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  • Title: A practical reconstructed phase space approach for ECG arrhythmias classification.
    Author: Al-Fahoum AS, Qasaimeh AM.
    Journal: J Med Eng Technol; 2013 Oct; 37(7):401-8. PubMed ID: 24025075.
    Abstract:
    Atrial and ventricular arrhythmias are symptoms of the main common causes of rapid death. The severity of these arrhythmias depends on their occurrence either within the atria or ventricles. These abnormalities of the heart activity may cause an immediate death or cause damage of the heart. In this paper, a new algorithm is proposed for the classification of life threatening cardiac arrhythmias including atrial fibrillation (AF), ventricular tachycardia (VT) and ventricular fibrillation (VF). The proposed technique uses a simple signal processing technique for analysing the non-linear dynamics of the ECG signals in the time domain. The classification algorithm is based upon the distribution of the attractor in the reconstructed phase space (RPS). The behaviour of the ECG signal in the reconstructed phase space is used to determine the classification features of the whole classifier. It is found that different arrhythmias occupy different regions in the reconstructed phase space. Three regions in the RPS are found to be more representative of the considered arrhythmias. Therefore, only three simple features are extracted to be used as classification parameters. To evaluate the performance of the presented classification algorithm, real datasets are obtained from the MIT database. A learning dataset is used to design the classification algorithm and a testing dataset is used to verify the algorithm. The algorithm is designed to guarantee achieving both 100% sensitivity and 100% specificity. The classification algorithm is validated by using 45 ECG signals spanning the considered life threatening arrhythmias. The obtained results show that the classification algorithm attains a sensitivity ranging from 85.7-100%, a specificity ranging from 86.7-100% and an overall accuracy of 95.55%.
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