COMPUTER-DIAGNOSIS OF SUPRAVENTRICULAR AND VENTRICULAR ARRHYTHMIAS - NEW ESOPHAGEAL TECHNIQUE

被引:62
作者
JENKINS, JM
WU, D
ARZBAECHER, RC
机构
[1] UNIV IOWA,HOSP & CLIN,DEPT ELECT & COMP ENGN,IOWA CITY,IA 52240
[2] UNIV IOWA,HOSP & CLIN,DEPT INTERNAL MED,IOWA CITY,IA 52240
关键词
D O I
10.1161/01.CIR.60.5.977
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Computerized arrhythmia monitors recognize only a few of the significant arrhythmias and generally fail to detect arrhythmias of supraventricular origin. This is because conventional surface leads, which are sufficient for QRS recognition, are highly inadequate for automated P-wave detection. A new two-lead system, which includes a swallowable capsule-electrode for esophageal monitoring of atrial activity, is used in an on-line arrhythmia monitor. Three interval measurements (AA, AR and RR) and a QRS shape measurement provide the foundation for a detailed interpretation of each beat. Building on the single-beat analysis, a contextual diagnostic algorithm then recognizes and reports on-line the following arrhythmias: couplets, bigeminy, trigeminy, ventricular tachycardia, supraventricular tachycardia, atrial flutter, atrial fibrillation, ventricular tachycardia with retrograde conduction to the atria, first-degree block, second-degree block, Wenckebach periodicity, advanced block, third-degree block and sinus bradycardia.
引用
收藏
页码:977 / 987
页数:11
相关论文
共 25 条
[1]  
ARZBAECHER R, 1978, MED INSTRUM, V12, P277
[2]  
Arzbaecher R, 1978, Biomed Sci Instrum, V14, P1
[3]  
BERNARD R, 1974, P COMPUTERS CARDIOLO, P17
[4]   NEW COMPUTER-PROGRAM FOR ANALYSIS OF SCALAR ELECTROCARDIOGRAMS [J].
BONNER, RE ;
CREVASSE, L ;
FERRER, MI ;
GREENFIELD, JC .
COMPUTERS AND BIOMEDICAL RESEARCH, 1972, 5 (06) :629-653
[5]   A SIMPLE METHOD FOR OBTAINING ESOPHAGEAL ELECTROCARDIOGRAMS OF GOOD DIAGNOSTIC QUALITY [J].
BRODY, DA ;
HARRIS, TR ;
ROMANS, WE .
AMERICAN HEART JOURNAL, 1955, 50 (06) :923-926
[6]   THE PRINCIPLES OF ESOPHAGEAL ELECTROCARDIOGRAPHY [J].
BRODY, DA ;
COPELAND, GD .
AMERICAN HEART JOURNAL, 1959, 57 (01) :3-18
[7]   A study of the esophageal lead in clinical electrocardiography Part II An electrocardiographic study of auricular disorders in the human subject by means of the esophageal lead [J].
Brown, WH .
AMERICAN HEART JOURNAL, 1936, 12 :307-338
[8]   THE ESOPHAGEAL ELECTROCARDIOGRAM IN ARRHYTHMIAS AND TACHYCARDIAS [J].
BUTTERWORTH, S ;
POINDEXTER, CA .
AMERICAN HEART JOURNAL, 1946, 32 (06) :681-688
[9]  
COPELAND GD, 1959, AM HEART J, V57, P862
[10]  
ELSHERIF N, 1969, BRIT HEART J, V31, P414