Novel Ventricular Fibrillation/Tachycardia Detection Algorithms Used for Automated External Defibrillators

Novel Ventricular Fibrillation/Tachycardia Detection Algorithms Used for Automated External Defibrillators
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用于自动体外除颤器的新型心室颤动/心动过速检测算法

DOI:
10.2174/1872212111206030217
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发表时间:
2012-11
影响因子:
--
通讯作者:
Yongqin Li
Yongqin Li
中科院分区:
--
文献类型:
--
作者:
Bihua Chen;Kaifa Wang;Jianjie Wang;Yongqin Li

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室颤(VF)和室性心动过速(VT)是威胁生命的心律失常,如果在几分钟内没有对受试者施加除颤电击,则可能是灾难性的。正确和迅速地检测这些可电击节律并准备好干预心肺复苏术(CPR),特别是电击的递送可能挽救生命。自动体外除颤器(AED)检测这些可电击节律,无需合格医务人员解读心电图,可实现早期除颤并提高院外条件下心脏骤停的存活率。因此,由AED使用的VF/VT检测算法在可电击和不可电击节律之间很好地区分是至关重要的。本文回顾了最近公布的专利算法用于VF/VT检测。文中还比较和讨论了各种算法的优点和效果。所提出的新技术表明,在不间断心肺复苏期间检测VF/VT的功效、准确性和能力有所提高。
Ventricular fibrillation (VF) and ventricular tachycardia (VT) are lift-threatening cardiac arrhythmias that could be catastrophic if no defibrillation shock is applied to the subject within a few minutes. Correct and prompt detection of these shockable rhythms and preparedness to intervene with cardiopulmonary resuscitation (CPR) and especially the de- livery of an electrical shock are potentially lifesaving. The automated external defibrillators (AEDs), which detect these shockable rhythms without interpretation of the electrocardiogram by qualified medical personnel, enable early defibrilla- tion and increase the survival rate of cardiac arrest in out-of-hospital conditions. Hence it is of vital importance that VF/VT detection algorithms used by AEDs differentiate well between shockable and non-shockable rhythms. This paper reviews recent published patents in algorithms used for VF/VT detection. The advantages and efficacy of different algo- rithms are also compared and discussed. The new techniques presented demonstrate increased efficacy, accuracy and abil- ity to detect VF/VT during uninterrupted CPR.
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