Abstract

Early detection of sudden cardiac death may be used for surviving the life of cardiac patients. In this paper we have investigated an algorithm to detect and predict sudden cardiac death, by processing of heart rate variability signal through the classical and time-frequency methods. At first, one minute of ECG signals, just before the cardiac death event are extracted and used to compute heart rate variability (HRV) signal. Five features in time domain and four features in frequency domain are extracted from the HRV signal and used as classical linear features. Then the Wigner Ville transform is applied to the HRV signal, and 11 extra features in the time-frequency (TF) domain are obtained. In order to improve the performance of classification, the principal component analysis (PCA) is applied to the obtained features vector. Finally a neural network classifier is applied to the reduced features. The obtained results show that the TF method can classify normal and SCD subjects, more efficiently than the classical methods. A MIT-BIH ECG database was used to evaluate the proposed method. The proposed method was implemented using MLP classifier and had 74.36% and 99.16% correct detection rate (accuracy) for classical features and TF method, respectively. Also, the accuracy of the KNN classifier were 73.87% and 96.04%.

Highlights

  • Sudden Cardiac Death (SCD), which is a result of a precipitous loss of heart function, is leading cause of cardiovascular mortality in modern socialites

  • In this paper we have investigated an algorithm to detect and predict sudden cardiac death, by processing of heart rate variability signal through the classical and time-frequency methods

  • The time and mode of death happen unexpectedly [4]. These life threatening arrhythmias that indicate SCD are most often initiated with a sustained ventricular tachyarrhythmia, including ventricular tachycardia (VT), ventricular flutter (VFL), or ventricular fibrillation (VFib)

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Summary

INTRODUCTION

Sudden Cardiac Death (SCD), which is a result of a precipitous loss of heart function, is leading cause of cardiovascular mortality in modern socialites This is a very serious cardiac event that it will deprive patient’s life within several minutes [1,2]. Besides utilizing public access defibrillation (PAD) procedure to recue impending death patient while fell down, the better way is to prevent onset SCD by adopting medical aid prior to fell down Is it possible to make an early warning, even before crisis presenting half an hour [6]. Van Hoogenhuyze, D., Martin, et al observed two HRV measurements, standard deviation of mean of sinus R-R intervals (SDANN) and mean of SD (SD), from 24 hrs HRV They have evidences to show that HRV is low in patients who experience SCD, and is high in young healthy subjects [8].

MATERIAL AND METHODS
Time-Domain Feature
Measurements from the Differences between
Frequency Domain Features
TIME-FREQUENCY DOMAIN ANALYSIS
FEATURE DIMENSION REDUCTION
NEURAL NETWORK CLASSIFIER
RESULT
Findings
Our Methods
Full Text
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