Neural wavelet analysis of life threatening ventricular arrhythmias

L. Khadra, M. Abdallah, H. Nashash
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Abstract

One of the most important task which can be implemented by an automatic monitor of cardiac arrhythmias is the reliable detection of those arrhythmias which represent a serious threat to the patient. Among these, ventricular arrhythmias occupy a primary place, and in particular ventricular fibrillation (VF), ventricular tachycardia (VT) and atrial fibrillation (AF) because of the haemodynamic deterioration which they produce. Consequently, interest has arisen in the development of algorithms which could be transferred easily to a microprocessor system. We use the backpropagation training (BP) algorithm on wavelet transformed results to classify the three mentioned arrhythmias. The BP algorithm perform the gradient descent search to reduce the mean square error between the actual output of the network and the desired output through the adjustments of weights. The results show significant improvements in the sensitivity (95%) and specificity (92%) over previous studies.
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危及生命的室性心律失常的神经小波分析
心律失常自动监测的最重要任务之一是可靠地检测出对患者构成严重威胁的心律失常。其中,室性心律失常占主要地位,尤其是室性颤动(VF)、室性心动过速(VT)和房颤(AF),因其引起血流动力学恶化。因此,人们对开发易于转移到微处理器系统的算法产生了兴趣。我们使用反向传播训练(BP)算法对小波变换结果进行分类。BP算法进行梯度下降搜索,通过权值的调整来减小网络实际输出与期望输出之间的均方误差。结果显示,与以往的研究相比,敏感性(95%)和特异性(92%)有显著提高。
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