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| 2. |
- Lázaro, Jesús, et al.
(författare)
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ECG-Derived Respiratory Rate in Atrial Fibrillation
- 2020
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Ingår i: IEEE Transactions on Biomedical Engineering. - 1558-2531. ; 67:3, s. 905-914
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The present study addresses the problem of estimating the respiratory rate from the mor- phological ECG variations in the presence of atrial fibrilla- tory waves (f-waves). The significance of performing f-wave suppression before respiratory rate estimation is investi- gated. Methods: The performance of a novel approach to ECG-derived respiration, named “slope range” (SR) and de- signed particularly for operation in atrial fibrillation (AF), is compared to that of two well-known methods based on ei- ther R-wave angle (RA) or QRS loop rotation angle (LA). A novel rule is proposed for spectral peak selection in respira- tory rate estimation. The suppression of f-waves is accom- plished using signal- and noise-dependent QRS weighted averaging. The performance evaluation embraces real as well as simulated ECG signals acquired from patients with persistent AF; the estimation error of the respiratory rate is determined for both types of signals. Results: Using real ECG signals and reference respiratory signals, rate estima- tion without f-wave suppression resulted in a median error of 0.015 ± 0.021 Hz and 0.019 ± 0.025 Hz for SR and RA, respectively, whereas LA with f-wave suppression resulted in 0.034 ± 0.039 Hz. Using simulated signals, the results also demonstrate that f-wave suppression is superfluous for SR and RA, whereas it is essential for LA. Conclusion: The results show that SR offers the best performance as well as computational simplicity since f-wave suppression is not needed. Significance: The respiratory rate can be robustly estimated from the ECG in the presence of AF.
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| 3. |
- Lazaro, Jesus, et al.
(författare)
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Electrocardiogram derived respiration from QRS slopes : Evaluation with stress testing recordings
- 2013
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Ingår i: 2013 Computing in Cardiology. - 9781479908844 ; 40, s. 655-658
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Konferensbidrag (refereegranskat)abstract
- A method for respiratory rate estimation from electrocardiogram (ECG), based on variations in QRS complexes slopes, is evaluated over stress testing recordings. Besides the 12 standard, and the 3 vectorcardiogram (VCG), 2 additional leads derived from the VCG are analyzed. A total of 34 slope series were studied, 2 for each lead: slopes between the peaks of the Q and R waves, and between the peaks of the R and S waves. Respiratory rate is estimated by using a time-frequency based algorithm which can combine information from several derived respiration signals. Evaluation was performed over a database containing ECG and respiratory signals simultaneously recorded from 30 subjects spontaneously breathing during a stress test. Respiratory rate estimation is performed with information of 4 different combinations of QRS slope series. The best results in respiratory rate estimation error terms are -1.07 ± 8.86% (-11.47 ± 37.97 mHz). These results suggest that proposed methods based on QRS slopes are highly suitable for respiratory rate estimation from ECG signal, specially at very non-stationary and noise scenarios as stress test.
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| 4. |
- Manry, Jérémy, et al.
(författare)
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The risk of COVID-19 death is much greater and age dependent with type I IFN autoantibodies.
- 2022
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Ingår i: Proceedings of the National Academy of Sciences of the United States of America. - : Proceedings of the National Academy of Sciences. - 1091-6490. ; 119:21
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Tidskriftsartikel (refereegranskat)abstract
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection fatality rate (IFR) doubles with every 5 y of age from childhood onward. Circulating autoantibodies neutralizing IFN-α, IFN-ω, and/or IFN-β are found in ∼20% of deceased patients across age groups, and in ∼1% of individuals aged <70 y and in >4% of those >70 y old in the general population. With a sample of 1,261 unvaccinated deceased patients and 34,159 individuals of the general population sampled before the pandemic, we estimated both IFR and relative risk of death (RRD) across age groups for individuals carrying autoantibodies neutralizing type I IFNs, relative to noncarriers. The RRD associated with any combination of autoantibodies was higher in subjects under 70 y old. For autoantibodies neutralizing IFN-α2 or IFN-ω, the RRDs were 17.0 (95% CI: 11.7 to 24.7) and 5.8 (4.5 to 7.4) for individuals <70 y and ≥70 y old, respectively, whereas, for autoantibodies neutralizing both molecules, the RRDs were 188.3 (44.8 to 774.4) and 7.2 (5.0 to 10.3), respectively. In contrast, IFRs increased with age, ranging from 0.17% (0.12 to 0.31) for individuals <40 y old to 26.7% (20.3 to 35.2) for those ≥80 y old for autoantibodies neutralizing IFN-α2 or IFN-ω, and from 0.84% (0.31 to 8.28) to 40.5% (27.82 to 61.20) for autoantibodies neutralizing both. Autoantibodies against type I IFNs increase IFRs, and are associated with high RRDs, especially when neutralizing both IFN-α2 and IFN-ω. Remarkably, IFRs increase with age, whereas RRDs decrease with age. Autoimmunity to type I IFNs is a strong and common predictor of COVID-19 death.
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| 5. |
- Varon, Carolina, et al.
(författare)
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A Comparative Study of ECG-derived Respiration in Ambulatory Monitoring using the Single-lead ECG
- 2020
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Ingår i: Scientific Reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 10:1
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Tidskriftsartikel (refereegranskat)abstract
- Cardiorespiratory monitoring is crucial for the diagnosis and management of multiple conditions such as stress and sleep disorders. Therefore, the development of ambulatory systems providing continuous, comfortable, and inexpensive means for monitoring represents an important research topic. Several techniques have been proposed in the literature to derive respiratory information from the ECG signal. Ten methods to compute single-lead ECG-derived respiration (EDR) were compared under multiple conditions, including different recording systems, baseline wander, normal and abnormal breathing patterns, changes in breathing rate, noise, and artifacts. Respiratory rates, wave morphology, and cardiorespiratory information were derived from the ECG and compared to those extracted from a reference respiratory signal. Three datasets were considered for analysis, involving a total 59 482 one-min, single-lead ECG segments recorded from 156 subjects. The results indicate that the methods based on QRS slopes outperform the other methods. This result is particularly interesting since simplicity is crucial for the development of ECG-based ambulatory systems.
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