Method and apparatus for recording electrocardiogram information

• US 5,410,473 A
• Filed: 12/16/1992
• Issued: 04/25/1995
• Est. Priority Date: 01/07/1992
• Status: Expired due to Term

• Current Assignee: Fukuda Denshi Kabushiki Kaisha
• Original Assignee: Fukuda Denshi Kabushiki Kaisha
• Inventors: Sakai, Minako, Igarashi, Noriko, Nishimura, Yumi, Kaneko, Mutsuo, Motoki, Akihiro
• Primary Examiner(s): Hayes, Gail O.
• Assistant Examiner(s): SHINGALA, GITA
• Application Number:
  US07/991,873
• Time in Patent Office: 860 Days
• Field of Search: 364/413.06, 364/413.02, 364/413.04, 364/413.05, 128/696, 128/697
• US Class Current: 600/523
• CPC Class Codes: A61B 5/333 Recording apparatus specially adapted therefor
• CPC Class Codes: A61B 5/338 Recording by printing on paper
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61B 5/358 Detecting ST segments
• CPC Class Codes: A61B 5/7232 involving compression of the physiological signal, e.g. to extend the signal recording period
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics

Abstract

A method and apparatus for recording electrocardiogram information, in which ST deviation can readily be visualized and ischemia can be diagnosed with ease at the same time. Compressed recorded waveforms of electrocardiogram waveforms are partitioned and recorded as compressed waveforms of a plurality of lines in a first recording area of a recording paper for recording electrocardiogram information. A predetermined number of lines of the recorded compressed electrocardiogram waveforms in the first recording area are selected in a second recording area neighboring the first recording area, the selected waveforms are superimposed in synchronism with a predetermined characteristic point of the selected waveforms, and the waveforms are recorded while changing location in the area neighboring the predetermined lines of the first recording area. An HR graph and an ST-trend graph of the electrocardiogram waveforms recorded in the first recording area are recorded in recording lines approximately perpendicular to the recording lines of the compressed electrocardiogram waveforms from a position of a recording starting line of the compressed electrocardiogram waveforms of the first recording area.

Claims

1. Apparatus for recording electrocardiogram information, comprising:

means for reading electrocardiogram waveforms and outputting in binary form;

memory means for storing the binary form of said electrocardiogram waveforms from said reading and outputting means;

means for compressing said electrocardiogram waveforms into compressed waveforms, said compressing means reading the binary form of said waveforms from said memory means;

a recording medium having first, second, and third areas;

means for recording said compressed waveforms as a plurality of first lines in the first area of said recording medium;

means for detecting a characteristic point common to said electrocardiogram waveforms, said detecting means reading the binary form of said electrocardiogram waveforms from said memory means;

means for creating analyzed results based on said electrocardiogram waveforms read by said detecting means, said recording means recording said analyzed results along second lines approximately perpendicular to the first lines for compressed waveforms recorded in the first area, said second lines being recorded in the second area of the recording medium;

means for selecting a first predetermined number of said electrocardiogram waveforms from a second predetermined number of said lines in the first area of said recording medium and superimposing the selected waveforms in synchronism with the characteristic point of the selected waveforms, said recording means recording the superimposed waveforms in the third area of the recording medium while changing location in the third area for every second predetermined number of lines of the first recording area; and

preprogrammed means for controlling said reading means, said memory means, said compressing means, said detecting means, said creating means, and said selecting and superimposing means.

2. Apparatus in accordance with claim 1 wherein said reading and outputting means includes a cassette tape reader, a cassette tape having electrocardiogram waveforms recorded thereon, and a circuit which controls in combination with said controlling means the cassette tape reader, binarizes the waveforms, and outputs the binary form of the waveforms to said memory means.

3. Apparatus in accordance with claim 2 wherein said controlling means includes timing means for sensing electrocardiogram waveform rate when the electrocardiogram waveforms were recorded on said cassette tape and for controlling use of said rate.

4. Apparatus in accordance with claim 1 wherein said recording medium is paper.

5. Apparatus in accordance with claim 4 wherein said recording means includes a printer and printer control means for controlling said printer, said recording means further including a page buffer for providing memory in which print information for the first, second, and third areas equivalent to one page when printed on said paper is developed, said one page being outputted through said printer control means for printing on said paper by said printer when development of the one page of print information ends.

6. Apparatus in accordance with claim 1 wherein said recording medium is a CRT display screen.

7. Apparatus in accordance with claim 6 wherein said recording means includes means for controlling said CRT display, said recording means further including a page buffer for providing memory in which display information for the first, second, and third areas equivalent to one page for display on the screen is developed, said one page being outputted through said controlling means for display on said CRT display screen when development of the one page of display information ends.

8. Apparatus in accordance with claim 1 wherein said analyzed results creating means includes an ST-deviation sampling circuit for obtaining ST trend and an HR detecting circuit for obtaining heart rate.

9. Apparatus in accordance with claim 1 including a plurality of channels of information input to said recording means, each of said channels including reading means, memory means, compressing means, detecting means, creating means, and selecting and superimposing means, said recording means recording alternately a set of a predetermined number of said first lines in the first area for each of said channels, said set having a width extending across the predetermined number of first lines, said recording means recording the superimposed waveforms for each of said sets of predetermined lines for each channel in a subarea of the second area such that the subarea has a height equal to the width extending across the predetermined number of first lines.

10. Apparatus in accordance with claim 1 wherein the compressed waveforms of said first recording area are such that one minute of time corresponds to one line.

11. Apparatus in accordance with claim 1 wherein the predetermined characteristic point of the selected waveforms is an R-wave peak.

12. A method for recording electrocardiogram information, comprising the steps of:

reading with a first circuit information on electrocardiogram waveforms and storing the information in memory means;

compressing said electrocardiogram waveforms into compressed waveforms with a data compressing second circuit;

analyzing with a third circuit said information to obtain analyzed results;

selecting with a fourth circuit a first predetermined number of electrocardiogram waveforms as selected waveforms and superimposing the selected waveforms in synchronism with a characteristic point of the selected waveforms to create superimposed waveforms;

recording with controlling means said compressed waveforms as a plurality of first lines in a first area of a recording medium;

recording with said controlling means said analyzed results along second lines approximately perpendicular to the first lines for compressed waveforms recorded in the first area, said second lines being recorded in a second area of the recording medium; and

recording with said controlling means said superimposed waveforms in a third area of the recording medium while changing location in the third area for every predetermined number of first lines of the first recording area.

13. The method in accordance with claim 12 wherein the reading step includes the steps of receiving from a cassette tape recorder information on electrocardiogram waveforms as recorded on a cassette tape and converting the information to binary form.

14. The method in accordance with claim 13 wherein said reading step includes the step of sensing electrocardiogram waveform rate when the electrocardiogram waveforms were recorded on said cassette tape.

15. The method in accordance with claim 12 wherein said analyzing step and said selecting and superimposing step include detecting a characteristic point common to said electrocardiogram waveforms.

16. The method in accordance with claim 12 wherein said recording steps include storing in a memory buffer information for one page to be recorded in the first, second, and third areas of the recording medium.

17. The method in accordance with claim 16 wherein said recording steps further include printing with a printer said one page of information on paper.