Apparatus and method for obtaining cardiac data

• US 7,283,870 B2
• Filed: 07/21/2005
• Issued: 10/16/2007
• Est. Priority Date: 07/21/2005
• Status: Active Grant

• Current Assignee: General Electric Company
• Original Assignee: General Electric Company
• Inventors: Kaiser, Willi, Fideis, Martin
• Primary Examiner(s): Sykes; Angela D.
• Assistant Examiner(s): Flory; Christopher A.
• Application Number:
  US11/186,738
• Publication Number:
  US 20070021815A1
• Time in Patent Office: 817 Days
• Field of Search: 600/509, 600/547, 600/549, 607/5, 607/9, 607/144
• US Class Current: 600/547
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/361 Detecting fibrillation
• CPC Class Codes: A61B 5/6829 Foot or ankle

Abstract

An apparatus and method for obtaining information, such as heart rate or the presence of atrial fibrillation, from electrodes applied to the feet of a subject. A scale having electrodes may be used for this purpose. The signal obtained from the electrodes is digitized and filtered to obtain an electrocardiographic signal exhibiting periodic, sequential, discrete, magnitudinal variations associated with the heartbeats of the subject. The electrocardiographic signal is then analyzed to identify discrete magnitudinal variations useful for obtaining the desired information. In determining the heart rate of the subject, an interval between variations having a desired magnitudinal characteristic may be employed. The absence of such variations is indicative of atrial fibrillation.

Claims

1. A method for obtaining cardiac information from a person, said method comprising the steps of:

applying electrodes to the feet of the person to obtain a bioelectrical signal from the person including cardiac data;

filtering the bioelectric signal to provide a filtered signal containing the cardiac data;

processing the filtered signal to identify discrete magnitudinal variations in the signal useful for obtaining atrial fibrillation information;

determining a characteristic of the discrete variations; and

using the determined characteristic to obtain atrial fibrillation information from the person.

2. The method according to claim 1 further defined as determining an interval property between successive discrete variations.

3. The method according to claim 2 further defined as using the determined interval property to obtain the heart rate of the person.

4. The method of claim 2 further defined as using variation in the interval property between discrete magnitudinal variations to obtain information regarding atrial fibrillation in the person.

5. The method according to claim 1 further defined as using the absence of a morphological feature of a heartbeat feature to obtain information regarding atrial fibrillation in the person.

6. The method according to claim 5 wherein properties of an average beat of the heart of a person are determined and the absence of a morphological feature of a heartbeat within the time period of an average beat is indicative of atrial fibrillation.

7. The method according to claim 1 wherein the step of processing the filtered signal is further defined as including the step of calculating an autocorrelation function for the filtered signal and the step of determining a characteristic of the discrete variation is further defined as

identifying a maximum spike amplitude in the autocorrelation function,

defining a spike threshold value based on the maximum spike amplitude, and

analyzing the autocorrelation function to determine the interval from a first spike that exceeds the threshold value to a subsequent second spike that exceeds the threshold value.

8. The method according to claim 1 wherein the filtering step is further defined as bandpass filtering the digitized signal.

9. The method according to claim 1 wherein the identified discrete magnitudinal variation corresponds to a QRS complex in the cardiac data and;

wherein the processing of the filtered signal employs a QRS trigger.

10. The method according to claim 1 wherein the step of applying the electrodes is further defined as the act of a person stepping on a scale having electrodes.

11. The method according to claim 1 wherein the step of applying the electrodes is further defined as applying two pairs of electrodes to the feet of the person.

12. Apparatus for obtaining cardiac information from a person, said apparatus comprising:

electrodes appliable to the feet of the person to obtain a bioelectrical signal from the person containing cardiac data;

a filter receiving said bioelectrical signal and providing a filtered signal containing the cardiac data;

a processor configured to process the filtered signal to identify discrete magnitudinal variations in the signal useful for obtaining atrial fibrillation information;

means for determining a characteristic of the discrete variations; and

means for using the determined characteristic to obtain atrial fibrillation information from the person.

13. The apparatus according to claim 12 wherein said determining means is further defined as determining an interval property between successive discrete variations.

14. The apparatus according to claim 12 wherein said means for using is further defined as using the determined interval property to obtain the heart rate of the person.

15. The apparatus according to claim 12 wherein said means for using is further defined as using variation in the interval property between discrete magnitudinal variations to obtain information regarding atrial fibrillation in the person.

16. The apparatus according to claim 12 wherein said determining means is further defined as determining the absence of a morphological feature of a heartbeat to obtain information regarding atrial fibrillation in the person.

17. The apparatus according to claim 12 wherein the processor further comprises a means for calculating an autocorrelation function for the filtered signal.

18. The apparatus according to claim 12 wherein the processor further comprises a QRS trigger for identifying discrete magnitudinal variations in the signal.

19. The apparatus according to claim 12 wherein said filter is further defined as a band pass filter.

20. Apparatus for obtaining cardiac information from a person on a scale, said apparatus comprising:

electrodes appliable to the feet of the person to obtain a bioelectrical signal containing cardiac data from a person standing on the scale;

a bandpass filter receiving said bioelectrical signal and providing a bandpassed signal containing the cardiac data;

means for calculating an autocorrelation function of the bandpassed signal to identify discrete magnitudinal variations in the signal useful for obtaining atrial fibrillation information;

means for determining a characteristic of the discrete variations; and

means for using the determined characteristic to obtain the atrial fibrillation information from the person.