Multiscale Diffusion Entropy Analysis for the Detection of Crucial Events in Cardiac Pathology

The significance of crucial events in explaining the dynamics of a physiological system has only been recently emerging. Crucial events are yet to be fully understood and implemented in clinical applications of physiological signal processing. This paper proposes the application of modified diffusion entropy (MDEA) and novel multiscale diffusion entropy analyses (MSDEA) on measuring the temporal complexity of the ECG time series to improve crucial events detection performance. Thirty samples of each of three groups of ECG datasets from PhysioNet with recordings of cardiac arrhythmia (ARR), congestive heart failure (CHF) and normal sinus rhythm (NSR) were analyzed using MDEA with stripes followed by MSDEA. Healthy NSR ECGs showed an approximate 15% greater inverse power law (IPL) and scaling δ indices than pathologic CHF and ARR signals. Additionally, the scaling indices for the pathologic groups showed higher standard deviations, indicating that crucial events determined by MDEA reveal latent differences in ECG complexity that could better be investigated across multiple time scales of temporally decomposed signals using MSDEA which combines multiscale entropy (MSE) and MDEA. Hence, MSDEA showed an improved, clearer discrimination between the healthy and pathological cardiac signals (p<0.0005) characterized by a range of NSR complexity indices twice the range of the pathological values associated with ARR and CHF across twenty temporal scales as well as more reliable trend lines (R²>=0.95).Clinical Relevance- This research proposes a novel and enhanced diagnostic discrimination across healthy and pathologic cardiac conditions based on biomedical signal processing of ECG recordings utilizing the principle of crucial events detection.