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Interpretation of electrocardiograms in the resuscitation department and in emergency pre hospital care
Vanča, Michal ; Jirkovský, Daniel (advisor) ; Hocková, Jana (referee)
(v AJ) 1) introduction - introduction to the problem The diploma thesis on the interpretation of electrocardiograms by nurses and paramedics in the resuscitation department and in urgent pre-hospital care includes a theoretical summary of ECG pathologies, as well as addresses the issue of correct interpretation of electrocardiograms in relation to gender, age, workplace experience, and suggestions for improvement. 2) goal formulation, methodology The goal of the diploma thesis was to map the level of knowledge in interpreting electrocardiograms by nurses and paramedics in the resuscitation department and in urgent pre hospital care, depending on age, gender, length of experience, and job placement, with a focus on ECG interpretation. For the empirical part of the thesis, which deals with answering predetermined goals, a quantitative research method was chosen, conducted in the resuscitation department and emergency medical services. Data collection was carried out through a questionnaire survey using a self-constructed questionnaire. The survey focused on the theoretical knowledge of ECG interpretation by nurses and paramedics. 3) main results It was found that orientation in basic ECG pathologies did not pose significant difficulties for respondents, while for more difficult interpretations, the...
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ECG arrhythmia detection
Pchálková, Aneta ; Filipenská, Marina (referee) ; Novotná, Petra (advisor)
This thesis describes the principles of ECG, the physiology of arrhythmias, their origin, and manifestations in the ECG, focusing on ventricular extrasystoles and bundle branch blocks. It examines contemporary methods for detecting these arrhythmias and acquiring the necessary features for their implementation. The work also covers data handling, including data preprocessing. Classification of ventricular extrasystoles and bundle branch blocks is implemented using k-nearest neighbors models.
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ECG Cluster Analysis
Pospíšil, David ; Kozumplík, Jiří (referee) ; Klimek, Martin (advisor)
This diploma thesis deals with the use of some methods of cluster analysis on the ECG signal in order to sort QRS complexes according to their morphology to normal and abnormal. It is used agglomerative hierarchical clustering and non-hierarchical method K – Means for which an application in Mathworks MATLAB programming equipment was developed. The first part deals with the theory of the ECG signal and cluster analysis, and then the second is the design, implementation and evaluation of the results of the usage of developed software on the ECG signal for the automatic division of QRS complexes into clusters.
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Software for ECG analysis
Plch, Vít ; Hejč, Jakub (referee) ; Ronzhina, Marina (advisor)
This bachelor thesis deals with design and construction of tool for analysing electrocardiograms. The theoretical part deals with the origin of the action potential, propagation of the action potential through conduction system of the heart, failure of electrical impulse propagation through the con-duction system; different aspects of disorders, which can be found in experimental electrograms recorded from animal isolated hearts (database of electrograms, the Department of Biomedical En-gineering, FEEC, BUT), are also discussed. Software for electrograms draw and annotation available on the DBME, namely EG_Anotation and EG_RR_View, are described. As a result, the design and construct of ECG_ANN, the tool for the electrograms annotation, is proposed with regard to the advantages and disadvantages of mentioned software. At the end of the bachelor thesis there are the guide for ECG_ANN and discussion about problems which appears in design and construct of this tool.
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Microcontroler based On Demand Pacemaker
Daniš, Václav ; Balogh, Jaroslav (referee) ; Sekora, Jiří (advisor)
Pacemakers have nowadays become an inseparable part of treatment in a wide range of cardiovascular diseases. The topic of this bachelors degree paper refers to and proposes the implementation of a functional type of ´On Demand´ pacemaker controlled by a microcontroller. The introductory chapters focus on a more detailed, theoretical familiarization with the complex issues of permanent heart cardiostimulation. In addition to the actual theory of pacemakers and cardiostimulation, the chapters also include those significant historical aspects in the evolution of permanent cardiostimulation, the basic structures of heart anatomy and the transmission system of the heart. Also included are the recording of heart activity and ECG analysis, both physiological and pathological. In the practical part of the paper I deal with the ´On Demand´ pacemaker controlled by a microcontroller with a firm (solid, strong, steady, fixed) repeating frequency inhibited by the R wave. Subsequently, a proposed system for its implementation is created. The next step is the creation of a scheme for the electrical connections and composition of the microcontroller programme. The final part illustrates the implementation of the model of the pacemaker itself, preceded by a verification of the efficacy of the connections in a non-solder field.
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ECG signal classification
Smělý, Tomáš ; Harabiš, Vratislav (referee) ; Hrubeš, Jan (advisor)
This thesis deals with classification of different types of time courses of ECG signals. Main objective was to recognize the normal cycles and several forms of arrhythmia and to classify the exact types of them. Classification has been done with usage of algorithms of Neural Networks in Matlab program, with its add-on (Neural Network Toolbox). The result of this thesis is application, which makes possible to load an ECG signal, pre-process it and classify its each cycle into five classes. Percentage results of this classification are in the conclusion of this thesis.
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Artificial aorta for activity demonstration of intraaortal baloon contrapulsation
Bičiště, Jan ; Rampl, Ivan (referee) ; Zeman, Václav (advisor)
This dissertation work describes design and construction of simulated aorta device intended to demonstrate performance of the intra-aortal balloon catheter (IAB), and to test reaction of the contra-pulsation pump during simulated cardiac output in conditions of tachycardia, bradycardia and arrhythmia. The major part of the device is transparent plastic tube. The pressure pulses (waves) are generated inside this plastic tube to simulate real cardiac output. These pressure pulses are generated by step motor with membrane. The step motor is controlled by programmable control system AMiNi-E. Individual pressure pulses simulate cardiac output in conditions of tachycardia, bradycardia and arrhythmia. Required simulated cardiac output is selected by control switches. Generated pressure pulses are read by pressure sensor and are transferred to the control system of the configuration computer. Read data can be displayed as graphs in program Microsoft Excel. The intra-aortal balloon catheter (IAB) is inserted inside the aorta and is connected with contra-pulsation pump which on pressure pulse is responding.
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Design of the On Demand Pacemaker controlled by Microcontroller
Jarošová, Veronika ; Chmelař, Milan (referee) ; Sekora, Jiří (advisor)
The aim of this diploma work is the suggestion and realization of a cardiostimulator of „On Demand“ type operated by microcontroller. The work is structured on four thematic parts. For the correct suggestion of the whole system, firstly is necessary to understand correctly the cell’s electrophysiology and heart’s anatomy, inclusive the cardiology arrhytmia, which are adherent to cardiostimulators. The cardiostimulator is inhibited by the R-wave and is adaptive on a pulse rate of a source signal. The whole system is supplied by batteries and this supplying is taken into consideration. The network’s functionality is realized on the ECG simulator. There are suggested the suitable enhancements in discussion.
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Analysis of Atrial Fibrillation Heart Rate Dynamics
Tesařová, Tereza ; Ronzhina, Marina (referee) ; Hejč, Jakub (advisor)
Bachalor thesis focuses on clinical tracking of heart rate abnormalities to specify the level of variability in diverse-lengthy ECG signals, with a direct way to analyze atrial fibrillation and accuracy increasing its detection of actual available methods. The principle of heart electrophysiology and also the impulse genesis is mentioned in a introductory part of work, including elementary classification of cardiac arrhytmias and their deflection from normal sinus rhythm. The physiological analysis of atrial fibrilation dynamic structure helps with the application of detection algorithms in a MATLAB program and sets an underlying basis for an appropriate discussion in a final statistical ROC analysis.
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Analyzer of cardiac waveform
Zmeškal, Ladislav ; Říha, Kamil (referee) ; Číž, Radim (advisor)
The thesis describes design, algorithmization and realization of graphical application for recording EKG and PPG signal using LabJack UE9 tool in Matlab program, it also describes subsequent deposition of recorded signals and their processing, such as optional selection, cropping and filtering. Furthermore there are described types of filters, methods for detecting basic parameters of EKG and PPG signals and methods for detecting R waves and Systolic peaks. Based on detection of those parameters, algorithms for computing average heart rate and finding arrhythmias were designed and tested. Last part of the thesis includes an evaulation which compares values detected by designed algorithms with values from public database which includes reference annotation.
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