ARTIFACT DETECTOR IN THE MEASUREMENT OF LIVING BODY SIGNALS

Abstract: A device for detecting high-frequency artifact contained in the signals of electrocardiogram. High-frequency com­ ponents having amplitudes greater than a predetermined value are extracted with a predetermined frequency at a predetermined time interval of electrocardiogram signals that are input, and are transformed into pulses. The pulses are then counted and are compared with a predetermined value, in order to detect the presence of high-frequency artifact maintaining a high precision. This device is used being conntected to, for example, an electrocardiograph, an electrocardiogram analyzer and the like, and correctly dis­ criminates between the high-frequency artifact and abnor­ mal waveforms of electrocardiogram.

Description: The present invention relates to an artifact detecting apparatus comprising a filter for extracting high frequency components from an input electrocardiogram signal, comparing and pulse generating means for comparing the voltage amplitude of said high frequency components with a first predetermind value and for generating a pulse, when said amplitude voltage exceeds said first predetermind value, and pulse-counting means. In particular, the invention relates to an apparatus for descriminating the relatively high frenquency noise (high frequency artifact) contained in an electrocardiogram signal from the natural electrocardiogram signal and for detecting the presence of the high frequency artifact with a high precision. The apparatus according to the present invention is used, for example, in connection with an elimination circuit of the high frequency artifact in an automatic electrocardiogram analyzer, a recognition stopping apparatus for the prevention of misrecognition in an arrhythmia recognition apparatus, and the like. In general, an electrocardiogram is used in the diagnosis of cardiac diseases and recorded as a potential difference between the electrodes attached to the limb or chest, corresponding to the change of action potential accompanying a cardiac contraction. A typical electrocardiogram waveform is shown in Fig.1. In the electrocardiogram waveform obtained through actual recording, there often appears a high frequency artifact AF occuring due to myoelectricity, the movement of electrodes and the like as shown in Fig.2. Such a high frequency artifact frequently occurs, particularly in the long term electrocardiogram record which is the electrocardiogram recorded under the condition of living a routine life with a long time electrocardiograph attached to the body. In the conventional diagnosis of cardiac diseases, a skilled examination engineer visually examines the electrocardiogram waveform, judges whether or not, for example, a portion R (hereinafter referred to as R wave), having high frequency components occurs at an almost constant cycle, and decides the presence or absence of cardiac diseases based on the visual judgement. When the amplitude level of the high frequency artifact is low, it is relatively easy to visually discriminate both an abnormal electrocardiogram waveform and a normal electrocardiogram from the high frequency artifact. However, when the amplitude level of the high frequency artifact is approximate to that of the abnormal electrocardiogram waveform, it is difficult to exactly visually discriminate the former from the latter. Therefore, there has been a problem of misrecognition of the high frequency artifact as an abnormal electrocardiogram waveform, and it has been impossible to discriminate the former from the latter especially in the apparatus recognizing the electrocardiogram waveform electrically, such as an automatic analyzer and the like. A prior art artifact detecting apparatus as referred to above is described, in US-Patent 3 602 222. In the prior art apparatus the output voltage representing the heart beat rates of the patient and any chance in level therein is detected and compared with a predetermined threshold, whereupon the artifact (arrhythmia) is indicated. On the other hand, this prior art apparatus indicates an alarm not only due to artifacts originating from the environment, e.g. from myoelectricity or electrodes movement but even if the artifact, i.e. the high frequency components originates from the electrical activity of the heart. Hence, it is the object of the present invention to provide an artifact detecting apparatus which indicates an alarm only if the artifact originates from elsewhere, e.g. from myoelectricity or electrodes movement rather than from the electrical activity of the heart. Therefore, the artifact detecting apparatus referred to above is characterized in that said pulse-counting means are provides for counting pulses from said comparing and pulse-generating means within a predetermined time interval of 100 msec or less and that comparing and detecting means are provided for comparing a value output from said pulse-counting means with a preset second predetermined value of at least 6 and for detecting an artifact based on a result of said comparison. The artifact detecting apparatus according to the present invention detects the high frequency artifact based on the number of appearances of high frequency components (for example, 100 Hz or more) existing in the arbitrary constant time interval of the electrocardiogram signal. Figure 3 shows a diagram for explaining the principle of artifact detection according to the apparatus of the present invention. In Fig. 3, (1), assuming that one cycle of the electrocardiogram signal is 1 (sec) and the time interval in which high frequency components are counted is 100 (msec), the count value of the high frequency components obtained from the electrocardiogram waveform is "3" because the portions at which the electrocardiogram signal has high frequency components are the Q wave, R wave, and S wave, and the time interval between Q wave and S wave is about 60 (msec). On the other hand, assuming that an abnormal electrocardiogram signal appears i.e., a block waveform as shown in Fig. 3, (2), the count value of the high frequency components obtained from the electrocardiogram waveform is "5" because the portions at which the electrocardiogram signal has high frequency components are the Q wave, R wave, A wave, B wave, and S wave. One example of the high frequency artifact is shown in Fig. 3, (3). In this case, the count value of the high frequency components obtained from the electrocardiogram waveform is "9", because this high frequency artifact has portions having nine high frequency components in the time interval of 100 (msec). Accordingly, it is possible to discriminate the high frequency artifact shown in Fig. 3, (3) from the electrocardiogram waveform by setting the critical number for the judgement for detecting the high frequency artifact to be at least "6". In this case, the number for the judgement corresponds to the aforementioned first predetermined value and this first predetermined value is preferably set to a voltage value for detecting a portion having high frequency components in either the normal electrocardiogram signal or the abnormal electrocardiogram signal. This first predetermined value is a voltage value capable of detecting at least one voltage level of voltage levels corresponding to the points Q, R, and S, respectively, having high frequency components among the section points existing in the electrocardiogram, a voltage value capable of detecting the high frequency artifact having an amplitude voltage value which does not have an influence on the extraction of the section points necessary to the recognition of the abnormal electrocardiogram waveform, and a maximum value of the amplitude voltage under the consideration that if a T wave of the electrocardiogram signal has passed the filter it may have a relatively great amplitude. On the other hand, the second predetermined value is preferably set to a value lying between a value output from the pulse-counting means corresponding to the last pulse of the largest pulses among the pulses generated within the predetermined time interval based on the comparison of the first predetermined value with the electrocardiogram signal having passed the filter and a value output from the pulse-counting means corresponding to the pulse preceding the last but one pulse. According to the present invention, the high frequency artifact can be detected with a high precision by detecting high frequency components of the frequency equal to or more than the predetermined value within a predetermined time interval of the electrocardiogram signal, by counting the components, and by comparing this counted value with a predetermined threshold value. BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 is a diagram showing an electrocardiogram waveform, Figure 2 is a diagram showing an electrocardiogram waveform accompanying a high frequency artifact, Figure 3 is a diagram for explaining the principle of artifact detection according to the artifact detecting apparatus of the present invention, Figure 4 is a block diagram showing one embodiment of the present invention, and, Figure 5 is a diagram showing the signal waveform of each point in the apparatus shown in Fig. 4. EMBODIMENT OF THE INVENTION One embodiment of the artifact detecting apparatus according to the present invention is shown in Fig. 4, and the signal waveform of each point in the apparatus shown in Fig. 4 is shown in Fig. 5. In Fig. 4, 1 is a high-pass filter. This high-pass filter 1 is provided for extracting only high frequency components from an electrocardiogram signal. 3 is a comparing and pulse-generating circuit. This comparing and pulse-generating circuit 3 is a circuit for converting into pulses an R wave of the normal electrocardiogram, an R wave distorted by the abnormal electrocardiogram due to ventricular extrasystole, and the like, and the high frequency artifact having the amplitude and frequency components approximately to an R wave of the normal electrocardiogram. That is to say, the comparing and pulse-generating circuit 3 is a circuit which compares the output signal S(1) voltage from the high-pass filter 1 with the output signal S(2) (threshold voltage E₀) from the threshold voltage setting circuit 2 and generates a pulse or pulses when the output signal S(1) voltage exceeds the threshold voltage E₀. The comparing and pulse-generating circuit 3 may be a Schmitt circuit as a concrete circuit. Threshold voltage E₀ set in the threshold voltage setting circuit 2 is set to a voltage value capable of detecting at least one voltage level of voltage levels corresponding to the points Q, R, and S, respectively, having high frequency components among the section points existing in the electrocardiogram, a voltage value capable of detecting the high frequency artifact having an amplitude voltage value which does not have an influence on the extraction of the section points necessary to the recognition of the abnormal electrocardiogram waveform, and a maximum value of the amplitude voltage under the consideration that a T wave of the electrocardiogram signal has passed the filter and may have a relatively great amplitude. 5 is an integrating circuit. This integrating circuit 5 is a circuit for integrating the high frequency pulses obtained through the comparing and pulse-generating circuit 3. 4 is a clock circuit. This clock circuit 4 generates a pulse S(4) at a predetermined time interval t₀ and resets the integrated output of the integrating circuit 5. 6 is a detecting level voltage setting circuit. The detecting level voltage E₁ is set in this detecting level voltage setting circuit 6. This detecting level voltage E₁ is set to a value lying between the integrated output voltage corresponding to the fifth pulse of the pulses input to the integrating circuit 5 and the integrated output voltage corresponding to the sixth pulse, for example, when the predetermined time interval t₀ of the pulse as shown in Fig. 5, (4) is 100 (msec). 7 is a comparing and detecting circuit. This circuit is a circuit for comparing the output signal S(5) voltage of the integrating circuit 5 with the output signal S(6) (detecting level voltage E₁) of the detecting level voltage setting circuit 6 and generating a pulse as an artifact detection signal S(7) at the output terminal OUT when the output signal S(5) voltage exceeds the detecting level voltage E₁. This artifact detection signal S(7) can be used in the desired application and supplied to, for example, an elimination circuit of the high frequency artifact in an automatic electrocardiogram analyzer or an recognition stopping apparatus for the prevention of misrecognition in an arrhythmia recognition apparatus. For example, in the case of the elimination circuit of the high frequency artifact, the waveform portions at which the high frequency artifact occurs in the electrocardiogram waveform can be automatically eliminated and an electrocardiogram waveform free of the high frequency artifact can be obtained, based on the artifact detection signal from the comparing and detecting circuit 7. The mode of operation of the artifact detecting apparatus constituted as above-mentioned will be explained hereinafter. The electrocardiogram signal S(c) applied to the input terminal IN as shown in Fig. 5, (1) is input to the high-pass filter 1, where the low frequency components are removed, and the electrocardiogram signal S(1) as shown in Fig. 5, (2) is obtained. This electrocardiogram signal S(1) is input to the comparing and pulse-generating circuit 3 and compared with the threshold voltage E₀ from the threshold voltage setting circuit 2, where only the electrocardiogram signal having exceeded the threshold voltage E₀ is converted into the high frequency pulses S(3) having a single amplitude and a single pulse width as shown in Fig. 5, (3). The high frequency pulses obtained in the comparing and pulse-generating circuit 3 are input to the integrating circuit 5 and integrated. Then, the integrating circuit 5 is reset by the output pulse S(4) of the clock circuit 4 as shown in Fig. 5, (4), so that the waveform as shown in Fig. 5, (5) is obtained as the output signal S(5) of the integrating circuit 5. The output signal S(5) of the integrating circuit 5 is input to the comparing and detecting circuit 7 and compared with the preset detecting level voltage E₁. Based on this comparison, the artifact detection signal S(7) as shown in Fig. 5, (6) is obtained at the output terminal OUT as the output of the comparing and detecting circuit 7 when the output signal S(5) voltage of the integrating circuit 5 exceeds the detecting level voltage E₁. This artifact detection signal S(7) can be used in the desired application as aforementioned. On the other hand, the electrocardiogram from the human organism is detected by means of at least the normal twelve leads. The normal twelve leads have a different waveform for each lead and include a lead having a positive R wave and a lead having a negative R wave. The phenomenon wherein the waveform differs for each lead occurs in the abnormal electrocardiogram waveform as well, and includes a lead having a positive R wave and a lead having a negative R wave. Therefore, the threshold voltage E₀ can be set as negative or as both positive and negative under the consideration of a lead having a negative R wave, although in the above-mentioned embodiment only the case wherein the threshold voltage E₀ input to the comparing and pulse-generating circuit is positive is described. Such a change of the threshold voltage can be readily carried out by changing the value of each constituent element. To the contrary, where the threshold voltage is set at only positive, the waveform obtained by converting a negative electrocardiogram waveform in the input signal to positive, a so-called absolute value waveform, may be generated by means of an inverter when the electrocardiogram signal is input to the comparing and pulse-generating circuit. This absolute value waveform is generally used in the electrocardiogram analyzer and is well known. Also, in the cases that the above-mentioned absolute value waveform is input, that the Q wave and S wave of the normal electrocardiogram have the possibility of being simultaneously detected as the high frequency pulse, that there is a lead in which the Q wave and S wave have a relatively great amplitude, and the like, there is a possibility that the number of the high frequency pulses in the normal electrocardiogram waveform and abnormal electrocardiogram waveform will exceed the threshold "6" of the number of the aforementioned high frequency pulses. Therefore, in order to prevent this, both the change of the setting of the threshold voltage E₀ input to the comparing and pulse-generating circuit and the change of the setting of the detecting level voltage E₁ input to the comparing and detecting circuit are made. Furthermore, in the above-mentioned embodiment the integrating circuit is used as the means for counting pulses output from the comparing and pulse-generating circuit. However, the means is not restricted to the integrating circuit and may be a counting circuit such as a binary counter which performs a comparison according to the sequence number. Moreover, in the above-mentioned embodiment the threshold voltage E₀ is set so that the high frequency amplitude voltage of Q, R and S wave can be detected, the predetermined time interval t₀ is set to contain the high frequency components of the Q, R, and S waves, and the detecting level voltage E₁ is set to a detecting level under the consideration of the high frequency components of arrhythmia. However, the values of the threshold voltage E₀ , the predetermined time interval t₀ , and the detecting level voltage E₁ are not restricted to the above-mentioned. For example, the precision of discrimination of the high frequency artifact can be improved by setting the threshold voltage E₀ so that only the high frequency amplitude voltage of the R wave can be detected, by setting the predetermined time interval t₀ to a shorter interval, and by setting the detecting level voltage E₁ to a value under the consideration of only the high frequency components of the R wave. Accordingly, the detection of the high frequency artifact can be carried out by appropriately selecting the respective value independently of or dependently on each other according to the purpose of diagnosis. List of Reference Indications 1 high-pass filter 2 threshold voltage setting circuit 3 comparing and pulse-generating circuit 4 clock circuit 5 integrating circuit 6 detecting level voltage setting circuit 7 comparing and detecting circuit AF high frequency artifact E₀ threshold voltage E₁ detecting level voltage t₀ predetermined time interval

Claims: An artifact detecting apparatus comprising a filter (1) for extracting high frequency components from an input electrocardiogram signal, comparing and pulse-generating means (3) for comparing the voltage amplitude of said high frequency components with a first predetermined value and for generating a pulse, when said amplitude voltage exceeds said first predetermined value, and pulse-counting means (5) characterized in that said pulse-counting means (5) are provided for counting pulses from said comparing and pulse-generating means (3) within a predetermined time interval of 100 msec or less and that comparing and detecting means (7) are provided for comparing a value output from said pulse-counting means (5) with a preset second predetermined value of at least 6 and for detecting an artifact based on a result of said comparison. Apparatus as set forth in claim 1, characterized in that predetermined value is set to a voltage value for detecting a portion having high frequeny components in either a normal electrocardiogram signal or an abnormal electrocardiogram signal.

Inventors: SASAKI, MINORU
Applicants: KABUSHIKI KAISYA ADVANCE
Application year: 1985
Main classification: A61B5
IPC codes: A61B5