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If you have problems viewing the screenshots in your browser, please read this note. The first task faced by the expert annotators was to mark the locations of the PQ junction the isoelectric level and the J point, based on second averaged cardiac cycles chosen at frequent intervals throughout the recordings.

These marks serve as guideposts for the automated ST level measurement algorithm that performs the next step. The experts then examine the time series of ST level measurements in order to locate and to mark a set of local reference points marked as LR in the upper panel of the figure.

These are used to construct a piecewise linear baseline ST level function, which may vary over time as a result of body position changes or other factors unrelated to ischemia, especially in subjects with prior myocardial infarctions. Axis shifts reflect body position changes, and are usually most apparent in the QRS complexes note the changes in the QRS principal components, KL1 - KL5, in the lower panel of the figure.

By contrast, when ischemic ST changes occur, they are most apparent in the principal components of the ST segment see the lower panel in this screenshot. Local references are placed before and after each such episode, and the episodes are annotated next.

During this process, the expert annotators have the option of viewing either the ST level time series or the ST deviation time series formed by subtracting the baseline ST level function from the uncorrected ST level time series , as shown in the upper panels of the two screenshots. For further details, see reference 4 below. The software produces compact trend plots of the ST level and ST deviation time series, with indicators of ischemic and non-ischemic ST episodes. Franc Jager and Miha Amon have contributed additional sets of time series computed from the ST segments of each normal and non-noisy beat in the database.

In each case, they provided time series computed separately for each ECG lead. Derivation of the Legendre orthonormal-transform normalized and non-normalized coefficient time series, derivation of new single-lead KL basis functions for the ST segments, and derivation of normalized and non-normalized KL coefficient time series is described in reference 5 below.

The kl-single and kl-single-uncentralized projects use different techniques time domain and KL based respectively to remove noisy heartbeats. In all such cases you choose whether to provide us with the personally identifiable information, but certain portions of the Site may not be available to you if you do not provide the PII requested.

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