Forecasting of Ventricular Tachyarrhythmia based on Multi-scale Entropy of Short-term Heart Rate Variability

L. Qing, D. Hong-sheng, Ma Yin-yuan
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Abstract

The weighted integrated multi-scale entropy(WIMSE) is analyzed for the 135 about ten minutes RR interval series preceding the onset of ventricular tachycardia and ventricular fibrillation(called VT/VF series),and the change of WIMSE is discussed for the data samples of significant increase of heart rate (called SI_HR group) and no significant change of heart rate (called nSI_HR group) preceding the onset of VT/VF events. Results show that the WIMSE of VT/VF series has significantly reduction compared with normal sinus rhythm (scale:1--30, p<0.05),and the reduction of WIMSE is more significant for the VT/VF series of SI_HR group, the extracted complexity index (scale:1-10, p<10-6). Therefore the WIMSE may be an effective nonlinear predictive parameters for forecasting VT/VF events.
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基于短期心率变异性多尺度熵的室性心动过速预测
对室性心动过速和心室颤动发生前135个约10分钟RR间隔序列(称为VT/VF序列)的加权综合多尺度熵(WIMSE)进行分析,并对发生室性心动过速和心室颤动发生前心率显著升高(称为SI_HR组)和心率无显著变化(称为nSI_HR组)的数据样本讨论WIMSE的变化。结果显示,VT/VF组的WIMSE较正常窦性心律明显降低(量表:1—30,p<0.05),且SI_HR组VT/VF组的WIMSE降低更为显著,提取的复杂性指数(量表:1—10,p<10—6)。因此,WIMSE可以作为预测VT/VF事件的有效非线性预测参数。
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