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  1. NTU Theses and Dissertations Repository
  2. 電機資訊學院
  3. 生醫電子與資訊學研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/20497
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DC 欄位值語言
dc.contributor.advisor歐陽彥正(Yan-Jheng Oyang)
dc.contributor.authorChih-Hao Chenen
dc.contributor.author陳志豪zh_TW
dc.date.accessioned2021-06-08T02:50:48Z-
dc.date.copyright2018-03-12
dc.date.issued2017
dc.date.submitted2017-08-16
dc.identifier.citation[1] B. McNally, R. Robb, M. Mehta, K. Vellano, A. L. Valderrama, P. W. Yoon, C. Sas- son, A. Crouch, A. B. Perez, R. Merritt, and A. Kellermann. Out-of-hospital cardiac arrest surveillance — Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005–December 31, 2010. MMWR Surveill. Summ., 60(8):1–19, Jul 2011.
[2] The Public Access Defibrillation Trial Investigators. Public-access defibrillation and survival after out-of-hospital cardiac arrest. N. Engl. J. Med., 351(7):637–646, 2004. PMID: 15306665.
[3] T. S. Diehl, editor. ECG interpretation made incredibly easy! Lippincott Williams and Wilkins, 5th edition, 2011.
[4] R. E. Kerber, L. B. Becker, J. D. Bourland, R. O. Cummins, A. P. Hallstrom, M. B. Michos, G. Nichol, J. P. Ornato, W. H. Thies, R. D. White, B. D. Zuckerman, and M. E. by the Board of Trustees of the American College of Cardiology. Automatic external defibrillators for public access defibrillation: Recommendations for speci- fying and reporting arrhythmia analysis algorithm performance, incorporating new waveforms, and enhancing safety: A statement for health professionals from the american heart association task force on automatic external defibrillation, subcom- mittee on aed safety and efficacy. Circulation, 95(6):1677–1682, 1997.
[5] B. J. Aehlert. ECGs Made Easy. Elsevier Health Sciences, 5th edition, 2015.
[6] T. Nishiyama, A. Nishiyama, M. Negishi, S. Kashimura, Y. Katsumata, T. Kimura, N. Nishiyama, Y. Tanimoto, Y. Aizawa, H. Mitamura, K. Fukuda, and S. Takatsuki. Diagnostic accuracy of commercially available automated external defibrillators. J. Am. Heart. Assoc., 4(12), 2015.
[7] A. Amann, R. Tratnig, and K. Unterkofler. Reliability of old and new ventricular fibrillation detection algorithms for automated external defibrillators. Biomed. Eng. Online, 4(1):1–15, 2005.
[8] M. P. Larsen, M. S. Eisenberg, R. O. Cummins, and A. P. Hallstrom,“Predicting survival from out-of-hospital cardiac arrest: A graphicmodel,” Ann. Emerg. Med., vol. 22, pp. 1652–1658, 1993.
[9] I. G. Stiell, G. A. Wells, V. J. DeMaio, D. W. Spaite, B. J. Field, D. P.Munkley, M. B. Lyver, L. G. Luinstra, and R.Ward, “Modifiable factorsassociated with improved cardiac arrest survival in a multicenter basic life support/defibrillation system: OPALS study phase I results,” Ann. Emerg. Med., vol. 33, pp. 44–50, 1999.
[10] M. S. Eisenberg and T. J. Mengert, “Cardiac resuscitation,” N. Engl. J. Med., vol. 344, no. 17, pp. 1304–1312, Apr. 26, 2001.
[11] Y. Sato, M. H. Weil, S. Sun, W. Tang, J. Xie, M. Noc, and J. Bisera, “Adverse effects of interrupting precordial compression during cardiopulmonary resuscitation,” Crit. Care Med., vol. 25, no. 5, pp. 733–736, May 1997.
[12] S. Steen, Q. Liao, L. Pierre, A. Paskevicius, and T. Sjoberg, “Evaluation of LUCAS, a new device for automatic mechanical compression and active decompression resuscitation,” Resuscitation, vol. 55, no. 3, pp. 285–299, 2002.
[13] L. Wik, J. Kramer-Johansen, H. Myklebust, H. Sørebø, L. Svensson, B. Fellows, and P. A. Steen, “Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest,” J. Am. Med. Assoc., vol. 293, no. 3, pp. 299–304, 2005.
[14] B. S. Abella, J. P. Alvarado, H. Myklebust, D. P. Edelson, A. Barry, N. O’Hearn, T. L. V. Hoek, and L. B. Becker, “Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest,” J. Am. Med. Assoc., vol. 293, no. 3, pp. 305–310, 2005.
[15] American Heart Association, “ Guidelines for cardiopulmonary resuscitationand emergency cardiac care,” J. Amer. Med. Assoc., vol. 268, pp. 2171–2302, 1992.
[16] C. Robertson, P. Steen, J. Adgey, L. Bossaert, P. Carli, D. Chamberlain, and W. Dick et al., “The 1998 European Resuscitation Council guidelines for adult advanced life support,” Resuscitation, vol. 37, pp. 81–90, 1998.
[17] R. V. Ditchey, Y. Goto, and J. Lindenfield, “Myocardial oxygen requirementsduring experimental cardiopulmonary resuscitation, ” Cardiovasc. Res., vol. 26, pp. 791–797, 1992.
[18] J. D. Michenfelder and R. A. Theye, “The effects of anesthesia and hypothermia on canine cerebral ATP and lactate during anoxia produced by decapitation,” Anesthesiology, vol. 33, pp. 430–439, 1970.
[19] M. Noc, M. H.Weil, R. Gazmuri, S. Sun, J. Biscera, andW. Tang, “Ventricularfibrillation voltage as a monitor of the effectiveness of cardiopulmonary resuscitation,” J. Lab. Clin. Med., vol. 124, no. 3, pp. 421–426, 1994.
[20] K. B. Kern, H. S. Garewal, A. B. Sanders,W. Janas, J. Nelson, D. Sloan, W. A. Tacker, and G. A. Ewy, “Depletion of myocardial adenosine triphosphate during prolonged untrated ventricular fibrillation: Effect on defibrillation success,” Resuscitation, vol. 20, pp. 221–229, 1990.
[21] Y. Sato, M. H.Weil, S. Sun,W. Tang, J. Xie, M. Noc, and J. Bisera, “Adverse effects of interrupting precordial compression during cardiopulmonary resuscitation,” Crit. Care Med., vol. 25, pp. 733–736, 1997.
[22] H.-U. Strohmenger, K. H. Lindner, I. M. Lindner, and E. G. Pfenninger, “Spectral analysis of ventricular fibrillation and closed-chest cardiopulmonary resuscitation,” Resuscitation, vol. 33, no. 2, pp. 155–161, 1996.
[23] M. Noc, M. H.Weil,W. Tang, S. Sun, J. Biscera, and A. Pernat, “Electrocardiographic prediction of the success of cardiac resuscitation,” Critical Care Medicine, vol. 27, no. 4, pp. 708–714, 1999.
[24] A. L. Goldberger, L. A. N. Amaral, L. Glass, J. M. Hausdorff, P. C. Ivanov, R. G. Mark, J. E. Mietus, G. B. Moody, C.-K. Peng, and H. E. Stanley. Physiobank, physiotoolkit, and physionet: Components of a new research resource for complex phys- iologic signals. Circulation, 101(23):e215–e220, 2000.
[25] F. Hlawatsch, G.F.Boudreaux-Bartels, Linear and quadratic time frequency signal representations, IEEE Signal Process. Mag. 9(2)(1992)21–67.
[26] N.Hess-Nielsen, M.V.Wickerhauser, Wavelets and time–frequency analysis, Proc. IEEE 84(4)(1996)523–540.
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[28] S.G.Mallat, A Wavelet Tour of Signal Processing : thesparse way, AcademicPress, SanDiego, CA,2009.
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[32] D. Xia, Q. Meng, Y. Chen, and Z. Zhang. Classification of Ventricular Tachycardia and Fibrillation Based on the Lempel-Ziv Complexity and EMD, pages 322–329. Springer International Publishing, Cham, 2014.
[33] N. E. Huang, Z. Shen, S. R. Long, M. C. Wu, H. H. Shih, Q. Zheng, N.-C. Yen, C. C. Tung, and H. H. Liu. The empirical mode decomposition and the hilbert spectrum for nonlinear and non-stationary time series analysis. Proc. R. Soc. A, 454(1971):903– 995, 1998.
dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/20497-
dc.description.abstract突發性院外心跳停止是引發成人死亡的首要原因之一,經常由心室顫動 (VF) 造成。即時偵測這些致命性的心律不整,並且盡早以自動體外電擊器 (AED) 施予去顫,是治療關鍵。
但是在使用AED急救的過程,必須停下正在進行的心肺復甦術,讓機器判讀是否達到電擊的標準。倘若停下來讓機器判讀的過程病患是無心跳的,這樣會導致病患生還的機率下降。
為了改善上述的窘境,本論文提供了數個方法希望能改善上述問題。
zh_TW
dc.description.abstractSudden out of hospital cardiac arrest, one of the leading causes of death among adults, is frequently caused by ventricular fibrillation (VF). Prompt recognition of these life-threatening arrhythmias and early defibrillation treatment using an automated external defibrillator (AED) are crucial.
However, in the process of using AED, it must stop the ongoing cardiopulmonary resuscitation to let the machine interpret that the patient is shockable or nonshockable. If ambulance man stop cardiopulmonary resuscitation for AED interpreting the patient’s situation with no heartbeat, it will lead to the survival rate of patients decreased.
In order to improve the above dilemma, this study provides several ways to improve the above problems.
en
dc.description.provenanceMade available in DSpace on 2021-06-08T02:50:48Z (GMT). No. of bitstreams: 1
ntu-106-R03945032-1.pdf: 5230341 bytes, checksum: 4994271134486677ca810f56a89808ad (MD5)
Previous issue date: 2017
en
dc.description.tableofcontents口試委員會審定書 #
致謝 i
中文摘要 ii
ABSTRACT iii
CONTENTS iv
LIST OF FIGURES vii
LIST OF TABLES viii
Chapter 1 Introduction 1
1.1 Background 1
1.2 Motivation 8
1.3 Organization of the Thesis 11
Chapter 2 Method 14
2.1 Mixed-Signal Stage 14
2.1.1 ECG Signal 14
2.1.2 CPR Signal 16
2.2 Time-Frequency Signal Analysis Stage 17
2.2.1 Short time Fourier transform 17
2.2.2 Wavelet transform 19
2.2.3 Spectrogram 21
2.2.4 Tools Selected 22
2.3 Edge Detection Stage 23
2.3.1 Edge Detection 23
2.4 Ensemble Empirical Mode Decomposition (EEMD) and Intrinsic Mode Functions (IMFs) Stage 26
2.4.1 Empirical Mode Decomposition(EMD) 26
2.4.2 Ensemble empirical mode decomposition (EEMD) 29
2.4.3 Compare with EMD and EEMD 31
2.5 Event Detection Stage 32
2.5.1 Event Detection 32
2.6 Independent Component Analysis (ICA) Stage 34
2.6.1 Independent Component Analysis (ICA) 34
2.7 Principal Components Analysis (PCA) Stage 38
2.7.1 Principal components analysis (PCA) 38
Chapter 3 Result 42
3.1 Result of Heartbeat Detection with Wavelet 42
3.1.1 Description of the experience of Heartbeat Detection with Wavelet 42
3.1.2 The results of sensitivity and specificity by Heartbeat
Detection with wavelet 44
3.2 Result of MCICA 45
3.2.1 Description the experience of MCICA 45
3.2.2 The cross-correlation between reconstructed ECG signals and original ECG signals with MCICA 46
3.3 Result of SCICA 47
3.3.1 Description the experience of SCICA 47
3.3.2 The cross-correlation between reconstructed ECG signals and
original ECG signals with SCICA 48
3.4 Result of Heartbeat Detection with IMFs 49
3.4.1 Description the experience of Heartbeat Detection 49
3.4.2 The results of sensitivity and specificity by Heartbeat
Detection with IMFs 50
Chapter 4 Discussion and Conclusion 51
4.1 Discussion 51
4.1.1 Discussion of Heartbeat detection 51
4.1.2 Discussion of MCICA 53
4.1.3 Discussion of SCICA 53
4.1.4 Discussion of Heartbeat Detection with IMFs 54
4.2 Conclusion and Future Work 55
Reference 57
dc.language.isoen
dc.title心肺復甦術下心電圖信號之分析與重建zh_TW
dc.titleAnalysis and Reconstruction of Electrocardiogram(ECG) signals during Cardiopulmonary Resuscitation(CPR)en
dc.typeThesis
dc.date.schoolyear105-2
dc.description.degree碩士
dc.contributor.oralexamcommittee張瑞峰(Ruei-Fong Chang),韓謝忱(Hsieh-Cheng Han)
dc.subject.keyword心電圖,獨立成分分析,主成分分析,zh_TW
dc.subject.keywordElectrocardiogram Signals,ICA,PCA,EEMD,EMD,IMF,en
dc.relation.page62
dc.identifier.doi10.6342/NTU201702647
dc.rights.note未授權
dc.date.accepted2017-08-16
dc.contributor.author-college電機資訊學院zh_TW
dc.contributor.author-dept生醫電子與資訊學研究所zh_TW
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