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WO1993018706A1 - Procede d'analyse rapide du rythme cardiaque et appareil portatif permettant d'appliquer ce procede - Google Patents

Procede d'analyse rapide du rythme cardiaque et appareil portatif permettant d'appliquer ce procede Download PDF

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Publication number
WO1993018706A1
WO1993018706A1 PCT/RU1993/000068 RU9300068W WO9318706A1 WO 1993018706 A1 WO1993018706 A1 WO 1993018706A1 RU 9300068 W RU9300068 W RU 9300068W WO 9318706 A1 WO9318706 A1 WO 9318706A1
Authority
WO
WIPO (PCT)
Prior art keywords
blοκa
inτeρvalοv
blοκ
values
dliτelnοsτi
Prior art date
Application number
PCT/RU1993/000068
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English (en)
Russian (ru)
Inventor
Vladimir Balakirev
Nikolai Kamaidanov
Aleksandr Kubarev
Original Assignee
Vladimir Balakirev
Nikolai Kamaidanov
Aleksandr Kubarev
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Vladimir Balakirev, Nikolai Kamaidanov, Aleksandr Kubarev filed Critical Vladimir Balakirev
Publication of WO1993018706A1 publication Critical patent/WO1993018706A1/fr

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Classifications

    • 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]
    • A61B5/332—Portable devices specially adapted therefor
    • 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]
    • A61B5/333—Recording apparatus specially adapted therefor
    • 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

Definitions

  • the best level of technology for analyzing the heart rate of the heart is based on the basic pulse and power supply. Izves ⁇ en s ⁇ s ⁇ b e ⁇ s ⁇ ess analysis se ⁇ dechn ⁇ g ⁇ ⁇ i ⁇ ma, ⁇ ⁇ - ⁇ mu ⁇ edelyash ⁇ and ⁇ b ⁇ azhash ⁇ on zhid ⁇ is ⁇ alliches ⁇ m e ⁇ ane (SH ⁇ E) ⁇ e ⁇ uschie values ⁇ ulsa, ch ⁇ ⁇ zv ⁇ lyae ⁇ nablyuda ⁇ variation of the se ⁇ dechn ⁇ g ⁇ ⁇ i ⁇ ma ⁇ atsien ⁇ a in ⁇ ealn ⁇ m massh ⁇ abe v ⁇ emeni (S ⁇ , ⁇ , 2109559).
  • the disadvantage of this method is that changing the heart rate is not possible to divide the character and the reason for the changes in the heart rate.
  • the device that implements this method is portable, autonomous, and designed to remove the electronic cigarette from the fingertips and the patient is in the process ⁇ ⁇ ya ⁇ iem snya ⁇ iya Z ⁇ G with ⁇ altsev ⁇ u ⁇ and ud ⁇ ben, ne ⁇ b ⁇ dim ⁇ s ⁇ de ⁇ zha ⁇ ⁇ ib ⁇ in ⁇ u ⁇ a ⁇ ⁇ g ⁇ anichivae ⁇ v ⁇ zm ⁇ zhn ⁇ e eg ⁇ ⁇ imenenie cases ⁇ gda ⁇ u ⁇ i and ⁇ altsy ⁇ atsien ⁇ a not ⁇ avmi ⁇ vany and m ⁇ gu ⁇ by ⁇ ⁇ izha ⁇ y ⁇ ⁇ ib ⁇ u lib ⁇ by ⁇ atsien ⁇ m, lib ⁇ v ⁇ ach ⁇ m.
  • the user-friendly appliance which implements livelihoods, is always worn by a patient at a belt, and electric shock is secured to people by this means.
  • ⁇ bschim susches ⁇ vennym ned ⁇ s- ⁇ a ⁇ m ⁇ ivedenny ⁇ above ⁇ e ⁇ s ⁇ s ⁇ b ⁇ v yavlyae ⁇ sya ⁇ , ch ⁇ , ⁇ ya eat and za ⁇ minanie Z ⁇ G ⁇ is ⁇ di ⁇ ne ⁇ s ⁇ eds ⁇ venn ⁇ ⁇ i ⁇ yavle- SRI na ⁇ usheny se ⁇ dechn ⁇ y deya ⁇ eln ⁇ s ⁇ i analysis e ⁇ i ⁇ na ⁇ usheny za ⁇ udnen, ⁇ a ⁇ ⁇ a ⁇ for e ⁇ g ⁇ ⁇ ebuyu ⁇ sya d ⁇ lni ⁇ elnye us ⁇ y- s ⁇ va for schi ⁇ yvaniya of ⁇ amya ⁇ i and ⁇
  • the device also contains a mode switching unit, a processing unit, and a unit with a process that are free of charge, and the signal is switched off. Pulse values are induced on the LED screen located on the front panel of the panel.
  • the device may be connected to external devices, and it may be with the recorder and / or the recorder to read the data from the memory and process. For this, there are corresponding sockets on the housing.
  • the device may be equipped with flexible electrical accessories and additional electrical components that may cause a loss of electrical power.
  • this device does not constitute a means of measuring the loss of property and the transmission of the device and the device. Otherwise, in this device, it is not possible to deduce the EEG from the memory by itself, which makes it irrelevant to the fact that it does not take into account from memory. This also adds to the additional work required by the operator, who must take care of the basic information that is just for you to do.
  • the developed method of the express analysis of the heart rate is based on the removal of the electrical signal, its amplification, the isolation of the ⁇ réelle ⁇ -wave of the pulse frequency
  • the values of the frequency of the electric signals are observable.
  • the sharpness of the change in the duration of the ntz-intrusion is reversed due to the complex scale of changes in the heart rate in the situation.
  • the processing and control unit was executed with the possibility of access to the registers at a real scale of the time of the registration of the memory card, the memory of which is not to be forgotten ⁇ E is located on one of the outdoor areas, and on the other of its external locations are connected to the electrical equipment. Otherwise, there are accessories and accessories on the unit for connecting and connecting external devices.
  • the analysis is equipped with a range of additional electrodes with optional accessories for electrically powered signal amplification unit.
  • an analysis unit has been introduced to measure the duration of the ⁇ -Intervals, the input and output of the drive, the connected device and the device and the device are connected to the device and the device.
  • the output of the mode of operation is connected to the input of the processing unit and the control unit.
  • Z ⁇ ⁇ zv ⁇ lyae ⁇ is ⁇ lz ⁇ va ⁇ ⁇ tsess ⁇ for za ⁇ - Minani and ⁇ sleduyuscheg ⁇ v ⁇ s ⁇ izvedeniya on s ⁇ bs ⁇ venn ⁇ m ⁇ egis ⁇ - ⁇ a ⁇ e ⁇ my E ⁇ G, gis ⁇ g ⁇ ammy and ⁇ a ⁇ di ⁇ in ⁇ e ⁇ val ⁇ g ⁇ ammy and ⁇ a ⁇ zhe ⁇ bes ⁇ echivae ⁇ v ⁇ zm ⁇ zhn ⁇ s ⁇ minia ⁇ sh ⁇ izatsii us ⁇ ys ⁇ va and vy ⁇ lne- Nia eg ⁇ ⁇ a ⁇ ivnym and av ⁇ n ⁇ mnym.
  • Figure 2 is a structural diagram of a portable autonomous analysis of a heart rate system
  • P ⁇ a ⁇ ivny av ⁇ n ⁇ mny stabili ⁇ se ⁇ dechn ⁇ g ⁇ ⁇ i ⁇ ma with ⁇ - m ⁇ schyu ⁇ g ⁇ m ⁇ zhe ⁇ by ⁇ ⁇ ealiz ⁇ van s ⁇ s ⁇ b e ⁇ s ⁇ ess analysis se ⁇ dechn ⁇ g ⁇ ⁇ i ⁇ ma, s ⁇ de ⁇ zhi ⁇ ⁇ us 1 on ⁇ dn ⁇ y of na ⁇ uzhny ⁇ s ⁇ - ⁇ n ⁇ g ⁇ ⁇ as ⁇ l ⁇ zhen zhid ⁇ is ⁇ alliches ⁇ y e ⁇ an ( ⁇ Z) 2, and d ⁇ ug ⁇ y - ⁇ i ele ⁇ da ⁇ ugl ⁇ y ⁇ my ( on the drawing are not shown).
  • the electric signal is sent to the input of the analogue processing unit (CPU) 8, in the form of a signal from the input Bl ⁇ ⁇ TSP 8 ⁇ ⁇ n ⁇ e ⁇ n ⁇ y ⁇ ealizatsii v ⁇ lyu- chae ⁇ gene ⁇ a ⁇ ⁇ a ⁇ vy ⁇ im ⁇ uls ⁇ v (on che ⁇ ezhe not ⁇ azan) vy ⁇ d ⁇ g ⁇ yavlyae ⁇ sya vy ⁇ d ⁇ m ⁇ bl ⁇ a YTSP 8.
  • Bl ⁇ ⁇ TSP 8 m ⁇ - zhe ⁇ by ⁇ ⁇ ealiz ⁇ van s ⁇ anda ⁇ nymi s ⁇ eds ⁇ vami (na ⁇ ime ⁇ on mi ⁇ - ⁇ s ⁇ ema ⁇ ). From the output of the CPU 8 to the input of the signals from the interruption of the central processing unit (CPU) 9 unit 10 of the processing and the operation of the operating process.
  • Bl ⁇ 10 ⁇ ed- s ⁇ avlyae ⁇ s ⁇ b ⁇ y ⁇ tsess ⁇ , ⁇ i z ⁇ m v ⁇ d ⁇ bl ⁇ a 10 yavlyae ⁇ sya v ⁇ d ⁇ m ⁇ TSP9 9.
  • the digital signal of the ⁇ signal is supplied to input 10 of the unit and output to input 14 and 15 to the input bus.
  • ZG-signal the signal of the interruption is received.
  • P ⁇ ⁇ i ⁇ du u ⁇ azann ⁇ g ⁇ signal TSP9 9 us ⁇ anavlivae ⁇ ⁇ i ⁇ ⁇ e ⁇ yvaniya in s ⁇ ve ⁇ s ⁇ vii with ⁇ ym the tire u ⁇ avleniya 11 vys ⁇ avlyae ⁇ ⁇ d ⁇ b ⁇ ascheniya ⁇ P39 12, and the bus ad ⁇ esa 13 vys ⁇ avlyae ⁇ ad ⁇ es ⁇ b ⁇ ab ⁇ i ⁇ e ⁇ yvaniya in P39 12, ⁇ ⁇ mu ⁇ is ⁇ di ⁇ schi ⁇ yvanie and is ⁇ lnenie ⁇ d ⁇ g ⁇ ammy g ⁇ vn ⁇ s ⁇ i ⁇ v ⁇ s ⁇ iya ⁇ iyu ⁇ da ⁇ lavishi .
  • the given output program receives the digital values of the ECG signal from the CPU 9 on the 15th data bus, they are sent to the output of unit 10 and then to the input of the output unit 17 and are output to the output of the unit.
  • the indicated program may be sold at the ⁇ . ⁇ . Petroleum and ⁇ . ⁇ . The product “Drive for the output of business and digital information” in the magazine “Information and systems", ⁇ -6, 1987, pp. 15-18. ⁇ ⁇ the time of the digital values of the ⁇ signal is overwritten.
  • a digital signal is sent to the control bus 11 and address 13 when the processor is connected to the bus, which is available to 039 0 18 18.
  • an array of digital values of the ECG signal is found, after which, on the data bus 15, each digital value of the ECG signal is transferred to the indicated array.
  • the ECG signal from the output of block 7 is sent to the input of the selector 19, where quick pulses are generated that correspond to the beginning of the ⁇ réelle ⁇ -wave of the cardiac complex.
  • TSP9 9 being v ⁇ d ⁇ m ⁇ bl ⁇ a 10.
  • TSP9 9 s ⁇ ve ⁇ s ⁇ vii with ⁇ i ⁇ m ⁇ e ⁇ yvaniya vys ⁇ avlyae ⁇ u ⁇ avleniya on bus 11 and 13 ad ⁇ esa ⁇ d ⁇ b ⁇ ascheniya ⁇ 12 and P39 ad ⁇ es ⁇ b ⁇ ab ⁇ i ⁇ e ⁇ yvaniya in P39 12 s ⁇ ve ⁇ s ⁇ venn ⁇ .
  • This signal u ⁇ avlyanschy You are a ⁇ da b bl ⁇ a 10 and imenn ⁇ with ⁇ v vyv ⁇ da 20 ⁇ s ⁇ u ⁇ ae ⁇ on v ⁇ d bl ⁇ a 21.
  • the counter 23 in a particular implementation is performed on standard microcircuits.
  • the speed of its operation is divided precisely by the start of the ⁇ -interval, that is, there is ⁇ ⁇ ms.
  • ⁇ avlyashschy signal ⁇ s ⁇ u ⁇ ivshy v ⁇ d bl ⁇ a to 21, most ⁇ em ⁇ s ⁇ u ⁇ ae ⁇ and u ⁇ avlyashschy v ⁇ d sche ⁇ chi ⁇ a 23 bl ⁇ a 21.
  • CPU 9 counts ' - removes and executes the indicated accessory and selects the key “5 ⁇ ” from output 16 after output 14 and the data transfer terminal 15 to the 13-address bus in PZ ⁇ 12, it is only the case that the control panel receives the correct address.
  • P ⁇ performs che ⁇ ez ⁇ y vyv ⁇ da 20 ⁇ e ⁇ esylae ⁇ eg ⁇ on u ⁇ avlyayuschy v ⁇ d ⁇ e ⁇ es ⁇ aivaem ⁇ g ⁇ gene ⁇ a ⁇ a 22.
  • the data stored in 039 18 can be displayed on external devices, such as a recorder or an electronic recorder.
  • external us ⁇ ys ⁇ va ⁇ ⁇ a ⁇ ivn ⁇ mu av ⁇ - n ⁇ mn ⁇ mu plante ⁇ u se ⁇ dechn ⁇ g ⁇ ⁇ i ⁇ ma for cheg ⁇ on ⁇ use 1 ⁇ ib ⁇ a imeyu ⁇ sya s ⁇ ve ⁇ s ⁇ vuyuschie socket and on clawash ⁇ ⁇ lavishu " ⁇ ⁇ " for vyv ⁇ da on sam ⁇ isets or ⁇ lavishu " ⁇ S ⁇ ", 14 for access to E ⁇ .
  • the proposed method and device may be used to help diagnose a heart attack, to evaluate a medical condition.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Nitrogen And Oxygen Or Sulfur-Condensed Heterocyclic Ring Systems (AREA)

Abstract

Procédé d'analyse rapide du rythme cardiaque, consistant à relever les signaux électrocardiaques à l'aide d'électrodes (3, 4, 5). Ces électrodes (3, 4, 5), selon un mode préférentiel de réalisation, ont la forme de clips, pouvant être fixés aux doigts ou aux orteils du patient. Les signaux électrocardiographiques sont convertis en signaux numériques grâce à un microprocesseur pour être affichés en temps réel sur un écran à cristaux liquides (2), situés sur l'un des cotés du boîtier (1). Les signaux électrocardiographiques sont mis en mémoire et, lorsque l'on presse la touche correspondante du clavier (6), tous les complexes ventriculaires PQRST accumulés sont affichés sur l'écran (2) page par page. La durée des intervalles R-R est mesurée avec la précision voulue, correspondant à l'échelle caractéristique des variations du rythme cardiaque en phase stationnaire. Les résultats des mesures sont affichés en temps réel sur l'écran à cristaux liquides (2) sous forme de rythmogrammes (RG) et d'histogrammes (HG), de sorte que les intervalles des premiers et des seconds correspondent à ladite échelle caractéristique.
PCT/RU1993/000068 1992-03-26 1993-03-22 Procede d'analyse rapide du rythme cardiaque et appareil portatif permettant d'appliquer ce procede WO1993018706A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
RU5046386/14 1992-03-26
SU925046386A RU2077864C1 (ru) 1992-03-26 1992-03-26 Способ экспресс-анализа сердечного ритма и устройство для его осуществления

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Publication Number Publication Date
WO1993018706A1 true WO1993018706A1 (fr) 1993-09-30

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WO (1) WO1993018706A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8194944B2 (en) 2003-10-21 2012-06-05 Koninklijke Philips Electronics N.V. Method of automatically displaying medical measurement data

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
MD301Z (ro) * 2010-06-02 2011-07-31 Николай АРМЕНЧА Metodă de apreciere a stării funcţionale a sistemului cardiovascular uman
RU2569246C1 (ru) * 2014-08-11 2015-11-20 Альберт Иванович Крашенюк Способ определения влияния диагностического ультразвука на человека

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3880147A (en) * 1973-03-22 1975-04-29 Xerox Corp R-R interval histogram instrument system
SU1047464A1 (ru) * 1982-05-17 1983-10-15 Ленинградский Ордена Ленина Электротехнический Институт Им.В.И.Ульянова (Ленина) Ритмокардиоанализатор
SU1072852A1 (ru) * 1982-07-19 1984-02-15 Ленинградский Ордена Ленина Электротехнический Институт Им.В.И.Ульянова(Ленина) Ритмокардиоанализатор
US4483346A (en) * 1983-08-25 1984-11-20 Intech Systems Corp. Electrocardiograph with digitally-printing waveform display
US4825874A (en) * 1986-10-17 1989-05-02 Uhlemann Hans J Cardiac diagnosis instrument
US5002064A (en) * 1985-08-09 1991-03-26 Allain Joseph L Portable life detection monitor including lead fail detector and unique signal processing system
US5029590A (en) * 1985-08-09 1991-07-09 Allain Joseph L Portable, life detection monitor system

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3880147A (en) * 1973-03-22 1975-04-29 Xerox Corp R-R interval histogram instrument system
SU1047464A1 (ru) * 1982-05-17 1983-10-15 Ленинградский Ордена Ленина Электротехнический Институт Им.В.И.Ульянова (Ленина) Ритмокардиоанализатор
SU1072852A1 (ru) * 1982-07-19 1984-02-15 Ленинградский Ордена Ленина Электротехнический Институт Им.В.И.Ульянова(Ленина) Ритмокардиоанализатор
US4483346A (en) * 1983-08-25 1984-11-20 Intech Systems Corp. Electrocardiograph with digitally-printing waveform display
US5002064A (en) * 1985-08-09 1991-03-26 Allain Joseph L Portable life detection monitor including lead fail detector and unique signal processing system
US5029590A (en) * 1985-08-09 1991-07-09 Allain Joseph L Portable, life detection monitor system
US4825874A (en) * 1986-10-17 1989-05-02 Uhlemann Hans J Cardiac diagnosis instrument

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8194944B2 (en) 2003-10-21 2012-06-05 Koninklijke Philips Electronics N.V. Method of automatically displaying medical measurement data

Also Published As

Publication number Publication date
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