Electrocardiogram evaluation under a mathematical approach. / Estudo do eletrocardiograma sob uma abordagem matemática.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

The electrocardiogram gives information related to the passage of an electric pulse through the heart and, therefore, to his state function. Since the beginning of electrocardiogram utilization, thanks to the work of Willem Einthoven building the first machine capable of measuring the electric pulse non-invasively and with sensitivity enough to be able to provide a profitable graph, it is widely used for clinical evaluation of patients. However the evolution of the machines that describes the electrocardiogram hadn´t much more advances since the elaborated by Einthoven in the beginning of the 20th century. They become smaller (even portable for some applications), the graphs are now displayed in video screens (instead of the paper strip) and, taking place as the biggest evolutions, machines that observes the electrocardiogram became able to recognize a cardiac cycle with high reliability and, more recently, became able to measure the ST parameter with liMITed precision (it needs the help of the operator to set specific measuring points in some cases). It is based in these facts that this dissertation looks for analyzing mathematic algorithms, more specifically the mathematic models of the electric impulse during the cardiac cycles, and evaluate their capacities to expound ECG parameters in a fast and reliable way in order to the physician receive promptly the data needed for his clinical evaluation of the patient. For the first step were analyzed some algorithms for electrocardiogram pulse detection (detection of R wave), in the following step were done the windowing of the ECG wave in order to separate the cardiac cycles. In this step were analyzed the mathematic models generated by polynomial equations, Fourier Transform and Wavelet Transform. And, in order to filter noises and generate leads not measure, it was implemented a kalman´s filter at a vector model. To evaluate the obtained results were used the requirements of performance given by north-american FDA and by the European rule IEC60601-2-51. These evaluations were done by executing the generated algorithms in the waves supplied by the databank PhisioNet. The polynomial method weren´t considered interesting because it weren´t able to generate an equation for the cardiac cycle, but many equations (one for each point of the cycle). The other methods showed a better efficiency since they were capable of generate parameters with physical meaning and being able to do a better characterization of the important points of the electrocardiogram wave.

ASSUNTO(S)

eletrocardiografia electrocardiogram filtro de kalman kalman filter análise de fourier fourier analysis

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