Method and apparatus for analysis of essentially periodic signal sequences

• US 4,326,538 A
• Filed: 04/09/1980
• Issued: 04/27/1982
• Est. Priority Date: 04/20/1979
• Status: Expired due to Term

• Current Assignee: Siemens AG
• Original Assignee: Siemens AG
• Inventors: Molz, Claudius, Weigert, Kurt
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US06/138,709
• Time in Patent Office: 748 Days
• Field of Search: 128/696, 128/702, 128/703, 128/706, 128/708
• US Class Current: 600/515
• CPC Class Codes: A61B 5/0245 by using sensing means generating electric signals, i.e. ECG signals
• CPC Class Codes: A61B 5/364 Detecting abnormal ECG interval, e.g. extrasystoles, ectopic heartbeats

Abstract

In automatic EKG-analysis, for example, the occurrence of signals, such as regular QRS-complex or also extrasystoles, is monitored in adjustable time intervals. However, it also happens that regular signal complexes in a signal sequence are lacking. In accordance with an exemplary embodiment, for the recognition and display of missing individual events in the essentially periodic signal sequence corresponding to the mean signal frequency, an adjustable measuring voltage, proportional to the signal period duration, is compared with the mean value formed from the measuring voltage summed up in the preceding signal period, whereby, upon exceeding the comparison voltage value, a count signal is triggered. In this manner, asystolias, or so-called "missed beats" of the EKG can be ascertained, while compensatory pauses after extrasystoles are eliminated.

Claims

1. A method for the analysis of essentially periodic signal sequences, in particular physiological signals such as EKG signals or the like, said method comprising

(a) generating a measuring voltage which changes in value in proportion to the duration of a currently occurring signal period between individual signal events,

(b) generating a mean value signal which is a function of a mean value of the measuring voltage in the preceding signal period,

(c) generating a further signal which is a function of the signal period duration so as to represent the degree of prematureness of a signal event which has taken place,

(d) adjusting the mean value signal relative to the measuring voltage according to said further signal,

(e) comparing the mean value signal with the measuring voltage after the relative adjustment thereof according to the preceding step (d), and generating a comparison signal when the measuring voltage and the mean value signal, with the relative adjustment thereof, reach a predetermined comparison relationship, the adjustment of the mean value signal relative to the measuring voltage in step (d) being such that signal pauses which are brought about solely due to a prematurely occurring signal event do not result in the generation of a comparison signal, and

(f) transmitting a missing-individual-event-recognition signal in response to the comparison signal so as to indicate missing individual signal events in the essentially periodic signal sequence while signal pauses which are brought about solely due to prematurely occurring signal events do not lead to the transmission of a missing-individual-event-recognition signal.

2. A method according to claim 1, wherein the mean value signal is increased in magnitude from an initial value in proportion to the degree of prematureness of a signal event representing the occurrence of an extrasystole in an EKG signal sequence, so that the transmission of missing-individual-event-recognition signals is an accurate measure of the occurrence of asystolias in the EKG signal sequence.

3. A method according to claim 1, wherein the mean value signal is increased in magnitude from an initial value to an adjusted value in response to the occurrence of said further signal, the further signal being generated by comparing a peak value of the measuring voltage during each signal period with an initial value of the mean value signal, the mean value signal being adjusted in response to the occurrence of said further signal in proportion to the difference between the initial value of the mean value signal and a signal proportional to said peak value when the initial mean signal exceeds such peak value.

4. A method for analyzing an EKG signal sequence, said method comprising

(a) generating a measuring signal which changes its value in proportion to the duration of a currently occurring signal period, and recycles in response to each signal event representing the beginning of each successive signal period of the essentially periodic signal sequence corresponding to the mean heart rate,

(b) forming a mean value signal which is a function of the time integral of the measuring signal of the preceding signal periods,

(c) generating a further signal which is a function of the signal period duration so as to represent the degree of prematureness of an extrasystole in the EKG signal sequence,

(d) adjusting the mean value signal relative to the measuring signal according to said further signal,

(e) comparing the means value signal with the measuring signal after the relative adjustment thereof according to the preceding step (d), and generating a comparison signal when the measuring signal and the mean value signal, with the relative adjustment thereof, reach a predetermined comparison relationship, the adjustment of the mean value signal relative to the measuring signal in step (d), being such that signal pauses due to a prematurely occurring extrasystole do not result in the generation of a comparison signal, and

(f) transmitting an asystolia-recognition signal in response to the comparison signal so that asystolias are indicated while premature extrasystoles do not lead to the transmission of an asystolia-recognition signal.

5. A method according to claim 4, wherein the measuring signal is compared with a preselectable constant voltage value so as to determine a fixed time duration of a signal period which is interpreted as an asystolia.

6. A method according to claim 4, with the further signal being generated by comparing a peak value of the measuring signal with a sample of the mean value signal.

7. A method according to claim 6, with the mean value signal being adjusted relative to the measuring signal in proportion to the difference between the sample of the mean value signal and a value in accordance with the peak value signal when the sample of the mean value signal exceeds such peak value signal.

8. Apparatus for the analysis of essentially periodic signal sequences of individual signal events, in particular physiological signals such as EKG signals or the like, said apparatus comprising

(a) measuring voltage generating means for generating a measuring voltage which changes in value in proportion to the duration of a signal period between individual signal events,

(b) mean value generating means for generating a mean value signal which is a function of a mean value of the measuring voltage,

(c) further signal generating means for generating a further signal which is a function of the signal period duration so as to identify a prematurely occurring signal event,

(d) adjusting means responsive to said further signal to adjust the mean value signal relative to the measuring voltage,

(e) comparison means for comparing the mean value signal with the measuring voltage after the relative adjustment thereof by said adjusting means, and operable for generating a comparison signal when the measuring voltage and the mean value signal, with the relative adjustment thereof, reach a predetermined comparison relationship, the adjustment of the mean value signal relative to the measuring voltage by said adjusting means being such that signal pauses which are brought about solely due to a prematurely occurring signal event do not result in the generation of a comparison signal, and

(f) indicating means for transmitting a missing-individual-event recognition signal in response to the comparison so as to indicate missing individual signal events in the essentially periodic signal sequence while signal pauses which are brought about solely due to prematurely occurring signal events do not lead to the transmission of a missing-individual-event recognition signal.

9. Apparatus according to claim 8, with said mean value generating means comprising a mean value circuit (8, 10) and a mean value storage (9, 11) connected with said mean value circuit for storing a mean value signal, said comparison means comprising a comparator means (14) for comparing the mean value signal stored in the mean value storage circuit with the measuring voltage.

10. Apparatus according to claim 8, with said measuring voltage generating means, comprising a capacitor (5) sng a constant current source (6) for charging said capacitor, and means (1-4) operable for the recognition of significant signal events for discharging said capacitor upon expiration of each signal period (RR).

11. Apparatus according to claim 10, characterized in that the mean value circuit is a low pass filter formed from resistance means (8) and capacitance means (10), said mean value storage comprising a controllable switch (9), and an additional capacitor (11) connected via the controllable switch (9) with said low pass filter.

12. Apparatus according to claim 8, with measuring voltage adjustment means for adjusting the measuring voltage comprising voltage divider means (15 through 18) and control switches (19 through 21) connected therewith and selectively operable for controlling the value of adjusted measuring voltage transmitted thereby.

13. Apparatus according to claim 8, with a comparator (22) for comparing the measuring voltage with a constant voltage, said comparator being coupled with an input of said comparison means and being responsive to a predetermined comparison relationship between said measuring voltage and said constant voltage to reverse the polarity of said input of the comparison means (14) so that the comparison means (14) transmits said recognition signal.

14. Apparatus according to claim 8, with further comparison means (26) for comparing an adjustable peak value of the measuring voltage with a stored mean value and being responsive to a specifiable comparison relationship therebetween to connect an additional voltage to the first-mentioned comparison means (14).

15. Apparatus according to claim 14, with peak value storage means including sample-and-hold circuits (29, 30, 31, 32) and voltage divider means (33, 34) connected in series between said measuring voltage generating means and an input of said further comparison means for supplying an adjusted measure of the peak value of the measuring voltage thereto.

16. Apparatus according to claim 14, with an adding amplifier (12) connected with said first-mentioned comparison means (14) for the purpose of increasing mean value signal supplied to the first-mentioned comparison means (14), the additional voltage being added via the adding amplifier (12) connected with the first-mentioned comparison means (14).

17. Apparatus according to claim 14, with means for supplying the additional voltage being responsive to the peak value of the measuring voltage and comprising a sample-and-hold circuit (31, 32) connected with an input of said further comparison means (26).

18. Apparatus according to claim 17, with the additional voltage supplying means having an amplifier (27) responsive to the mean value signal and the peak value signal and thereby to the prematureness of the significant event.