Method and apparatus for determining his-purkinje activity

Surgery – Truss – Pad

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128696, 364417, A61B 504, G06F 1542

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active

047519312

ABSTRACT:
An apparatus and method for detecting low level bioelectric signals on the surface of a patient. The bioelectric signals are enhanced by filtering out noise through a particular adaptive filtering technique. In detecting His signals at the chest of a patient, surface ECG's are acquired at a plurality of external locations, the acquired data is digitized and stored. One of the ECG signals is selected as a reference channel and the remaining ECG signals are used as input channels. With the use of a feedback coefficient, each data point of interest in each cycle is adaptively filtered to remove the noise and the filtered signal is displayed. The adaptive filtering involves performing two pre-updates of a weight matrix associated with each sample point of each input channel based on the measured samples before and after a sample point, calculating an output signal based on the weight matrix and the input channel, and updating the weight matrices based on the calculated output signal.

REFERENCES:
IEEE Transactions on Circuits and Systems, vol. CAS-28, No. 6, Jun. 1981, p. 519-523, Ferrara & Widrow.
Fetal Electrocardiogram Enhancement by Time-Sequenced Adaptive Filtering by E. Ferrara and B. Widrow IEEE Trans. on Biomedical Eng. Jun. 1982.
B. J. Scherlag et al., "Catheter Technique for Recording His Bundle Activity in Man," Circulation, 39:13, 1969.
E. J. Berbari et al., "Noninvasive Technique for Detection of Electrical Activity During the P-R Segment," Circulation, 48:1005, 1973.
N. C. Flowers et al., "Surface Recording of Electrical Activity from the Region of the Bundle of His," American Journal of Cardiology, 33:384, 1974.
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S. N. Erne et al., "Beat to Beat Surface Recording and Averaging of His-Purkinje Activity in Man," Journal of Electrocardiology, 16(4):355, 1983.
E. R. Ferrara, Jr., "The Time-Sequenced Adaptive Filter," Stanford University, Ph.D. Thesis (1978).
B. Widrow et al., "Stationary and Nonstationary Learning Characteristics of the LMS Adaptive Filter," Proceedings of the IEEE, 64:1151, 1976.
M. T. Juran, "Surface Recordings of His-Purkinje Activity Using Adaptive Filtering," Carnegie-Mellon University, Masters Thesis (1984).

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