Beat to Beat Estimation of cosRT Angle and cosRT RR Hysteresis from Exercise ECG Measurement
Jukka A. Lipponen, Mika P. Tarvainen
2014
Abstract
Method for estimating beat-by-beat cosRT angle from the 12-lead exercise electrocardiogram (ECG) measurement is presented. Method uses principal component regression to generate ECG waveform model, and uses this model to denoise QRS complexes and T-waves. In addition two different methods for synthetizing vector ECG from the conventional 12-lead measurement are compared. First method synthetize vector ECG by using inverse of the Dowers matrix and second method produces vector ECG by using singular value decomposition. Results indicate that vector ECG synthesized using Dowers matrix gives more comparable results for healthy subjects. Beat-by-beat cosRT estimation revealed that due to respiration angle values can vary as much as 70 degrees, because of changes to electrode positions and volume conduction model of the torso. Thereby presented method for beat-by-beat estimation of the cosRT angle can improve reliability of this parameter.
References
- Acar, B. and Koymen, H. (1999). Svd-based on-line exercise ecg signal orthogonalization. Biomedical Engineering, 46:311-321.
- Dower, G., Machado, H., and Osborne, J. (1980). On deriving the electrocardiogram from vectoradiographic leads. Clin Cardio, 3:87.
- Edenbrandt, L. and Pahlm, O. (1988). Vectorcardiogram synthesized from a 12-lead ecg: superiority of the inverse dower matrix. Journal of electrocardiolog, 21:361-367.
- Kardys, I., Kors, J. A., van der Meer, I. M., Hofman, A., van der Kuip, D. A., and Witteman, J. C. (2003). Spatial qrs-t angle predicts cardiac death in a general population. European heart journal, 24:1357-1364.
- Kenttä, T., Karsikas, M., J.Junttila, M., Perkiömäki, J. S., Seppänen, T., Kiviniemi, A., Nieminen, T., Lehtimäki, T., Nikus, K., Lehtinen, R., Viik, J., Kähönen, M., and Huikuri, H. V. (2011). Qrs-t morphology measured from exercise electrocardiogram as a predictor of cardiac mortality. Europace, 13:701-707.
- Kenttä, T., Karsikas, M., Kiviniemi, A., Tulppo, M., Seppänen, T., and Huikuri, H. V. (2010). Dynamics and rate-dependence of the spatial angle between ventricular depolarization and repolarization wave fronts during exercise ecg. Annals of Noninvasive Electrocardiology, 15:264-275.
- Kenttä, T., Viik, J., Karsikas, M., Seppänen, T., Nieminen, T., Lehtimäki, T., Nikus, K., Lehtinena, R., Kähönen, M., and Huikuri, H. V. (2012). Postexercise recovery of the spatial qrs/t angle as a predictor of sudden cardiac death. Heart Rhythm, 9:1083-1089.
- Lipponen, J. A., Gladwell, V. F., Kinnunen, H., Karjalainen, P. A., and Tarvainen, M. P. (2013). The correlation of vectorcardiographic changes to blood lactate concentration during an exercise test. Signal Processing and Control, 8:491-499.
- Lipponen, J. A., Tarvainen, M. P., Laitinen, T., LyyraLaitinen, T., and Karjalainen, P. A. (2010). A principal component regression approach for estimation of ventricular repolarization characteristics. Transactions Biomedical Engineering, 57:1062-1069.
- Tarvainen, M. P., Niskanen, J. P., Lipponen, J. A., RantaAho, P. O., and Karjalainen, P. A. (2014). Kubios hrvheart rate variability analysis software. Computer methods and programs in biomedicine, 113:210-220.
- Zabel, M., Acar, B., Klingenheben, T., Franz, M. R., Hohnloser, S. H., and Malik, M. (2000). Analysis of 12- lead t-wave morphology for risk stratification after myocardial infarction. Circulation, 102:1252-1257.
Paper Citation
in Harvard Style
A. Lipponen J. and P. Tarvainen M. (2014). Beat to Beat Estimation of cosRT Angle and cosRT RR Hysteresis from Exercise ECG Measurement . In Proceedings of the 2nd International Congress on Cardiovascular Technologies - Volume 1: CARDIOTECHNIX, ISBN 978-989-758-055-0, pages 22-26. DOI: 10.5220/0005084900220026
in Bibtex Style
@conference{cardiotechnix14,
author={Jukka A. Lipponen and Mika P. Tarvainen},
title={Beat to Beat Estimation of cosRT Angle and cosRT RR Hysteresis from Exercise ECG Measurement},
booktitle={Proceedings of the 2nd International Congress on Cardiovascular Technologies - Volume 1: CARDIOTECHNIX,},
year={2014},
pages={22-26},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005084900220026},
isbn={978-989-758-055-0},
}
in EndNote Style
TY - CONF
JO - Proceedings of the 2nd International Congress on Cardiovascular Technologies - Volume 1: CARDIOTECHNIX,
TI - Beat to Beat Estimation of cosRT Angle and cosRT RR Hysteresis from Exercise ECG Measurement
SN - 978-989-758-055-0
AU - A. Lipponen J.
AU - P. Tarvainen M.
PY - 2014
SP - 22
EP - 26
DO - 10.5220/0005084900220026