Atrial fibrillation frequency tracking in ambulatory ECG signals : The significance of signal quality assessment

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DOI:
| Published | English
Authors:
Paliakaitė, Birutė ; Petrėnas, Andrius ; Henriksson, Mikael ; Skibarkienė, Jurgita ; Kubilius, Raimondas ; Sörnmo, Leif ; Marozas, Vaidotas , et al.
Department:
Division for Biomedical Engineering
Abstract:

An approach to atrial fibrillation (AF) frequency tracking in long-term ambulatory ECG recordings is presented, comprising f-wave extraction, dominant atrial frequency (DAF) tracking, and signal quality assessment. Since poor signal quality is commonly encountered in ambulatory monitoring, a recently proposed index is employed to assess f-wave signal quality in a database containing 38 patients with permanent AF. The index ensures that DAF outliers, typically associated with poor-quality segments, are excluded from further analysis. 40% of all 5-s signal segments were excluded from the database due to poor quality. The exclusion of DAF outliers significantly reduces the standard deviation of the frequency estimates (p≤0.01), allowing more reliable evaluation of the difference between day- and night-time DAF. The results show that signal quality assessment plays a central role in DAF tracking, and therefore should be employed in ambulatory monitoring.

Keywords:
Dominant atrial frequency ; Echo state network ; f-wave extraction ; Physical activity ; Rehabilitation ; Signal quality index ; Single frequency tracker
ISSN:
0010-4825
LUP-ID:
7dbebc5f-e78b-4d85-b816-e1d2de789bd9 | Link: https://lup.lub.lu.se/record/7dbebc5f-e78b-4d85-b816-e1d2de789bd9 | Statistics

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