Adaptive filtering in ECG monitoring of the fetal heart rate. 1987

T H Frank, and O R Blaumanis, and R K Gibbs, and R K Wells
Perinatronics Medical Systems, Inc., Crofton, Maryland 21114-2141.

There has long been an interest in noninvasively monitoring the fetal electrocardiogram (ECG). In the past twenty years a clinical need has developed to monitor the instantaneous fetal heart rate (FHR) and changes in the heart rate from one beat to the next, i.e., beat-to-beat FHR variability as well as an interest in understanding the development of cardiac arrhythmias. The purpose of this paper is to present initial results obtained from an Electrocardiographic Adaptive Processor (EAP) to noninvasively monitor in real-time continuous tracings of the fetal ECG, FHR, and FHR variability. Twenty-five sets of noninvasive fetal ECG data were collected from pregnant subjects during the third trimester of pregnancy using maternal abdominal paste-on electrodes. The fetal QRS amplitude and shape varied from 5 to 30 microvolts with fetal position, gestational age, and relative electrode configuration. Results have been obtained in three specific areas: 1) The development and initial testing of a microprocessor based Electrocardiographic Adaptive Processor (EAP) implemented as an FHR monitor has been completed. The EAP has been implemented to adaptively cancel, in real-time, the maternal ECG component from maternal abdominal ECG leads to provide a continuous tracing of the fetal ECG complex, or FHR and FHR variability. 2) Maternal and thoracic ECG data stored on computer disk were used to test the adaptive techniques to cancel the strong interfering maternal ECG. Studies continue to effectively reduce background electromyographic (EMG) noise. 3) Tracings of the fetal QRS complex, instantaneous FHR, and short term FHR variability have been obtained in real-time.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D004562 Electrocardiography Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY. 12-Lead ECG,12-Lead EKG,12-Lead Electrocardiography,Cardiography,ECG,EKG,Electrocardiogram,Electrocardiograph,12 Lead ECG,12 Lead EKG,12 Lead Electrocardiography,12-Lead ECGs,12-Lead EKGs,12-Lead Electrocardiographies,Cardiographies,ECG, 12-Lead,EKG, 12-Lead,Electrocardiograms,Electrocardiographies, 12-Lead,Electrocardiographs,Electrocardiography, 12-Lead
D005260 Female Females
D005323 Fetal Monitoring Physiologic or biochemical monitoring of the fetus. It is usually done during LABOR, OBSTETRIC and may be performed in conjunction with the monitoring of uterine activity. It may also be performed prenatally as when the mother is undergoing surgery. Monitoring, Fetal,Fetal Monitorings,Monitorings, Fetal
D005374 Filtration A process of separating particulate matter from a fluid, such as air or a liquid, by passing the fluid carrier through a medium that will not pass the particulates. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Filtrations
D006340 Heart Rate, Fetal The heart rate of the FETUS. The normal range at term is between 120 and 160 beats per minute. Fetal Heart Rate,Fetal Heart Rates,Heart Rates, Fetal,Rate, Fetal Heart,Rates, Fetal Heart
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012815 Signal Processing, Computer-Assisted Computer-assisted processing of electric, ultrasonic, or electronic signals to interpret function and activity. Digital Signal Processing,Signal Interpretation, Computer-Assisted,Signal Processing, Digital,Computer-Assisted Signal Interpretation,Computer-Assisted Signal Interpretations,Computer-Assisted Signal Processing,Interpretation, Computer-Assisted Signal,Interpretations, Computer-Assisted Signal,Signal Interpretation, Computer Assisted,Signal Interpretations, Computer-Assisted,Signal Processing, Computer Assisted

Related Publications

T H Frank, and O R Blaumanis, and R K Gibbs, and R K Wells
April 2017, Sensors (Basel, Switzerland),
T H Frank, and O R Blaumanis, and R K Gibbs, and R K Wells
October 2013, Computers in biology and medicine,
T H Frank, and O R Blaumanis, and R K Gibbs, and R K Wells
January 1993, Journal of perinatology : official journal of the California Perinatal Association,
T H Frank, and O R Blaumanis, and R K Gibbs, and R K Wells
December 1975, Ginecologia y obstetricia de Mexico,
T H Frank, and O R Blaumanis, and R K Gibbs, and R K Wells
January 1993, Journal of perinatology : official journal of the California Perinatal Association,
T H Frank, and O R Blaumanis, and R K Gibbs, and R K Wells
April 1979, Computers and biomedical research, an international journal,
T H Frank, and O R Blaumanis, and R K Gibbs, and R K Wells
June 1994, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN,
T H Frank, and O R Blaumanis, and R K Gibbs, and R K Wells
January 1963, Biomedical sciences instrumentation,
T H Frank, and O R Blaumanis, and R K Gibbs, and R K Wells
April 1977, Postgraduate medicine,
T H Frank, and O R Blaumanis, and R K Gibbs, and R K Wells
January 1990, International anesthesiology clinics,
Copied contents to your clipboard!