Method and apparatus for trend detection in an electrocardiogram monitoring signal

• US 7,194,298 B2
• Filed: 10/02/2002
• Issued: 03/20/2007
• Est. Priority Date: 10/02/2002
• Status: Active Grant

• Current Assignee: Recherche Et Developpement Everon Ca Inc.
• Original Assignee: Medicale Intelligence Inc.
• Inventors: Montplaisir, Jean-François, Massicotte, Louis
• Primary Examiner(s): Peruto; Robert E.
• Assistant Examiner(s): Oropeza; Frances P.
• Application Number:
  US10/262,667
• Publication Number:
  US 20040068196A1
• Time in Patent Office: 1,630 Days
• Field of Search: 600/382, 600/509, 600515-519, 600521-523, 607/4, 607/5, 607/9, 607 30- 32, 607/60, 607/62, 607/63
• US Class Current: 600/509
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/1112 Global tracking of patients, e.g. by using GPS
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

The present invention can be used in conjunction with a wearable digital wireless ECG monitoring system. A full ECG curve is received by a central module. The central module is worn on the belt like a cellular or a pager. It is made of four different devices operating together: a handheld computer, a GPS, a cellular board and a multiplexing device. The system wirelessly receives the complete cardiac curve from the ECG and is able to distinguish not only the beat rate, but also to analyze any abnormal heart contractions. In fact, most common heart diseases are not related to the acceleration or deceleration of the heart rate. In case of problem detected by the central unit, the system automatically calls a central station and can send the GPS positioning and ECG monitoring of the patient with the detected anomaly data. Voice communication with the patient or the passers by is also possible.

Claims

1. A trend detection method for detecting trends in an electrocardiogram monitoring signal of a patient, comprising:

extracting locations of base points from said electrocardiogram monitoring signal;

for each said location of base points, the location of the base point is compared against a predetermined threshold range based on a slow adaptative learning process using said patient'"'"'s own cardiac movement, said range having an upper and lower threshold value for both an horizontal and vertical adjusted value for each of said base points;

if all locations are within the predetermined, threshold range, performing a proximity analysis to determine improbable locations;

if all locations are possible, determining an occurrence of a trend in said electrocardiogram monitoring signal from said locations.

2. A trend detection method as claimed in claim 1, further comprising providing a portable electrocardiogram monitor generating said electrocardiogram monitoring signal, wherein said portable electrocardiogram can be worn during day-to-day activities and for long periods.

3. A trend detection method as claimed in claim 1, further comprising extracting and storing trend data corresponding to said occurrence.

4. A trend detection method as claimed in claim 1, further comprising

providing a relative position between two base points, which refers to a normal PQRST morphology learned from past normal cardiac movements of said patient;

and wherein said determining comprises determining if a position of one of said base points with respect to another one of said base points matches said relative position using said locations;

wherein said trend is detected if said position does not match said relative position over a predetermined period of time.

5. A trend detection method as claimed in claim 1, further comprising

providing a distance tolerance;

and wherein said determining comprises determining if a distance between one of said base points and another one of said base points is acceptable using said locations and said distance tolerance, based on possible rhythm changes;

wherein said trend is detected if said distance is not acceptable over a predetermined period of time.

6. A trend detection method as claimed in claim 1, further comprising

providing a base model for said locations of base points;

and wherein said determining comprises determining if said locations correspond to said base model;

wherein said trend is detected if said locations do not correspond to said base model over a predetermined period of time.

7. A trend detection method as claimed in claim 1, wherein said electrocardiogram monitoring signal is a digital signal.

8. A trend detection method as claimed in claim 1, further comprising sending an alarm message when said trend is determined to have occurred.

9. A trend detection method as claimed in claim 8, further comprising extracting and storing trend data corresponding to said occurrence and wherein said alarm message comprises said trend data.

10. A trend detection method as claimed in claim 8, wherein said alarm message comprises identification data for said patient.

11. A trend detection method as claimed in claim 8, further comprising determining a geographical location for said patient and wherein said alarm message comprises geographical location data for said patient.

12. A trend detection system for detecting trends in an electrocardiogram monitoring signal of a patient, comprising:

a threshold determiner for determining a predetermined threshold range based on a slow adaptative learning process using said patient'"'"'s own cardiac movement, said range having an upper and lower threshold value for both an horizontal and vertical adjusted value for modelized base points of said patient'"'"'s own cardiac movement;

a base point location extractor for extracting locations of current base points from said electrocardiogram monitoring signal;

a threshold comparator for comparing each said location of current base points against said predetermined threshold range;

a proximity analyzer for performing a proximity analysis if all current locations are within the predetermined threshold range to determine improbable locations;

a trend occurrence determiner for determining an occurrence of a trend in said electrocardiogram monitoring signal from said current locations, if all locations are possible.

13. A trend detection system as claimed in claim 12, further comprising a portable electrocardiogram monitor generating said electrocardiogram monitoring signal wherein said portable electrocardiogram can be worn during day-to-day activities and for long periods.

14. A trend detection system as claimed in claim 12, further comprising a trend data extractor for extracting and storing trend data corresponding to said occurrence.

15. A trend detection system as claimed in claim 12, wherein said trend occurrence determiner determines if a position of one of said base points with respect to another one of said base points matches a relative position between two base points, which refers to a normal PQRST morphology learned from past normal cardiac movements of said patient using said locations;

wherein said trend is detected if said position does not match said relative position between two base points over a predetermined period of time.

16. A trend detection system as claimed in claim 12, wherein said trend occurrence determiner determines if a distance between one of said base points and another one of said base points is acceptable using said locations and a distance tolerance, based on possible rhythm changes;

wherein said trend is detected if said distance is not acceptable over a predetermined period of time.

17. A trend detection system as claimed in claim 12, wherein said trend occurrence determiner determines if said locations correspond to a base model for said locations of base points;

wherein said trend is detected if said locations does not correspond to said base model over a predetermined period of time.

18. A trend detection system as claimed in claim 12, wherein said electrocardiogram monitoring signal is a digital signal.

19. A trend detection system as claimed in claim 12, further comprising an alarm transmitter for sending an alarm message when said trend is determined to have occurred.

20. A trend detection system as claimed in claim 19, further comprising a trend data extractor for extracting and storing trend data corresponding to said occurrence and wherein said alarm message comprises said trend data.

21. A trend detection system as claimed in claim 19, wherein said alarm message comprises identification data for said patient.

22. A trend detection system as claimed in claim 19, further comprising a geographical location system for determining a geographical location for said patient and wherein said alarm message comprises geographical location data for said patient.