Virtual simulator for the generation of patho-physiological
foetal ECGs during the prenatal period

J 2015

Virtual simulator for the generation of patho-physiological foetal ECGs during the prenatal period

MARTINEK, R.; M. KELNAR; P. VOJCINAK; P. KOUDELKA; J. VANUS et. al.

Basic information

Original name

Virtual simulator for the generation of patho-physiological foetal ECGs during the prenatal period

Authors

MARTINEK, R. (203 Czech Republic); M. KELNAR (203 Czech Republic); P. VOJCINAK (203 Czech Republic); P. KOUDELKA (203 Czech Republic); J. VANUS (203 Czech Republic); P. BILIK (203 Czech Republic); Petr JANKŮ (203 Czech Republic, guarantor, belonging to the institution); H. NAZERAN (840 United States of America) and J. ZIDEK (203 Czech Republic)

Edition

Electronics letters, Hertford, Institution of Engineering and Technology, 2015, 0013-5194

Other information

Language

English

Type of outcome

Article in a journal

Field of Study

30214 Obstetrics and gynaecology

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

is not subject to a state or trade secret

Impact factor

Impact factor: 0.854

RIV identification code

RIV/00216224:14110/15:00086484

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1049/el.2015.2291

UT WoS

000364202500009

EID Scopus

2-s2.0-84946035135

Keywords in English

diagnostic quality; electrocardiogram; extraction

Abstract

In the original language

The design, implementation, and verification of a signal simulator for the generation of patho-physiological records of foetal electrocardiograms (fECGs) during the prenatal period are briefly reported. The simulator enables users to model the patho-physiological changes that occur within the foetus' myocardium under hypoxic conditions (hypoxemia, hypoxia, asphyxia, etc.) during the 20th to 42nd week of pregnancy. The simulator deploys a dynamic fECG model including an actual fECG record taken from clinical practice, patho-physiological cardiotocography (CTG), and ST-analysis (STAN) records along with the ratio of T waves to the QRS complex; as well as clinical recommendations by FIGO (International Federation of Gynecology and Obstetrics) for classifying these records. By comparing synthesised and real patho-physiological CTG and STAN records, the functionality of the simulator, which effectively captured significant indicators of the foetus' condition during the prenatal period including fECG morphology, dynamic fECG characteristics, and others is evaluated and validated. The simulator enables users to test both current and emerging approaches in a very challenging area of gynaecology, namely the identification/classification of hypoxic conditions in the foetus during labour. Obstetricians can also use the simulator as a reference tool during the evaluation of suspect fECG abnormalities.

Cite

MARTINEK, R.; M. KELNAR; P. VOJCINAK; P. KOUDELKA; J. VANUS; P. BILIK; Petr JANKŮ; H. NAZERAN and J. ZIDEK. Virtual simulator for the generation of patho-physiological foetal ECGs during the prenatal period. Electronics letters. Hertford: Institution of Engineering and Technology, 2015, vol. 51, No 22, p. 1738-1739. ISSN 0013-5194. Available from: https://dx.doi.org/10.1049/el.2015.2291.

@article{1334726,
   author = {Martinek, R. and Kelnar, M. and Vojcinak, P. and Koudelka, P. and Vanus, J. and Bilik, P. and Janků, Petr and Nazeran, H. and Zidek, J.},
   article_location = {Hertford},
   article_number = {22},
   doi = {http://dx.doi.org/10.1049/el.2015.2291},
   keywords = {diagnostic quality; electrocardiogram; extraction},
   language = {eng},
   issn = {0013-5194},
   journal = {Electronics letters},
   title = {Virtual simulator for the generation of patho-physiological foetal ECGs during the prenatal period},
   volume = {51},
   year = {2015}
}

TY  - JOUR
ID  - 1334726
AU  - Martinek, R. - Kelnar, M. - Vojcinak, P. - Koudelka, P. - Vanus, J. - Bilik, P. - Janků, Petr - Nazeran, H. - Zidek, J.
PY  - 2015
TI  - Virtual simulator for the generation of patho-physiological foetal ECGs during the prenatal period
JF  - Electronics letters
VL  - 51
IS  - 22
SP  - 1738-1739
EP  - 1738-1739
PB  - Institution of Engineering and Technology
SN  - 00135194
KW  - diagnostic quality
KW  - electrocardiogram
KW  - extraction
N2  - The design, implementation, and verification of a signal simulator for the generation of patho-physiological records of foetal electrocardiograms (fECGs) during the prenatal period are briefly reported. The simulator enables users to model the patho-physiological changes that occur within the foetus' myocardium under hypoxic conditions (hypoxemia, hypoxia, asphyxia, etc.) during the 20th to 42nd week of pregnancy. The simulator deploys a dynamic fECG model including an actual fECG record taken from clinical practice, patho-physiological cardiotocography (CTG), and ST-analysis (STAN) records along with the ratio of T waves to the QRS complex; as well as clinical recommendations by FIGO (International Federation of Gynecology and Obstetrics) for classifying these records. By comparing synthesised and real patho-physiological CTG and STAN records, the functionality of the simulator, which effectively captured significant indicators of the foetus' condition during the prenatal period including fECG morphology, dynamic fECG characteristics, and others is evaluated and validated. The simulator enables users to test both current and emerging approaches in a very challenging area of gynaecology, namely the identification/classification of hypoxic conditions in the foetus during labour. Obstetricians can also use the simulator as a reference tool during the evaluation of suspect fECG abnormalities.
ER  -

MARTINEK, R.; M. KELNAR; P. VOJCINAK; P. KOUDELKA; J. VANUS; P. BILIK; Petr JANKŮ; H. NAZERAN and J. ZIDEK. Virtual simulator for the generation of patho-physiological foetal ECGs during the prenatal period. \textit{Electronics letters}. Hertford: Institution of Engineering and Technology, 2015, vol.~51, No~22, p.~1738-1739. ISSN~0013-5194. Available from: https://dx.doi.org/10.1049/el.2015.2291.

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