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基于心震图时频分析的心房颤动自动检测

Automated Detection of Atrial Fibrillation Based on Time-Frequency Analysis of Seismocardiograms.

作者信息

Hurnanen Tero, Lehtonen Eero, Tadi Mojtaba Jafari, Kuusela Tom, Kiviniemi Tuomas, Saraste Antti, Vasankari Tuija, Airaksinen Juhani, Koivisto Tero, Pankaala Mikko

出版信息

IEEE J Biomed Health Inform. 2017 Sep;21(5):1233-1241. doi: 10.1109/JBHI.2016.2621887. Epub 2016 Nov 4.

DOI:10.1109/JBHI.2016.2621887
PMID:27834656
Abstract

In this paper, a novel method to detect atrial fibrillation (AFib) from a seismocardiogram (SCG) is presented. The proposed method is based on linear classification of the spectral entropy and a heart rate variability index computed from the SCG. The performance of the developed algorithm is demonstrated on data gathered from 13 patients in clinical setting. After motion artifact removal, in total 119 min of AFib data and 126 min of sinus rhythm data were considered for automated AFib detection. No other arrhythmias were considered in this study. The proposed algorithm requires no direct heartbeat peak detection from the SCG data, which makes it tolerant against interpersonal variations in the SCG morphology, and noise. Furthermore, the proposed method relies solely on the SCG and needs no complementary electrocardiography to be functional. For the considered data, the detection method performs well even on relatively low quality SCG signals. Using a majority voting scheme that takes five randomly selected segments from a signal and classifies these segments using the proposed algorithm, we obtained an average true positive rate of [Formula: see text] and an average true negative rate of [Formula: see text] for detecting AFib in leave-one-out cross-validation. This paper facilitates adoption of microelectromechanical sensor based heart monitoring devices for arrhythmia detection.

摘要

本文提出了一种从心震图(SCG)中检测心房颤动(AFib)的新方法。该方法基于对SCG计算得到的频谱熵和心率变异性指数进行线性分类。在临床环境中收集的13例患者的数据上展示了所开发算法的性能。去除运动伪影后,总共119分钟的房颤数据和126分钟的窦性心律数据用于自动房颤检测。本研究未考虑其他心律失常。所提出的算法无需直接从SCG数据中检测心跳峰值,这使其能够容忍SCG形态和噪声方面的个体差异。此外,该方法仅依赖于SCG,无需辅助心电图即可运行。对于所考虑的数据,该检测方法即使在质量相对较低的SCG信号上也能表现良好。使用多数投票方案,从一个信号中随机选取五个片段,并使用所提出的算法对这些片段进行分类,在留一法交叉验证中检测房颤时,我们获得了平均真阳性率为[公式:见原文]和平均真阴性率为[公式:见原文]。本文有助于采用基于微机电传感器的心脏监测设备进行心律失常检测。

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