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Abdominal fetal EKG noise removal.

Authors: J, Kwon; R, Shandas;

Abdominal fetal EKG noise removal.

Abstract

Accurate detection of the fetal heart signal (FEKG) early during pregnancy enhances the physician's ability to diagnose possible congenital cardiac defects. However, FEKG acquisition is hampered by excessive noise contamination from the maternal ekg (MEKG) and uterine muscular contraction.A new computerized system was developed to record FEKG and MEKG signals from multiple leads. Removal of noise sources was performed using a blanking procedure, which selectively removes MEKG signal, and signal averaging procedure.20 subjects showed 11 positive and 9 negative findings of FEKG. Blanking out the maternal QRS complex also removed part of the fetal signal making it unusable. The signal averaging procedure applied to 10-20 maternal QRS's still produced false positive fetal QRS signals. Two of the negative results were from biological noise with QRS type waveform and frequency of 8.75Hz. The depth of the fetus (5-10 cm) and period of gestation (17-40 weeks) had no bearing on finding FEKG.Blanking is not an optimal method for maternal noise removal because of removal of some fetal QRS complex. Averaging is a viable method except in cases where the peak fetal signals are less than 75 micro Volts. Preliminary studies using an adaptive algorithm with the maternal chest EKG as reference promises to be a better solution for maternal EKG removal.

Keywords

Electrocardiography, Fetal Heart, Pregnancy, Humans, Female

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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