ECGmax
36Pages

Standard 12-lead ECG plus posterior, right cardiac and orthogonal leads CARDIAC ELECTRICAL BIOMARKER IENCE ** S PE L ED Online calculation, sharing and forwarding of ECGmax Realtime non-invasive indicator for cardiac injury

SPECIAL EDITION | ECGmax HOW FILTERING INFLUENCES THE ECG MORPHOLOGY HOW THE ECG SIGNAL GETS FROM THE PATIENT TO THE MONITOR DERIVATION OF THE 12-LEAD ELECTROCARDIOGRAM AND 3-LEAD VECTORCARDIOGRAM MATHEMATICAL MODELING AND UTILITY OF THE DERIVED 22-LEAD ELECTROCARDIOGRAM VECTOR LOOPS APPLICABILITY OF THE ELECTRO-VECTORCARDIOGRAM IN CURRENT CLINICAL PRACTICE THE CARDIAC ELECTRICAL BIOMARKER – CEB® DETECTION OF ACUTE MYOCARDIAL ISCHEMIC INJURY BY GENDER USING A NOVEL CARDIAC ELECTRICAL BIOMARKER AUTOMATED ANALYSIS OF THE 12-LEAD ECG IN THE EMERGENCY DEPARTMENT: ASSOCIATION BETWEEN...

DEAR LADIES AND GENTLEMEN In the second corpuls.science we have chosen one of our most core technologies. This issue will focus on electrocardiograms. It has become the standard in Emergency Medicine to just attached a bunch of electrodes to the patient for monitoring reasons. For at least 25 years, whenever a patient presents with symptoms possibly indicating that something is not quite right with the heart, the patient receives a diagnostic ECG. Nowadays the 12-lead ECG is part of every guideline and recommendation to do with Acute Coronary Syndromes and is usually referred to as the...

SPECIAL EDITION | ECGmax THE ACS ALGORITHM The classic 12-lead ECG represents a snapshot of the electrical activity of the heart. With this snapshot it is possible to diagnose various rhythmological and structural diseases of the heart. Due to this fact, the 12-lead ECG is the most important diagnostic tool for myocardial ischemia and infarction and is the basis for further therapeutic and diagnostic measures (Wagner et al. 2009). Myocardial infarction (MI) leads to muscular injury (scarring) and consequently to a change in the conduction properties in the heart. In the ECG, it is often...

FLOWCHART CORPULS ACS ALGORITHM Version 1.7 START corpuls ACS Algorithm Female Patient Male Patient Therapy Suggestion „No advice (invalid ECG)“ Patient’s age or gender not submitted ST-elevation > 200µV in V2/V3; ST-elevation > 100µV in other leads ST-elevation > 250µV in V2/V3; ST-elevation > 100µV in other leads ST-elevation > 150µV in V2/V3; ST-elevation > 100µV in other leads ST-elevation > 150µV in V2/V3; ST-elevation > 100µV in other leads Therapy Suggestion “ECG meets specific STEMI criteria, consider abnormal ECG” Therapy Suggestion “ECG meets specific STEMI criteria” ALARM STEMI...

SPECIAL EDITION | ECGmax NSTEMI CHECK YES NSTEMI-Critera 2/2 Inverted T-wave > 100µV in Wilson Leads Therapy Suggestion “ECG shows acute ischemic changes, ECG meets NSTEMI criteria, consider abnormal ECG” ALARM NSTEMI possible Therapy Suggestion “ECG shows acute ischemic changes, ECG meets NSTEMI criteria” ALARM NSTEMI NO Therapy Suggestion “No advice, ECG doesn’t meet specific STEMI or NSTEMI criteria, consider abnormal ECG” Therapy Suggestion “No advice, ECG doesn’t meet specific STEMI criteria” NOTIFICATION Consider that each STEMI- / NSTEMI-Criterion has to be met by at least two leads...

ECG FILTERING With the increase in diseases of the cardiovascular system, the electrocardiogram (ECG) is an essential tool for preclinical diagnostics in modern emergency medicine. It is recommended to continuously monitor patients with such diseases so to quickly detect life-threatening arrhythmias. [1] In the preclinical setting, the recorded ECG may show artifacts due to various environmental factors. These can affect the interpretation of the ECG signal. [5] Artifacts can be caused by the patient’s muscle activity, transport movements or electrical coupling of the mains frequency, for...

SPECIAL EDITION | ECGmax HOW FILTERING INFLUENCES THE ECG MORPHOLOGY HOW FILTERING INFLUENCES THE ECG MORPHOLOGY The influence of different bandpass filters on displayed ECG morphology Native ECG without noise Diagnostic Bandpass-Filter Monitoring Bandpass-Filter Filtered with diagnostic bandpass filter Figure 1 (as referred to in the text ECG FILTERING) Filtered with monitoring bandpass filte

HOW THE ECG SIGNAL GETS FROM THE PATIENT TO THE MONITOR HOW THE ECG SIGNAL GETS FROM THE PATIENT TO THE MONITOR A change in electrical potential arising from the heart’s myocardial tissue can be detected on the skin Electrodes link the human body to the corpuls3 TOUCH / corpuls3 CLASSIC • Calculation of augmented ECG leads Analog amplification Analog filtering Detection of pacemaker spikes Analog to digital conversion • Digital filtering (notch filter, high-pass and low-pass filter) • General signal processing (VF Detection, QRS Detection, Heart Rate calculation) Transmission via infrared...

SPECIAL EDITION | ECGmax corpuls.mission is a medical communication platform designed with the patient as the main focus. It enables knowledge to be collected where it can be best utilised: during a mission. Above anything else, adequate patient treatment requires specific knowledge, often stemming from different disciplines and selected experts. However, this complexity of medicine cannot rest on the shoulders of a single specialist. By combining medical data, chat, video and documentation, all relevant information is found in one place – one software, intuitive and central. Available for...

KAPITEL TITEL Safety is the top priority at corpuls.mission. By encrypting all patient data, conformity with the strict data protection requirements is guaranteed. The servers are operated according to relevant standards, such as ISO 27001. In addition, the development of the entire product is subject to strict observation by an external control authority and is in compliance with the latest standards for IT security.