基于统计的HRV特征对心律失常和房颤分类的重要性评价

A. Tihak, D. Boskovic
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摘要

本文对区分心律失常(AR)与心房颤动(AF)信号所必需的特征值差异的统计学意义进行了评价。心率变异性(HRV)特征的初始集包括时域和频域指标,以及基于庞加莱图的几何指标。由于心率信号的非均匀性,计算频率域特征采用两种方法,即对非均匀信号进行频谱分析的Lomb-Scargle方法和对均匀信号进行频谱分析的Welch方法,但都要经过信号插值和重采样。选择合适的统计检验取决于特征值的分布。正态分布允许使用参数方差分析检验,否则使用非参数Wilcoxon-Mann-Whitney检验。统计检验表明,两组观察到的感兴趣的信号在评估特征方面存在统计学上的显著差异。分类的成功与否取决于根据特征的重要性来选择特征。在本文中,统计测试结果从最初的51个特征中选择了27个特征。所提出的特征集可用于AR和AF信号之间的分类,以辅助上述心脏病的诊断。
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Statistical-based HRV Feature Importance Evaluation for Arrhythmia and Atrial Fibrillation Classification
The paper evaluates statistical significance of the differences in the feature values necessary to differentiate the signals corresponding to cardiac arrhythmia (AR) and atrial fibrillation (AF). The initial set of heart rate variability (HRV) features includes time and frequency domain metrics, as well as geometric metrics based on the Poincare diagram. Due to non-uniformity of the heart rate signal, frequency domain features are calculated using two approaches: the Lomb-Scargle method for spectral analysis for non-uniform signals, and Welch method for uniform signals, but after the signal interpolation and resampling. Selection of an appropriate statistical test was depending on the distribution of feature values. Normal distribution allowed use of parametric ANOVA test and otherwise non-parametric Wilcoxon–Mann–Whitney test were used. The statistical tests indicated statistically significant difference between the two observed groups of signals of interest with respect to the evaluated feature. The success of the classification depends on the well-chosen features according to their importance. In the paper, statistical tests resulted in selection of 27 features out of the initial 51. The proposed set of features could be used for the classification between the AR and AF signals to assist diagnosis of the mentioned heart diseases.
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