Modern electrocardiography (ECG)¹ uses the Wilson Central Terminal (WCT) as a reference point for the majority of leads. WCT is assumed to be near zero and steady during the cardiac cycle. However, due to the measurement encumbrances of the real amplitude of WCT, this assumption has never been verified in clinical practice. Using our own recently developed 15-lead ECG device that can measure WCT components in addition to 12-lead ECGs in a clinical setting, we propose a framework to derive a New Central Terminal (NCT) with demonstrated less variation and near zero amplitude during the cardiac cycle. Our method is based upon application of a Genetic Algorithm (first 1000 samples), and then a linear regression to calculate the NCT for the rest of the recording.

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Moeinzadeh HAssad JBifulco PCesarelli MO’Loughlin ATapson JShugman IThiagalingam AGargiulo G(2020)WCTECGdb: A 12-Lead Electrocardiography Dataset Recorded Simultaneously with Raw Exploring Electrodes’ Potential Directly Referred to the Right LegSensors10.3390/s2011327520:11(3275)Online publication date: 8-Jun-2020
https://doi.org/10.3390/s20113275
Moeinzadeh HAssad JBifulco PCesarelli MO'Loughlin AShugman IGargiulo G(2019)Einthoven Unipolar Leads: Towards a better understanding of Wilson Central Terminal2019 International Conference on Electrical Engineering Research & Practice (ICEERP)10.1109/ICEERP49088.2019.8956990(1-4)Online publication date: Nov-2019
https://doi.org/10.1109/ICEERP49088.2019.8956990

Index Terms

Computing a new central terminal for ECG recording using combined genetic algorithm and linear regression from real patient data
1. Applied computing
  1. Life and medical sciences
    1. Health informatics
2. Computing methodologies
  1. Machine learning
    1. Machine learning approaches

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GECCO '17: Proceedings of the Genetic and Evolutionary Computation Conference Companion

July 2017

1934 pages

ISBN:9781450349390

DOI:10.1145/3067695

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Published: 15 July 2017

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Moeinzadeh HAssad JBifulco PCesarelli MO’Loughlin ATapson JShugman IThiagalingam AGargiulo G(2020)WCTECGdb: A 12-Lead Electrocardiography Dataset Recorded Simultaneously with Raw Exploring Electrodes’ Potential Directly Referred to the Right LegSensors10.3390/s2011327520:11(3275)Online publication date: 8-Jun-2020
https://doi.org/10.3390/s20113275
Moeinzadeh HAssad JBifulco PCesarelli MO'Loughlin AShugman IGargiulo G(2019)Einthoven Unipolar Leads: Towards a better understanding of Wilson Central Terminal2019 International Conference on Electrical Engineering Research & Practice (ICEERP)10.1109/ICEERP49088.2019.8956990(1-4)Online publication date: Nov-2019
https://doi.org/10.1109/ICEERP49088.2019.8956990

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Posterior ECG: Producing a new electrocardiogram signal from vectorcardiogram using partial linear transformation

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