Early recognition of regional cardiac ischemia using a 3-axis accelerometer sensor.

作者: Ole Jakob Elle , Steinar Halvorsen , Martin Gunnar Gulbrandsen , Lars Aurdal , Andre Bakken

DOI: 10.1088/0967-3334/26/4/009

关键词:

摘要: Perioperative mortality in coronary artery bypass grafting is usually caused by reduced left ventricular function due to regional myocardial ischemia or infarction. Post-operative graft occlusion a well-known problem surgery. A sensitive tool detect and monitor may give the opportunity revise malfunctioning grafts before departure from hospital. This paper describes how new method can cardiac using 3-axis piezoelectric accelerometer. In three anesthetized pigs, accelerometer was sutured on lateral free wall of ventricle. The anterior descending (LAD) occluded for different time periods data were sampled with PC. Short-time Fourier transform calculated based series. results visualized 2D color-coded time-frequency plot. area occlusion, change stronger power higher harmonics observed. Consequently, difference value between instant frequency pattern reference showed rise absolute during period. preliminary indicate that early recognition possible analyzing acquired animal trials prototype sensor.

参考文章(10)
Y Ozawa, D Smith, E Craige, Origin of the third heart sound. I. Studies in dogs. Circulation. ,vol. 67, pp. 393- 398 ,(1983) , 10.1161/01.CIR.67.2.393
R Gianrossi, R Detrano, D Mulvihill, K Lehmann, P Dubach, A Colombo, D McArthur, V Froelicher, Exercise-induced ST depression in the diagnosis of coronary artery disease. A meta-analysis. Circulation. ,vol. 80, pp. 87- 98 ,(1989) , 10.1161/01.CIR.80.1.87
Heinz P Theres, Daniel R Kaiser, Shannon D Nelson, Martin Glos, Thomas Leuthold, Gert Baumann, Sameh Sowelam, Todd J Sheldon, LEE Stylos, None, Detection of acute myocardial ischemia during percutaneous transluminal coronary angioplasty by endocardial acceleration. Pacing and Clinical Electrophysiology. ,vol. 27, pp. 621- 625 ,(2004) , 10.1111/J.1540-8159.2004.00496.X
Y Ozawa, D Smith, E Craige, Origin of the third heart sound. II. Studies in human subjects. Circulation. ,vol. 67, pp. 399- 404 ,(1983) , 10.1161/01.CIR.67.2.399
Toshiyuki Ishimitsu, Damon Smith, Barbara Berko, Ernest Craige, Origin of the third heart sound: comparison of ventricular wall dynamics in hyperdynamic and hypodynamic types. Journal of the American College of Cardiology. ,vol. 5, pp. 268- 272 ,(1985) , 10.1016/S0735-1097(85)80046-2
Thor Edvardsen, Helge Skulstad, Svend Aakhus, Stig Urheim, Halfdan Ihlen, Regional myocardial systolic function during acute myocardial ischemia assessed by strain Doppler echocardiography Journal of the American College of Cardiology. ,vol. 37, pp. 726- 730 ,(2001) , 10.1016/S0735-1097(00)01160-8
J.C. Wood, A.J. Buda, D.T. Barry, Time-frequency transforms: a new approach to first heart sound frequency dynamics IEEE Transactions on Biomedical Engineering. ,vol. 39, pp. 730- 740 ,(1992) , 10.1109/10.142648
Per Kristian Hol, Per Snorre Lingaas, Runar Lundblad, Kjell Arne Rein, Karleif Vatne, Hans-Jørgen Smith, Sigurd Nitter-Hauge, Erik Fosse, Intraoperative angiography leads to graft revision in coronary artery bypass surgery The Annals of Thoracic Surgery. ,vol. 78, pp. 502- 505 ,(2004) , 10.1016/J.ATHORACSUR.2004.03.004
Uday Jain, Claude J. A. Laflamme, Anil Aggarwal, James G. Ramsay, Mark E. Comunale, Sudhanshu Ghoshal, Long Ngo, Krzysztof Ziola, Milton Hollenberg, Dennis T. Mangano, Electrocardiographic and hemodynamic changes and their association with myocardial infarction during coronary artery bypass surgery. A multicenter study. Multicenter Study of Perioperative Ischemia (McSPI) Research Group Anesthesiology. ,vol. 86, pp. 576- 591 ,(1997) , 10.1097/00000542-199703000-00009
J. C. Wood, M. P. Festen, M. J. Lim, A. J. Buda, D. T. Barry, Regional effects of myocardial ischemia on epicardially recorded canine first heart sounds Journal of Applied Physiology. ,vol. 76, pp. 291- 302 ,(1994) , 10.1152/JAPPL.1994.76.1.291