an intelligent telecardiology system using a wearable and wireless ecg to detect atrial fibrillation...

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An Intelligent Telecardiolo gy System Using a Wearable and Wireless ECG to Detect Atrial Fibrillation Chin-Teng Lin, Fellow, IEEE, Kuan-Cheng Chang, Chun-Ling Lin, Chia-Cheng Chiang, Shao-Wei Lu, Shih-Sheng Chang, Bor-Shyh Lin, Hsin-Yueh Lia ng, Ray-Jade Chen, Yuan-Teh Lee, and Li-Wei Ko, Member, IEEE IEEE TRANSACTIONS ON INFORMATION TECHNOLOGY IN BIOMEDICINE, VOL. 14, NO. 3, MAY 2010 Presentor 陳陳陳

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Page 1: An Intelligent Telecardiology System Using a Wearable and Wireless ECG to Detect Atrial Fibrillation Chin-Teng Lin, Fellow, IEEE, Kuan-Cheng Chang, Chun-Ling

An Intelligent Telecardiology System Using

a Wearable and Wireless ECG to DetectAtrial Fibrillation

Chin-Teng Lin, Fellow, IEEE, Kuan-Cheng Chang, Chun-Ling Lin, Chia-Cheng Chiang,

Shao-Wei Lu, Shih-Sheng Chang, Bor-Shyh Lin, Hsin-Yueh Liang, Ray-Jade Chen,Yuan-Teh Lee, and Li-Wei Ko, Member, IEEE

IEEE TRANSACTIONS ON INFORMATION TECHNOLOGY IN BIOMEDICINE, VOL. 14, NO. 3, MAY 2010

Presentor 陳麒文

Page 2: An Intelligent Telecardiology System Using a Wearable and Wireless ECG to Detect Atrial Fibrillation Chin-Teng Lin, Fellow, IEEE, Kuan-Cheng Chang, Chun-Ling

OutlineOutline

Introduction Intelligent telecardiology system Wireless ECG device Java-based software in a mobile system Clinical testing results

Page 3: An Intelligent Telecardiology System Using a Wearable and Wireless ECG to Detect Atrial Fibrillation Chin-Teng Lin, Fellow, IEEE, Kuan-Cheng Chang, Chun-Ling

IntroductionIntroduction

the increasing proportion of elderly, whose lifestyle changes are increasing the demand for chronic disease healthcare services;

demand for increased accessibility to hospitals and mobile healthcare services, as well as in-home care

financial constraints in efficiently improving personalized and quality-oriented healthcare

Page 4: An Intelligent Telecardiology System Using a Wearable and Wireless ECG to Detect Atrial Fibrillation Chin-Teng Lin, Fellow, IEEE, Kuan-Cheng Chang, Chun-Ling
Page 5: An Intelligent Telecardiology System Using a Wearable and Wireless ECG to Detect Atrial Fibrillation Chin-Teng Lin, Fellow, IEEE, Kuan-Cheng Chang, Chun-Ling
Page 6: An Intelligent Telecardiology System Using a Wearable and Wireless ECG to Detect Atrial Fibrillation Chin-Teng Lin, Fellow, IEEE, Kuan-Cheng Chang, Chun-Ling

Algorithm I: Step 1: Detection of R waves and marking of R peaks. Step 2: Calculation of RRI (the duration of adjoinedR

peaks). Step 3: Calculation of the variation of consecutive RR

I (ΔRRI). Step 4: Activation of the alarm system whenΔRRI>1

50 ms occurs twice within each 6 s of computation.

Page 7: An Intelligent Telecardiology System Using a Wearable and Wireless ECG to Detect Atrial Fibrillation Chin-Teng Lin, Fellow, IEEE, Kuan-Cheng Chang, Chun-Ling

Algorithm II: Step 1: Detection of R waves and marking of R peaks. Step 2: Calculation of RRI (the duration of adjoined

R peaks). Step 3: Calculation of the variation of consecutive RR

I (ΔRRI). Step 4: Calculation of the SD of RRI (RRIstd) in each

6-s recording. Step 5: Activation of the alarm system whenΔRRI>1

50 ms occurs twice and RRIstd > 60 ms within 6 s of computation.

Page 8: An Intelligent Telecardiology System Using a Wearable and Wireless ECG to Detect Atrial Fibrillation Chin-Teng Lin, Fellow, IEEE, Kuan-Cheng Chang, Chun-Ling

ConclusionConclusion

WirelessWireless AmbulatoryAmbulatory Real timeReal time Self-alarmSelf-alarm

Page 9: An Intelligent Telecardiology System Using a Wearable and Wireless ECG to Detect Atrial Fibrillation Chin-Teng Lin, Fellow, IEEE, Kuan-Cheng Chang, Chun-Ling

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