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DOI: 10.31071/kit2017.13.10

Inventory reference ISSN 1812-7231 Klin.inform.telemed. Volume 12, Issue 13, 2017, Pages 75–82

Author(s) K.V. Nasedkin, V.V. Fedotenko, O.G. Viunytskyi, V.I. Shulgin

Institution(s) National Aerospace University "KhAI", Kharkiv

Article title Ambulatory fetal ECG monitoring

Abstract (resume)

Introduction. Existing diagnostic technologies and systems are designed to monitor the health of adults and children, and there are virtually no technologies and systems designed to jointly monitor the condition of the mother and fetus during pregnancy. Although future human health, including the costs of its supporting throughout the life, are laid down in the womb.

Objective. Evaluation of the possibility of detection and diagnosis of fetal arrhythmias using ambulatory (Holter) monitoring technology of the fetal electrocardiogram.

Results. The developed devices for recording and wireless transmission of signals observed on the abdominal surface of a pregnant woman, as well as algorithms for processing these signals for the purpose of extraction and clinical analysis of fECG. A retrospective analysis of abdominal records and fetal ultrasound examination results performed to assess the possibility of diagnosing various cardiac rhythm disorders.

Conclusions. Non-invasive fetal electrocardiography (NI-FECG) provides reliable and intuitive information to detect or clarify the diagnosis of fetal arrhythmias (FA). The main advantages of the method are cheapness, high accuracy of measurements of cardiac fetal indexes in comparison with traditional ultrasound, the possibility of conducting an out-patient examination and remote transmission of the examination results to the diagnostic center.

Keywords fetal abdominal electrocardiography, NI-FECG, holter monitor, fetal arrhythmias.


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