A novel technique for analysing beat-to-beat dynamical changes of QT-RR distribution for arrhythmia prediction

Mohammad Hasan Imam, Chandan Karmakar, Ahsan Khandoker, Marimuthu Palaniswami

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

2 Scopus citations

Abstract

Ventricular tachycardia (VT) leading to ventricular fibrillation (VF) is the major cause of sudden cardiac death (SCD) with subjects with or without any history of cardiac disease. Prediction of the initiation of ventricular fibrillation is crucial for both successful preventive measure and effective defibrillation therapy. A lot of studies have been done based on electrocardiogram (ECG) waveform analysis for VF detection but this field still needs more perfection. Both HRV and QTV related parameters were reported to be analysed for VT/VF detection and prediction with inconsistent results in different populations. In this study, we propose a novel time domain measurement tool to detect the pattern of dynamical changes of both RR and QT intervals in subjects having sustained VT/VF episodes form VFDB and AHA database (www.physionet.org). We also analyse the same pattern in some healthy subjects from Fantasia database and compare the distribution of patterns between healthy and VT/VF subjects. Our findings showed that the distribution of QT-RR dynamics are statistically significantly different (p<0.05) in healthy subjects from VT/VF in particular before the start of VF episode. Therefore, distribution of change in QT-RR dynamics may provide insight of the underlying instability before VF events and can be used for better prediction of arhythmogenesis.

Original languageBritish English
Title of host publicationComputing in Cardiology Conference 2015, CinC 2015
EditorsAlan Murray
PublisherIEEE Computer Society
Pages1157-1160
Number of pages4
ISBN (Electronic)9781509006854
DOIs
StatePublished - 16 Feb 2015
Event42nd Computing in Cardiology Conference, CinC 2015 - Nice, France
Duration: 6 Sep 20159 Sep 2015

Publication series

NameComputing in Cardiology
Volume42
ISSN (Print)2325-8861
ISSN (Electronic)2325-887X

Conference

Conference42nd Computing in Cardiology Conference, CinC 2015
Country/TerritoryFrance
CityNice
Period6/09/159/09/15

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