Designing an alarm system for the stratification of risk of cardiac arrhythmias

E. Alvarez, J. Jiménez, F. Moleiro, A. Rodriguez
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Abstract

The idea of this research is to propose an alarm system that can alert the early establishment of an event paroxysmal ventricular tarquicardia (PVT), from study of heart rate variability (HRV). The study of the variability is support in the frequency of abnormal patterns prior to the events. We select and analyze in detail 24 hours records from dynamic electrocardiography (Holter). We selected 88 one-hour segments prior to the events of PVT, and once analyzed the system found an efficiency of 77% in early detection of the establishment of the arrhythmia, with an average prediction time of 43 plusmn 8 minutes distant from events, statistically significant result. To assess the percentage of false alarms we evaluate 103 hours from control healthy subjects, resulting in a specificity of 85%.
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心律失常危险分层报警系统设计
本研究的想法是提出一种报警系统,可以从心率变异性(HRV)的研究中预警发作性室性心动过速(PVT)的早期建立。对变率的研究是对事件发生前异常模式频率的支持。我们选择并详细分析动态心电图(Holter)的24小时记录。我们选择了在PVT事件发生前1小时的88个片段,对该系统进行了分析,发现该系统对心律失常建立的早期检测效率为77%,平均预测时间为43±8分钟,结果具有统计学意义。为了评估假警报的百分比,我们评估了103小时的对照健康受试者,结果特异性为85%。
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