Accurate ECG I-Point and J-Joint Detection and Measurement

• US 20180235497A1
• Filed: 04/25/2018
• Published: 08/23/2018
• Est. Priority Date: 06/05/2014
• Status: Active Grant

• Current Assignee: Guangren Chen, Rong Yang, Zhongnong Jiang
• Original Assignee: Guangren Chen
• Inventors: Chen, Guangren, Yang, Rong, Jiang, Zhongnong
• Granted Patent: US 10,092,201 B2
• Time in Patent Office: Days
• CPC Class Codes: A61B 5/0245 by using sensing means generating electric signals, i.e. ECG signals
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/322 Physical templates or devices for measuring ECG waveforms, e.g. electrocardiograph rulers or calipers by template matching A61B5/35
• CPC Class Codes: A61B 5/339 Displays specially adapted therefor
• CPC Class Codes: A61B 5/35 by template matching
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip

Abstract

An ECG system measures and annotates the I-point of in an ECG waveform from harmonic waveforms. Electrical impulses are received from a beating heart. The electrical impulses are converted to an ECG waveform. The ECG waveform is converted to a frequency domain waveform, which, in turn, is separated into two or more different frequency domain waveforms, which, in turn, are converted into a plurality of time domain cardiac electrophysiological subwaveforms and discontinuity points between these subwaveforms. The plurality of subwaveforms and discontinuity points are compared to a database of subwaveforms and discontinuity points for normal and abnormal patients. A discontinuity point is identified as the I-point of the ECG waveform from the comparison. The ECG waveform is displayed along with a marker at a location of the discontinuity point.

Claims

1. A noninvasive electrocardiography (ECG) system for measuring and annotating the I-point of an ECG waveform during measurement of the ECG waveform, comprising:

two or more electrodes adapted to be located near a beating heart of a patient and attached to the skin of the patient that receive electrical impulses from the beating heart;

a detector that detects the electrical impulses from at least one pair of electrodes of the two or more electrodes and converts the electrical impulses to an ECG waveform for each heartbeat of the beating heart;

a processor that

receives the ECG waveform for at least one heartbeat from the detector, converts the ECG waveform to a frequency domain waveform, separates the frequency domain waveform into two or more different frequency domain waveforms, and converts the two or more different frequency domain waveforms into a plurality of time domain cardiac electrophysiological subwaveforms and discontinuity points between these subwaveforms of the ECG waveform,

compares the plurality of subwaveforms and discontinuity points to a database of subwaveforms and discontinuity points for cardiac electrophysiological signals of ECG waveforms for a plurality of known and normal and abnormal patients, and

identifies a discontinuity point of the plurality of subwaveforms and discontinuity points as an I-point of the ECG waveform based on the comparison; and

a display device that displays the ECG waveform for the at least one heartbeat of the beating heart, displays a first marker at a location of the discontinuity point on the ECG waveform, and identifies the first marker as the I-point.

2. The ECG system of claim 1, wherein the processor further identifies a second discontinuity point of the plurality of subwaveforms and discontinuity points as a J-point of the ECG waveform based on the comparison and the display device further displays a second marker at a location of the second discontinuity point on the ECG waveform and identifies the second marker as the J-point.

3. The ECG system of claim 2, wherein the display device further displays a marker between the first marker and the second marker on the ECG waveform and identifies the marker as the I-J interval.

4. The ECG system of claim 2, wherein the processor further identifies a third discontinuity point of the plurality of subwaveforms and discontinuity points as an endpoint of a T wave (Te) of the ECG waveform based on the comparison and the display device further displays a third marker at a location of the third discontinuity point on the ECG waveform and identifies the third marker as the endpoint of a T wave (Te).

5. The ECG system of claim 4, wherein the display device further displays a marker between the first marker and the third marker on the ECG waveform and identifies the marker as the I-T interval.

6. The ECG system of claim 4, wherein the processor further identifies a fourth discontinuity point of the plurality of subwaveforms and discontinuity points as a peak of a T wave (Tp) of the ECG waveform based on the comparison and the display device further displays a fourth marker at a location of the fourth discontinuity point on the ECG waveform and identifies the fourth marker as the peak of a T wave (Tp).

7. The ECG system of claim 6, wherein the display device further displays a marker between the second marker and the fourth marker on the ECG waveform and identifies the marker as the J-Tp interval.

8. The ECG system of claim 6, wherein the display device further displays a marker between the fourth marker and the third marker on the ECG waveform and identifies the marker as the Tp-Te interval.

9. The ECG system of claim 6, wherein the processor further identifies a fifth discontinuity point of the plurality of subwaveforms and discontinuity points as a start point of a T wave (Ts) of the ECG waveform based on the comparison and the display device further displays a fifth marker at a location of the fifth discontinuity point on the ECG waveform and identifies the fifth marker as the start point of a T wave (Ts).

10. The ECG system of claim 9, wherein the display device further displays a marker between the second marker and the fifth marker on the ECG waveform and identifies the marker as the S-T segment.

11. The ECG system of claim 9, wherein the display device further displays a marker between the second marker and the third marker on the ECG waveform and identifies the marker as the S-T interval.

12. The ECG system of claim 2, wherein the processor further identifies a third discontinuity point of the plurality of subwaveforms and discontinuity points as a peak of a Q wave (Q) of the ECG waveform based on the comparison and the display device further displays a third marker at a location of the third discontinuity point on the ECG waveform and identifies the third marker as the peak of a Q wave (Q).

13. The ECG system of claim 12, wherein the display device further displays a marker between the first marker and the third marker on the ECG waveform and identifies the marker as the I-Q segment.

14. The ECG system of claim 12, wherein the processor further identifies a fourth discontinuity point of the plurality of subwaveforms and discontinuity points as a peak of a R wave (R) of the ECG waveform based on the comparison and the display device further displays a fourth marker at a location of the fourth discontinuity point on the ECG waveform and identifies the fourth marker as the peak of a R wave (R).

15. The ECG system of claim 14, wherein the display device further displays a marker between the first marker and the fourth marker on the ECG waveform and identifies the marker as the I-qR interval.

16. The ECG system of claim 14, wherein the display device further displays a marker between the fourth marker and the second marker on the ECG waveform and identifies the marker as the Rs-J interval.

17. The ECG system of claim 14, wherein the processor further identifies a fifth discontinuity point of the plurality of subwaveforms and discontinuity points as a peak of an S wave (S) of the ECG waveform based on the comparison and the display device further displays a fifth marker at a location of the fifth discontinuity point on the ECG waveform and identifies the fifth marker as the peak of an S wave (S).

18. The ECG system of claim 17, wherein the display device further displays a marker between the fifth marker and the second marker on the ECG waveform and identifies the marker as the S-J segment.

19. A method for detecting and annotating the I-point of an electrocardiography (ECG) waveform during measurement of the ECG waveform, comprising:

receiving electrical impulses from a beating heart using two or more electrodes;

detecting the electrical impulses from at least one pair of electrodes of the two or more electrodes and converting the electrical impulses to an ECG waveform for each heartbeat of the beating heart using a detector;

receiving the ECG waveform for at least one heartbeat from the detector, converting the ECG waveform to a frequency domain waveform, separating the frequency domain waveform into two or more different frequency domain waveforms, and converting the two or more different frequency domain waveforms into a plurality of time domain cardiac electrophysiological subwaveforms and discontinuity points between these subwaveforms of the ECG waveform using a processor;

comparing the plurality of subwaveforms and discontinuity points to a database of subwaveforms and discontinuity points for cardiac electrophysiological signals of ECG waveforms for a plurality of known and normal and abnormal patients using the processor;

identifying a discontinuity point of the plurality of subwaveforms and discontinuity points as an I-point of the ECG waveform based on the comparison using the processor; and

displaying the ECG waveform for the at least one heartbeat of the beating heart, displaying a marker at a location of the discontinuity point on the ECG waveform, and identifying the markers as the I-point using a display device.

20. An invasive electrocardiography (ECG) system for measuring and annotating the I-point of an ECG waveform during measurement of the ECG waveform, comprising:

two or more electrodes placed directly on the surface of a beating heart of a patient that receive electrical impulses from the beating heart;

a detector that detects the electrical impulses from at least one pair of electrodes of the two or more electrodes and converts the electrical impulses to an ECG waveform for each heartbeat of the beating heart;

a processor that

receives the ECG waveform for at least one heartbeat from the detector, converts the ECG waveform to a frequency domain waveform, separates the frequency domain waveform into two or more different frequency domain waveforms, and converts the two or more different frequency domain waveforms into a plurality of time domain cardiac electrophysiological subwaveforms and discontinuity points between these subwaveforms of the ECG waveform,

compares the plurality of subwaveforms and discontinuity points to a database of subwaveforms and discontinuity points for cardiac electrophysiological signals of ECG waveforms for a plurality of known and normal and abnormal patients, and

identifies a discontinuity point of the plurality of subwaveforms and discontinuity points as an I-point of the ECG waveform based on the comparison; and

a display device that displays the ECG waveform for the at least one heartbeat of the beating heart, displays a marker at a location of the discontinuity point on the ECG waveform, and identifies the marker as the I-point.