Optimizing Electrode Positioning in 3-lead ECG Chest Devices
Ricardo Simoes, Joana Sousa, Cristina Nogueira-Silva, Hugo Gamboa
2012
Abstract
Although the 12-lead electrocardiogram has become an essential medical and research tool, many current and envisaged applications would benefit from simpler devices, using 3-lead ECG configuration. This is particularly true for Ambient Assisted Living (in a broad perspective). However, the chest anatomy of female patients, namely during pregnancy, can hamper the adequate placement of a 3-lead ECG device and, very often, electrodes are placed below the chest rather than at the precise thoracic landmarks. Thus, the aim of this study was to compare the effect of electrode positioning on the ECG signal of pregnant women and provide guidelines for device development. The effect of breast tissue on the ECG signal was investigated by relating breast size with the signal-to-noise ratio, root mean square and R-wave amplitude. Results show that the 3-lead ECG should be placed on the breast rather than under the breast and indicate positive correlation between breast size and signal-to-noise ratio.
References
- Tortora, G. J, Grabowski, S. R., (2001). Introduction of Human Body - The essentials of anatomy and Physiology. John Wiley & Sons, INC, 5th Edition.
- Paoletti, M., Marchesi, C., (2006). Discovering dangerous patterns in long-term ambulatory ECG recordings using a fast QRS detection algorithm and explorative data analysis. Computer Methods and Programs in Biomedicine, 82:20-30.
- Macfarlane, P., Colaco, R., Stevens, K., Reay, P., Beckett, C., and Aitchison, T., (2003). Precordial electrode placement in women. Netherlands Heart Journal, 11(3):118.
- Soliman, E. Z., (2008). A simple measure to control for variations in chest electrodes placement in serial electrocardiogram recording. Journal of Electrocardiology, 41:378-379.
- García-Niebla, J., Llontop-García, P., Valle-Racero, J. I., Serra-Autonell, G., Batchvarov, V. N., (2009). Technical mistakes during the acquisition of the Electrocardiogram. Journal compilation, Willey Periodicals, Inc, 14(4).
- Muhlsteff, J., Such, O., Schmidt, R., Reiter, H., Lauter, J., Thijs, J., Musch, G., Harris, M., (2004). Wearable approach for continuous ECG - and Activity Patient-Monitoring. Proceedings of the 26th Annual Internat.Conf. of IEEE EMBS, San Francisco, CA, USA:1-5.
- Mahmoud, S. S., Fang, Q., Davidovic, D. M., Cosic, I., (2006). A Time-Frequency approach for the analysis of Normal and Arrythmia Cardiac Signals. Proceeding of the 26th IEEE EMBS Annual International Conference, New Work City, USA.
- PLUX, ecgPLUX, PLUX Wireless Biosignals. Available from: www.plux.info [Accessed August 8, 2011].
- PLUX, bioPLUX Research, PLUX Wireless Biosignals. Available from: www.plux.info [Accessed Aug 8, 2011].
- Rautaharju, P., Park, L., Rautaharju, F., and Crow, R., (1998). A standardized procedure for locating and documenting ecg chest electrode positions: consideration of the effect of breast tissue on ecg amplitudes in women. Journal of electrocardiology, 31(1):17-29.
- Horton, J., Sherber, H., and Lakatta, E., (1977). Distance correction for precordial electrocardiographic voltage in estimating left ventricular mass. Circulation, 55(3):509.
- Mohammed, M. (2001). Determination of left ventricular mass by echocardiography in normal Arab people. morbidity and mortality, 4:6.
- Peralta-Huertas, J., Livingstone, K., Banach, A., Klentrou, P., and O'Leary, D., (2008). Differences in left ventricular mass between overweight and normal-weight preadolescent children. Applied Physiology, Nutrition, and Metabolism, 55.
- Pan, J, Tompkins, W. J., (1985). A real-time QRS detection algorithm. IEEE Transactions on Biomedical Engineering, 3:230-236.
Paper Citation
in Harvard Style
Simoes R., Sousa J., Nogueira-Silva C. and Gamboa H. (2012). Optimizing Electrode Positioning in 3-lead ECG Chest Devices . In Proceedings of the 2nd International Living Usability Lab Workshop on AAL Latest Solutions, Trends and Applications - Volume 1: AAL, (BIOSTEC 2012) ISBN 978-989-8425-93-5, pages 81-88. DOI: 10.5220/0003885800810088
in Bibtex Style
@conference{aal12,
author={Ricardo Simoes and Joana Sousa and Cristina Nogueira-Silva and Hugo Gamboa},
title={Optimizing Electrode Positioning in 3-lead ECG Chest Devices},
booktitle={Proceedings of the 2nd International Living Usability Lab Workshop on AAL Latest Solutions, Trends and Applications - Volume 1: AAL, (BIOSTEC 2012)},
year={2012},
pages={81-88},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0003885800810088},
isbn={978-989-8425-93-5},
}
in EndNote Style
TY - CONF
JO - Proceedings of the 2nd International Living Usability Lab Workshop on AAL Latest Solutions, Trends and Applications - Volume 1: AAL, (BIOSTEC 2012)
TI - Optimizing Electrode Positioning in 3-lead ECG Chest Devices
SN - 978-989-8425-93-5
AU - Simoes R.
AU - Sousa J.
AU - Nogueira-Silva C.
AU - Gamboa H.
PY - 2012
SP - 81
EP - 88
DO - 10.5220/0003885800810088