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ECG based atrial fibrillation detection
Prokopová, Ivona ; Kolářová, Jana (referee) ; Ronzhina, Marina (advisor)
Atrial fibrillation is one of the most common cardiac rhythm disorders characterized by ever-increasing prevalence and incidence in the Czech Republic and abroad. The incidence of atrial fibrillation is reported at 2-4 % of the population, but due to the often asymptomatic course, the real prevalence is even higher. The aim of this work is to design an algorithm for automatic detection of atrial fibrillation in the ECG record. In the practical part of this work, an algorithm for the detection of atrial fibrillation is proposed. For the detection itself, the k-nearest neighbor method, the support vector method and the multilayer neural network were used to classify ECG signals using features indicating the variability of RR intervals and the presence of the P wave in the ECG recordings. The best detection was achieved by a model using a multilayer neural network classification with two hidden layers. Results of success indicators: Sensitivity 91.23 %, Specificity 99.20 %, PPV 91.23 %, F-measure 91.23 % and Accuracy 98.53 %.
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Detection of atrial fibrillation using intracardiac ECG
Kašparová, Michaela ; Novotná, Petra (referee) ; Ředina, Richard (advisor)
Atrial fibrillation is one of the most common heart rhythm disorders. It is caused by irreg- ular activation of the atria, which causes uncoordinated atrial contractions with a very high frequency, and therefore its early diagnosis is very important. The aim of this bachelor thesis is the automatic detection of atrial fibrillation in intracardiac recordings. The automatic detection allows finding the sections with atrial fibrillation and thus medi- ate a faster diagnosis. Testing of the developed algorithm was carried out on the available database of paediatric patients who underwent electrophysiological examination at the Children’s Hospital of the University Hospital Brno in the Czech Republic.
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Mechanisms of conduction system development in vertebrates
Šaňková, Barbora ; Sedmera, David (advisor) ; Neckář, Jan (referee) ; Melenovský, Vojtěch (referee)
Group of specialized cells that form cardiac conduction system is responsible for generation and coordinated propagation of the electrical impulse in the heart. Changes in its development can be connected with arrhythmias; therefore, a good level of knowledge is necessary and relevant for basic science and clinical practice. For correct development of the conduction system are important genes coding gap junctions proteins, ion channels, transcription factors and other molecules involved in signaling cascades (endothelin, neuregulin). Development of conduction system is determined in addition to genetic factors also by epigenetics and environmental factors. This thesis with its individual papers on which it is based is addressing different aspects of conduction system development, which appears to be a complex process. Another feature which is linking all papers together, is the methodological approach enabling us to study function of the conduction system - optical mapping. In the first publication we studied by the means of in vitro organ culture the impact of work load without interfering hemodynamics on the conduction system maturation in the chick embryonic heart. The phenotype observed during experiments was developmental regression of conduction system maturation together with changes in...
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ECG based atrial fibrillation detection
Prokopová, Ivona ; Kolářová, Jana (referee) ; Ronzhina, Marina (advisor)
Atrial fibrillation is one of the most common cardiac rhythm disorders characterized by ever-increasing prevalence and incidence in the Czech Republic and abroad. The incidence of atrial fibrillation is reported at 2-4 % of the population, but due to the often asymptomatic course, the real prevalence is even higher. The aim of this work is to design an algorithm for automatic detection of atrial fibrillation in the ECG record. In the practical part of this work, an algorithm for the detection of atrial fibrillation is proposed. For the detection itself, the k-nearest neighbor method, the support vector method and the multilayer neural network were used to classify ECG signals using features indicating the variability of RR intervals and the presence of the P wave in the ECG recordings. The best detection was achieved by a model using a multilayer neural network classification with two hidden layers. Results of success indicators: Sensitivity 91.23 %, Specificity 99.20 %, PPV 91.23 %, F-measure 91.23 % and Accuracy 98.53 %.
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His bundle in phylogenesis, ontogenesis and pathology
Tremerová, Aneta ; Gregorovičová, Martina (advisor) ; Kolář, David (referee)
His bundle is a part of the cardiac conduction system of mammals, birds and crocodilians. His bundle is important for high cardiac output in endothermic vertebrates. His bundle is a connection between atria and ventricles in fibrous atrioventricular isolation and it serves as an electrical conduction pathway via bundle branches to ventricular apex, where ventricular contraction begins. Defect in cardiac conduction system leads to cardiac arrhytmia and can cause sudden cardiac death. Thesis describes development of His bundle in mammals and birds, its phylogenensis and atrioventricular conduction in other vertebrates. Thesis also describes disorders of atrioventricular canal development, fibrous anulus and His bundle such a preexcitation syndromes and congenital heart block. Thesis also depicts history of a discovery of the atrioventricular conduction tissue. Key words: cardiac conduction system, His bundle, atrioventricular canal, anulus fibrosus, ventricular preexcitation, perinatal AVRT, WPW syndrome, congenital heart block
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Effect of incubation temperature on growth of the working and conducting myocardium in the embryonic chick
Skuhrová, Kristýna ; Sedmera, David (advisor) ; Gregorovičová, Martina (referee)
It was shown almost 50 years ago that hypothermic incubation of chicken embryos results in a reduction in the size of embryos and an increase in the heart weight, presumably by hypertrophy (increase in cell volume). The chicken embryos were incubated in normothermia (37.5 ř C) and hypothermia (33.5 ř C) from the eleventh embryonic day. On the 17th day, the embryos were weighed and then their hearts were weighed. In agreement with the previous results, hypothermic embryos were 29% smaller and their hearts 18% heavier. The heart-to-body weight ratio was 67% higher in the hypothermic group. The measured cell size was very similar in the target areas and it was also between the two groups. The left ventricle width was twofold that the right one and the difference was not significantly higher in the hypothermia model. Purkinje fibers, the terminal part of the conduction system, were smaller than the working cardiomyocytes. Purkinje fibers were slightly enlarged after hypothermic incubation. The proliferation rate was measured by immunohistochemical labeling of anti-phospho histone H3. The experimental group showed much higher proliferation rate; it reached statistical significance in the right ventricle. Thus, hypothermic incubation resulted in increased growth of embryonic heart based on hyperplasia...
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Mechanisms of conduction system development in vertebrates
Šaňková, Barbora ; Sedmera, David (advisor) ; Neckář, Jan (referee) ; Melenovský, Vojtěch (referee)
Group of specialized cells that form cardiac conduction system is responsible for generation and coordinated propagation of the electrical impulse in the heart. Changes in its development can be connected with arrhythmias; therefore, a good level of knowledge is necessary and relevant for basic science and clinical practice. For correct development of the conduction system are important genes coding gap junctions proteins, ion channels, transcription factors and other molecules involved in signaling cascades (endothelin, neuregulin). Development of conduction system is determined in addition to genetic factors also by epigenetics and environmental factors. This thesis with its individual papers on which it is based is addressing different aspects of conduction system development, which appears to be a complex process. Another feature which is linking all papers together, is the methodological approach enabling us to study function of the conduction system - optical mapping. In the first publication we studied by the means of in vitro organ culture the impact of work load without interfering hemodynamics on the conduction system maturation in the chick embryonic heart. The phenotype observed during experiments was developmental regression of conduction system maturation together with changes in...
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Effects of Mechanical Loading on Early Conduction System Differentiation
Machálek, Jakub ; Sedmera, David (advisor) ; Neckář, Jan (referee)
6 ABSTRAKT Kardiovaskulární onemocnění představují celosvětově nejčastější příčinu úmrtí. Arytmie neboli poruchy srdečního rytmu k této mortalitě přispívají nemalou měrou. Výzkum v oblasti morfologie převodního systému srdečního má více jak stoletou historii, ale oblast ontogeneze není ani v dnešní době dostatečně prozkoumána. Přitom pochopení mechanismů indukce pracovního myokardu ve specializovanou tkáň by mohl být jeden z klíčů k otevření dveří nových možností diagnostiky a terapie onemocnění v této oblasti. Cílem této práce je pochopení vlivu mechanické zátěže na vznik a vývoj převodního systému srdečního. Chci prokázat, že mechanické zatížení srdce krevním oběhem hraje v embryonálním vývoji nezastupitelnou roli v diferenciaci převodního systému srdečního (PSS). Jako model pozorování jsem si vybral kuřecí srdce. Při porovnání dat získaných na srdci ptáků a savců můžeme najít drobné odlišnosti v detailech, nicméně hlavní principy a mechanismy se zdají být stejné. Kuřecí embryo se vyvíjí 21 dní, přičemž toto časové údobí lze podle Hamburgera a Hamiltona rozdělit do 46 stádií. Zpočátku představuje srdce pouze primitivní trubici, která se stáčí v srdeční kličku. Posléze je přeměněna na zralý čtyřoddílový orgán charakteristický pro vyšší obratlovce. Tyto morfologické změny korelují i se změnami šíření...
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