the P-QRS-T complex in various leads. Such images are drawn between the upper and lower limits of normal amplitude values and by placing them over the corresponding P-QRS-T complexes in th...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/s0022-0736(81)80033-7
更新日期：1981-01-01 00:00:00
abstract：BACKGROUND:Conflicting results have been reported on the predictive value of the electrocardiographic left ventricular hypertrophy (LVH) in the general population. This meta-analysis sought to compare the predictive value of different electrocardiographic criteria of LVH in the general population. METHODS:We comprehen...
journal_title：Journal of electrocardiology
pub_type： 杂志文章,评审
doi：10.1016/j.jelectrocard.2020.07.001
更新日期：2020-01-01 00:00:00
abstract：:An inexpensive system was developed for automated on-line analysis of ST segment heights, Q, R, and S heights and areas under these peaks, using an LSI-11 microcomputer. System accuracy was evaluated using a computer graphics technique which enabled magnification and labelling of the computed peaks on 60 maps from 17 ...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/s0022-0736(82)80032-0
更新日期：1982-01-01 00:00:00
abstract：:Patients with paroxysmal atrial fibrillation (AF) have greater overall P wave magnitude than control subjects, but the temporal localization of the increased energy is unknown. P wave spectral turbulence has not been investigated in such patients, and the optimum methodology for studying P wave signals has not been de...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/s0022-0736(97)80013-1
更新日期：1997-04-01 00:00:00
abstract：:We evaluate in this paper different strategies for the construction of a statistical shape model (SSM) of the left ventricle (LV) to be used for segmentation in cardiac magnetic resonance (CMR) images. From a large database of LV surfaces obtained throughout the cardiac cycle from 3D echocardiographic (3DE) LV images,...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/j.jelectrocard.2016.03.017
更新日期：2016-05-01 00:00:00
abstract：:The authors investigated the usefulness of the Karhunen-Loeve technique applied to body surface maps to study regional cardiac excitation. Eigenvectors were derived from the body surface potential maps of 120 healthy adults using the Karhunen-Loeve expansion theory. Then, in the maps of various types of ventricular hy...
journal_title：Journal of electrocardiology
pub_type： 临床试验,杂志文章
doi：10.1016/0022-0736(90)90148-u
更新日期：1990-01-01 00:00:00
abstract：BACKGROUND:QT interval measured in the electrocardiogram (ECG) varies with RR interval challenging the calculation of corrected QT (QTc) in Atrial fibrillation (AF). OBJECTIVES:To identify the ideal Lead, number of complexes and the formula to measure QTc that correlates best between AF and sinus rhythm (SR). PROCEDU...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/j.jelectrocard.2019.06.009
更新日期：2019-01-01 00:00:00
abstract：:In order to examine the clinical usefulness of the vulnerability map, body surface mapping was performed in ten normal subjects and 32 patients with CAD using dipyridamole infusion to induce ventricular arrhythmias. A vulnerability map and the vulnerability index (VI) proposed by Urie et al. were constructed from QRS ...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/s0022-0736(87)80100-0
更新日期：1987-04-01 00:00:00
abstract：BACKGROUND:It is not always feasible to use standard electrode placement for limb leads when recording the 12-lead electrocardiogram (ECG). Other electrode placements have been accepted during monitoring. Nonstandard electrode positions, however, fail to produce waveforms identical to those recorded from the distal lim...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/j.jelectrocard.2010.11.012
更新日期：2011-03-01 00:00:00
abstract：:Direct Wenckebach periods in the left bundle branch with periods of 4:3 and 5:4 conduction alternating with 2:1 left bundle branch block (LBBB) were observed in a patient who was admitted because of congestive heart failure. There was no previous documented LBBB and serial electrocardiographic (ECG) mainfestations aft...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/s0022-0736(80)80034-3
更新日期：1980-01-01 00:00:00
abstract：:Under healthy conditions, the normal cardiac (sinus) interbeat interval fluctuates in a complex manner. Quantitative analysis using techniques adapted from statistical physics reveals the presence of long-range power-law correlations extending over thousands of heartbeats. This scale-invariant (fractal) behavior sugge...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/s0022-0736(95)80017-4
更新日期：1995-01-01 00:00:00
abstract：BACKGROUND:Presence of severe autonomic failure (SAF), defined as coincidence of abnormal heart rate turbulence and abnormal deceleration capacity, identifies a group of patients with very poor prognosis among post-infarction patients with diabetes mellitus. However, factors contributing to development of SAF are entir...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/j.jelectrocard.2012.07.010
更新日期：2012-11-01 00:00:00
abstract：:The objective of this study is to assess the performance of patient-specific segment-specific (PSSS) synthesis in QRST complexes using CAVIAR, a new method of the serial comparison for electrocardiograms and vectorcardiograms. A collection of 250 multi-lead recordings from the Common Standards for Quantitative Electro...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/0022-0736(92)90080-j
更新日期：1992-01-01 00:00:00
abstract：BACKGROUND:Analysis of ST-segment elevation for assessment of patients with suspected acute coronary occlusion is in widespread use for diagnostic and prognostic purposes. In this study, changes in the QRS complex also were analyzed to determine if these changes that are seldom used clinically can provide additional pr...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/j.jelectrocard.2006.09.001
更新日期：2007-01-01 00:00:00
abstract：:T-wave alternans (TWA) on the electrocardiogram have been frequently associated with long QT syndrome (LQTS) and abrupt rate change. The present study investigated the effect of the potassium channel opener nicorandil on the repolarization alternans at the endocardium and the epicardium in the left ventricle. Electroc...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1054/jelc.2000.8398
更新日期：2000-07-01 00:00:00
abstract：:Cardiac gap junctions are responsible for normal conduction properties of the ventricles. Alteration in gap junction distribution (remodeling) in ischemic heart disease is likely to be an important cause of life threatening ventricular arrhythmias. ...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1054/jelc.2001.28834
更新日期：2001-01-01 00:00:00
abstract：:In order to compare the prevalence of electrocardiographic (ECG) abnormalities suggestive of right ventricular hypertrophy in native and immigrant populations residing at high altitude, a retrospective review was undertaken of data obtained from a random survey of healthy volunteers and persons with chronic mountain s...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：:Chemical necrosis was produced with the infiltration of 96 degrees alcohol on the middle anterosuperior segment 5 (nomenclature of the International Society for Computerized Electrocardiology) of the free left ventricular (LV) wall in 45 dogs and on the apical segment 10 and middle posterolateral segment 11 in 30 othe...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/s0022-0736(94)80011-1
更新日期：1994-07-01 00:00:00
abstract：:A 63 year old man with angina pectoris was found to have frequent extrasystoles separated by odd as well as even numbers of conducted sinus beats. Analysis of 935 conducted sinus beats showed that premature ventricular beats without interpolation were separated by odd numbers of conducted sinus beats in 117 sequences ...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/s0022-0736(82)80033-2
更新日期：1982-01-01 00:00:00
abstract：:Takotsubo cardiomyopathy (TTC) is characterized by acute and reversible ventricular dysfunction in the absence of significant coronary artery disease, typically triggered by acute emotional or physical stress. In the acute phase of TTC, the electrocardiogram (ECG) shows ST-segment elevation, which rapidly evolves into...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/j.jelectrocard.2013.02.005
更新日期：2013-07-01 00:00:00
abstract：:We report a case of ST segment elevation and PR depression in inferolateral leads in a patient with small bowel occlusion and gastric distension that disappeared immediately after gastric evacuation. Contrary to prior reports, we believe that these ECG changes do not represent an intrinsic cardiac electrical abnormali...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/j.jelectrocard.2019.08.044
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:In a minority of the patients presenting with ST-segment elevation (STE) myocardial infarction (MI), electrocardiogram (ECG) may show a balanced STE in both anterior and inferior lead groups and may cause diagnostic confusion about involved myocardial territory. In this study, we sought ECG clues which may f...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/j.jelectrocard.2018.09.006
更新日期：2018-01-01 00:00:00
abstract：:An electrocardiogram is presented which shows sinus rhythm with alternating Wolff-Parkinson-White (preexcitation) pattern. The frequency of intermittent preexcitation and mechanisms for its production are discussed. ...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/s0022-0736(78)80034-x
更新日期：1978-01-01 00:00:00
abstract：BACKGROUND:Accurate measurement of QRS complex duration (QRSd) remains crucial for the selection of patients for cardiac resynchronization therapy (CRT). However, assessment of QRSd on conventional surface electrocardiograms (ECG), especially when performed without computer assistance, may be challenging due to the lim...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/j.jelectrocard.2019.08.011
更新日期：2019-01-01 00:00:00
abstract：:A 38-year-old African American male patient with a past medical history of human immunodeficiency virus and schizophrenia who was noncompliant with medications presented to the emergency department (ED) after activation of the local crisis response center for altered mental status. Upon arrival he was lethargic and un...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：10.1016/j.jelectrocard.2017.01.012
更新日期：2017-01-01 00:00:00
abstract：:The authors have investigated potential applications of artificial neural networks for electrocardiographic QRS detection and beat classification. For the task of QRS detection, the authors used an adaptive multilayer perceptron structure to model the nonlinear background noise so as to enhance the QRS complex. This p...
journal_title：Journal of electrocardiology
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
