Frequency Domain Template Subtraction Approach to Attenuate Maternal Electrocardiogram in Fetal Electrocardiogram.

Autor:	Wang S; Division of Cardiology, Children's National Hospital, Washington, DC 20010, USA; swang@childrensnational.org (S.W.); akrishna@childrensnational.org (A.K.)., Roshanitabrizi P; Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, DC 20010, USA; proshnani2@childrensnational.org., Krishnan A; Division of Cardiology, Children's National Hospital, Washington, DC 20010, USA; swang@childrensnational.org (S.W.); akrishna@childrensnational.org (A.K.).; Department of Pediatrics, The George Washington University School of Medicine, Washington, DC 20052, USA., Govindan RB; Department of Pediatrics, The George Washington University School of Medicine, Washington, DC 20052, USA.; Prenatal Pediatrics Institute, Children's National Hospital, Washington, DC 20010, USA.
Jazyk:	angličtina
Zdroj:	NeuroSci [NeuroSci] 2024 May 25; Vol. 5 (2), pp. 184-191. Date of Electronic Publication: 2024 May 25 (Print Publication: 2024).
DOI:	10.3390/neurosci5020013
Abstrakt:	We develop a frequency domain template subtraction approach to attenuate the maternal ECG in the abdominal ECG measured from pregnant women. The proposed approach was tested on five public fetal ECG datasets simultaneously measured with ECG from the fetal scalp. The method's performance was compared with the template subtraction approach in the time domain using the accuracy and association metrics. The accuracy was calculated by counting the number of fetal complexes in the processed data that coincided with the fetal complexes in the scalp fetal ECG. The association is quantified as the coherence between the processed data and the gold standard. The maximum coherence values calculated for each approach were compared using the paired t -test. Our results showed no difference in the accuracy between the frequency and time domain approach ( p = 0.733). However, the association was higher between the frequency domain data and the gold standard compared to the template subtraction data and the gold standard ( p = 0.049), indicating that the frequency domain approach yielded a signal that resembled that of the scalp ECG compared to the time domain approach. Competing Interests: Conflicts of InterestThe authors declare no conflicts of interest. (© 2024 by the authors.)
Databáze:	MEDLINE
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