曾明性Ming-Hseng Tseng章哲嘉CHE-CHIA CHANG醫學資訊學系碩士班2026-10-139999-12-312014https://handle.ncl.edu.tw/11296/cvrnazhttps://scholars.csmu.edu.tw/handle/123456789/21176突發性心因性猝死(SCD)是國人重大的死因之一，本研究運用資料探勘方式開發適宜的猝死偵測演算法，並建構行動通報系統。而心室頻脈或心室震顫為猝死最常見的原因，但心室頻脈或心室震顫之樣本數過低，導致產生類別不平衡之問題。為解決此問題，本研究利用MIT-BIH心律不整心電圖資料庫進行模式建模與內部驗證，提出整合式最佳猝死偵測演算法，建構出SCD警戒與SCD危險兩種通報層級。最後並利用SDDB心因性猝死資料庫進行演算法之外部驗證，結果顯示在312次的SCD案例，應用整合型猝死偵測演算法可偵測出SCD危險通報為262次，而剩下50次中有高達49次被預測為警戒通報，故於所有312次的SCD案例中有311次可被本研究提出之整合猝死偵測演算法進行有效的偵測；本研究進而運用智慧型手機及整合猝死偵測演算法建構出猝死偵測系統，並藉由Google Map定位、自動體外心臟電擊去顫器地點指標與心肺復甦術及自動體外心臟電擊去顫器教學影片作為猝死通報系統，再將猝死偵測系統與猝死通報系統互相結合，建構出本研究所提出之猝死偵測與通報系統，藉由此系統輔助猝死者周遭相關人員即時有效搶救發生猝死之使用者，達到猝死前黃金十分鐘之搶救。Sudden Cardiac Death (SCD) is one of the major causes of death of fellow countrymen. This study developed a suitable algorithm to detect sudden cardiac death by data mining and construct the reporting system on smart phone. The ventricular tachycardia and ventricular fibrillation was the most common cause of sudden cardiac death. But the number of samples of ventricular tachycardia and ventricular fibrillation are too few that resulting problems of category imbalance. To resolve this issue, this study makes pattern modeling and internal validation by MIT-BIH Arrhythmia Database to provide integrated best sudden death detection algorithm to construct alert of SCD and danger of SCD of two kind notification level. Finally, for external validation of algorithm by the database of SDDB SCD, the results show in 312 times SCD cases, we can detected 262 times dangers of SCD by integrated best sudden death detection algorithm and the remaining 50 there are up to 49 times is predicted to be alert of SCD. So there is 311 times case in all cases of SCD 312 times can be effectively detect proposed in this study by our algorithm. In this study, we use smart phone and integrated best sudden death detection algorithm to construct the notification system of sudden death, and Google Map location, shock location indicators of AED, cardiopulmonary resuscitation and teaching movie of AED as notification system of sudden death. Then combine the notification system of sudden death and detection system to construct notification and detection system proposed in this study. This system can assisted rescue personnel around the user immediate and effective to rescue it, to get the death of former gold ten minutes for the rescue.thesis