Friday, December 3, 2010
ECG - Electrocardiogram
Electrocardiogram Introduction
The electrocardiogram (ECG or EKG) is a diagnostic tool that measures and records the electrical activity of the heart in exquisite detail. Interpretation of these details allows diagnosis of a wide range of heart conditions. These conditions can vary from minor to life threatening.
The term electrocardiogram was introduced by Willem Einthoven in 1893 at a meeting of the Dutch Medical Society. In 1924, Einthoven received the Nobel Prize for his life's work in developing the ECG.
The ECG has evolved over the years.
* The standard 12-lead ECG that is used throughout the world was introduced in 1942.
* It is called a 12-lead ECG because it examines the electrical activity of the heart from 12 points of view.
* This is necessary because no single point (or even 2 or 3 points of view) provides a complete picture of what is going on.
* To fully understand how an ECG reveals useful information about the condition of your heart requires a basic understanding of the anatomy (that is, the structure) and physiology (that is, the function) of the heart.
Unipolar vs. bipolar leads
There are two types of leads: unipolar and bipolar. Bipolar leads have one positive and one negative pole.[21] In a 12-lead ECG, the limb leads (I, II and III) are bipolar leads. Unipolar leads also have two poles, as a voltage is measured; however, the negative pole is a composite pole (Wilson's central terminal) made up of signals from lots of other electrodes.[22] In a 12-lead ECG, all leads besides the limb leads are unipolar (aVR, aVL, aVF, V1, V2, V3, V4, V5, and V6).
Wilson's central terminal VW is produced by connecting the electrodes, RA; LA; and LL, together, via a simple resistive network, to give an average potential across the body, which approximates the potential at infinity (i.e. zero):
V_W = \frac{1}{3}(RA+LA+LL).
[edit] Augmented limb leads
Leads aVR, aVL, and aVF are augmented limb leads (after their inventor Dr. Emanuel Goldberger known collectively as the Goldberger's leads). They are derived from the same three electrodes as leads I, II, and III. However, they view the heart from different angles (or vectors) because the negative electrode for these leads is a modification of Wilson's central terminal. This zeroes out the negative electrode and allows the positive electrode to become the "exploring electrode". This is possible because Einthoven's Law states that I + (−II) + III = 0. The equation can also be written I + III = II. It is written this way (instead of I − II + III = 0) because Einthoven reversed the polarity of lead II in Einthoven's triangle, possibly because he liked to view upright QRS complexes. Wilson's central terminal paved the way for the development of the augmented limb leads aVR, aVL, aVF and the precordial leads V1, V2, V3, V4, V5 and V6.
* Lead augmented vector right (aVR) has the positive electrode (white) on the right arm. The negative electrode is a combination of the left arm (black) electrode and the left leg (red) electrode, which "augments" the signal strength of the positive electrode on the right arm:
aVR = RA - \frac{1}{2} (LA + LL).
* Lead augmented vector left (aVL) has the positive (black) electrode on the left arm. The negative electrode is a combination of the right arm (white) electrode and the left leg (red) electrode, which "augments" the signal strength of the positive electrode on the left arm:
aVL = LA - \frac{1}{2} (RA + LL).
* Lead augmented vector foot (aVF) has the positive (red) electrode on the left leg. The negative electrode is a combination of the right arm (white) electrode and the left arm (black) electrode, which "augments" the signal of the positive electrode on the left leg:
aVF = LL - \frac{1}{2} (RA + LA).
The augmented limb leads aVR, aVL, and aVF are amplified in this way because the signal is too small to be useful when the negative electrode is Wilson's central terminal. Together with leads I, II, and III, augmented limb leads aVR, aVL, and aVF form the basis of the hexaxial reference system, which is used to calculate the heart's electrical axis in the frontal plane. The aVR, aVL, and aVF leads can also be represented using the I and II limb leads:
The electrocardiogram (ECG or EKG) is a diagnostic tool that measures and records the electrical activity of the heart in exquisite detail. Interpretation of these details allows diagnosis of a wide range of heart conditions. These conditions can vary from minor to life threatening.
The term electrocardiogram was introduced by Willem Einthoven in 1893 at a meeting of the Dutch Medical Society. In 1924, Einthoven received the Nobel Prize for his life's work in developing the ECG.
The ECG has evolved over the years.
* The standard 12-lead ECG that is used throughout the world was introduced in 1942.
* It is called a 12-lead ECG because it examines the electrical activity of the heart from 12 points of view.
* This is necessary because no single point (or even 2 or 3 points of view) provides a complete picture of what is going on.
* To fully understand how an ECG reveals useful information about the condition of your heart requires a basic understanding of the anatomy (that is, the structure) and physiology (that is, the function) of the heart.
Unipolar vs. bipolar leads
There are two types of leads: unipolar and bipolar. Bipolar leads have one positive and one negative pole.[21] In a 12-lead ECG, the limb leads (I, II and III) are bipolar leads. Unipolar leads also have two poles, as a voltage is measured; however, the negative pole is a composite pole (Wilson's central terminal) made up of signals from lots of other electrodes.[22] In a 12-lead ECG, all leads besides the limb leads are unipolar (aVR, aVL, aVF, V1, V2, V3, V4, V5, and V6).
Wilson's central terminal VW is produced by connecting the electrodes, RA; LA; and LL, together, via a simple resistive network, to give an average potential across the body, which approximates the potential at infinity (i.e. zero):
V_W = \frac{1}{3}(RA+LA+LL).
[edit] Augmented limb leads
Leads aVR, aVL, and aVF are augmented limb leads (after their inventor Dr. Emanuel Goldberger known collectively as the Goldberger's leads). They are derived from the same three electrodes as leads I, II, and III. However, they view the heart from different angles (or vectors) because the negative electrode for these leads is a modification of Wilson's central terminal. This zeroes out the negative electrode and allows the positive electrode to become the "exploring electrode". This is possible because Einthoven's Law states that I + (−II) + III = 0. The equation can also be written I + III = II. It is written this way (instead of I − II + III = 0) because Einthoven reversed the polarity of lead II in Einthoven's triangle, possibly because he liked to view upright QRS complexes. Wilson's central terminal paved the way for the development of the augmented limb leads aVR, aVL, aVF and the precordial leads V1, V2, V3, V4, V5 and V6.
* Lead augmented vector right (aVR) has the positive electrode (white) on the right arm. The negative electrode is a combination of the left arm (black) electrode and the left leg (red) electrode, which "augments" the signal strength of the positive electrode on the right arm:
aVR = RA - \frac{1}{2} (LA + LL).
* Lead augmented vector left (aVL) has the positive (black) electrode on the left arm. The negative electrode is a combination of the right arm (white) electrode and the left leg (red) electrode, which "augments" the signal strength of the positive electrode on the left arm:
aVL = LA - \frac{1}{2} (RA + LL).
* Lead augmented vector foot (aVF) has the positive (red) electrode on the left leg. The negative electrode is a combination of the right arm (white) electrode and the left arm (black) electrode, which "augments" the signal of the positive electrode on the left leg:
aVF = LL - \frac{1}{2} (RA + LA).
The augmented limb leads aVR, aVL, and aVF are amplified in this way because the signal is too small to be useful when the negative electrode is Wilson's central terminal. Together with leads I, II, and III, augmented limb leads aVR, aVL, and aVF form the basis of the hexaxial reference system, which is used to calculate the heart's electrical axis in the frontal plane. The aVR, aVL, and aVF leads can also be represented using the I and II limb leads:
SCADA
SCADA stands for supervisory control and data acquisition. It generally refers to industrial control systems: computer systems that monitor and control industrial, infrastructure, or facility-based processes, as described below:
* Industrial processes include those of manufacturing, production, power generation, fabrication, and refining, and may run in continuous, batch, repetitive, or discrete modes.
* Infrastructure processes may be public or private, and include water treatment and distribution, wastewater collection and treatment, oil and gas pipelines, electrical power transmission and distribution, Wind farms, civil defense siren systems, and large communication systems.
* Facility processes occur both in public facilities and private ones, including buildings, airports, ships, and space stations. They monitor and control HVAC, access, and energy consumption.
SCADA systems have evolved through 3 generations as follows:[citation needed]
First generation: "Monolithic"
In the first generation, computing was done by mainframe computers. Networks did not exist at the time SCADA was developed. Thus SCADA systems were independent systems with no connectivity to other systems. Wide Area Networks were later designed by RTU vendors to communicate with the RTU. The communication protocols used were often proprietary at that time. The first-generation SCADA system was redundant since a back-up mainframe system was connected at the bus level and was used in the event of failure of the primary mainframe system.
Second generation: "Distributed"
The processing was distributed across multiple stations which were connected through a LAN and they shared information in real time. Each station was responsible for a particular task thus making the size and cost of each station less than the one used in First Generation. The network protocols used were still mostly proprietary, which led to significant security problems for any SCADA system that received attention from a hacker. Since the protocols were proprietary, very few people beyond the developers and hackers knew enough to determine how secure a SCADA installation was. Since both parties had invested interests in keeping security issues quiet, the security of a SCADA installation was often badly overestimated, if it was considered at all.
Third generation: "Networked"
These are the current generation SCADA systems which use open system architecture rather than a vendor-controlled proprietary environment. The SCADA system utilizes open standards and protocols, thus distributing functionality across a WAN rather than a LAN. It is easier to connect third party peripheral devices like printers, disk drives, and tape drives due to the use of open architecture. WAN protocols such as Internet Protocol (IP) are used for communication between the master station and communications equipment. Due to the usage of standard protocols and the fact that many networked SCADA systems are accessible from the Internet, the systems are potentially vulnerable to remote cyber-attacks. On the other hand, the usage of standard protocols and security techniques means that standard security improvements are applicable to the SCADA systems, assuming they receive timely maintenance and updates.
Trends in SCADA
There is a trend for PLC and HMI/SCADA software to be more "mix-and-match". In the mid 1990s, the typical DAQ I/O manufacturer supplied equipment that communicated using proprietary protocols over a suitable-distance carrier like RS-485. End users who invested in a particular vendor's hardware solution often found themselves restricted to a limited choice of equipment when requirements changed (e.g. system expansions or performance improvement). To mitigate such problems, open communication protocols such as IEC IEC 60870-5-101 or 104, IEC 61850, DNP3 serial, and DNP3 LAN/WAN became increasingly popular among SCADA equipment manufacturers and solution providers alike. Open architecture SCADA systems enabled users to mix-and-match products from different vendors to develop solutions that were better than those that could be achieved when restricted to a single vendor's product offering.
Towards the late 1990s, the shift towards open communications continued with individual I/O manufacturers as well, who adopted open message structures such as Modbus RTU and Modbus ASCII (originally both developed by Modicon) over RS-485. By 2000, most I/O makers offered completely open interfacing such as Modbus TCP over Ethernet and IP.
The North American Electric Reliability Corporation (NERC) has specified that electrical system data should be time-tagged to the nearest millisecond. Electrical system SCADA systems provide this Sequence of events recorder function, using Radio clocks to synchronize the RTU or distributed RTU clocks.
SCADA systems are coming in line with standard networking technologies. Ethernet and TCP/IP based protocols are replacing the older proprietary standards. Although certain characteristics of frame-based network communication technology (determinism, synchronization, protocol selection, environment suitability) have restricted the adoption of Ethernet in a few specialized applications, the vast majority of markets have accepted Ethernet networks for HMI/SCADA.
With the emergence of software as a service in the broader software industry, a few vendors have begun offering application specific SCADA systems hosted on remote platforms over the Internet. This removes the need to install and commission systems at the end-user's facility and takes advantage of security features already available in Internet technology, VPNs and SSL. Some concerns include security,[2] Internet connection reliability, and latency.
SCADA systems are becoming increasingly ubiquitous. Thin clients, web portals, and web based products are gaining popularity with most major vendors. The increased convenience of end users viewing their processes remotely introduces security considerations. While these considerations are already considered solved in other sectors of Internet services, not all entities responsible for deploying SCADA systems have understood the changes in accessibility and threat scope implicit in connecting a system to the Internet.
* Industrial processes include those of manufacturing, production, power generation, fabrication, and refining, and may run in continuous, batch, repetitive, or discrete modes.
* Infrastructure processes may be public or private, and include water treatment and distribution, wastewater collection and treatment, oil and gas pipelines, electrical power transmission and distribution, Wind farms, civil defense siren systems, and large communication systems.
* Facility processes occur both in public facilities and private ones, including buildings, airports, ships, and space stations. They monitor and control HVAC, access, and energy consumption.
SCADA systems have evolved through 3 generations as follows:[citation needed]
First generation: "Monolithic"
In the first generation, computing was done by mainframe computers. Networks did not exist at the time SCADA was developed. Thus SCADA systems were independent systems with no connectivity to other systems. Wide Area Networks were later designed by RTU vendors to communicate with the RTU. The communication protocols used were often proprietary at that time. The first-generation SCADA system was redundant since a back-up mainframe system was connected at the bus level and was used in the event of failure of the primary mainframe system.
Second generation: "Distributed"
The processing was distributed across multiple stations which were connected through a LAN and they shared information in real time. Each station was responsible for a particular task thus making the size and cost of each station less than the one used in First Generation. The network protocols used were still mostly proprietary, which led to significant security problems for any SCADA system that received attention from a hacker. Since the protocols were proprietary, very few people beyond the developers and hackers knew enough to determine how secure a SCADA installation was. Since both parties had invested interests in keeping security issues quiet, the security of a SCADA installation was often badly overestimated, if it was considered at all.
Third generation: "Networked"
These are the current generation SCADA systems which use open system architecture rather than a vendor-controlled proprietary environment. The SCADA system utilizes open standards and protocols, thus distributing functionality across a WAN rather than a LAN. It is easier to connect third party peripheral devices like printers, disk drives, and tape drives due to the use of open architecture. WAN protocols such as Internet Protocol (IP) are used for communication between the master station and communications equipment. Due to the usage of standard protocols and the fact that many networked SCADA systems are accessible from the Internet, the systems are potentially vulnerable to remote cyber-attacks. On the other hand, the usage of standard protocols and security techniques means that standard security improvements are applicable to the SCADA systems, assuming they receive timely maintenance and updates.
Trends in SCADA
There is a trend for PLC and HMI/SCADA software to be more "mix-and-match". In the mid 1990s, the typical DAQ I/O manufacturer supplied equipment that communicated using proprietary protocols over a suitable-distance carrier like RS-485. End users who invested in a particular vendor's hardware solution often found themselves restricted to a limited choice of equipment when requirements changed (e.g. system expansions or performance improvement). To mitigate such problems, open communication protocols such as IEC IEC 60870-5-101 or 104, IEC 61850, DNP3 serial, and DNP3 LAN/WAN became increasingly popular among SCADA equipment manufacturers and solution providers alike. Open architecture SCADA systems enabled users to mix-and-match products from different vendors to develop solutions that were better than those that could be achieved when restricted to a single vendor's product offering.
Towards the late 1990s, the shift towards open communications continued with individual I/O manufacturers as well, who adopted open message structures such as Modbus RTU and Modbus ASCII (originally both developed by Modicon) over RS-485. By 2000, most I/O makers offered completely open interfacing such as Modbus TCP over Ethernet and IP.
The North American Electric Reliability Corporation (NERC) has specified that electrical system data should be time-tagged to the nearest millisecond. Electrical system SCADA systems provide this Sequence of events recorder function, using Radio clocks to synchronize the RTU or distributed RTU clocks.
SCADA systems are coming in line with standard networking technologies. Ethernet and TCP/IP based protocols are replacing the older proprietary standards. Although certain characteristics of frame-based network communication technology (determinism, synchronization, protocol selection, environment suitability) have restricted the adoption of Ethernet in a few specialized applications, the vast majority of markets have accepted Ethernet networks for HMI/SCADA.
With the emergence of software as a service in the broader software industry, a few vendors have begun offering application specific SCADA systems hosted on remote platforms over the Internet. This removes the need to install and commission systems at the end-user's facility and takes advantage of security features already available in Internet technology, VPNs and SSL. Some concerns include security,[2] Internet connection reliability, and latency.
SCADA systems are becoming increasingly ubiquitous. Thin clients, web portals, and web based products are gaining popularity with most major vendors. The increased convenience of end users viewing their processes remotely introduces security considerations. While these considerations are already considered solved in other sectors of Internet services, not all entities responsible for deploying SCADA systems have understood the changes in accessibility and threat scope implicit in connecting a system to the Internet.
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