Аннотация: The subject of research is the development of software for wireless dynamic monitoring of PQ-interval of electrocardiographic signal, that allows to visualize the results of monitoring in a form convenient for clinicians. In addition to the PQ-cardiointervals monitoring the auhotrs developed a software system that provides visualization and basic interpretation of clinically relevant parameters, such as the area of scattergram, amplitude of cardiogram, electrocardiosignal original spectrum, the amplitude and frequency of the respiratory wave. The proposed set of diagnostically informative parameters allows to monitor and detect electrophysiological atrioventricular conduct disease in real-time. The presented methodology combines research methods of filtering a digital signal processing time series, probability theory, mathematical statistics, medical informatics and software engineering. The developed software package implements the original algorithms of contactless wireless monitoring and recognition of R-wave and PQ-interval of the electrocardiogram. By improving the signal processing, using a combination of quantitative and visual presentations of results of processing, the presented solutioin provides enhanced verification of diseases of the conduction system of the heart on a modern computer hardware and software platform.
Ключевые слова: medical diagnostics, detection of dangerous health conditions, monitoring of human health, visualization of time series, electrocardiosignal processing, wireless cardiomonitoring, contactless cardiomonitoring, medical informatics, mathematical cardiology, biomedical engineering
Библиография:
Alekhin M.D. Tekhnologiya beskontaktnogo monitoringa sostoyaniya operatorov ergaticheskikh sistem // Oboronnyy kompleks-nauchno-tekhnicheskomu progressu Rossii. 2014. № 1 (121). S. 3-7.
Alekhin M.D., Alekhin F.D., Alborova I.L., Anishchenko L.N., Bogomolov A.V., Demendeev A.A., Ivashov S.I., Maystrov A.I., Korchagina D.A., Ryzhova N.V., Tataraidze A.B., Temlyakov A.Yu., Ushkova E.V. Ustroystvo dlya avtomatizirovannogo raspoznavaniya patternov bioradiolokatsionnykh signalov. Patent na poleznuyu model' № 142167. Zayavl. 13.02.2014, opubl. 20.06.2014, byull. №17. 2 s.
Berezhnoy V.V. Marushko T.V. Vnezapnaya smert' pri fizicheskikh nagruzkakh u detey i podrostkov // Sovremennaya pediatriya. № 6(28). 2009. S. 29-34.
Bogomolov A.V., Gridin L.A., Kukushkin Yu.A., Ushakov I.B. Diagnostika sostoyaniya cheloveka: matematicheskie podkhody. M.: Meditsina, 2003. 464 s.
Bogomolov A.V., Kukushkin Yu.A. Avtomatizatsiya personifitsirovannogo monitoringa usloviy truda // Avtomatizatsiya. Sovremennye tekhnologii. 2015. № 3. S. 6-8.
Bogomolov A.V., Maystrov A.I. Modelirovanie ritmokardiograficheskikh signalov v chastotnoy oblasti // Dinamika slozhnykh sistem-XXI vek. 2009. № 1. S. 49-58.
Bogomolov A.V., Maystrov A.I. Teoretiko-eksperimental'noe issledovanie skhodimosti otsenok spektral'nykh pokazateley variabel'nosti serdechnogo ritma cheloveka // Meditsinskaya tekhnika. 2009. № 2. S. 26-31.
Bogomolov A.V., Maystrov A.I. Teoretiko-eksperimental'noe issledovanie skhodimosti otsenok spektral'nykh pokazateley variabel'nosti serdechnogo ritma cheloveka // Meditsinskaya tekhnika. 2009. № 2. S. 26-31.
Vorob'ev L.V. Indeks PQs kak pokazatel' riska vnezapnogo narusheniya ritma serdtsa pri takhikardii // Uspekhi sovremennogo estestvoznaniya. №11. 2013. S. 8-13.
Vorob'ev L.V. Ukorochennyy PQ, aktsenty EKG diagnostiki // Sovremennye naukoemkie tekhnologii. № 11, 2013. S. 152-157.
Zaretskiy A.P. Algoritm personifikatsii stentirovaniya koronarnoy arterii // Sistemnyy analiz i upravlenie v biomeditsinskikh sistemakh. 2015. T. 14. № 1. S. 127-131.
Zaretskiy A.P. Biomekhanicheskie metody personifikatsii stentirovaniya i ballonnoy angioplastiki // Vestnik novykh meditsinskikh tekhnologiy. Elektronnoe izdanie. 2015. № 1. S. 5-2.
Zaretskiy A.P., Kuleshov A.P., Alekhin M.D. Analiz variabel'nosti serdechnogo ritma patsientov s zheludochkovymi narusheniyami pri vremennoy elektrokardiostimulyatsii // Materialy Vserossiyskoy nauchno-prakticheskoy konferentsii s mezhdunarodnym uchastiem «Variabel'nost' serdechnogo ritma: teoreticheskie i prikladnye aspekty». Cheboksary, 2014. S.66–69
Kazantsev A.P., Senin A.A., Pikulenko O.V., Fedorova S.I., Bulygin V.P., Shokin V.I. Mobil'naya informatsionnaya sistema distantsionnoy funktsional'noy diagnostiki serdechno-sosudistykh zabolevaniy // Al'manakh klinicheskoy meditsiny. 2008. № 17-1. S. 176-178.
Kukushkin Yu.A., Bogomolov A.V. Metodika kolichestvennogo otsenivaniya funktsional'nykh sostoyaniy cheloveka // Biomeditsinskaya radioelektronika. 2001. № 2. S. 12.
Nuzhnov P.V., Petrov V.I., Shamkina L.A., Shchukin S.I. Monitorirovanie parametrov gemodinamiki v techenie kursa-bioadekvatnoy elektromagnitnoy terapii // Biomeditsinskaya radioelektronika. 2006. № 10. S. 51-56.
Maystrov A.I. Analiz sopostavimosti rezul'tatov otsenki spektral'nykh pokazateley variabel'nosti serdechnogo ritma cheloveka dlya signalov ritmokardiogrammy i takhogrammy // Informatika i sistemy upravleniya. 2008. № 2 (16). S. 140-142.
Maystrov A.I. Issledovanie kachestva otsenok spektral'nykh pokazateley variabel'nosti serdechnogo ritma dlya razlichnykh approksimatsiy ritmokardiogramm // Informatika i sistemy upravleniya. 2009. № 4. S. 98-99.
Maystrov A.I., Bogomolov A.V., Alekhin M.D. Tekhnologiya avtomatizirovannoy obrabotki uchastkov lokal'nykh nestatsionarnostey v ritmokardiograficheskikh signalakh // Vestnik novykh meditsinskikh tekhnologiy. Elektronnoe izdanie. 2012. № 1. S. 4.
Maksimov I.B., Stolyar V.P., Bogomolov A.V. Prikladnaya teoriya informatsionnogo obespecheniya mediko-biologicheskikh issledovaniy. M.: Binom, 2013. 312 s.
Nagin V.A., Selishchev S.V. Osobennosti pealizatsii algopitmov vydeleniya QRS-kompleksov dlya EKG-sistem peal'nogo vpemeni // Meditsinskaya tekhnika. 2001. № 6. S. 18-23.
Ushakov I.B., Bogomolov A.V. Informatizatsiya programm personifitsirovannoy adaptatsionnoy meditsiny // Vestnik Rossiyskoy akademii meditsinskikh nauk. 2014. № 5-6. S. 124-128.
Ushakov I.B., Bogomolov A.V., Gridin L.A., Kukushkin Yu.A. Metodologicheskie podkhody k diagnostike i optimizatsii funktsional'nogo sostoyaniya spetsialistov operatorskogo profilya. M.: Meditsina, 2004. 144 s.
Ushakov I.B., Bogomolov A.V., Kukushkin Yu.A. Metodologicheskie aspekty dinamicheskogo kontrolya funktsional'nykh sostoyaniy operatorov opasnykh professiy // Mediko-biologicheskie i sotsial'no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh. 2010. № 4-2. S. 6-12.
Ushakov I.B., Bogomolov A.V., Kukushkin Yu.A. Patterny funktsional'nykh sostoyaniy operatora. M.: Nauka, 2010. 390 s.
Shumakov V.I., Onishchenko N.A., Tolpekin V.E., Kozlov I.A., Chestukhin V.V., Itkin G.P. Razrabotka i ispol'zovanie novykh biomeditsinskikh tekhnologiy v diagnostike i lechenii serdechno-sosudistykh zabolevaniy // Vestnik Rossiyskoy akademii meditsinskikh nauk. 2003. № 11. S. 21-27.
Shchukin S.I., Maystrov A.I. Issledovanie informativnosti metodov geometricheskogo analiza fazovykh portretov ritmokardiogramm // Biomeditsinskaya radioelektronika. 2007. № 6. S. 3-11.
Alekhin M.D., Anishchenko L.N., Zhuravlev A.V., Ivashov S.I., Parashin V.B., Korostovtseva L.S., Sviryaev Y.V., Konradi A.O., Bogomolov A.V. Estimation of information value of diagnostic data obtained by bioradiolocation pneumography in non-contact screening of sleep apnea syndrome // Biomedical Engineering. 2013. T. 47. № 2. S. 96-99.
Kukushkin Y.A.., Maistrov A.I., Bogomolov A.V. Rhythmocardiogram Approximation Methods for Calculation of Spectral Parameters of Cardiac Rhythm Variability // Biomedical Engineering. 2010. Vol. 44. No.3. 15-30
References (transliteration):
Alekhin M.D. Tekhnologiya beskontaktnogo monitoringa sostoyaniya operatorov ergaticheskikh sistem // Oboronnyy kompleks-nauchno-tekhnicheskomu progressu Rossii. 2014. № 1 (121). S. 3-7.
Alekhin M.D., Alekhin F.D., Alborova I.L., Anishchenko L.N., Bogomolov A.V., Demendeev A.A., Ivashov S.I., Maystrov A.I., Korchagina D.A., Ryzhova N.V., Tataraidze A.B., Temlyakov A.Yu., Ushkova E.V. Ustroystvo dlya avtomatizirovannogo raspoznavaniya patternov bioradiolokatsionnykh signalov. Patent na poleznuyu model' № 142167. Zayavl. 13.02.2014, opubl. 20.06.2014, byull. №17. 2 s.
Berezhnoy V.V. Marushko T.V. Vnezapnaya smert' pri fizicheskikh nagruzkakh u detey i podrostkov // Sovremennaya pediatriya. № 6(28). 2009. S. 29-34.
Bogomolov A.V., Gridin L.A., Kukushkin Yu.A., Ushakov I.B. Diagnostika sostoyaniya cheloveka: matematicheskie podkhody. M.: Meditsina, 2003. 464 s.
Bogomolov A.V., Kukushkin Yu.A. Avtomatizatsiya personifitsirovannogo monitoringa usloviy truda // Avtomatizatsiya. Sovremennye tekhnologii. 2015. № 3. S. 6-8.
Bogomolov A.V., Maystrov A.I. Modelirovanie ritmokardiograficheskikh signalov v chastotnoy oblasti // Dinamika slozhnykh sistem-XXI vek. 2009. № 1. S. 49-58.
Bogomolov A.V., Maystrov A.I. Teoretiko-eksperimental'noe issledovanie skhodimosti otsenok spektral'nykh pokazateley variabel'nosti serdechnogo ritma cheloveka // Meditsinskaya tekhnika. 2009. № 2. S. 26-31.
Bogomolov A.V., Maystrov A.I. Teoretiko-eksperimental'noe issledovanie skhodimosti otsenok spektral'nykh pokazateley variabel'nosti serdechnogo ritma cheloveka // Meditsinskaya tekhnika. 2009. № 2. S. 26-31.
Vorob'ev L.V. Indeks PQs kak pokazatel' riska vnezapnogo narusheniya ritma serdtsa pri takhikardii // Uspekhi sovremennogo estestvoznaniya. №11. 2013. S. 8-13.
Vorob'ev L.V. Ukorochennyy PQ, aktsenty EKG diagnostiki // Sovremennye naukoemkie tekhnologii. № 11, 2013. S. 152-157.
Zaretskiy A.P. Algoritm personifikatsii stentirovaniya koronarnoy arterii // Sistemnyy analiz i upravlenie v biomeditsinskikh sistemakh. 2015. T. 14. № 1. S. 127-131.
Zaretskiy A.P. Biomekhanicheskie metody personifikatsii stentirovaniya i ballonnoy angioplastiki // Vestnik novykh meditsinskikh tekhnologiy. Elektronnoe izdanie. 2015. № 1. S. 5-2.
Zaretskiy A.P., Kuleshov A.P., Alekhin M.D. Analiz variabel'nosti serdechnogo ritma patsientov s zheludochkovymi narusheniyami pri vremennoy elektrokardiostimulyatsii // Materialy Vserossiyskoy nauchno-prakticheskoy konferentsii s mezhdunarodnym uchastiem «Variabel'nost' serdechnogo ritma: teoreticheskie i prikladnye aspekty». Cheboksary, 2014. S.66–69
Kazantsev A.P., Senin A.A., Pikulenko O.V., Fedorova S.I., Bulygin V.P., Shokin V.I. Mobil'naya informatsionnaya sistema distantsionnoy funktsional'noy diagnostiki serdechno-sosudistykh zabolevaniy // Al'manakh klinicheskoy meditsiny. 2008. № 17-1. S. 176-178.
Kukushkin Yu.A., Bogomolov A.V. Metodika kolichestvennogo otsenivaniya funktsional'nykh sostoyaniy cheloveka // Biomeditsinskaya radioelektronika. 2001. № 2. S. 12.
Nuzhnov P.V., Petrov V.I., Shamkina L.A., Shchukin S.I. Monitorirovanie parametrov gemodinamiki v techenie kursa-bioadekvatnoy elektromagnitnoy terapii // Biomeditsinskaya radioelektronika. 2006. № 10. S. 51-56.
Maystrov A.I. Analiz sopostavimosti rezul'tatov otsenki spektral'nykh pokazateley variabel'nosti serdechnogo ritma cheloveka dlya signalov ritmokardiogrammy i takhogrammy // Informatika i sistemy upravleniya. 2008. № 2 (16). S. 140-142.
Maystrov A.I. Issledovanie kachestva otsenok spektral'nykh pokazateley variabel'nosti serdechnogo ritma dlya razlichnykh approksimatsiy ritmokardiogramm // Informatika i sistemy upravleniya. 2009. № 4. S. 98-99.
Maystrov A.I., Bogomolov A.V., Alekhin M.D. Tekhnologiya avtomatizirovannoy obrabotki uchastkov lokal'nykh nestatsionarnostey v ritmokardiograficheskikh signalakh // Vestnik novykh meditsinskikh tekhnologiy. Elektronnoe izdanie. 2012. № 1. S. 4.
Maksimov I.B., Stolyar V.P., Bogomolov A.V. Prikladnaya teoriya informatsionnogo obespecheniya mediko-biologicheskikh issledovaniy. M.: Binom, 2013. 312 s.
Nagin V.A., Selishchev S.V. Osobennosti pealizatsii algopitmov vydeleniya QRS-kompleksov dlya EKG-sistem peal'nogo vpemeni // Meditsinskaya tekhnika. 2001. № 6. S. 18-23.
Ushakov I.B., Bogomolov A.V. Informatizatsiya programm personifitsirovannoy adaptatsionnoy meditsiny // Vestnik Rossiyskoy akademii meditsinskikh nauk. 2014. № 5-6. S. 124-128.
Ushakov I.B., Bogomolov A.V., Gridin L.A., Kukushkin Yu.A. Metodologicheskie podkhody k diagnostike i optimizatsii funktsional'nogo sostoyaniya spetsialistov operatorskogo profilya. M.: Meditsina, 2004. 144 s.
Ushakov I.B., Bogomolov A.V., Kukushkin Yu.A. Metodologicheskie aspekty dinamicheskogo kontrolya funktsional'nykh sostoyaniy operatorov opasnykh professiy // Mediko-biologicheskie i sotsial'no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh. 2010. № 4-2. S. 6-12.
Ushakov I.B., Bogomolov A.V., Kukushkin Yu.A. Patterny funktsional'nykh sostoyaniy operatora. M.: Nauka, 2010. 390 s.
Shumakov V.I., Onishchenko N.A., Tolpekin V.E., Kozlov I.A., Chestukhin V.V., Itkin G.P. Razrabotka i ispol'zovanie novykh biomeditsinskikh tekhnologiy v diagnostike i lechenii serdechno-sosudistykh zabolevaniy // Vestnik Rossiyskoy akademii meditsinskikh nauk. 2003. № 11. S. 21-27.
Shchukin S.I., Maystrov A.I. Issledovanie informativnosti metodov geometricheskogo analiza fazovykh portretov ritmokardiogramm // Biomeditsinskaya radioelektronika. 2007. № 6. S. 3-11.
Alekhin M.D., Anishchenko L.N., Zhuravlev A.V., Ivashov S.I., Parashin V.B., Korostovtseva L.S., Sviryaev Y.V., Konradi A.O., Bogomolov A.V. Estimation of information value of diagnostic data obtained by bioradiolocation pneumography in non-contact screening of sleep apnea syndrome // Biomedical Engineering. 2013. T. 47. № 2. S. 96-99.
Kukushkin Y.A.., Maistrov A.I., Bogomolov A.V. Rhythmocardiogram Approximation Methods for Calculation of Spectral Parameters of Cardiac Rhythm Variability // Biomedical Engineering. 2010. Vol. 44. No.3. 15-30