心电表面电极室颤检测采用不同滤波技术、窗长和人工神经网络

Alejandro Cortina, Azeddine Mjahad, A. Rosado, M. Bataller, J. V. Francés, M. Dutta, Garima Vyas
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引用次数: 1

摘要

在诊断心室颤动(VF)时,医务人员面临许多困难。正确的诊断可以决定正确的药物治疗,因此,将其与室性心动过速(VT)和其他心律失常充分区分开来是至关重要的。如果所需的治疗不适当,人员可能造成严重伤害,甚至诱发VF。本文开发了一种基于特征提取的VF自动诊断系统。为了验证该方法的有效性,采用了人工神经网络(ANN)分类器。使用的心电信号来自MIT-BIH恶性室性心律失常数据库和AHA(2000系列)数据库。在提取特征之前,采用不同的滤波技术去除信号中的基线漂移和其他噪声。提出了两种不同的分类方法:两类(正常-异常)节律和四类(正常- vt - vf -其他)节律。对于四类分类器和最难分离的分类器(VF和VT),分类结果显示VF的敏感性和特异性分别为91.82%和99.74%,VT的敏感性和特异性分别为67.33%和99.76%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ventricular fibrillation detection from ECG surface electrodes using different filtering techniques, window length and artificial neural networks
Medical personnel face many difficulties when diagnosing ventricular fibrillation (VF). Its correct diagnosis allows to decide the right medical treatment and, therefore, it is essential to tell it apart adequately from ventricular tachycardia (VT) and other arrhythmias. If the required therapy is not appropriate, the personnel could cause serious injuries or even induce VF. In this work, a diagnosis automatic system for the detection of VF through feature extraction was developed. To verify the validity of this method, an Artificial Neural Network (ANN) classifier was used. The ECG signals used were obtained from the MIT-BIH Malignant Ventricular Arrhythmia Database and AHA (2000 series) database. Different filtering techniques to remove base line wandering and other noise in the signal is applied before extracting features. Two different classifiers are proposed: two-class (Normal-Abnormal) rhythms, and four-classes (Normal-VT-VF-Other). For the four class classifier and the most difficult separation classes (VF and VT), the classification results shows sensitivity and specificity values of 91,82% and 99,74%, respectively, for VF, and 67,33% and 99,76% values of sensitivity and specificity for VT.
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