Fragmentation of bandpass-filtered QRS-complex of patients prone to malignant arrhythmia

被引:19
作者
Endt, P
Hahlbohm, HD
Kreiseler, D
Oeff, M
Steinhoff, U
Trahms, L
机构
[1] Phys Tech Bundesanstalt, D-10587 Berlin, Germany
[2] Free Univ Berlin, Klinikum Benjamin Franklin, D-12200 Berlin, Germany
关键词
FIR-bandpass filtering; intra-QRS-complex; fragmentation; malignant tachycardia; risk analysis;
D O I
10.1007/BF02518875
中图分类号
TP39 [计算机的应用];
学科分类号
081203 ; 0835 ;
摘要
The structure of high-frequency components of electric and magnetic signals from the heart during the depolarisation phase is investigated. After averaging and broadband filtering with a binomial bandpass filter (37Hz-90Hz), the fragmentation of the QRS-complex is quantified. The number of extrema M and a new score value S are calculated from the signals of three electrical leads and one magnetic lead of 23 healthy subjects, 23 patients with coronary heart disease (CHD) without reported event of ventricular tachycardia or fibrillation at the time of measurement, and eight patients with CHD who have suffered from malignant tachycardia. For the parameter M, the sensitivity and specificity for healthy subjects against patients with CHD and ventricular tachycardia for the magnetic lead (the best electric lead) are 100% (75%) and 100% (100%). For the magnetic lead (best electric lead) and parameter S, the sensitivity and specificity are 100% (75%) and 95.6% (100%).
引用
收藏
页码:723 / 728
页数:6
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