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Atrial flutter and atrial tachycardia detection using Bayesian approach with high resolution time-frequency spectrum from ECG recordings

Lee, Jinseok ; McManus, David D. ; Bourrell, Peter ; Sörnmo, Leif LU and Chon, Ki H. (2013) In Biomedical Signal Processing and Control 8(6). p.992-999
Abstract
Contemporary methods of atrial flutter (AFL), atrial tachycardia (AT), and atrial fibrillation (AF) monitoring, although superior to the standard 12-lead ECG and symptom-based monitoring, are unable to accurately discriminate between AF, AFL and AT. Thus, there is a need to develop accurate, automated, and comprehensive atrial arrhythmia detection algorithms using standard ECG recorders. To this end, we have developed a sensitive and real-time realizable algorithm for accurate AFL and AT detection using any standard electrocardiographic recording. Our novel method for automatic detection of atrial flutter and atrial tachycardia uses a Bayesian approach followed by a high resolution time-frequency spectrum. We find the TQ interval of the... (More)
Contemporary methods of atrial flutter (AFL), atrial tachycardia (AT), and atrial fibrillation (AF) monitoring, although superior to the standard 12-lead ECG and symptom-based monitoring, are unable to accurately discriminate between AF, AFL and AT. Thus, there is a need to develop accurate, automated, and comprehensive atrial arrhythmia detection algorithms using standard ECG recorders. To this end, we have developed a sensitive and real-time realizable algorithm for accurate AFL and AT detection using any standard electrocardiographic recording. Our novel method for automatic detection of atrial flutter and atrial tachycardia uses a Bayesian approach followed by a high resolution time-frequency spectrum. We find the TQ interval of the electrocardiogram (ECG) corresponding to atrial activity by using a particle filter (PF), and analyze the atrial activity with a high resolution time-frequency spectral method: variable frequency complex demodulation (VFCDM). The rationale for using a high-resolution time-frequency algorithm is that our approach tracks the time-varying fundamental frequency of atrial activity, where AT is within 2.0-4.0 Hz, AFL is within 4.0-5.3 Hz and NSR is found at frequencies less than 2.0 Hz. For classifications of AFL (n = 22), AT (n = 10) and normal sinus rhythms (NSR) (n = 29), we found that our approach resulted in accuracies of 0.89, 0.87 and 0.91, respectively; the overall accuracy was 0.88. (C) 2013 Elsevier Ltd. All rights reserved. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Atrial flutter, Atrial tachycardia, Particle filter, Dynamic ECG model, High resolution time-frequency spectrum, Variable frequency complex, demodulation, Electrocardiogram
in
Biomedical Signal Processing and Control
volume
8
issue
6
pages
992 - 999
publisher
Elsevier
external identifiers
  • wos:000329885000057
  • scopus:84890122582
ISSN
1746-8094
DOI
10.1016/j.bspc.2013.04.002
language
English
LU publication?
yes
id
a1285735-c780-4ae4-8611-f0fa85327af1 (old id 4319305)
date added to LUP
2016-04-01 14:28:56
date last changed
2022-01-28 00:51:50
@article{a1285735-c780-4ae4-8611-f0fa85327af1,
  abstract     = {{Contemporary methods of atrial flutter (AFL), atrial tachycardia (AT), and atrial fibrillation (AF) monitoring, although superior to the standard 12-lead ECG and symptom-based monitoring, are unable to accurately discriminate between AF, AFL and AT. Thus, there is a need to develop accurate, automated, and comprehensive atrial arrhythmia detection algorithms using standard ECG recorders. To this end, we have developed a sensitive and real-time realizable algorithm for accurate AFL and AT detection using any standard electrocardiographic recording. Our novel method for automatic detection of atrial flutter and atrial tachycardia uses a Bayesian approach followed by a high resolution time-frequency spectrum. We find the TQ interval of the electrocardiogram (ECG) corresponding to atrial activity by using a particle filter (PF), and analyze the atrial activity with a high resolution time-frequency spectral method: variable frequency complex demodulation (VFCDM). The rationale for using a high-resolution time-frequency algorithm is that our approach tracks the time-varying fundamental frequency of atrial activity, where AT is within 2.0-4.0 Hz, AFL is within 4.0-5.3 Hz and NSR is found at frequencies less than 2.0 Hz. For classifications of AFL (n = 22), AT (n = 10) and normal sinus rhythms (NSR) (n = 29), we found that our approach resulted in accuracies of 0.89, 0.87 and 0.91, respectively; the overall accuracy was 0.88. (C) 2013 Elsevier Ltd. All rights reserved.}},
  author       = {{Lee, Jinseok and McManus, David D. and Bourrell, Peter and Sörnmo, Leif and Chon, Ki H.}},
  issn         = {{1746-8094}},
  keywords     = {{Atrial flutter; Atrial tachycardia; Particle filter; Dynamic ECG model; High resolution time-frequency spectrum; Variable frequency complex; demodulation; Electrocardiogram}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{992--999}},
  publisher    = {{Elsevier}},
  series       = {{Biomedical Signal Processing and Control}},
  title        = {{Atrial flutter and atrial tachycardia detection using Bayesian approach with high resolution time-frequency spectrum from ECG recordings}},
  url          = {{http://dx.doi.org/10.1016/j.bspc.2013.04.002}},
  doi          = {{10.1016/j.bspc.2013.04.002}},
  volume       = {{8}},
  year         = {{2013}},
}