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Title:Primerjava monitoringa in diagnostičnega načina zapisa elektrokardiograma pri diagnostiki akutnega koronarnega sindroma
Authors:ID Černe, Peter (Author)
ID Križmarić, Miljenko (Mentor) More about this mentor... New window
ID Naji, Husam Franjo (Comentor)
Files:.pdf MAG_Cerne_Peter_2021.pdf (3,84 MB)
MD5: 534CA3605ED69E8EFB38C3753D7E5B84
PID: 20.500.12556/dkum/8c578fc3-3a15-44c8-af24-08c1d65aee91
 
Language:Slovenian
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:FZV - Faculty of Health Sciences
Abstract:Uvod: Pri diagnostiki akutnega koronarnega sindroma je elektrokardiografija ena ključnih diagnostičnih metod. EKG monitorji nam omogočajo tako monitoring, kot diagnostični način EKG zapisa, v klinični praksi pa ugotavljamo, da se zapisa medsebojno pogosto razlikujeta. Spremembe EKG zapisa so lahko posledica neustreznega sprejema signala, njegove obdelave ali zapisa EKG posnetka. Namen raziskave je ugotoviti, kako uporaba posameznega načina dela vpliva na detekcijo sprememb pri akutnem koronarnem sindromu. Metode: V kvantitativni raziskavi smo s pomočjo simulatorja Symbio CS 1201 simulirali osem različnih srčnih ritmov, z EKG monitorjema LifePak 12 in LifePak 15 pa primerjali monitoring EKG zapise z diagnostičnim zapisom 12-kanalnega EKG posnetka. Primerjali smo tudi razliko med odkloni posameznega EKG monitorja. Rezultati: Ugotavljamo, da so meritve obeh uporabljenih EKG-monitorjev medsebojno identične. Diagnostični EKG-zapisi so potrdili pričakovana odstopanja spojnice ST glede na posamezni simulirani srčni ritem. V monitoring načinu dela pa so prisotna večja odstopanja. Razprava in sklep: Ustrezna diagnostika akutnega koronarnega sindroma je mogoča le ob uporabi diagnostičnega 12-kanalnega EKG zapisa, z uporabo nizkofrekvenčnega filtra 0,05 Hz. Z večjim filtriranjem v monitoring načinu dela izgubimo zanesljivost diagnostičnih sprememb spojnice ST.
Keywords:elektrokardiogram, akutni koronarni sindrom, spojnica ST, EKG signal
Place of publishing:Maribor
Publisher:[P. Černe]
Year of publishing:2021
PID:20.500.12556/DKUM-78734 New window
UDC:616.12-073.7(043.2)
COBISS.SI-ID:87337987 New window
NUK URN:URN:SI:UM:DK:CMLK2VG0
Publication date in DKUM:01.12.2021
Views:1554
Downloads:164
Metadata:XML DC-XML DC-RDF
Categories:FZV
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Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:16.02.2021

Secondary language

Language:English
Title:Comparison of monitoring and diagnostic electrocardiogram record method in acute coronary syndrom diagnostics
Abstract:Introduction: In the diagnosis of acute coronary syndrome, electrography is one of the key diagnostic methods. ECG monitors enable us to monitor and diagnose the ECG record. In clinical practice, we can see that the records often differ from one another. Changes in ECG record may result from improper signal reception, its processing, or ECG recording. The purpose of the research is to establish how the use of an individual work method influences the detection of changes in acute coronary syndrome. Methods: In the quantitative survey, we used Symbio CS 1201 simulator in order to simulate eight different heart rates. We used ECG monitors LifePak 12 and LifePak in order to compare monitoring ECG records with diagnostic record of 12-channel ECG record. Results: We establish that measurements of both used ECG monitors are identical. Diagnostic ECG records confirmed the expected deviations of the ST junctions regarding the individual simulated heart rhythm. In the monitoring mode, larger deviations are present. Discussion and conclusion: Proper diagnosis of acute coronary syndrome is only possible using diagnostic 12-channel ECG record and low frequency filter of 0.05 Hz. Increased filtering in the monitoring mode, we lose reliability of the ST junction's diagnostic changes.
Keywords:electrocardiogram, acute coronary syndrome, ST joint, ECG signal


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