Combined Nonlinear Analysis of Atrial and Ventricular Series for Automated Screening of Atrial Fibrillation
Atrial fibrillation (AF) is the most common cardiac arrhythmia in clinical practice. It often starts with asymptomatic and short episodes, which are difficult to detect without the assistance of automatic monitoring tools. The vast majority of methods proposed for this purpose are based on quantifyi...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Complexity |
| Online Access: | http://dx.doi.org/10.1155/2017/2163610 |
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| author | Juan Ródenas Manuel García Raúl Alcaraz José J. Rieta |
| author_facet | Juan Ródenas Manuel García Raúl Alcaraz José J. Rieta |
| author_sort | Juan Ródenas |
| collection | DOAJ |
| description | Atrial fibrillation (AF) is the most common cardiac arrhythmia in clinical practice. It often starts with asymptomatic and short episodes, which are difficult to detect without the assistance of automatic monitoring tools. The vast majority of methods proposed for this purpose are based on quantifying the irregular ventricular response (i.e., RR series) during the arrhythmia. However, although AF totally alters the atrial activity (AA) reflected on the electrocardiogram (ECG), replacing stable P-waves by chaotic and time-variant fibrillatory waves, this information has still not been explored for automated screening of AF. Hence, a pioneering AF detector based on quantifying the variability over time of the AA morphological pattern is here proposed. Results from two public reference databases have proven that the proposed method outperforms current state-of-the-art algorithms, reporting accuracy higher than 90%. A less false positive rate in the presence of other arrhythmias different from AF was also noticed. Finally, the combination of this algorithm with the classical analysis of RR series variability also yielded a promising trade-off between AF accuracy and detection delay. Indeed, this combination provided similar accuracy than RR-based methods, but with a significantly shorter delay of 10 beats. |
| format | Article |
| id | doaj-art-8538ea64a5564e54bd19203e1bb54316 |
| institution | Kabale University |
| issn | 1076-2787 1099-0526 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Complexity |
| spelling | doaj-art-8538ea64a5564e54bd19203e1bb543162025-02-03T06:13:27ZengWileyComplexity1076-27871099-05262017-01-01201710.1155/2017/21636102163610Combined Nonlinear Analysis of Atrial and Ventricular Series for Automated Screening of Atrial FibrillationJuan Ródenas0Manuel García1Raúl Alcaraz2José J. Rieta3Research Group in Electronic, Biomedical and Telecommunication Engineering, University of Castilla-La Mancha, Ciudad Real, SpainResearch Group in Electronic, Biomedical and Telecommunication Engineering, University of Castilla-La Mancha, Ciudad Real, SpainResearch Group in Electronic, Biomedical and Telecommunication Engineering, University of Castilla-La Mancha, Ciudad Real, SpainBioMIT.org, Electronic Engineering Department, Universitat Politecnica de Valencia, Valencia, SpainAtrial fibrillation (AF) is the most common cardiac arrhythmia in clinical practice. It often starts with asymptomatic and short episodes, which are difficult to detect without the assistance of automatic monitoring tools. The vast majority of methods proposed for this purpose are based on quantifying the irregular ventricular response (i.e., RR series) during the arrhythmia. However, although AF totally alters the atrial activity (AA) reflected on the electrocardiogram (ECG), replacing stable P-waves by chaotic and time-variant fibrillatory waves, this information has still not been explored for automated screening of AF. Hence, a pioneering AF detector based on quantifying the variability over time of the AA morphological pattern is here proposed. Results from two public reference databases have proven that the proposed method outperforms current state-of-the-art algorithms, reporting accuracy higher than 90%. A less false positive rate in the presence of other arrhythmias different from AF was also noticed. Finally, the combination of this algorithm with the classical analysis of RR series variability also yielded a promising trade-off between AF accuracy and detection delay. Indeed, this combination provided similar accuracy than RR-based methods, but with a significantly shorter delay of 10 beats.http://dx.doi.org/10.1155/2017/2163610 |
| spellingShingle | Juan Ródenas Manuel García Raúl Alcaraz José J. Rieta Combined Nonlinear Analysis of Atrial and Ventricular Series for Automated Screening of Atrial Fibrillation Complexity |
| title | Combined Nonlinear Analysis of Atrial and Ventricular Series for Automated Screening of Atrial Fibrillation |
| title_full | Combined Nonlinear Analysis of Atrial and Ventricular Series for Automated Screening of Atrial Fibrillation |
| title_fullStr | Combined Nonlinear Analysis of Atrial and Ventricular Series for Automated Screening of Atrial Fibrillation |
| title_full_unstemmed | Combined Nonlinear Analysis of Atrial and Ventricular Series for Automated Screening of Atrial Fibrillation |
| title_short | Combined Nonlinear Analysis of Atrial and Ventricular Series for Automated Screening of Atrial Fibrillation |
| title_sort | combined nonlinear analysis of atrial and ventricular series for automated screening of atrial fibrillation |
| url | http://dx.doi.org/10.1155/2017/2163610 |
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