Yu Ming, Chen Feng, Zhang Guang, Li Liangzhe, Wang Chunchen, Zhan Ningbo, Gu Biao, Wei Jing, Wu Taihu
Institute of Medical Equipment, Academy of Military Medical Science, Tianjin 300161, P.R.China.
Institute of Medical Equipment, Academy of Military Medical Science, Tianjin 300161,
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2017 Jun 1;34(3):421-430. doi: 10.7507/1001-5515.201612066.
Detection and classification of malignant arrhythmia are key tasks of automated external defibrillators. In this paper, 21 metrics extracted from existing algorithms were studied by retrospective analysis. Based on these metrics, a back propagation neural network optimized by genetic algorithm was constructed. A total of 1,343 electrocardiogram samples were included in the analysis. The results of the experiments indicated that this network had a good performance in classification of sinus rhythm, ventricular fibrillation, ventricular tachycardia and asystole. The balanced accuracy on test dataset reached up to 99.06%. It illustrates that our proposed detection algorithm is obviously superior to existing algorithms. The application of the algorithm in the automated external defibrillators will further improve the reliability of rhythm analysis before defibrillation and ultimately improve the survival rate of cardiac arrest.
恶性心律失常的检测与分类是自动体外除颤器的关键任务。本文通过回顾性分析研究了从现有算法中提取的21个指标。基于这些指标,构建了一个由遗传算法优化的反向传播神经网络。分析共纳入1343份心电图样本。实验结果表明,该网络在窦性心律、心室颤动、室性心动过速和心搏停止的分类中表现良好。测试数据集上的平衡准确率高达99.06%。这表明我们提出的检测算法明显优于现有算法。该算法在自动体外除颤器中的应用将进一步提高除颤前心律分析的可靠性,并最终提高心脏骤停的生存率。