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rhythms_annotations.rst

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Rhythm annotations ==========

In this tutorial you will learn how to perform rhythms annotations from raw ECG recording within the PhysioZoo Peak detection module.

Introduction

PhysioZoo enables you to annotate and load rhythm annotations i.e. timestamped rhythm annotations marking the beginning and the end of a given rhythm. For example, rhythm annotations may have been produced by an original automated analysis machine (e.g. Holter ECG software) that you which to review and edit. The heart rhythms for wish annotations exist in PhysioZoo are:

.ab {color:#f07c00; font-weight:bold; font-size:16px} .afib {color:#ffe312; font-weight:bold; font-size:16px} .afl {color:#f29281; font-weight:bold; font-size:16px} .svta {color:#ffc507; font-weight:bold; font-size:16px} .b {color:#ff44a8; font-weight:bold; font-size:16px} .t {color:#d111a4; font-weight:bold; font-size:16px} .ivr {color:#701956; font-weight:bold; font-size:16px} .vfl {color:#cb0dff; font-weight:bold; font-size:16px} .vt {color:#9310eb; font-weight:bold; font-size:16px} .sbr {color:#596aff; font-weight:bold; font-size:16px} .bii {color:#1d15ff; font-weight:bold; font-size:16px} .nod {color:#2e0bad; font-weight:bold; font-size:16px} .p {color:#0fffff; font-weight:bold; font-size:16px} .prex {color:#03bcff; font-weight:bold; font-size:16px} .j {color:#438f24; font-weight:bold; font-size:16px} .pat {color:#2ee612; font-weight:bold; font-size:16px} .at {color:#91ba95; font-weight:bold; font-size:16px} .vts {color:#4ceb8b; font-weight:bold; font-size:16px} .aivrs {color:#95e66a; font-weight:bold; font-size:16px} .ivrs {color:#7febc7; font-weight:bold; font-size:16px} .aivr {color:#21edc4; font-weight:bold; font-size:16px} Available rhythms in PhysioZoo
Abbreviation Condition
AFIB Atrial fibrillation
AB Atrial bigeminy
AFL Atrial flutter
B Ventricular bigeminy
BII 2° heart block
IVR Idioventricular rhythm
NOD Nodal (A-V junctional) rhythm
P Paced rhythm
PREX Pre-excitation (WPW)
SBR Sinus bradycardia
SVTA Supraventricular tachyarrhythmia
T Ventricular trigeminy
VFL Ventricular flutter
VT Ventricular tachycardia
J Junctional rhythm
PAT Paroxysmal atrial tachycardia
AT Atrial tachycardia
IVR Idioventricular rhythm
AIVR Accelerated idioventricular rhythm

Annotating rhythms

To annotate the quality of an electrophysiological signal time series, follow these steps:

  1. Select the following ECG example: File-> Open data file-> physiozoo\ExamplesTXT\rhythms\ECG.txt.
  2. Under the record panel, select Annotation -> Rhythms. See the red rectangle on the figure below. The different options will be displayed below in the same panel.
  3. Draw a rectangle with your mouse on the desired window. The background behind the selected window will be displayed in color.
  4. The rhythms can be exported under a .txt file: File -> Save Rhythms file (Ctrl+T).

image

Loading rhythms

When using a recording for which you have performed rhythms annotations, you can load the rhythms annotations: Open -> Open rhythms file.

After the rhythms annotations are loaded, you will see a set of shaded areas with different colors appearing on the top of the RR interval time series figure as well as on the ECG raw data. These areas correspond to the rhythms annotations and each color is used to represent a different rhythm. These annotations may be further edited/saved.

On the bottom panel, you can find summary statistics for each rhythm: burden, minimal interval length, maximal interval length and 5 summary statistics.

image