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| United States Patent | 4862897 |
| Link to this page | http://www.wikipatents.com/4862897.html |
| Inventor(s) | Eisenberg; Lawrence (New York, NY);
Eisenberg; Michael A. (Cambridge, MA) |
| Abstract | An electrocardiogram enhancement system and apparatus is provided. Small
amplitude, high frequency notches associated with myocardial disease and
arrhythmias can be recorded by conventional chart recorders. In addition,
the notches are clearly visible in the recorded waveform for visual
detection and analysis of the notches by medical personnel.
In the system of the present invention electrocardiogram signals having
small amplitude, high frequency notches are enhanced; first, by
selectively amplifying the notches while keeping the amplitude of the
remainder of the waveform constant and, second, by uniformly expanding the
signal in the time domain wherein the inter-component frequency and
inter-component phase relationships are maintained. |
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Title Information  |
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Drawing from US Patent 4862897 |
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Electrocardiogram enhancement system and method |
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| Publication Date |
September 5, 1989 |
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| Filing Date |
December 31, 1986 |
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| Parent Case |
RELATED APPLICATIONS
This is a continuation-in-part of co-pending application titled
"Electrocardiogram Enhancement System," U.S. Ser. No. 914,026 filed Oct.
6, 1986 now abandoned which is a continuation-in-part of U.S. Ser. No.
795,059, titled "Sound Enhancement System," filed Nov. 5, 1985 now
abandoned. |
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Title Information  |
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References  |
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| Market Size |
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Market Review  |
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Technical Review  |
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Claims  |
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We claim:
1. A method for enhancing an electrocardiogram signal having frequency, low
amplitude notches that are difficult to visually detect within an
electrocardiogram signal waveform and that have frequencies above the
signal recording bandwidth of a conventional chart recorder, said signal
having a plurality of frequency components, each frequency component
having a frequency, phase and amplitude, the frequencies of the frequency
components comprising a first inter-component frequency relationship and
the phases of the frequency components comprising a first inter-component
phase relationship said enhancement method comprising the steps of:
selectively amplifying frequency components representing the notches
relative to other frequency components in the electrocardiogram signal;
and
expanding said electrocardiogram signal including the amplified frequency
components in time scale by a time scale expansion factor, frequency
components representing said expanded signal having a second
intercomponent frequency relationship and a second inter-component phase
relationship equivalent to said first inter-component frequency
relationship and first inter-component phase relationship, said expanded
signal having a frequency range within the bandwidth of a conventional
chart recorder.
2. The method of claim 1 wherein said expanding of said electrocardiogram
signal in the time scale comprises dividing the frequency of each
frequency component by a time scale expansion factor.
3. The method of claim 2 wherein said time scale expansion factor is
greater than one.
4. The method of claim 1 wherein said selectively amplifying said
electrocardiogram signal comprises:
selecting those frequency components of the electrocardiogram signal within
a predetermined frequency range and greater than a minimum amplitude value
indicative of notches; and
multiplying each of the selected frequency components by an amplification
factor.
5. The method of claim 4 wherein said frequency range is greater than 100
up to and including 1200 Hz.
6. The method of claim 4 wherein said minimum amplitude value is determined
to exclude high frequency signal noise.
7. The method of claim 6 wherein said minimum amplitude value is greater
than 5% of the peak amplitude of notch frequency components.
8. The method of claim 4 wherein the amplification factor is equal to the
ratio of a peak amplitude of non-notch frequency components to a peak
amplitude of the notch frequency components multiplied by a gain factor.
9. The method of claim 8 where the gain factor ranges from a value greater
than zero up to one.
10. The method of claim 1 further comprising:
generating a Fourier transform of the electrocardiogram signal to obtain a
frequency spectrum comprising the frequency components representing the
electrocardiogram signal; and
generating an inverse Fourier transform of the frequency spectrum after
selectively amplifying and expanding the frequency component of the
signal.
11. The method of claim 1 further comprising the step of accurately
recording the expanded signal and displaying the high frequency, low
amplitude notches.
12. A method for enhancing an electrocardiogram signal in a first frequency
range having high frequency, low amplitude notches that are difficult to
visually detect and analyze within an electrocardiogram signal waveform
and that have frequencies above the signal recording bandwidth of a
conventional chart recorder, said enhancement method comprising the steps
of:
performing a Fourier transform operation upon the electrocardiogram signal
whereby a frequency spectrum signal is obtained, said frequency spectrum
signal comprising frequency components having an amplitude, frequency, and
phase, the frequencies of the frequency components comprising a first
inter-component frequency relationship and the phases of the frequency
components comprising a first inter-component phase relationship;
selecting frequency components within a predetermined frequency range and
greater than a minimum amplitude value that are indicative of notches;
amplifying each of the selected frequency components by an amplification
factor;
expanding the frequency spectrum signal in time scale by dividing each
frequency component by a time scale expansion factor, frequency components
having a second inter-component frequency and second inter-component phase
relationship equivalent to said first inter-component frequency and first
inter-component phase relationship; and
performing an inverse Fourier transform operation upon the expanded
frequency spectrum signal to obtain an enhanced electrocardiogram signal,
said enhanced electrocardiogram signal having a frequency range within the
signal recording bandwidth of conventional chart recorders.
13. The method of claim 12 wherein said time scale expansion factor is
greater than one.
14. The method of claim 12 wherein said amplification factor is a value
equal to the ratio of a peak amplitude of non-notch frequency components
to a peak amplitude of the notch frequency components multiplied by a gain
factor.
15. The method of claim 14 wherein said gain factor ranges from a value
greater than zero up to one.
16. The method of claim 12 wherein said frequency range is greater than 100
up to and including 1200 Hz.
17. The method of claim 12 wherein said minimum amplitude value is
determined to exclude high frequency signal noise.
18. The method of claim 17 wherein said minimum amplitude value is greater
than 5% of the peak value of the notch frequency components.
19. The method of claim 12 further comprising the step of accurately
recording the enhanced electrocardiogram waveform and displaying the high
frequency, low amplitude notches.
20. Apparatus for enhancing an electrocardiogram signal having high
frequency, low amplitude notches that are difficult to visually detect
within an electrocardiogram signal waveform and that have frequencies
above the signal recording bandwidth of a conventional chart recorder,
said signal having a plurality of frequency components, each frequency
component having a frequency, phase and amplitude, the frequencies of the
frequency components comprising a first inter-component frequency
relationship and the phases of the frequency components comprising a first
inter-component phase relationship, said apparatus comprising:
means for selectively amplifying frequency components representing the
notches relative to other frequency components in the electrocardiogram
signal; and
means for expanding said electrocardiogram signal including the amplified
frequency components in time scale by a time scale expansion factor,
frequency components representing said expanded signal having a second
inter-component frequency relationship and second inter-component phase
relationship equivalent to said first inter-component frequency
relationship and first inter-component phase relationship, said expanded
signal being within the bandwidth of a conventional chart recorder,
whereby the expanded signal is accurately recorded, and the high
frequency, low amplitude notches are made visible
21. The apparatus of claim 20 wherein the means for expanding said
electrocardiogram signal in the time scale comprises a means for dividing
the frequency of each frequency component by a time scale expansion
factor.
22. The apparatus of claim 21 wherein said time scale expansion factor is
greater than one.
23. The apparatus of claim 20 wherein the means for selectively amplifying
said electrocardiogram signal comprises:
means for selecting frequency components within a predetermined frequency
range and greater than a minimum amplitude value indicative of notches;
and
means for amplifying each of the selected frequency components by an
amplification factor.
24. The apparatus of claim 23 wherein said frequency range is greater than
100 up to and including 1200 Hz.
25. The apparatus of claim 23 wherein said amplitude range excludes high
frequency signal noise.
26. The apparatus of claim 25 wherein said minimum amplitude value is equal
to 5% of the peak value of the notch frequency components.
27. The apparatus of claim 23 wherein said amplification factor is equal to
the ratio of a peak amplitude of non-notch frequency components to a peak
amplitude of the notch frequency components multiplied by a gain factor.
28. The apparatus of claim 27 wherein said gain factor ranges from a value
greater than zero up to one.
29. The apparatus of claim 20 further comprising:
means for generating a Fourier transform of the electrocardiogram signal to
obtain a frequency spectrum comprising the frequency components
representing the electrocardiogram signal; and
means for generating an inverse Fourier transform of the frequency spectrum
after selectively amplifying and expanding in the time scale the frequency
components of the signal.
30. The apparatus of claim 29 wherein the means for generating a Fourier
transform, means for selectively amplifying, means for expanding and means
for generating an inverse Fourier transform comprises a microprocessor.
31. The apparatus of claim 20 further comprising a means for counting the
high frequency notches and a means for displaying said count of notches.
32. The apparatus of claim 31 wherein the means for counting the notches
comprises:
means for detecting the beginning and end of a QRS wave of the
electrocardiogram signal waveform;
means for calculating the slope of the waveform at a first test point;
means for calculating the slope of the waveform at a second subsequent test
point, said second test point being a predetermined time period after said
first test point;
means for comparing the slopes of said first and second test points;
means for incrementing a notch counter if the signs of said slopes of said
test points are not equal;
means for setting said first test point equal to said second test point
wherein the means for calculating the slope of the waveform at the second
test point, means for comparing the slopes of said first and second test
points and means for incrementing said notch counter continue to operate
to sequence until the end of the QRS wave is detected.
33. The apparatus of claim 31 wherein the means for counting the notches
comprises:
a threshold detector which generates an output pulse upon detection of
those notches of a predetermined minimum amplitude;
means for inputting selected frequency components indicative of notches to
the threshold detector; and
a digital counter which counts the output pulses of the threshold detector.
34. The apparatus of claim 20 further comprising a chart recording device
for the display of said expanded signal whereby the electrocardiogram
signal is accurately recorded and the high frequency, low amplitude
notches are visible in the displayed signal.
35. The apparatus of claim 20 further comprising means for accurately
recording the expanded signal and means for displaying the high frequency,
low amplitude notches.
36. Apparatus for enhancing an electrocardiogram signal in a first
frequency range having high frequency, low amplitude notches that are
difficult to visually detect and analyze within a electrocardiogram signal
waveform and that have frequencies above the signal recording bandwidth of
a conventional chart recorder comprising:
means for performing a Fourier transform operation upon the
electrocardiogram signal whereby a frequency spectrum signal is obtained,
said frequency spectrum signal comprising frequency components having an
amplitude, frequency, and phase, the frequencies of the frequency
components comprising a first inter-component frequency relationship and
the phases of the frequency components comprising a first inter-component
phase relationship;
means for selecting frequency components within a predetermined frequency
range and greater than a minimum amplitude value that are indicative of
notches;
means for amplifying each of the selected frequency components by an
amplification factor;
means for expanding the frequency spectrum in time scale by dividing each
frequency component by a time scale expansion factor, frequency components
having a second inter-component frequency relationship and a second
inter-component phase relationship equivalent to said first
inter-component frequency relationship and first inter-component phase
relationship;
means for performing an inverse Fourier transform operation upon the
expanded frequency spectrum signal to obtain an enhanced electrocardiogram
signal, said enhanced electrocardiogram signal having a frequency range
within the bandwidth of conventional chart recorders; and
chart recording means for display of the expanded signal where in the high
frequency, low amplitude notches are visible within the displayed signal.
37. The apparatus of claim 36 wherein the means for performing a Fourier
transform, means for selecting frequency components, means for amplifying
the selected frequency components, means for expanding the frequency
spectrum and means for performing an inverse Fourier transform comprises a
microprocessor.
38. The apparatus of claim 36 wherein said time scale expansion factor is
greater than one.
39. The apparatus of claim 36 wherein said amplification factor is equal to
the ratio of a peak amplitude of non-notch frequency components to a peak
amplitude of the notch frequency components multiplied by a gain factor.
40. The apparatus of claim 39 wherein said gain factor ranges from a value
greater than zero up to one.
41. The apparatus of claim 36 wherein said frequency range is greater than
100 up to and including 1200 Hz.
42. The apparatus of claim 36 wherein said minimum amplitude value excludes
high frequency signal noise.
43. The apparatus of claim 42 wherein said minimum amplitude value is 5% of
the peak value of the notch frequency components.
44. A method for enhancing an electrocardiogram signal having high
frequency, low amplitude notches that have frequencies above 100 Hz and
are difficult to visually detect within an electrocardiogram signal
waveform, said signal having a plurality of frequency components, each
frequency component having a frequency, phase and amplitude, said
enhancement method comprising the steps of:
amplifying the frequency components above 100 Hz relative to other
frequency components in the electrocardiogram signal by an amplification
factor; and then
expanding said electrocardiogram signal including the amplified frequency
components in time scale by a time scale expansion factor to produce an
expanded signal, said expanded signal having frequency components in which
the frequencies are those of the frequency components of the
electrocardiogram signal divided by the time scale expansion factor, said
expanded signal having a frequency range within the bandwidth of a
conventional chart recorder.
45. The method for enhancing an electrocardiogram signal of claim 44
wherein said frequencies of the frequency components of the
electrocardiogram signal comprise a first inter-component relationship and
the phases of the frequency components comprise a first inter-component
phase relationship and frequencies of the frequency components of the
expanded signal comprise a second inter-component frequency relationship
equivalent to said first inter-component frequency relationship and the
phases of the frequency components comprise a second inter-component phase
relationship equivalent to said first inter-component phase relationship.
46. The method for enhancing an electrocardiogram signal of claim 44
further comprising:
generating a Fourier transform of the electrocardiogram signal to obtain a
frequency spectrum comprising the frequency components representing the
electrocardiogram signal; and
generating an inverse Fourier transform of the frequency spectrum after
amplifying and expanding the signal.
47. The method of claim 44 further comprising displaying the high
frequency, low amplitude notches.
48. Apparatus for enhancing an electrocardiogram signal having high
frequency, low amplitude notches that have frequencies above 100 Hz and
are above the signal recording bandwidth of a conventional chart recorder
and difficult to visually detect within an electrocardiogram signal
waveform, said signal being within a first frequency range and having a
plurality of frequency components, each frequency component having a
frequency, phase and amplitude, said apparatus comprising:
means for amplifying the frequency components above 100 Hz relative to
other frequency components in the electrocardiogram signal by an
amplification factor; and
means for expanding said electrocardiogram signal including the amplified
frequency components in time scale by a time scale expansion factor to
produce an expanded signal, said expanded signal having frequency
components in which the frequencies are those of the frequency components
of the electrocardiogram signal divided by the time scale expansion
factor, said expanded signal having a frequency range within the bandwidth
of a conventional chart recorder.
49. The apparatus of claim 48 wherein said frequencies of the frequency
components of the electrocardiogram signal comprise a first
inter-component frequency relationship and the phases of the frequency
components comprise a first inter-component phase relationship and
frequencies of the frequency components of the expanded signal comprise a
second inter-component frequency relationship equivalent to said first
inter-component frequency relationship and the phases oaf the frequency
components comprise a second inter-component phase relationship equivalent
to said first inter-component phase relationship.
50. The apparatus of claim 48 further comprising:
means for generating a Fourier transform of the electrocardiogram signal to
obtain a frequency spectrum comprising frequency components representing
the electrocardiogram signal; and
means for generating an inverse Fourier transform of the frequency spectrum
after amplifying and expanding the signal.
51. The apparatus of claim 48 further comprising a chart recording device
for the display of said expanded signal whereby the electrocardiogram
signal is accurately recorded and the high frequency, low amplitude
notches are visible in the displayed signal.
52. The apparatus of claim 48 further comprising means for displaying the
high frequency, low amplitude notches. |
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Claims  |
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Description  |
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FIELD OF INVENTION
The system of the present invention relates to the enhancement of
electrocardiogram signals. Particularly the system relates to the
enhancement of small amplitude, high frequency notches and slurs which are
difficult to record on conventional chart recorders and difficult to
visually detect within an electrocardiogram waveform by medical personnel.
BACKGROUND OF THE INVENTION
An electrocardiograph records electric potentials generated by the
neuromuscular mechanism of the heart. A stimulus arising in the
sino-auricular node of the heart sets up a tiny electric current called
the excitation or depolarization wave. This wave spreads over the
auricular wall and the auricles contract. When the excitation wave is at
the junctional tissue between auricle and ventricle, it is delayed by the
atrioventricular node at the beginning of the Bundle-of-His. The
excitation wave conducts rapidly through the Bundle and then branches to
the left and right ventricle.
The excitation wave then conducts slowly through the Purkinje fibers which
terminate in the ventricular muscle, causing the ventricles to contract. A
period of heart rest follows, after which a fresh impulse arises at the
sino-aurircular node and the contraction- cycle once again repeats. By
placing electrodes on the chest of a patient, a time varying voltage
corresponding to the spreading excitation wave can be measured.
This excitation waveform, referred to as an electrocardiogram (ECG), is
used to analyze the operation of the heart. The electrocardiogram is
divided up into five time segments, known to those skilled in the art as,
P, Q, R, S, and T which correspond to the different parts of the waveform.
The "P" or Auricular Wave corresponds to the spread of the wave through
the auricular musculature. At the point the wave spreads over the
ventricular neural net of the Bundle-of-His, a rapid rise and fall of the
wave potential, referred to as the "R" wave occurs. Before the "R" wave
portion, a small dip called the "Q" wave occurs in the electrocardiogram
while after the "R" wave a large drop in the electrocardiogram occurs
called the "S" wave. The final portion of the electrocardiogram, the "T"
wave, corresponds to the resting phase of the ventricle during which time
an electrical repolarization of the ventricular muscle occurs. After the
"T" wave the electrocardiogram reflects a horizontal line or isoelectric
baseline indicating a period of heart rest prior to the next cycle of the
excitation wave.
By analyzing deviations in the shape of the electrocardiogram, physicians
can diagnose pathological conditions which relate to the heart and
circulatory system. Typically the electrocardiogram is recorded by a paper
chart recorder and examined for deviations in the shape of the various
segments of the waveform.
Most chart recorders can accurately record waveforms occurring at
frequencies up to 100 Hz. However, waveforms occurring at frequencies
greater than 100 Hz are outside the bandwidth of the chart recorder and
are distorted or lost when recorded since the changes in the waveform
occur too rapidly for the pen or stylus of the chart recorder to follow.
For example, conventional ECG chart recorders cannot display the small
rapid variations in the waveforms, having frequencies typically in the
range of 600 to 1000 Hz, referred to as notches and slurs (hereinafter
referred to as "notches") which are common to the QRS complex of patients
with clinical and preclinical heart disease.
In one method to overcome the limited bandwidth of an ECG chart recorder,
ECG signals are routed for display to a cathode-ray tube. The display
generated is then photographed to produce a permanent recording of the
waveform. This method is used in research facilities as a research tool
and is not readily accessible to cardiologists, internists, and general
practitioners outside this environment.
U.S. Pat. No. 4,565,201 describes a signal averaging means which includes a
microcomputer programmed to output information indicative of the ECG
signal at a fraction of the speed of which it was input to the
microcomputer. However, since the notches are small and difficult to
detect, cardiologists, internists and other medical personnel cannot
detect and analyze the notches with any degree of confidence.
One method to overcome the problem of visual detection and analysis of the
notches is to amplify the signal. However since the amplitude of the
notches is extremely small, (the ratio of the maximum amplitude of a ECG
waveform to the maximum amplitude of a notch may be from 1:50 to 1:20)
amplification of the entire waveform to increase the visibility of the
notches would drive the signal off scale, saturating the display/recording
device. Thus when the signal is amplified to display the notches, the
entire ECG waveform cannot be recorded by the chart recorder. In addition,
since the notches occur quite frequently near the minimum and maximum
amplitudes of the waveform, simultaneous recording of all the notches at
the desired amplification is extremely difficult. It has been found that
it is preferable that not only the notches, but the entire waveform and
the positions of the notches with respect to the waveform be
displayed/recorded for proper analysis and diagnosis.
U.S. Pat. No. 3,809,071 describes a means to amplify and display low level
signals without saturating the display/recording device. However in this
method the larger amplitude signals which are amplified off the scale of
the display/recording device are simply cut off at the point of saturation
Thus only the small amplitude signals are accurately displayed/recorded.
It is an object of the present invention to provide a means for enhancing
electrocardiogram signals such that the waveform may be accurately
recorded on a conventional chart recorder.
It is an object of the present invention to provide a means for enhancing
electrocardiogram signals in a manner that medical personnel can easily
detect and analyze small amplitude, high frequency notches often found in
patients with clinical heart disease.
It is an object of the present invention to provide an automatic
electrocardiogram enhancement system which is simple for medical personnel
to use.
SUMMARY OF THE INVENTION
In the ECG enhancement system of the present invention, small amplitude,
high frequency notches associated with myocardial disease and arrhythmias
can be recorded by conventional chart recorders. In addition, the notches
are clearly visible in the recorded waveform for easy visual detection,
inspection and analysis by medical personnel.
In the system of the present invention, ECG signals having small amplitude,
high frequency notches are automatically enhanced, first, by selectively
amplifying the notches while keeping the amplitude of the remainder of the
waveform constant and second, by uniformly expanding the signal in the
time domain wherein the inter-component frequency and inter-component
phase relationships of the signal are maintained Because the enhancement
system of the present invention automatically adjusts the enhancement
parameters, the system is simplified and easy to use by medical personnel.
In one embodiment of the present invention, a Fast Fourier Transform (FFT)
is performed on the input signal to derive the frequency spectrum of the
ECG signals. The frequency components of the spectrum representing the
notches are amplified and the entire frequency spectrum is translated into
a lower frequency range. The enhanced signal is subsequently transformed
back into a time varying signal.
BRIEF DESCRIPTION OF THE DRAWINGS
These and other objects, features and advantages of the present invention
will be apparent from the following detailed description of a preferred
embodiment of the invention in which:
FIG. 1 is an illustration of the time varying waveform that comprises an
electrocardiogram.
FIG. 2 displays an electrocardiogram where high frequency notches are
present.
FIG. 3(a) illustrates an unaltered time varying electrocardiogram signal as
would be displayed on an Electrocardiograph chart recorder.
FIG. 3(b) shows the same electrocardiogram signal in which the frequency
components representing the notches have been amplified relative to the
rest of the signal.
FIG. 3(c) shows the electrocardiogram signal uniformly "expanded" in the
time scale.
FIG. 4(a) illustrates the unaltered electrocardiogram signal in the
frequency domain.
FIG. 4(b) shows the same signal after the amplitudes of the frequency
components representing the notches have been amplified.
FIG. 4(c) shows the signal after time scale expansion.
FIG. 5 is a block diagram of an embodiment of the ECG enhancement system of
the present invention.
FIGS. 6(a) and 6(b) is a flow diagram illustrating an embodiment of the
electrocardiogram enhancement system of the present invention.
FIG. 7 is a block diagram of an apparatus for detecting and counting
notches in the electrocardiogram waveform.
FIG. 8 is a flow diagram for a method of detecting and counting notches in
the electrocardiogram waveform.
DETAILED DESCRIPTION OF THE DRAWINGS
FIG. 1 shows the waveform of an electrocardiogram which comprises waveform
segments "P" 10, "Q" 20, "R" 30, "S" 40, and "T" 50. FIG. 2 shows the high
frequency notches 60 that are common in the QRS complex in the case of
coronary artery disease. These notches are characterized by small
amplitude, rapid time variations that cannot be accurately reproduced by
conventional chart recorders.
In order for the ECG waveform to be useful for diagnostic analysis, the
high frequency notches must be clearly visible within the waveform so that
they can be inspected and analyzed by medical personnel. It is also
necessary that the waveform be uniformly translated or expanded in the
time domain, to a frequency range within the bandwidth of the chart
recorder, in order that the original shape of the waveform (except for the
amplified notches) can be accurately recorded on the chart recorder. In
other words, each frequency and phase component of the waveform must be
consistently modified in order to produce a translated waveform having a
frequency range within the bandwidth of the chart recorder, in which the
signal component amplitudes, inter-component frequency relationships and
inter-component phase relationships among the integral signal components
are maintained.
Through the ECG enhancement system of the invention the original signal, as
illustrated in FIG. 3a, is automatically enhanced, first by selectively
amplifying the notches 60 without affecting the rest of the waveform, as
illustrated in FIG. 3b and, second, by uniformly expanding in the time
domain the entire signal, as illustrated in FIG. 3c, in a manner that the
high frequency notches 60 can be accurately reproduced by a chart recorder
while maintaining the shape of the waveform.
In the present invention, the frequency spectrum of an ECG signal is
approximated by calculating the discrete Fourier Transforms (DFT) of the
waveform. This is accomplished by an algorithm generally known as a Fast
Fourier Transform (FFT) which rapidly makes the computations required to
obtain the DFT of an input signal. As a result of the FFT calculations,
the frequency spectrum of the input waveform signal is approximated by a
series of points or frequency components at different discrete frequencies
having amplitudes which correspond to the amplitudes of the input waveform
signal at the respective discrete frequencies. Since a set of points
defined by discrete frequency, amplitude and phase values result from
performing the FFT operation, the sampled frequency spectrum signal
obtained using the FFT operation is easily manipulated by performing
mathematical operations on these values as discussed in detail below.
The notches which occur in the ECG waveform are very difficult to visually
detect and analyze. Therefore it is desirable that these notches be
selectively amplified with respect to the remainder of the waveform. In
other words selective amplification permits only the notches to be
amplified; the remainder of the waveform is not affected. The amplitude of
each frequency component with a predetermined frequency range and greater
than a minimum amplitude value indicative of notches is multiplied by an
amplification factor "H". The value of "H" is selected such that the
amplification of the notches is sufficient for visual detection and
analysis of the notches, but not too large that the recording device is
saturated, that is, the limits of the device are not exceeded. Preferably
the value of H is determined by calculating the ratio of the largest
amplitude of the frequency components representing the ECG signal, i.e.
the "non-notch" frequency components, to the largest amplitude of the
frequency components representing the notches, i.e. the notch frequency
components, and multiplying the ratio by a gain factor "G" such that the
notch is easily discernible without significantly changing the shape of
the wave. More particularly, the value of H is determined by calculating
the ratio of the largest amplitude of those frequency components up to and
including 100 Hz to the largest amplitude of those frequency components
greater than 100 Hz and multiplying the ratio by the gain factor G. The
gain factor G may be determined empirically based on the waveform.
Preferably G ranges from a value greater than zero up to one. Most
preferably G is equal to 1/4.
The frequency range and minimum amplitude value are set such that only the
frequency components representing the high frequency notches are
amplified. The frequency components representing a notch typically center
around frequencies in the range of 600-1000 Hz, while the frequency
components representing the remainder of the waveform are below 100 Hz.
However, it has been found that the spectrum of frequency components
representing a notch may range from 100 to 1500 Hz. Although the frequency
components representing a notch may range from 100 to 1500 Hz, it is
preferred that the frequency range is greater than 100 Hz up to and
including 1200 Hz, thereby accounting for the majority of notch frequency
components. The minimum amplitude is selected to exclude high frequency
signal noise which can distort the signal. Preferably the minimum
amplitude is approximately 5% of the peak amplitude of the notch frequency
components, that is, the frequency components above 100 Hz.
Once the frequency components representing the notches are amplified, the
frequency spectrum representing the entire waveform is translated to a
lower frequency range that is within the bandwidth of the chart recorder.
The frequency components are translated or shifted down by dividing the
frequency of each of the frequency components by a time scale expansion
factor, K. This time scale expansion factor is chosen so that the higher
frequency components are translated down to lower frequencies within the
bandwidth of the chart recorder while other lower frequency components
that are also translated remain within the bandwidth of the chart
recorder. The time scale expansion factor may be preselected or,
alternatively, may be calculated based upon the highest frequency
component detected. For example, if the bandwidth of the chart recorder is
100 Hz and the highest frequency component is 1000 Hz then K=1000/100=10.
The translated frequency spectrum is subsequently transformed back into a
time varying signal by performing an inverse FFT operation. Since the FFT
components comprise both real and imaginary elements, thus taking into
account both the frequency and phase elements of the signal, the operation
of translating the frequency spectrum does not alter the inter-component
phase and inter-component frequency relationships among the components in
the spectrum. Therefore, except for the deliberate amplification of the
notches, the expanded waveform in the time domain maintains its original
shape.
Referring to FIGS. 4a and 4b, the frequency components in the range greater
than 100 Hz up to and including 1200 Hz represent notches. Illustratively,
A.sub., the peak value of the non-notch frequency components, and A.sub.2,
the peak value of the notch frequency components have values of 200 mv and
10 mv respectively. Therefore the amplification factor is H=A.sub.1
/A.sub.2 .times.G=200/10.times.1/4=5. Thus the frequency components
representing the notches in FIG. 4a are increased in amplitude by a factor
of 5, as shown in FIG. 4b. The frequency components 100 Hz and below,
which represent the remainder of the signal, have not been altered.
The frequency spectrum illustrated in FIGS. 4b is then translated or
expanded in the time scale by a factor of 10 as illustrated in FIG. 4c. As
can be seen by comparing FIGS. 4b and 4c, the 1000 Hz frequency component
in FIG. 4b has been translated so that it is now at 100 Hz in FIG. 4c.
Similarly, the frequencies of the remaining components in the signal shown
in FIG. 4b are all divided by the time scale expansion factor resulting in
the frequency spectrum illustrated in FIG. 4c. Although the time scale
expansion factor K used to obtain the frequency spectrum of FIG. 4c from
that shown in FIG. 4b is equal to 10, this value for K is only used as an
example and other values for K can be used.
The inter-component phase and inter-component frequency relationships
remain equivalent. As shown in FIG. 4b, the 50 Hz and 100 Hz components
are separated by one octave. In FIG. 4c, the respective translated
frequency components, at 5 Hz and 10 Hz, are also separated by one octave.
Thus, the inter-component frequency and inter-component phase
relationships in the signal are maintained in the enhanced signal after
the entire frequency spectrum of the signal is translated into a range
suitable for accurate reproduction of the signa | | |