Chest compressions rhythm strip

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Survival from out-of-hospital cardiac arrest depends largely on two factors: early cardiopulmonary resuscitation CPR and early defibrillation. CPR must be interrupted for a reliable automated rhythm analysis because chest compressions induce artifacts in the ECG. Unfortunately, interrupting CPR adversely affects survival. In the last twenty years, research has been focused on designing methods for analysis of ECG during chest compressions. Most approaches are based either on adaptive filters to remove the CPR artifact or on robust algorithms which directly diagnose the corrupted ECG. In general, all the methods report low specificity values when tested on short ECG segments, but how to evaluate the real impact on CPR delivery of continuous rhythm analysis during CPR is still unknown.
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A Reliable Method for Rhythm Analysis during Cardiopulmonary Resuscitation

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A Reliable Method for Rhythm Analysis during Cardiopulmonary Resuscitation

Interruptions in cardiopulmonary resuscitation CPR compromise defibrillation success. However, CPR must be interrupted to analyze the rhythm because although current methods for rhythm analysis during CPR have high sensitivity for shockable rhythms, the specificity for nonshockable rhythms is still too low. This paper introduces a new approach to rhythm analysis during CPR that combines two strategies: a state-of-the-art CPR artifact suppression filter and a shock advice algorithm SAA designed to optimally classify the filtered signal. Emphasis is on designing an algorithm with high specificity.
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Rhythm Analysis during Cardiopulmonary Resuscitation: Past, Present, and Future

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