Calculating a heart rate from an ECG waveform by discarding a percentage of R-R intervals prior to averaging

• US 5,628,326 A
• Filed: 11/29/1995
• Issued: 05/13/1997
• Est. Priority Date: 11/29/1995
• Status: Expired due to Fees

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Hewlett-Packard Company (HP Inc.)
• Inventors: Arand, Patricia A., Post, William L., Forbes, Alfred D.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): LAYNO, CARL HERNANDZ
• Application Number:
  US08/564,749
• Time in Patent Office: 531 Days
• Field of Search: 128/706, 128/696
• US Class Current: 600/519
• CPC Class Codes: A61B 5/0245 by using sensing means generating electric signals, i.e. ECG signals
• CPC Class Codes: A61B 5/7264 Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

A method and apparatus for calculating a heart rate obtains ECG data from a plurality of ECG waveforms, which are in turn obtained from signals received from a plurality of ECG electrodes. Heart rate calculation logic calculates the patient'"'"'s heart rate. This logic determines the intervals between the heartbeats detected in the ECG data, discards a percentage of the shortest and longest intervals, and averages the remaining intervals to arrive at the patient'"'"'s heart rate. This results in a robust calculation of the heart rate even in the presence of noise falsely detected as heartbeats and missed beats, both of which are common in noisy environments. The heart rate is displayed to the cardiologist or medical professional for diagnosis of the condition of the patient'"'"'s heart.

Claims

1. A method of calculating a heart rate in the EGG waveform, comprising the steps of:

detecting a plurality of heartbeats in said ECG waveform;

determining a plurality of intervals between each of said plurality of heartbeats;

sorting said plurality of intervals from shortest interval to longest interval, thereby creating sorted intervals;

first discarding a first percentage of the shortest intervals;

second discarding a second percentage of the longest intervals, wherein said intervals remaining after said first discarding step and said second discarding step are remaining intervals;

first averaging said remaining intervals to obtain a first average interval;

converting said first average interval to a heart rate;

storing said heart rate;

waiting a period of time;

repeating said determining, sorting, first discarding, and second discarding steps;

second averaging said remaining intervals to obtain a second average interval;

third averaging said first average interval with said second average interval to obtain a third average interval;

converting said third average interval to a second heart rate; and

storing said second heart rate.

2. The method of claim 1, wherein said first discarding step discards 25% of the shortest intervals.

3. The method of claim 2, wherein said second discarding step discards 25% of the longest intervals.

4. The method of claim 1, further comprising the step of:

displaying said second heart rate.

5. The method of claim 1, further comprising the step of:

printing said second heart rate.

6. A medical device for calculating a heart rate in an ECG waveform, comprising:

detection logic for detecting a plurality of heartbeats in said ECG waveform;

means for determining a plurality of intervals between each of said plurality of heartbeats;

means for sorting said plurality of intervals from shortest interval to longest interval, thereby creating sorted intervals;

first discarding means for discarding a first percentage of the shortest intervals;

second discarding means for discarding a second percentage of the longest intervals, wherein said intervals remaining after said first discarding means and said second discarding means are remaining intervals;

means for first averaging said remaining intervals to obtain a first average interval;

means for converting said first average interval to a heart rate;

means for storing said heart rate;

means for waiting a period of time;

means for repeating said determining, sorting, first discarding, and second discarding means;

second averaging means for averaging said remaining intervals to obtain a second average interval;

third averaging means for averaging said first average interval with said second average interval to obtain a third average interval;

means for converting said third average interval to a second heart rate; and

means for storing said second heart rate.

7. The medical device of claim 6, further comprising:

a display for displaying said second heart rate.

8. The medical device of claim 6, further comprising:

a printer for printing said second heart rate.

9. A method of calculating a heart rate in an ECG waveform, comprising the steps of:

detecting a plurality of heartbeats in said ECG waveform;

determining a plurality of intervals between each of said plurality of heartbeats;

sorting said plurality of intervals from shortest interval to longest interval, thereby creating sorted intervals;

first discarding a first percentage of the shortest intervals;

second discarding a second percentage of the longest intervals, said first percentage and said second percentage being the same, wherein said intervals remaining after said first discarding step and said second discarding step are remaining intervals;

first averaging said remaining intervals to obtain a first average interval;

converting said first average interval to a heart rate; and

storing said heart rate.

10. The method of claim 9, wherein the first percentage of the shortest intervals and the second percentage of the longest intervals discarded in the first and second discarding steps is 25%.

11. The method of claim 9, further comprising the step of:

displaying said heart rate.

12. The method of claim 9, further comprising the step of:

printing said heart rate.

13. A medical device for calculating a heart rate in an ECG waveform, comprising:

detection logic for detecting a plurality of heartbeats in said ECG waveform;

means for determining a plurality of intervals between each of said plurality of heartbeats;

means for sorting said plurality of intervals from shortest interval to longest interval, thereby creating sorted intervals;

first discarding means for discarding a first percentage of the shortest intervals;

second discarding means for discarding a second percentage of the longest intervals, said first percentage and said second percentage being the same, wherein said intervals remaining after said first discarding means and said second discarding means are remaining intervals;

means for first averaging said remaining intervals to obtain a first average interval;

means for converting said first average interval to a heart rate; and

means for storing said heart rate.

14. The medical device of claim 13, wherein the first percentage of the shortest intervals and the second percentage of the longest intervals discarded by the first and second discarding means is 25%.

15. The medical device of claim 13, further comprising:

a display for displaying said heart rate.

16. The medical device of claim 13, further comprising:

a printer for printing said heart rate.