TWI693063B - Electrocardiogram quick labeling method - Google Patents

Abstract

An electrocardiogram quick labeling method includes the following steps. First, an electrocardiogram measurement record is provided and then a plurality of lead electrocardiograms of the electrocardiogram measurement record are displayed on a display. The display has a first display area located in a lower portion of the display, and a second display area located in an upper portion of the display, the first display area displays a long-term electrocardiogram of one of the lead electrocardiograms, and the second display area displays a plurality of short-term electrocardiograms of the lead electrocardiograms. Subsequently, the quality of the lead electrocardiograms of the electrocardiogram measurement record is determined, and at least one disease item of the long-term electrocardiogram in the first display area is labeled, and then at least one disease item of the short-term electrocardiogram in the second display area is labeled.

Description

Fast marking method of electrocardiogram

The invention relates to an ECG marking method. In particular, there is a method for quickly marking an electrocardiogram.

With the advancement of science and technology and the advancement of medical technology, the life span of human beings has gradually increased. At present, my country has gradually entered an aging society, the proportion of the elderly population is increasing year by year, and heart disease has also become one of the number one invisible killers of the silver-haired people.

Arrhythmia is a common symptom of heart-related diseases, so monitoring of heart-related diseases is an important issue for the elderly. At present, the detection of heart rate/ECG is mainly monitored by ECG measurement equipment, and then interpreted by a doctor.

However, because everyone's natural constitution is different, relying on traditional ECG comparison methods, purely manual interpretation of ECG and as a basis for disease diagnosis, time-consuming and often may overlook details. How to interpret each electrocardiogram correctly and effectively with the help of a computer will help to detect changes in the body early, and more effectively achieve the preventive effect of related diseases.

In view of this, the present invention discloses a rapid electrocardiogram marking method, which can quickly and accurately mark the disease of the electrocardiogram, thereby improving the medical quality.

According to one embodiment disclosed by the present invention, it relates to a method for quickly marking an electrocardiogram, which includes the following steps: first, provide an electrocardiogram measurement record, and then display a plurality of leads of the electrocardiogram measurement record on a display . The display includes a first display area located at a lower area of the display, and a second display area located at an upper area of the display. The first display area displays a long-term ECG of one of the aforementioned leads, and the first The second display area displays a plurality of short-term ECGs of the aforementioned lead.

Next, the accuracy of the lead electrocardiogram recorded by the electrocardiogram measurement is judged, and the disease item of the long-term electrocardiogram in the first display area is marked, and then the disease item of the short-term electrocardiogram in the second display area is marked.

In some embodiments, the long-term electrocardiogram includes an electrocardiogram greater than 5 seconds, and the short-term electrocardiogram includes a plurality of electrocardiograms greater than 1 second.

In some embodiments, the long-term electrocardiogram displayed in the first display area includes a lead electrocardiogram for judging the heart rhythm.

In some embodiments, the rapid ECG labeling method further includes outputting an ECG labeling result based on the disease items recorded in the ECG measurement record.

In addition, the rapid ECG labeling method further includes generating a recommendation content according to the ECG labeling result.

In some embodiments, judging the correctness of the lead of the ECG measurement record includes selecting the ECG of the aforementioned lead, displaying a first menu on the display, and determining the ECG of the aforementioned lead, which belongs to the first menu One ECG quality option. Among them, the first menu contains the following ECG quality options: normal ECG, abnormal ECG, ECG data with missing leads, excessive interference waves, or incorrect placement of the right heart position or electrode position.

In some embodiments, marking the long-term ECG disease item in the first display area includes selecting the long-term ECG in the first display area, displaying a second menu on the display, and determining whether the long-term ECG in the first display area is Having at least one disease option in the second menu, and when it is determined that the long-term electrocardiogram in the first display area has at least one disease option in the second menu, recording at least one disease option in the second menu in the electrocardiogram measurement record Among.

In some embodiments, the disease item labeling the long-term electrocardiogram of the first display area further includes dividing the long-term electrocardiogram of the first display area into a plurality of heartbeat blocks according to the heartbeat, and selecting the long-term electrocardiogram of the first display area At least one of the heartbeat blocks displays a third menu on the display to determine whether at least one of the heartbeat blocks of the long-term electrocardiogram in the first display area has at least one disease option in the third menu, and When it is determined that at least one of the heartbeat blocks of the long-term electrocardiogram in the first display area has at least one disease option in the third menu, the at least one disease option in the third menu is recorded in the electrocardiogram measurement record.

In some embodiments, the third menu may display different menus for selection according to the number of selected heartbeat blocks.

In some embodiments, the content of the second menu and the third menu are different.

In some embodiments, the short-term ECG disease items marked in the second display area include: click at least one of the short-term ECGs of the leads in the second display area, display a fourth menu on the display, and determine Whether at least one of the short-term electrocardiograms of the second display area has at least one disease option in the fourth menu, and when it is determined that at least one of the short-term electrocardiograms of the second display area has a fourth menu When at least one disease option is selected, record the at least one disease option in the fourth menu in the ECG measurement record.

In some embodiments, the contents of the second menu, the third menu, and the fourth menu are different.

In some embodiments, the fourth menu displays different menus for selection according to the short-term electrocardiograms of different leads.

In some embodiments, recording at least one disease option in the second menu and the third menu in the ECG measurement record further includes a second menu and a third menu disease option to be recorded in the ECG measurement record , Marked on the corresponding heartbeat position on the long-term ECG of each lead.

In some embodiments, recording at least one disease option in the fourth menu in the ECG measurement record further includes a disease option in the fourth menu recorded in the ECG measurement record, which is marked on the lead On a long ECG.

Therefore, the rapid ECG labeling method disclosed by the present invention can facilitate physicians and patients to quickly and correctly understand heart disease and obtain relevant information Guan's suggestion, and at the same time increase the effective marking data in the data database, which will help the subsequent artificial intelligence to identify the disease, thereby improving the accuracy of the artificial intelligence judgment of heart disease, and further effectively improving the quality of medical treatment.

100‧‧‧ rapid ECG marking method

110~170‧‧‧Step

210~230‧‧‧Step

310~390‧‧‧Step

410~440‧‧‧ steps

500‧‧‧Monitor

510‧‧‧First display area

520‧‧‧Second display area

610‧‧‧ First Menu

710‧‧‧Long-term ECG

712‧‧‧Outer frame

810‧‧‧Second Menu

Block 901~909‧‧‧

912‧‧‧frame

914‧‧‧frame

1110‧‧‧ Third Menu

1210‧‧‧ Short-term ECG

1220‧‧‧ Short-term ECG

1410‧‧‧Fourth Menu

1610‧‧‧V2 lead ECG

In order to make the above and other objects, features, advantages and embodiments of the present disclosure more obvious and understandable, the drawings are described as follows: FIG. 1 is a method for quickly marking an electrocardiogram according to an embodiment of the invention Schematic.

FIG. 2 is a schematic diagram of the steps for judging the accuracy of the electrocardiogram of the lead recorded by the electrocardiogram measurement according to the rapid electrocardiogram marking method of FIG. 1.

FIG. 3 is a schematic diagram of the steps of marking the long-term electrocardiogram disease item of the first display area according to the rapid electrocardiogram marking method of FIG. 1.

FIG. 4 is a schematic diagram of steps for marking a short-term electrocardiogram disease item in the second display area according to the rapid electrocardiogram marking method of FIG. 1.

FIG. 5 is a schematic diagram showing an electrocardiogram displayed on the display according to the quick electrocardiogram marking method of FIG. 1.

Fig. 6 is a schematic diagram of the first menu according to the quick ECG marking method of Fig. 1.

FIG. 7 is a schematic diagram of a display for marking a long-term electrocardiogram disease item in the first display area according to the rapid electrocardiogram marking method of FIG. 1.

Fig. 8 is a schematic diagram of a second menu according to the quick ECG marking method of Fig. 1.

FIG. 9 is another schematic diagram of a display of a long-term electrocardiogram disease item of the first display area according to the rapid electrocardiogram marking method of FIG. 1.

FIG. 10 is another schematic diagram of the display of the disease item of the long-term electrocardiogram that marks the first display area according to the rapid electrocardiogram marking method of FIG. 1.

Fig. 11 is a schematic diagram of a third menu according to the quick ECG marking method of Fig. 1.

FIG. 12 is a schematic diagram of a display of a short-term ECG disease item for marking a second display area according to the rapid ECG marking method of FIG. 1.

FIG. 13 is another schematic diagram of the display of the short-term electrocardiogram disease items of the second display area according to the rapid electrocardiogram marking method of FIG. 1.

FIG. 14A is a schematic diagram of a part of the fourth menu according to the quick ECG marking method of FIG. 1.

FIG. 14B is another schematic diagram of the fourth menu according to the quick ECG marking method of FIG. 1.

Fig. 15 is a schematic diagram of the ECG marking result and the recommended content according to the quick ECG marking method of Fig. 1.

Figure 16 is a schematic diagram of the disease options recorded in the electrocardiogram measurement record according to the rapid electrocardiogram marking method of Figure 1 and marked on each lead of the long-term electrocardiogram.

The following is a detailed description of the embodiments in conjunction with the accompanying drawings, but the provided embodiments are not intended to limit the scope covered by the disclosure, and the description of structural operations is not intended to limit the order of execution, any recombination of components Knot The structure and the resulting devices with equal effects are all covered by this disclosure. In addition, the drawings are for illustrative purposes only, and are not drawn according to the original dimensions. For ease of understanding, the same elements or similar elements in the following description will be described with the same symbols.

In addition, the terms used in the entire specification and the scope of patent application, unless otherwise specified, usually have the ordinary meaning that each term is used in this field, in the content disclosed here, and in the special content . Certain terms used to describe this disclosure will be discussed below or elsewhere in this specification to provide additional guidance to those skilled in the art in the description of this disclosure.

Regarding the terms "first", "second", ... etc. used in this article, it does not specifically refer to the order or order, nor is it used to limit the present invention, it is only to distinguish the elements described in the same technical terms Or just operate.

Secondly, the words "contain", "include", "have", "contain", etc. used in this article are all open terms, which means including but not limited to.

FIG. 1 is a schematic diagram of a rapid ECG marking method according to an embodiment of the invention. FIG. 2 is a schematic diagram of the steps for judging the accuracy of the lead of the ECG measurement record. FIG. 3 is a schematic diagram of the procedure for marking the disease item of the long-term electrocardiogram in the first display area. FIG. 4 is a schematic diagram of the procedure for marking the short-term electrocardiogram disease item in the second display area. Fig. 5 is a schematic diagram showing an electrocardiogram on the display. Figure 6 is a schematic diagram of the first menu. Figure 7 is a schematic diagram of the display of the disease items of the long-term electrocardiogram marking the first display area, and Figure 8 is a schematic diagram of the second menu. Figure 9 is another display of the disease items of the long-term electrocardiogram marking the first display area. Schematic diagram, Figure 10 is another schematic diagram, Figure 11 is the third menu diagram. FIG. 12 is a schematic diagram of a display of a disease item of a short-term electrocardiogram marking a second display area, FIG. 13 is another schematic diagram, and FIGS. 14A and 14B are schematic diagrams of a fourth menu. Figure 15 is a schematic diagram of the results of ECG labeling and suggested content. Figure 16 is a schematic diagram of the disease options recorded in the ECG measurement record on each lead of the long-term ECG.

As shown in FIG. 1, a method 100 for quickly marking an electrocardiogram includes the following steps. Step 110, providing an electrocardiogram measurement record, and step 120, referring to FIG. 6 at the same time, displaying a plurality of leads of the electrocardiogram measurement record on a display 500, wherein the display 500 includes a first display area 510, located on the display A lower area of 500 and a second display area 520 are located in an upper area of the display 500. The first display area 510 displays a long-term electrocardiogram of one of the plurality of leads, and the second display area 520 displays a plurality of short-term electrocardiograms of the plurality of leads.

Among them, the multiple leads can include the first lead Lead I, the second lead Lead II, the third lead Lead III, the enhanced limb lead Lead aVR, the enhanced limb lead Lead aVL, the enhanced limb lead Lead aVF and the chest The leads V1-V6 are respectively displayed in the rectangular area of the second display area 520. For example, the electrocardiogram of each lead displays a short-term electrocardiogram of more than 1 second, for example, 2.5 seconds. The first display area 510 is used to display a long-term electrocardiogram to display the long-term electrocardiogram used to determine the lead of the heart rhythm, such as the first lead Lead I, the second lead Lead II or the third lead Lead The long-term electrocardiogram of each lead of III and so on is greater than 5 seconds, such as 8 seconds or 10 seconds, but the invention is not limited thereto.

Next, in step 130, the accuracy of the electrocardiograms of the multiple leads recorded by the electrocardiogram measurement is determined. Also refer to FIG. 2, in step 130, the determination of the accuracy of the ECG measurement recorded ECG leads can include the following steps, first step 210, click on any position of the ECG of these leads, step 220, display A first menu 610 (see FIG. 6) is displayed on the display 500, and step 230, the ECGs of these leads are determined, which belong to an ECG quality option in the first menu 610, which may include the following ECG quality options, For example, Normal ECG, Abnormal ECG, Missing lead, Missing lead, Too much artifact, or Right heart position or electrode placement error (Consider dextrocardia or leads placement error) and other reasons, resulting in abnormal ECG quality.

When judging the quality of the ECG, you can first use the computer to judge based on the data stored in the database, such as the big data database and use artificial intelligence to automatically determine and select, when the data and artificial intelligence can not be judged , It can be further judged by a professional doctor to determine whether there is any abnormality in the quality of the electrocardiogram, and recorded in the database. When the ECG belongs to Abnormal ECG, it needs to be further marked. When the electrocardiogram is a normal electrocardiogram, the electrocardiogram data of a part of the lead is missing, excessive interference waves, etc., there is no need for subsequent labeling. In addition, when the electrocardiogram belongs to the right heart position or the electrode is placed incorrectly, it can be supplemented with computer data processing, modified to the correct electrocardiogram, and then marked.

Next, further mark the ECG to be marked, for example, an abnormal ECG or an electrocardiogram that has been placed in a wrong position on the restored electrode. First, in step 140, the disease items of the long-term electrocardiogram in the first display area 510 are marked. Also refer to Figure 3 and Figures 7 to 11, as shown in the figure, marking the long-term ECG disease items of the first display area 510 includes, first, step 310, click the long-term ECG of the first display area 510 710, an outer frame 712 may appear to frame the long-term electrocardiogram 710 of the first display area 510, then step 320, a second menu 810 is displayed on the display 500, and then, step 330 determines the first display area 510 Whether the long-term electrocardiogram 710 has at least one disease option in the second menu 810, and step 340, when it is determined that the long-term electrocardiogram 710 in the first display area 510 has at least one disease option in the second menu 810, the second At least one disease option in the menu 810 is recorded in the electrocardiogram measurement record.

Among them, the second menu 810 is mainly related to diseases related to the overall heart rhythm, and may include at least the following disease options: there are options about sinus rhythm (Normal sinus rhythm), which includes sinus arrhythmia (Sinus arrhythmia), Sinus bradycardia (Sinus bradycardia), sinus tachycardia (Sinus tachycardia) or ventricular escape rhythm (Ventricular escape rhythm).

Diseases related to atrial rhythm, such as ectopic atrial escape rhythm, sick sinus syndrome, ventricular tachycardia, ventricular fibrillation ( Ventricular fibrillation), Atrial tachycardia, Atrial tachycardia, multifocal (Atrial tachycardia, multifocal), Supraventricular tachycardia (SVT) (Supraventricular tachycardia; SVT), atrial fibrillation (Atrial flutter) or atrial fibrillation (Atrial fibrillation).

Regarding atrioventricular junction rhythm, for example, it is junction escape rhythm or junction tachycardia.

Diseases related to ventricular rhythm are, for example, ventricular escape rhythm, accelerated ventricle rhythm, ventricular tachycardia or ventricular fibrillation.

Pacemaker errors, such as atrial pacing, ventricular pacing, atrial sensing, ventricular pacing (atrial sensing, ventricular pacing), sequential ventricular pacing ( Atrioventricular sequential pacing), pacemaker failure, failure to capture (Pacemaker malfunction, fail to capture) or pacemaker failure, failure to sense (Pacemaker malfunction, fail to sense) and other reasons.

When judging whether there is a disease cause in the second menu 810, you can first use a computer to judge based on the data stored in the database, such as a big data database and artificial intelligence to automatically determine and select. When judging the data data, a professional doctor can further judge whether the long-term electrocardiogram 710 in the first display area 510 exists in the second menu 810 and the disease option is recorded in the database. When the computer cannot judge correctly It can be further judged by a professional doctor to determine whether there is any abnormality in the quality of the electrocardiogram and recorded in the database. The doctor can conveniently select the related disease or cause directly from the second menu 810, and record the related disease in the database by the computer. Therefore, with the rapid ECG labeling method 100 of the present invention, not only can big doctors and artificial intelligence be used to quickly help doctors mark diseases on ECG, but also the labeling of disease types of big data can be continuously increased to be more accurate Carry out the judgment of heart disease, at the same time improve the accuracy of the subsequent judgment of the computer, and it is more convenient for the doctor to mark the electrocardiogram.

In addition, the disease items of the long-term electrocardiogram marked with the first display area 510 further include the following steps, and also refer to FIG. 9, step 350, to further divide the long-term electrocardiogram 710 of the first display area 510 into a plurality of heartbeats Heartbeat blocks, such as blocks 901 to 909, and then, step 360, select at least one of the heartbeat blocks of the long-term electrocardiogram 710 in the first display area 510, for example, select block 902 in the figure, when selected The block 902 is framed by an outer frame 912, for example, the block 902 is surrounded by a thick outer frame. Step 370, display a third menu 1110 on the display 500, and step 380, determine whether the selected heartbeat block in the long-term electrocardiogram 710 of the first display area 510 has at least one disease option in the third menu 1110, and then, Step 390, when it is determined that the selected heartbeat block in the long-term electrocardiogram 710 of the first display area 510 has at least one disease option in the third menu 1110, record at least one disease option in the third menu 1110 in the electrocardiogram volume In the test record.

When judging whether there is a cause of disease in the third menu 1110, you can first use a computer to judge based on the data already stored in the database, such as automatic judgment and selection by the big data database and artificial intelligence. When judging according to the data, a professional doctor can further judge whether the cause of the disease in the third menu 1110 exists in the block of the long-term electrocardiogram 710 in the first display area 510 and record it in the database. in. When the computer cannot judge correctly, it can be further judged by a professional doctor. The doctor can conveniently click the related disease or cause directly from the third menu 1110, and the computer records the related disease in the database. Therefore, with the rapid electrocardiogram marking method 100 of the present invention, not only can big doctors quickly help doctors mark diseases on the electrocardiogram, but also can continuously increase the disease type data of the big data data to more accurately carry out the heart Judgment of the disease, while improving the accuracy of subsequent judgments by the computer, is more convenient for the doctor to mark the electrocardiogram.

It is worth noting that in order to mark heart diseases quickly and conveniently, and to display the corresponding heart diseases more conveniently and quickly, and to increase the efficiency of doctor marking, the second menu 810 and the third of the rapid ECG marking method 100 The menu 1110 is not the same. Among them, the second menu 810 only displays diseases related to the overall heart rhythm, and the third menu 1110 displays diseases related to heartbeat.

Among them, the third menu 1110 is mainly related to diseases related to heartbeat, and may include at least the following disease options: there are diseases related to premature beats, for example, there are options related to Atrial premature beat, there are Abnormal (With aberrancy) or without aberrancy (Without aberrancy), there are diseases about junctional premature beat (Junctional premature beat), there are options about ventricular premature beat (Ventricular premature beat), use R-on-T (With R-on- T) or fusion normal beat).

The third menu 1110 may also include at least the following disease options, such as disease options for Escape beats, Atrial escape beat, Junction escape beat, or Ventricular escape beat).

The third menu 1110 may include at least the following disease options, for example, there are options related to the beat (Paced beat), such as atrial pacing (Atrial paced), ventricular pacing (Ventricular paced) or atrioventricular sequential pacing ( Atrioventricular sequentially paced).

The third menu 1110 may further include at least the following disease options, for example, arrhythmia (Arrhythmias) disease options, such as supraventricular tachycardia (Supraventricular tachycardia), junctional tachycardia (Junctional tachycardia), ventricular Ventricular tachycardia, Atrial fibrillation, Atrial flutter, Torsade de Pointe (TdP), Ventricular fibrillation, 1° AV block, 1° AV block, 2° atrial Ventricular block Mobitz Type I (Wenckebach), (2° AV block Mobitz Type I (Wenckebach)), 2° atrioventricular block Mobitz Type II (2° AV block Mobitz Type II), 3° atrioventricular block Disease options such as conduction block (3° AV block) or AV dissociation. When a single block is selected, the third menu 1110 may have the disease option mentioned above.

In addition, it is worth noting that, referring to FIG. 10, as shown in the figure, when clicking, multiple blocks can also be clicked simultaneously in the outer frame 914, for example, simultaneous selection Block 902, Block 903, and Block 904, or select multiple blocks such as Block 902 and Block 904. At this time, the third menu 1110 may further display the disease options common to the multiple blocks, to Displayed on the display 500, and selected by the computer or further modified or selected by the doctor, to further help the doctor to quickly mark the disease on the electrocardiogram by big data and artificial intelligence, while continuously increasing the big data Mark the disease type of the data, and adjust the disease menu in real time according to the selected single heartbeat block or multiple heartbeat blocks, so as to make a more accurate judgment of heart disease, and at the same time improve the accuracy of subsequent judgments of the computer. It is convenient for the doctor to mark the electrocardiogram.

In some embodiments, the third menu 1110 contains diseases related to multiple blocks, that is, diseases related to multiple heartbeats, and may include at least the following disease options: diseases related to premature beats, such as About the options of Atrial premature beat, there are abnormal (With aberrancy) or no abnormal (Without aberrancy), about the disease of junction premature beat (Junctional premature beat), about the disease of ventricular premature beat (Ventricular premature beat) .

The third menu 1110 is about diseases of multiple heartbeats, and may also include at least the following disease options, such as Paced beat options, such as Atrial pacing (Atrial paced), Ventricular pacing (Ventricular paced) or atrial Atrioventricular sequentially paced.

The third menu 1110 contains diseases related to multiple heartbeats, and may include at least the following disease options, for example, arrhythmia (Arrhythmias) disease options, such as supraventricular tachycardia, junctional tachycardia, ventricular tachycardia, atrial fibrillation, and atrial fibrillation flutter), Torsade de Pointe (TdP), ventricular fibrillation, 1° AV module (1° AV block), 2° atrioventricular block Mobitz Type I (Wenckebach), (2° AV block Mobitz Type I(Wenckebach)), 2° atrioventricular block Mobitz Type II (2° AV block Mobitz Type II), 3° atrioventricular block (3° AV block) or atrioventricular separation (AV dissociation) and other diseases Options. When a plurality of blocks are selected, the third menu 1110 shows the above-mentioned disease option.

Then, in step 150, the disease items of the short-term electrocardiogram in the second display area 520 are marked. Also refer to FIG. 12, FIG. 14A and FIG. 14B. In step 150, mark the short-term ECG disease item of the second display area 520, including the following steps, step 410, click the second display area 520 At least one of the lead short-time electrocardiograms 1210 is not limited to this, and a plurality of short-time electrocardiograms may be selected at the same time, for example, a short-time electrocardiogram 1210 and a short-time electrocardiogram 1220 are simultaneously selected. Step 420, displaying a fourth menu 1410 on the display 500, step 430, determining whether at least one of the short-term electrocardiograms of the lead of the second display area 520 has at least one disease option in the fourth menu 1410, and then, the step 440, when it is determined that at least one of the short-term electrocardiograms of the lead of the second display area 520 has at least one disease option in the fourth menu 1410, the at least one disease in the fourth menu 1410 is selected The disease options are recorded in the ECG measurement record.

Among them, referring to FIG. 14A, the fourth menu 1410 is mainly related to diseases of the heart structure, and may include at least the following disease options, for example, options related to P wave abnormality, such as right atrial enlargement (Right atrial diseases such as enlargement, left atrial enlargement, or bi-atrial enlargement.

The fourth menu 1410 may also include at least the following disease options, such as QRS voltage and axis (QRS voltage and Axis) disease options, such as paroxysmal tachycardia (Wolff-Parkinson-White pattern), low Diseases such as low voltage, left axis deviation, right axis deviation, or electrical alternans.

The fourth menu 1410 may further include at least the following disease options, such as the disease options of Intra-ventricular Conduction, such as RBBB, complete (RBBB, complete), RBBB, incomplete (RBBB, incomplete), LBBB , Complete (LBBB, complete), LBBB, incomplete (LBBB, incomplete), Left anterior fascicular block, Left posterior fascicular block or non-specific indoor conduction delay ( Nonspecific intraventricular conduction delay (IVCD) and other diseases. Among them, RBBB is Right Bundle Branch Block (Right Bundle Branch Block), LBBB is Left Bundle Branch Block (Left Bundle Branch Block).

The fourth menu 1410 may further include at least the following disease options Items such as ventricular hypertrophy (Ventricular hypertrophy) and other disease options, such as left ventricle hypertrophy (LVH), right ventricular hypertrophy (RVH), bi-ventricular hypertrophy (BVH) and other diseases .

Referring to FIG. 14B, the fourth menu 1410 may also include at least the following disease options, such as Q Wave myocardial infarction (Anterolateral (recent or acute)) ), anterolateral (age indeterminate or old), anterior or anterior interval (recent or acute), (Anterior or anteroseptal (recent or acute)), anterior or anterior interval (age (Anterior or anteroseptal (age indeterminate or old)), Lateral (recent or acute), Lateral (age indeterminate or old) (Lateral (age indeterminate or old)) ), inferior (recent or acute), inferior (age indeterminate or old), posterior (recent or acute), Options such as Posterior (age indeterminate or old).

The fourth menu 1410 may also include at least the following disease options, such as ST segment or T wave abnormalities (ST segment or T wave abnormalities) disease options, such as early repolarization (Early repolarization), juvenile T wave (Juvenile T waves), non-specific ST and/or T wave abnormalities), ST and/or T wave abnormalities suggesting myocardial ischemia, ST and/or T wave abnormalities suggesting myocardial injury, ST and/or T wave abnormalities suggesting electrolyte imbalance, ST and/or T wave abnormalities secondary to hypertrophy, spikes T wave (Peaked T wave), prominent U wave (Prominent U waves) or QT interval extension (Prolonged QT interval) and other options.

The fourth menu 1410 may also include at least the following disease options, such as acute pericarditis (Acute pericarditis), Brugada syndrome (Brugada syndrome), chronic lung disease (Chronic lung disease), pulmonary heart disease or pulmonary embolism (Corpulmonale , or pulmonary embolus), Hypertrophic cardiomyopathy, Hypercalcemia, Hyperkalemia, Hyperkalemia, Hypocalcemia, Hypokalemia, Long QT syndrome (Long QT syndrome), pericardial effusion (Pericardial effusion), short QT syndrome (Short QT syndrome), Wolff-Parkinson-White syndrome (Wolff-Parkinson-White syndrome) and other disease options.

In some embodiments, the second menu 810, the third menu 1110, and the fourth menu 1410 have different disease options. In addition, when selecting a single short-term ECG or multiple short-term ECGs, the fourth menu 1410 can also be rooted According to the selected single or multiple leads, the content of the fourth menu can be changed for selection.

For example, RBBB is the right bundle branch block, which will only appear on the right side of the V1 to V3 lead ECG, while LBBB is the left bundle branch block, which will only appear on the left side of the V4 to V6 lead Cheng's electrocardiogram. Brugada syndrome (Brugada syndrome) is seen in the ECG of V1 and V2 leads.

In addition, myocardial infarct can be divided into septa that can appear on V1 and V2 lead electrocardiograms, and anterior (Anterior) appears on V3 and V4 lead electrocardiograms. Lateral (Lateral) appears on V5 and V6 lead electrocardiograms. The anterior interval (Anteroseptal) appears on the electrocardiogram of leads V1 to V4. Anterolateral appears on the electrocardiogram of lead V3 to V6. Extensive anterior appears on the electrocardiogram of lead V1 to V6. Inferior appears in II, III, aVF lead electrocardiogram. High Lateral appears in the electrocardiogram of lead I and lead aVL. The posterior appears in the high R wave and ST depression in the V1 to V2 leads. Due to the correlation of the leads of various diseases mentioned above, the rapid ECG labeling method 100 can further accelerate the labeling of the ECG, and improve the accuracy and efficiency of the labeling of the ECG.

In addition, in step 160, the rapid ECG labeling method 100 may further output an ECG labeling result according to the disease item recorded in the ECG measurement record. Refer to the labeling results on the left side of Fig. 15 for the ECG labeling results, which are based on the previous ECG labeling results, such as the I and In lead II, the AAAA disease project appeared, so that doctors and patients can clearly understand the results of electrocardiogram examination.

Furthermore, the rapid ECG labeling method 100 further includes step 170, according to the ECG labeling result, generating a suggestion content. See the suggestion on the right side of Figure 15 (Suggestion). According to the results of the previous ECG labeling, the ECG rapid labeling method 100 can provide appropriate suggestions through artificial intelligence according to the records in the database, and the doctor can better provide the basis for this recommendation. Add or modify the relevant recommendations on the page to provide better follow-up recommendations for patients, and store the recommendations in the database for subsequent patients with the same disease to have more correct recommendations.

It is worth noting that in step 340 of the rapid ECG labeling method 100, at least one disease option in the second menu 810 is recorded in the ECG measurement record, and may further include the disease recorded in the ECG measurement record The option is marked on the position of the corresponding heartbeat on the long-term electrocardiogram of each lead. In step 390, at least one disease option in the third menu 1110 is recorded in the electrocardiogram measurement record. It may also include recording The disease options in the ECG measurement record are indicated at the position of the corresponding heartbeat on each lead of the long-term ECG.

See Figure 16. For example, in V2 lead electrocardiogram 1610, the characteristics of atrial escape beat appear. In addition to the annotation on the V2 lead electrocardiogram, it is also noted on the long-term ECG and data of each lead In the library, for future reference and artificial intelligence judgment.

In addition, in step 440 of the rapid ECG labeling method 100, at least one disease option in the fourth menu 1410 is recorded in the ECG measurement record In the example, the disease option of the fourth menu 1410 to be recorded in the electrocardiogram measurement record may be included on the long-term electrocardiogram of the lead. See the disease label for the Prolonged QT interval marked in the V2 lead in Figure 16.

In summary, the rapid ECG labeling method disclosed by the present invention can facilitate physicians and patients to quickly and correctly understand heart disease and obtain relevant suggestions, and at the same time increase the effective labeling data in the data database, which helps Subsequent artificial intelligence recognizes the disease, thereby improving the accuracy of the artificial intelligence judgment of heart disease, and further effectively improving the quality of medical treatment.

Although this disclosure has been disclosed as above by way of implementation, it is not intended to limit this disclosure. Anyone with ordinary knowledge in the field can make various changes and retouching without departing from the spirit and scope of this disclosure, so this disclosure The scope of protection shall be as defined in the scope of the attached patent application.

100‧‧‧ rapid ECG marking method

110~170‧‧‧Step

Claims (12)

A rapid ECG marking method includes: providing an ECG measurement record; displaying a plurality of leads of the ECG measurement record on a display, wherein the display includes a first display area located in a lower area of the display, And a second display area located in an upper area of the display, the first display area displays a long-term electrocardiogram of one of the leads, and the second display area displays a plurality of short-term electrocardiograms of the leads Determine the correctness of the ECGs of the leads recorded by the ECG measurement; mark the disease items of the long-term ECG in the first display area; and mark the disease items of the short-term ECG in the second display area, Wherein, the disease item of the long-term electrocardiogram marked with the first display area includes: clicking the long-term electrocardiogram of the first display area; displaying a second menu on the display; judging the Whether the long-term electrocardiogram has at least one disease option in the second menu; and when it is determined that the long-term electrocardiogram in the first display area has the at least one disease option in the second menu, the second menu is selected The at least one disease option is recorded in the ECG measurement record, wherein the disease item of the long-term electrocardiogram marked with the first display area further includes: according to the heartbeat of the long-term electrocardiogram of the first display area Divided into multiple heartbeat blocks; Select at least one of the heartbeat blocks of the long-term electrocardiogram of the first display area; display a third menu on the display; determine the number of heartbeat blocks of the long-term electrocardiogram of the first display area Whether at least one of them has at least one disease option in the third menu; and when it is determined that the at least one of the heartbeat blocks of the long-term electrocardiogram in the first display area has the third menu The at least one disease option of the third menu, the at least one disease option in the third menu is recorded in the ECG measurement record, wherein the marked short-term ECG disease items in the second display area include : Click at least one of the short-term ECGs of the leads in the second display area; display a fourth menu on the display; determine at least one of the short-term ECGs of the leads in the second display area Whether there is at least one disease option in the fourth menu; and when it is judged that the at least one of the short-term electrocardiograms of the leads in the second display area has the at least one disease option in the fourth menu, The at least one disease option in the fourth menu is recorded in the electrocardiogram measurement record, wherein the at least one disease option in the second menu is recorded in the electrocardiogram measurement record and the third The at least one disease option in the menu is recorded in the ECG measurement record, and further includes: Mark the disease option of the second menu and the disease option of the third menu recorded in the electrocardiogram measurement record at the position of the corresponding heartbeat on the long-term electrocardiogram of each lead, where The at least one disease option in the fourth menu is recorded in the ECG measurement record, and further includes: marking the disease option in the fourth menu recorded in the ECG measurement record in the length of the lead Time on ECG. The rapid marking method of the electrocardiogram according to claim 1, wherein the long-term electrocardiogram includes an electrocardiogram greater than 5 seconds. The rapid marking method of electrocardiogram according to claim 2, wherein the short-term electrocardiograms include a plurality of electrocardiograms larger than 1 second. The rapid electrocardiogram marking method according to claim 3, wherein the long-term electrocardiogram displayed in the first display area includes a long-term electrocardiogram for determining the lead of the heart rhythm. The rapid ECG labeling method as described in claim 1 further includes: outputting an ECG labeling result according to the disease items recorded in the ECG measurement record. The rapid ECG labeling method described in claim 5 further includes: generating a suggestion according to the ECG labeling result. The rapid ECG marking method according to claim 1, wherein the judging the correctness of the ECGs of the leads recorded by the ECG measurement includes: selecting the ECGs of the leads; displaying a first menu on the A display; and an electrocardiogram for judging the leads, which belongs to an electrocardiogram quality option in the first menu. The rapid ECG marking method as described in claim 7, wherein the first menu includes the following ECG quality options: normal ECG, abnormal ECG, missing part of the ECG data of the lead, excessive interference wave, or right heart position or electrode Placed incorrectly. The method for quickly marking an electrocardiogram according to claim 1, wherein the third menu displays different menus for selection according to different numbers of the selected heartbeat blocks. The method for quickly marking an electrocardiogram according to claim 1, wherein the second menu is different from the third menu. The method for quickly marking an electrocardiogram according to claim 1, wherein the second menu, the third menu and the fourth menu are different. The method for quickly marking an electrocardiogram as described in claim 1, wherein the fourth menu displays different menus for selection according to the short-term electrocardiograms of the different leads selected.

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