A new method without reference channels used for ventricular fibrillation detection during cardiopulmonary resuscitation

Australasian Physical & Engineering Sciences in Medicine
Ming YuFeng Chen

Abstract

Ventricular fibrillation (VF) is observed as the initial rhythm in the majority of patients suffering from sudden cardiac arrest. It is vitally important to accurately recognize the initial VF rhythm and then implement electrical defibrillation. However, artifacts produced by chest compression during cardiopulmonary resuscitation (CPR) make the VF detection algorithms utilized by current automated external defibrillators (AEDs) unreliable. CPR must be traditionally interrupted for a reliable diagnosis. However, interruptions in chest compression have a deleterious effect on the success of defibrillation. The elimination of the CPR artifacts would enable compressions to continue during AED VF detection and thereby increase the likelihood of resuscitation success. We have estimated a model of this artifact by adaptively incorporating noise-assisted multivariate empirical mode decomposition (NA-MEMD) and least mean squares (LMS) and then removing the artifact from the corrupted ECGs. The simulation experiment indicated that the CPR artifact could be accurately modeled without any reference channels. We constructed a BP neural network to evaluate the results. A total of 372 VF and 645 normal sinus rhythm (SR) ECG samples were inclu...Continue Reading

References

Sep 1, 1990·IEEE Transactions on Bio-medical Engineering·N V ThakorK Y Pan
Mar 1, 1994·Medical & Biological Engineering & Computing·R H ClaytonR W Campbell
Nov 15, 2000·IEEE Transactions on Bio-medical Engineering·S O AaseP A Steen
Mar 30, 2001·Resuscitation·A LanghelleP A Steen
Oct 31, 2001·Circulation·Z J ZhengG A Mensah
Nov 27, 2002·IEEE Transactions on Bio-medical Engineering·John Håkon HusøyPetter Andreas Steen
May 12, 2004·Resuscitation·Joar EilevstjønnPetter Andreas Steen
Sep 29, 2004·Resuscitation·Thomas D ReaRoger D White
Nov 13, 2004·Physiological Measurement·Irena Jekova, Vessela Krasteva
Aug 24, 2005·Circulation·Terence D ValenzuelaGordon A Ewy
Nov 8, 2006·Resuscitation·Elisabete AramendiJose Miguel Ormaetxe
Sep 19, 2007·Resuscitation·Sofia Ruiz de GaunaJo Kramer-Johansen
Feb 1, 2008·IEEE Transactions on Bio-medical Engineering·Klaus RheinbergerAnton Amann
Jan 8, 2010·Biomedical Engineering Online·Anton AmannWerner Lingnau
Aug 1, 2013·IEEE Transactions on Bio-medical Engineering·Qiao LiGari D Clifford
Sep 21, 2013·Journal of Medical Engineering & Technology·Mehrdad Javadi

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Related Feeds

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.