Exemplo n.º 1
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def _prev_rhythm_tconst(pattern, rhythm):
    """Temporal constraints of a cardiac rhythm with the precedent one."""
    BASIC_TCONST(pattern, rhythm)
    tnet = pattern.last_tnet
    tnet.set_equal(pattern.hypothesis.start, rhythm.end)
    tnet.add_constraint(pattern.hypothesis.start, pattern.hypothesis.end,
                                      Iv(2*C.TACHY_RR.start, 3*C.BRADY_RR.end))
Exemplo n.º 2
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def _qrs2_tconst(pattern, qrs):
    """Temporal constraints of the delayed QRS in the asystole."""
    BASIC_TCONST(pattern, qrs)
    pattern.last_tnet.set_equal(qrs.time, pattern.hypothesis.end)
    if len(pattern.evidence[o.QRS]) > 1:
        prev = pattern.evidence[o.QRS][0]
        pattern.last_tnet.add_constraint(prev.time, qrs.time, ASYSTOLE_RR)
Exemplo n.º 3
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def _qrs3_tconst(pattern, qrs):
    """Temporal constraints of the third QRS complex"""
    BASIC_TCONST(pattern, qrs)
    tnet = pattern.last_tnet
    tnet.set_before(qrs.time, pattern.hypothesis.end)
    tnet.add_constraint(qrs.start, qrs.end, C.QRS_DUR)
    beats = pattern.evidence[o.QRS]
    #If there is a previous QRS
    if beats.index(qrs) == 1:
        tnet.add_constraint(beats[0].time, qrs.time,
                          Iv(C.TACHY_RR.start + C.RR_MAX_DIFF, C.BRADY_RR.end))
    #If we have reached an initial state.
    if pattern.istate == 0:
        idx = beats.index(qrs)
        meanrr, stdrr = pattern.hypothesis.meas.rr
        minrr = (beats[1].time.start - beats[0].time.end if idx == 2
                                                             else meanrr-stdrr)
        tnet.add_constraint(beats[idx-1].time, qrs.time,
                              Iv(min(C.ASYSTOLE_RR.start, minrr+C.RR_MAX_DIFF),
                                                          C.ASYSTOLE_RR.start))
        #The block time has to be higher than the mean RR plus the standard
        #deviation.
        if meanrr > 0:
            tnet.add_constraint(beats[idx-1].time, qrs.time,
                      Iv(meanrr+stdrr, max(meanrr+stdrr, C.ASYSTOLE_RR.start)))
Exemplo n.º 4
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def _common_qrs_constraints(pattern, qrs):
    """Temporal constraints affecting all QRS complex."""
    tnet = pattern.last_tnet
    hyp = pattern.hypothesis
    BASIC_TCONST(pattern, qrs)
    tnet.add_constraint(qrs.start, qrs.end, C.QRS_DUR)
    tnet.set_before(qrs.time, hyp.end)
Exemplo n.º 5
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def _qrs_fin_npause_tconst(pattern, qrs):
    """
    Temporal constraints of the fourth beat in an extrasystole without
    compensatory pause.
    """
    BASIC_TCONST(pattern, qrs)
    tnet = pattern.last_tnet
    tnet.set_equal(pattern.hypothesis.end, qrs.time)
    beats = pattern.evidence[o.QRS]
    #We need all previous evidence
    if pattern.istate == 0:
        step = pattern.get_step(qrs)
        twave = pattern.trseq[step-1][1]
        if isinstance(twave, o.TWave):
            tnet.set_before(twave.end, qrs.start)
        #Reference RR
        minrr = (beats[1].time.start - beats[0].time.end if len(beats) == 4
                                            else pattern.hypothesis.meas.rr[0])
        maxrr = (beats[1].time.end - beats[0].time.start if len(beats) == 4
                                            else pattern.hypothesis.meas.rr[0])
        tnet.add_constraint(beats[-3].time, qrs.time,
                              Iv(minrr - C.RR_MAX_DIFF, maxrr + C.RR_MAX_DIFF))
        #The last QRS should have the same morphology than the one before the
        #extrasystole.
        qrs.shape = beats[-3].shape
Exemplo n.º 6
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def _t_tconst(pattern, twave):
    """
    Temporal constraints of the T Waves wrt the corresponding QRS complex.
    """
    BASIC_TCONST(pattern, twave)
    obseq = pattern.obs_seq
    idx = pattern.get_step(twave)
    try:
        tnet = pattern.last_tnet
        #We find the qrs observation precedent to this T wave.
        qrs = next(obseq[i] for i in xrange(idx - 1, -1, -1)
                   if isinstance(obseq[i], o.QRS))
        #If we have more than one QRS, it is possible to constrain even more
        #the location of the T-Wave, based on rhythm information.
        qidx = pattern.evidence[o.QRS].index(qrs)
        if qidx > 1:
            refrr = (
                (qrs.time.end - pattern.evidence[o.QRS][qidx - 2].time.start) /
                2.0)
            tnet.add_constraint(qrs.time, twave.end,
                                Iv(0, refrr - C.TQ_INTERVAL_MIN))
        if idx > 0 and isinstance(obseq[idx - 1], o.PWave):
            pwave = obseq[idx - 1]
            tnet.add_constraint(
                pwave.end, twave.start,
                Iv(C.ST_INTERVAL.start, C.PQ_INTERVAL.end + C.QRS_DUR.end))
        #ST interval
        tnet.add_constraint(qrs.end, twave.start, C.ST_INTERVAL)
        #QT duration
        tnet.add_constraint(qrs.start, twave.end, C.N_QT_INTERVAL)
    except StopIteration:
        pass
Exemplo n.º 7
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def _qrsn_tconst(pattern, qrs):
    """
    Temporal constraints for the QRS complexes.
    """
    beats = pattern.evidence[o.QRS]
    idx = beats.index(qrs)
    hyp = pattern.hypothesis
    tnet = pattern.last_tnet
    obseq = pattern.obs_seq
    oidx = pattern.get_step(qrs)
    prev = beats[idx-1]
    #In cyclic observations, we have to introduce more networks to simplify
    #the minimization operation.
    tnet.remove_constraint(hyp.end, prev.time)
    tnet = ConstraintNetwork()
    pattern.temporal_constraints.append(tnet)
    meanrr, stdrr = pattern.hypothesis.meas.rr
    rr_bounds = Iv(min(C.ASYSTOLE_RR.start, meanrr-stdrr+C.RR_MAX_DIFF),
                                                           C.ASYSTOLE_RR.start)
    tnet.add_constraint(prev.time, qrs.time, rr_bounds)
    tnet.add_constraint(prev.start, qrs.start, rr_bounds)
    tnet.add_constraint(prev.end, qrs.end, rr_bounds)
    tnet.set_before(prev.end, qrs.start)
    #If there is a prior T Wave, it must finish before the start
    #of the QRS complex.
    if isinstance(obseq[oidx-1], o.TWave):
        prevt = obseq[oidx-1]
        tnet.set_before(prevt.end, qrs.start)
    BASIC_TCONST(pattern, qrs)
    tnet.add_constraint(qrs.start, qrs.end, C.QRS_DUR)
    tnet.set_before(qrs.time, hyp.end)
    #We can introduce constraints on the morphology of the new QRS complex.
    if hyp.morph and not qrs.frozen:
        qrs.shape = hyp.morph
Exemplo n.º 8
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def _def0_tconst(pattern, defl):
    """Temporal constraints of the first deflection"""
    BASIC_TCONST(pattern, defl)
    tnet = pattern.last_tnet
    tnet.add_constraint(pattern.hypothesis.start, defl.time,
                        C.VFLUT_LIM_INTERV)
    tnet.set_before(defl.time, pattern.hypothesis.end)
Exemplo n.º 9
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def _reg_nae_tconst(pattern, qrs):
    """
    Temporal constraints for regular beats not coming after ectopic beats.
    """
    beats = pattern.evidence[o.QRS]
    idx = beats.index(qrs)
    assert not _is_ectopic(idx)
    hyp = pattern.hypothesis
    tnet = pattern.last_tnet
    prev = beats[idx - 1]
    if idx > 3:
        #We create a new temporal network for the new trigeminy cycle.
        tnet.remove_constraint(hyp.end, prev.time)
        tnet = ConstraintNetwork()
        pattern.temporal_constraints.append(tnet)
        rrev = beats[idx - 3].time.start - beats[idx - 4].time.start
    ##RR evolution constraint.
    else:
        rrev = pattern.evidence[o.Cardiac_Rhythm][0].meas.rr[0]
    tnet.add_constraint(prev.time, qrs.time,
                        Iv(rrev - C.RR_MAX_DIFF, rrev + C.RR_MAX_DIFF))
    BASIC_TCONST(pattern, qrs)
    tnet.add_constraint(qrs.start, qrs.end, C.NQRS_DUR)
    tnet.set_before(qrs.time, hyp.end)
    #Constraints with the precedent T Wave
    _qrs_after_twave(pattern, qrs)
    #Morphology should be similar to the previous QRS, since both are normal
    qrs.shape = prev.shape
    qrs.paced = prev.paced
Exemplo n.º 10
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 def tconst(pattern, qrs):
     """
     Defines the temporal constraints function for the ectopic beat in an
     extrasystole, depending on its ventricular nature or not.
     """
     BASIC_TCONST(pattern, qrs)
     tnet = pattern.last_tnet
     tnet.set_before(qrs.end, pattern.hypothesis.end)
     if ventricular:
         tnet.add_constraint(qrs.start, qrs.end, C.VQRS_DUR)
     #It must be the third beat.
     beats = pattern.evidence[o.QRS]
     idx = beats.index(qrs)
     #If there is a previous beat
     if idx > 0:
         tnet.add_constraint(beats[idx-1].time, qrs.time,
                                   Iv(C.TACHY_RR.start, 0.9*C.BRADY_RR.end))
     #If all the previous evidence has been observed
     if pattern.istate == 0:
         #Anticipation of at least the 10% of the reference RR, or 1mm.
         if idx == 2:
             refrr = beats[1].time.end - beats[0].time.start
         elif pattern.evidence[o.Cardiac_Rhythm][0] is not pattern.finding:
             refrr = pattern.hypothesis.meas.rr[0]
         else:
             refrr = None
         if refrr is not None:
             short = min(0.1*refrr, C.TMARGIN)
             tnet.add_constraint(beats[idx-1].time, qrs.time,
                   Iv(C.TACHY_RR.start, max(C.TACHY_RR.start, refrr-short)))
Exemplo n.º 11
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def _prev_rhythm_tconst(pattern, rhythm):
    """Temporal constraints of the flutter with the precedent rhythm"""
    BASIC_TCONST(pattern, rhythm)
    tnet = pattern.last_tnet
    tnet.set_equal(pattern.hypothesis.start, rhythm.end)
    tnet.add_constraint(pattern.hypothesis.start, pattern.hypothesis.end,
                        Iv(C.VFLUT_MIN_DUR, np.inf))
Exemplo n.º 12
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def _asyst_prev_rhythm_tconst(pattern, rhythm):
    """Temporal constraints of an asystole with the precedent rhythm."""
    BASIC_TCONST(pattern, rhythm)
    tnet = pattern.last_tnet
    tnet.set_equal(pattern.hypothesis.start, rhythm.end)
    tnet.add_constraint(pattern.hypothesis.start, pattern.hypothesis.end,
                        ASYSTOLE_RR)
Exemplo n.º 13
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 def _t_tconst(pattern, twave):
     """
     Temporal constraints of the T wave.
     """
     BASIC_TCONST(pattern, twave)
     beats = pattern.evidence[o.QRS]
     tnet = pattern.last_tnet
     qidx = qrsidx + len(beats) if qrsidx < 0 else qrsidx
     qrs = beats[qidx]
     if qidx < len(beats) - 1:
         tnet.set_before(twave.end, beats[qidx + 1].start)
     if qidx > 0:
         refrr = qrs.time.end - pattern.evidence[o.QRS][qidx - 1].time.start
         refrr = max(min(refrr, C.QTC_RR_LIMITS.end), C.QTC_RR_LIMITS.start)
         rtc, rtstd = pattern.hypothesis.meas.rt
         if rtc > 0:
             #Expected QT value from the QT corrected value
             rtmean = ms2sp(1000.0 * sp2sc(rtc) * np.cbrt(sp2sc(refrr)))
             tnet.add_constraint(
                 qrs.time, twave.end,
                 Iv(rtmean - 2.5 * rtstd, rtmean + 2.5 * rtstd))
         try:
             tnet.add_constraint(qrs.time, twave.end,
                                 Iv(0, refrr - C.TQ_INTERVAL_MIN))
         except ValueError:
             pass
     tnet.add_constraint(qrs.start, twave.end, C.N_QT_INTERVAL)
     #ST interval
     tnet.add_constraint(qrs.end, twave.start, C.ST_INTERVAL)
Exemplo n.º 14
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def _qrs1_tconst(pattern, qrs):
    """Temporal constraints of the first QRS complex"""
    BASIC_TCONST(pattern, qrs)
    pattern.last_tnet.add_constraint(qrs.start, qrs.end, C.QRS_DUR)
    if pattern.evidence[o.Cardiac_Rhythm]:
        pattern.last_tnet.set_before(qrs.end,
                                     pattern.evidence[o.Cardiac_Rhythm][0].end)
Exemplo n.º 15
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 def _p_tconst(pattern, pwave):
     """P waves temporal constraints"""
     BASIC_TCONST(pattern, pwave)
     tnet = pattern.last_tnet
     tnet.add_constraint(pwave.start, pwave.end, C.PW_DURATION)
     #We find the associated QRS.
     beats = pattern.evidence[o.QRS]
     qidx = qrsidx + len(beats) if qrsidx < 0 else qrsidx
     qrs = beats[qidx]
     if qidx > 0:
         tnet.set_before(beats[qidx - 1].end, pwave.start)
     tnet.add_constraint(pwave.start, qrs.start, C.N_PR_INTERVAL)
     tnet.set_before(pwave.end, qrs.start)
     if len(pattern.evidence[o.PWave]) > 10:
         #The mean and standard deviation of the PQ measurements will
         #influence the following observations.
         if qidx % 2 == 0:
             pqmean, pqstd = pattern.hypothesis.meas.pq
         else:
             pqs = _get_measures(pattern, True)[2]
             pqmean, pqstd = np.mean(pqs), np.std(pqs)
         if not np.isnan(pqmean) and not np.isnan(pqstd):
             interv = Iv(int(pqmean - 2 * pqstd), int(pqmean + 2 * pqstd))
             if interv.overlap(C.N_PR_INTERVAL):
                 tnet.add_constraint(pwave.start, qrs.start, interv)
Exemplo n.º 16
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def _prev_rhythm_tconst(pattern, rhythm):
    """Temporal constraints of the fibrillation with the precedent rhythm"""
    BASIC_TCONST(pattern, rhythm)
    tnet = pattern.last_tnet
    tnet.set_equal(pattern.hypothesis.start, rhythm.end)
    #An atrial fibrillation needs at least 7 QRS complexes.
    tnet.add_constraint(pattern.hypothesis.start, pattern.hypothesis.end,
                        Iv(7 * C.TACHY_RR.start, np.inf))
Exemplo n.º 17
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def _env_qrs_tconst(pattern, qrs):
    """Temporal constraints for the environment QRS observation, the first QRS
    of the pattern"""
    tnet = pattern.last_tnet
    BASIC_TCONST(pattern, qrs)
    tnet.set_equal(pattern.hypothesis.start, qrs.time)
    tnet.set_before(qrs.time, pattern.hypothesis.end)
    tnet.add_constraint(qrs.start, qrs.end, C.QRS_DUR)
Exemplo n.º 18
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def _prev_afib_tconst(pattern, afib):
    """
    Temporal constraints of the fibrillation wrt a previous atrial
    fibrillation that will helps us to reduce the necessary evidence
    """
    BASIC_TCONST(pattern, afib)
    pattern.last_tnet.add_constraint(afib.end, pattern.hypothesis.start,
                                     Iv(0, C.AFIB_MAX_DELAY))
Exemplo n.º 19
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def _qrs_tconst(pattern, qrs):
    """Temporal constraints of the QRS complex that determines the end of the
    flutter"""
    BASIC_TCONST(pattern, qrs)
    defl = pattern.evidence[o.Deflection][-1]
    tnet = pattern.last_tnet
    tnet.add_constraint(defl.time, qrs.time, C.VFLUT_LIM_INTERV)
    tnet.set_equal(pattern.hypothesis.end, qrs.time)
    tnet.add_constraint(qrs.start, qrs.end, C.QRS_DUR)
Exemplo n.º 20
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def _qrs_env_tconst(pattern, qrs):
    """Temporal constraints of the second environment QRS complex"""
    BASIC_TCONST(pattern, qrs)
    tnet = pattern.last_tnet
    tnet.set_equal(pattern.hypothesis.start, qrs.time)
    if pattern.evidence[o.QRS].index(qrs) == 1:
        prev = pattern.evidence[o.QRS][0]
        tnet.add_constraint(prev.time, qrs.time, Iv(C.TACHY_RR.start,
                                                               C.BRADY_RR.end))
Exemplo n.º 21
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def _envbeat_tconst(pattern, obs):
    """
    Temporal constraints for the environment QRS and CardiacCycle observation
    """
    BASIC_TCONST(pattern, obs)
    pattern.last_tnet.add_constraint(obs.end, pattern.hypothesis.time,
                                     Iv(msec2samples(20), np.inf))
    if isinstance(obs, o.QRS) and isinstance(pattern.obs_seq[0],
                                             o.CardiacCycle):
        pattern.last_tnet.set_equal(pattern.obs_seq[0].time, obs.time)
Exemplo n.º 22
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def _qrs0_tconst(pattern, qrs):
    """
    Temporal constraints of the QRS complex that must be at the beginning of
    the flutter.
    """
    BASIC_TCONST(pattern, qrs)
    tnet = pattern.last_tnet
    tnet.set_equal(pattern.hypothesis.start, qrs.time)
    tnet.add_constraint(pattern.hypothesis.start, pattern.hypothesis.end,
                        Iv(C.VFLUT_MIN_DUR, np.inf))
Exemplo n.º 23
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 def _t_tconst(pattern, twave):
     """
     Temporal constraints of the T Waves wrt the corresponding QRS complex.
     """
     BASIC_TCONST(pattern, twave)
     tnet = pattern.last_tnet
     obseq = pattern.obs_seq
     idx = pattern.get_step(twave)
     beats = pattern.evidence[o.QRS]
     qidx = qrsidx + len(beats) if qrsidx < 0 else qrsidx
     qrs = beats[qidx]
     if qidx > 1:
         refsq = beats[qidx - 1].earlystart - beats[qidx - 2].lateend
         tnet.add_constraint(qrs.time, twave.end,
                             Iv(0, max(0, refsq - C.TQ_INTERVAL_MIN)))
     if idx > 0 and isinstance(obseq[idx - 1], o.PWave):
         pwave = obseq[idx - 1]
         tnet.add_constraint(
             pwave.end, twave.start,
             Iv(C.ST_INTERVAL.start, C.PQ_INTERVAL.end + C.QRS_DUR.end))
     if qidx < len(beats) - 1:
         tnet.set_before(twave.end, beats[qidx + 1].start)
     #ST interval
     tnet.add_constraint(qrs.end, twave.start, C.ST_INTERVAL)
     #QT duration
     tnet.add_constraint(qrs.start, twave.end, C.N_QT_INTERVAL)
     #RT variation
     if qidx % 2 == 0:
         rtmean, rtstd = pattern.hypothesis.meas.rt
         #We also define a constraint on T wave end based on the last
         #distance between normal and ectopic QRS.
         if qidx > 0:
             tnet.add_constraint(
                 qrs.end, twave.end,
                 Iv(0,
                    beats[qidx - 1].earlystart - beats[qidx - 2].lateend))
     else:
         rts = _get_measures(pattern, 1)[2]
         rtmean, rtstd = np.mean(rts), np.std(rts)
     if rtmean > 0:
         #The mean and standard deviation of the PQ measurements will
         #influence the following observations.
         maxdiff = (C.QT_ERR_STD
                    if len(pattern.evidence[o.TWave]) < 10 else rtstd)
         maxdiff = max(maxdiff, C.MIN_QT_STD)
         interv = Iv(int(rtmean - 2.5 * maxdiff),
                     int(rtmean + 2.5 * maxdiff))
         #We avoid possible inconsistencies with constraint introduced by
         #the rhythm information.
         try:
             existing = tnet.get_constraint(qrs.time, twave.end).constraint
         except KeyError:
             existing = Iv(-np.inf, np.inf)
         if interv.overlap(existing):
             tnet.add_constraint(qrs.time, twave.end, interv)
Exemplo n.º 24
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def _reg_qrs_tconst(pattern, qrs):
    """
    Temporal constraints for regular beats, which appear after every ectopic
    beat.
    """
    beats = pattern.evidence[o.QRS]
    idx = beats.index(qrs)
    tnet = pattern.last_tnet
    hyp = pattern.hypothesis
    BASIC_TCONST(pattern, qrs)
    tnet.add_constraint(qrs.start, qrs.end, C.NQRS_DUR)
    tnet.set_before(qrs.time, hyp.end)
    #Constraints with the precedent T Wave
    _qrs_after_twave(pattern, qrs)
    #The environment QRS complex determines the beginning of the bigeminy.
    if pattern.get_evidence_type(qrs)[1] is ENV:
        tnet.set_equal(hyp.start, qrs.time)
    else:
        #The first regular beat takes the reference RR from the previous rhythm
        #and the subsequent take the reference from the proper bigeminy.
        if idx == 2:
            refrr, stdrr = pattern.evidence[o.Cardiac_Rhythm][0].meas[0]
            max_var = max(2 * C.RR_MAX_DIFF, 4 * stdrr)
            tnet.add_constraint(
                beats[0].time, qrs.time,
                Iv(min(2 * refrr - max_var, refrr * C.COMPAUSE_MIN_F),
                   max(2 * refrr + max_var, refrr * C.COMPAUSE_MAX_F)))
        else:
            ref2rr = beats[idx - 2].time.end - beats[idx - 4].time.start
            mrr, srr = hyp.meas.rr
            const = Iv(min(ref2rr - 2 * C.RR_MAX_DIFF, 2 * mrr - 4 * srr),
                       max(ref2rr + 2 * C.RR_MAX_DIFF, 2 * mrr + 4 * srr))
            tnet.add_constraint(beats[idx - 2].time, qrs.time, const)
            tnet.add_constraint(beats[idx - 2].start, qrs.start, const)
            tnet.add_constraint(beats[idx - 2].end, qrs.end, const)
        #We guide the morphology search to be similar to the previous regular
        #QRS complex.
        qrs.shape = beats[idx - 2].shape
        qrs.paced = beats[idx - 2].paced
        #Compensatory pause RR
        minrr = beats[idx - 1].time.start - beats[idx - 2].time.end
        maxrr = beats[idx - 1].time.end - beats[idx - 2].time.start
        refcompause = (beats[idx - 2].time.start -
                       beats[idx - 3].time.start if idx > 2 else maxrr *
                       C.COMPAUSE_RREXT_MAX_F)
        mincompause = max(
            C.COMPAUSE_MIN_DUR, maxrr,
            min(minrr * C.COMPAUSE_RREXT_MIN_F, refcompause - C.TMARGIN,
                minrr + C.COMPAUSE_RREXT_MIN))
        tnet.add_constraint(beats[idx - 1].time, qrs.time,
                            Iv(mincompause, maxrr * C.COMPAUSE_RREXT_MAX_F))
        #Beats cannot overlap
        tnet.add_constraint(beats[idx - 1].end, qrs.start,
                            Iv(C.TQ_INTERVAL_MIN, np.Inf))
Exemplo n.º 25
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def _t_qrs_tconst(pattern, qrs):
    """
    Temporal constraints wrt the leading QRS complex.
    """
    BASIC_TCONST(pattern, qrs)
    twave = pattern.hypothesis
    tc = pattern.last_tnet
    tc.add_constraint(qrs.end, twave.start, C.ST_INTERVAL)
    tc.add_constraint(qrs.start, twave.end, C.QT_INTERVAL)
    tc.add_constraint(qrs.end, twave.end, C.SQT_INTERVAL)
    tc.add_constraint(twave.start, twave.end, C.TW_DURATION)
Exemplo n.º 26
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def _prev_multrhythm_tconst(pattern, rhythm):
    """
    Temporal constraints of the fibrillation with the cardiac rhythms between
    the last atrial fibrillation and the precedent one.
    """
    BASIC_TCONST(pattern, rhythm)
    const = Iv(1, C.AFIB_MAX_DELAY - 1)
    tnet = pattern.last_tnet
    tnet.add_constraint(rhythm.start, rhythm.end, const)
    tnet.add_constraint(rhythm.start, pattern.hypothesis.start, const)
    tnet.add_constraint(rhythm.end, pattern.hypothesis.start, const)
Exemplo n.º 27
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def _tv0_tconst(pattern, twave):
    """
    Temporal constraints for the T Wave of the first extrasystole, that is
    only observed after the second extrasystole QRS has been properly observed.
    """
    BASIC_TCONST(pattern, twave)
    tnet = pattern.last_tnet
    beats = pattern.evidence[o.QRS]
    #The T wave must be in the hole between the two QRS complexes, and must
    #finish at least 1mm before the next QRS starts.
    tnet.set_before(beats[1].end, twave.start)
    tnet.set_before(twave.end, beats[2].start)
    tnet.add_constraint(twave.end, beats[2].start, Iv(C.TMARGIN, np.Inf))
Exemplo n.º 28
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def _qrs2_tconst(pattern, qrs):
    """Temporal constraints of the second QRS complex"""
    BASIC_TCONST(pattern, qrs)
    tnet = pattern.last_tnet
    tnet.set_equal(pattern.hypothesis.start, qrs.time)
    tnet.add_constraint(qrs.start, qrs.end, C.QRS_DUR)
    if pattern.evidence[o.QRS].index(qrs) == 1:
        prev = pattern.evidence[o.QRS][0]
        tnet.add_constraint(prev.time, qrs.time, Iv(C.TACHY_RR.start,
                                                               C.BRADY_RR.end))
    elif (pattern.evidence[o.Cardiac_Rhythm] and
                isinstance(pattern.evidence[o.Cardiac_Rhythm][0], o.Asystole)):
        pattern.last_tnet.set_equal(pattern.hypothesis.start, qrs.time)
Exemplo n.º 29
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def _p_tconst(pattern, pwave):
    """
    Temporal constraints of the P Waves wrt the corresponding QRS complex
    """
    BASIC_TCONST(pattern, pwave)
    tnet = pattern.last_tnet
    tnet.add_constraint(pwave.start, pwave.end, C.PW_DURATION)
    #We find the QRS observed just before that P wave.
    idx = pattern.get_step(pwave)
    if idx > 0 and isinstance(pattern.trseq[idx - 1][1], o.QRS):
        qrs = pattern.trseq[idx - 1][1]
        #PR interval
        tnet.add_constraint(pwave.start, qrs.start, C.N_PR_INTERVAL)
        tnet.set_before(pwave.end, qrs.start)
Exemplo n.º 30
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def _p_qrs_tconst(pattern, pwave):
    """
    Temporal constraints of the P Wave wrt the corresponding QRS complex
    """
    BASIC_TCONST(pattern, pwave)
    obseq = pattern.obs_seq
    idx = pattern.get_step(pwave)
    if idx == 0 or not isinstance(obseq[idx - 1], o.QRS):
        return
    qrs = obseq[idx - 1]
    tnet = pattern.last_tnet
    tnet.add_constraint(pwave.start, pwave.end, PW_DURATION)
    #PR interval
    tnet.add_constraint(pwave.start, qrs.start, N_PR_INTERVAL)
    tnet.set_before(pwave.end, qrs.start)