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基于体表心电图的房颤自动识别算法综述

Automatic identification of atrial fibrillation based on body surface electrocardiogram

作者: 钟高艳  陆宏伟  谷雪莲  孙毅勇 
单位:<span style="font-size:16px;font-family:宋体">上海理工大学</span> <span style="font-size:16px;font-family:宋体">医疗器械与食品学院(上海</span><span style="font-size:16px"> 200093</span><span style="font-size:16px;font-family:宋体">)</span><p><span style="font-size:16px;font-family:宋体">上海微创电生理医疗科技股份有限公司(上海</span><span style="font-size:16px"> 201318</span><span style="font-size:16px;font-family:宋体">)</span></p>
关键词: 房颤自动识别;  体表心电图;  时域;  频域;  非线性;  特征提取 
分类号:<span style="font-size:16px">R318.04</span>
出版年·卷·期(页码):2018·37·5(539-544)
摘要:

This article first introduces the symptoms, incidence and harm of atrial fibrillation (AF) , and then focuses on the time-domain, frequency-domain and non-linear analysis automatic identification technique of AF based on body surface electrocardiogram. Finally, the paper reports the sensitivity, specificity, positive predictive value, and accuracy of using atrial fibrillation recognition algorithm to identify atrial fibrillation, and the advantages and disadvantages of various methods are compared. It is found that the use of multiple R-R interval correlation information for feature extraction can improve the accuracy of detecting atrial fibrillation. In addition, the algorithm based on the R-R interval only requires longer ECG to accurately identify atrial fibrillation, and the recognition accuracy of atrial activity is significantly improved. When atrial ventricular tachycardia occurs, or when the heart rhythm changes rapidly, the signal is more suitable for frequency-domain analysis. The non-linear analysis is an improvement based on the R-R interval algorithm in the time-domain, which can further improve the recognition accuracy.

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