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Effects of digital resolution on characterisation of cardiac late potentials

  • Electrocardiography
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Abstract

The effects of amplitude resolution in the signal-averaged ECG are studied in relation to the analysis of cardiac late potentials. The statistical properties of ECG signals from 22 patients after myocardial infarction were investigated in terms of amplitude distribution and noise level for the material. It was found that unbiased averaging could be achieved using a resolution greater than 10 μV. The noise levels of the bandpass-filtered individual X, Y and Z leads (range of 1–10 μV) and the vector magnitude were also investigated. Marked intra-lead differences in noise level were found, indicating that analysis based on individual leads is preferable. The effects of quantisation noise on the vector magnitude were negligible for amplitude resolutions below 5 μV. However, the additional noise contribution at 5 μV could be compensated by a moderate increase in acquisition time. The sensitivity to noise was considered when determining the endpoint of the filtered QRS complex using the vector magnitude.

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References

  • Berbari, E. J., andLander, P. (1992): ‘Principles of noise reductionin El-Sharif, N., andTuritto, G. (Eds.): High-resolution electrocardiography (Futura Publishing Company, New York), pp. 52–66

    Google Scholar 

  • Borbola, J., andDenes, P. (1992): ‘Late potentials in patients with sustained ventricular tachycardia/ventricular fibrillation’ibid., (, pp. 495–520

    Google Scholar 

  • Breithardt, G., Cain, M. E., El-Sharif, N., Flowers, N., Hombach, V., Janse, M., Simson, M. B., andSteinbeck, G. (1991): ‘Standards for analysis of ventricular late potentials using high resolution signal-averaged electrocardiography’,Eur. Heart J.,12, pp. 473–480

    Google Scholar 

  • Cedholt, T., andSvensson, O. (1987): ‘The characteristic of one-bit and few-bit quantizers in relation to averaging technique and low SNR—especially concerning evoked potentials’. Technical Report, TR-209, University of Lund, Sweden

    Google Scholar 

  • Gaumond, R. P. (1986): ‘Roundoff errors in signal averaging systems’,IEEE Trans.,BME-33, pp. 365–366

    Google Scholar 

  • Frank, E. (1956): ‘An accurate, clinically practical system for spatial vectorcardiography’,Circ. 13, pp. 737–749

    Google Scholar 

  • Hombach, V., Kebbel, U., Höpp, H.-W., Winter, U., andHirche, H. (1984): ‘Non-invasive beat-by-beat registration of ventricular late potentials using high resolution electrocardiography’,Int. J. Cardiol.,6, pp. 167–183

    Article  Google Scholar 

  • Lander, P., Deal, R. B., andBerbari, E. J. (1988): ‘The analysis of ventricular late potentials using orthogonal recordings’,IEEE Trans.,BME-35, pp. 629–639

    Google Scholar 

  • Picton, T. W., Hink, R. F., Perez-Abalo, M., Linden, R. D., andWiens, A. S. (1984): ‘Evoked potentials: how now?’J. Electrophys. Tech.,10, pp. 177–221

    Google Scholar 

  • Oppenheim, A. V., andSchafer, R. W. (1975): ‘Digital signal processing’ (Prentice-Hall, New Jersey)

    MATH  Google Scholar 

  • Sager, P. T., Widerhorn, J., Pascual, M., Leon, C., Rahimtoola, S. H. (1991): ‘A prospective evaluation of the immediate reproducibility of the signal-averaged ECG’,Amer. Heart J., pp. 1671–1678

  • Shelton, L. Y., Cano, G. G., Coast, D. A., andBriller, S. A. (1990): ‘Detection of late potentials by adaptive filtering’,J. Electrocardiol., Suppl.,23, pp. 138–143

    Article  Google Scholar 

  • Simson, M. B. (1981): ‘Use of signals in the terminal QRS complex to identify patients with ventricular tachycardia after myocardial infarction’,Circ.,64, pp. 235–242

    Google Scholar 

  • Sripad, A. B., andSnyder, D. L. (1977): ‘A necessary and sufficient condition for quantization errors to be uniform and white’,IEEE Trans.,ASSP-25, (5), pp. 442–448

    MATH  Google Scholar 

  • Steinberg, J., andBigger, T. (1989): ‘Importance of the endpoint of noise reduction in analysis of the signal-averaged electrocardiogram’,Amer. J. Cardiol.,63, pp. 556–560

    Article  Google Scholar 

  • Svensson, O., Sörnmo, L., andPahlm, O. (1993): ‘Influence of noise on the analysis of late potentials’,J. Electrocardiol., Suppl.,25, pp. 212–213

    Google Scholar 

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Svensson, O., Sörnmo, L. & Pahlm, O. Effects of digital resolution on characterisation of cardiac late potentials. Med. Biol. Eng. Comput. 32 (Suppl 1), S9–S15 (1994). https://doi.org/10.1007/BF02523321

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  • DOI: https://doi.org/10.1007/BF02523321

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