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[利用RR间期和多特征值自动检测和分类心房颤动]

[Automatic detection and classification of atrial fibrillation using RR intervals and multi-eigenvalue].

作者信息

Chen Zhibo, Li Jian, Li Zhi, Peng Yuntao, Gao Xingjiao

机构信息

School of Electronic Information, Sichuan University, Chengdu 610041, P.R.China.

School of Electronic Information, Sichuan University, Chengdu 610041,

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2018 Aug 25;35(4):550-556. doi: 10.7507/1001-5515.201710050.

Abstract

Atrial fibrillation (AF) is a common arrhythmia disease. Detection of atrial fibrillation based on electrocardiogram (ECG) is of great significance for clinical diagnosis. Due to the non-linearity and complexity of ECG signals, the procedure to manually diagnose the ECG signals takes a lot of time and is prone to errors. In order to overcome the above problems, a feature extraction method based on RR interval is proposed in this paper. The discrete degree of RR interval is described with the robust coefficient of variation (RCV), the distribution shape of RR interval is described with the skewness parameter (SKP), and the complexity of RR interval is described with the Lempel-Ziv complexity (LZC). Finally, the feature vectors of RCV, SKP, and LZC are input into the support vector machine (SVM) classifier model to achieve automatic classification and detection of atrial fibrillation. To verify the validity and practicability of the proposed method, the MIT-BIH atrial fibrillation database was used to verify the data. The final classification results show that the sensitivity is 95.81%, the specificity is 96.48%, the accuracy is 96.09%, and the specificity of 95.16% is achieved in the MIT-BIH normal sinus rhythm database. The experimental results show that the proposed method is an effective classification method for atrial fibrillation.

摘要

心房颤动(AF)是一种常见的心律失常疾病。基于心电图(ECG)检测心房颤动对临床诊断具有重要意义。由于ECG信号的非线性和复杂性,手动诊断ECG信号的过程耗时且容易出错。为了克服上述问题,本文提出了一种基于RR间期的特征提取方法。用稳健变异系数(RCV)描述RR间期的离散程度,用偏度参数(SKP)描述RR间期的分布形状,用莱姆-齐夫复杂度(LZC)描述RR间期的复杂性。最后,将RCV、SKP和LZC的特征向量输入支持向量机(SVM)分类器模型,实现心房颤动的自动分类检测。为验证所提方法的有效性和实用性,采用麻省理工学院-贝斯以色列女执事医疗中心(MIT-BIH)心房颤动数据库进行数据验证。最终分类结果表明,敏感性为95.81%,特异性为96.48%,准确率为96.09%,在MIT-BIH正常窦性心律数据库中特异性达到95.16%。实验结果表明,所提方法是一种有效的心房颤动分类方法。

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How can we best detect atrial fibrillation?我们如何才能最好地检测出房颤?
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