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Correlation between ECG and Cardiac Cycle01:25

Correlation between ECG and Cardiac Cycle

The electrical signals recorded on an electrocardiogram (ECG) occur before the mechanical processes of contraction and relaxation during the cardiac cycle.
A cardiac action potential originates in the SA node and spreads throughout the atria and the AV node in approximately 0.03 seconds. This results in the P wave in an ECG and triggers atrial contraction. The action potential is then briefly slowed at the AV node, allowing the atria to contract and fill the ventricles with blood before...

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Multiscale sample entropy based on discrete wavelet transform for clinical heart rate variability recognition.

Ming-Yuan Lee1, Sung-Nien Yu

  • 1Department of Electrical Engineering, National Chung Cheng University, Chia-Yi County, Taiwan. a39025309@hotmail.com

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This study introduces discrete wavelet transform (DWT) for analyzing heart rate variability signals to detect congestive heart failure (CHF) and atrial fibrillation (AF), improving accuracy over traditional methods.

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Area of Science:

  • Biomedical Engineering
  • Signal Processing
  • Cardiology

Background:

  • Traditional multiscale methods use coarse-grained averaging (CGA) for sample entropy (SE) analysis.
  • Accurate characterization of heart rate variability (HRV) is crucial for diagnosing cardiac conditions.

Purpose of the Study:

  • To propose discrete wavelet transform (DWT) for multiscale SE feature extraction from HRV signals.
  • To enhance the recognition of congestive heart failure (CHF) and atrial fibrillation (AF) from normal sinus rhythm (NSR).

Main Methods:

  • Decomposition of HRV signals into multiscale sequences using DWT.
  • Calculation of SE features from DWT-decomposed sequences.
  • Classification using Support Vector Machine (SVM) with leave-one-out cross-validation.

Main Results:

  • The DWT-based multiscale SE method with five dyadic scales outperformed traditional CGA methods.
  • The proposed 5-scale DWT method improved CHF recognition by 6.7% and AF recognition by 0.77% compared to 5-scale CGA.
  • Overall recognition accuracy increased by 8.35% using the 5-scale DWT method.

Conclusions:

  • DWT offers a more effective approach for multiscale SE feature extraction in HRV analysis.
  • The proposed DWT-based method significantly enhances the diagnostic accuracy for CHF and AF.