Abstract

In this paper, automatic electrocardiogram (ECG) recognition and classification algorithms based on multifractal detrended fluctuation analysis (MF-DFA) and multifractal detrended cross-correlation analysis (MF-DXA) were studied. As human heart is a complex, nonlinear, chaotic system, using multifractal analysis to analyze chaotic systems is also a trend. We performed a comparison study of the multifractal nature of the healthy subjects and that of the cardiac dysfunctions ones. To analyze multifractal property quantitatively, the ranges of the Hurst exponent ([Formula: see text]) are computed by MF-DFA and MF-DXA. We found that for MF-DFA, the area of Hurst exponents for atrial premature beat (APB) people was narrower than normal sinus rhythm (NSR) subjects, and for MF-DXA, the difference of [Formula: see text] ([Formula: see text]) of NSR and APB subjects was larger than that of MF-DFA. We then regarded the Hurst exponents ([Formula: see text]) as the input vectors and took them into support vector machine (SVM) for classification. The results showed that [Formula: see text] obtained from MF-DXA led to a higher classification accuracy than that of MF-DFA. This is related to the widening of the difference in the values of Hurst exponents in MF-DFA and MF-DXA. The proposed MF-DFA-SVM and MF-DXA-SVM systems achieved classification accuracy of [Formula: see text] and [Formula: see text], achieved classification sensitivity of [Formula: see text] and [Formula: see text], achieved classification specificity of [Formula: see text] and [Formula: see text], respectively. In general, the Hurst exponents obtained from MF-DXA played an important role in classifying ECG of the healthy and that of the cardiac dysfunctions subjects. Moreover, MF-DXA was more accurate than MF-DFA in the classification of ECG studied in this paper. The research in automatic medical diagnosis and early warning of major diseases has very important practical value.

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