DOI QR코드

DOI QR Code

PVC Classification by Personalized Abnormal Signal Detection and QRS Pattern Variability

개인별 이상신호 검출과 QRS 패턴 변화에 따른 조기심실수축 분류

  • Cho, Ik-Sung (Department of Information and Communication Engineering, Kyungwoon University) ;
  • Yoon, Jeong-Oh (Department of Information and Communication Engineering, Kyungwoon University) ;
  • Kwon, Hyeog-Soong (Department of IT Engineering, Pusan National University)
  • Received : 2014.03.24
  • Accepted : 2014.04.30
  • Published : 2014.07.31

Abstract

Premature ventricular contraction(PVC) is the most common disease among arrhythmia and it may cause serious situations such as ventricular fibrillation and ventricular tachycardia. Nevertheless personalized difference of ECG signal exist, performance degradation occurs because of carrying out diagnosis by general classification rule. In other words, the design of algorithm that exactly detects abnormal signal and classifies PVC by analyzing the persons's physical condition and/or environment and variable QRS pattern is needed. Thus, PVC classification by personalized abnormal signal detection and QRS pattern variability is presented in this paper. For this purpose, we detected R wave through the preprocessing method and subtractive operation method and selected abnormal signal sets. Also, we classified PVC in realtime through QS interval and R wave amplitude. The performance of abnormal beat detection and PVC classification is evaluated by using MIT-BIH arrhythmia database. The achieved scores indicate the average of 98.33% in abnormal beat classification error and 94.46% in PVC classification.

조기심실수축(PVC)은 가장 보편적인 부정맥으로 심실세동, 심실빈맥 등과 같은 위험한 상황을 유발할 수 있는 가능성을 가지고 있기 때문에 이의 조기 검출은 매우 중요하다. 하지만 ECG 신호의 개인 차이가 있음에도 불구하고, 일반적인 신호의 판단 규칙에 따라 진단을 수행함으로써 성능하락이 나타날 수 밖에 없다. 이러한 문제점을 극복하기 위해서는 개인에 따른 이상 신호를 검출한 후 다양한 QRS 패턴을 고려하여 PVC를 분류할 수 있는 알고리즘이 필요하다. 본 연구에서는 개인별 이상신호 검출과 QRS 패턴 변화에 따른 PVC 분류 기법을 제안한다. 이를 위해 전 처리 과정과 차감기법을 통해 R파를 검출하였으며, 개인별 이상신호를 검출하였다. 이후 QRS 패턴에 따른 QS 간격과 R파의 진폭 변화율에 따라 PVC를 분류하였다. 제안한 알고리즘의 이상 신호 검출 및 PVC 분류 성능을 평가하기 위해서 MIT-BIH 부정맥 데이터베이스를 사용하였다. 성능평가 결과, 이상 신호 검출률은 98.33%, PVC는 각각 94.46%의 평균 분류율을 나타내었다.

Keywords

References

  1. S. Sangwatanaroj, S. Prechawat, B. Sunsaneewitayakul, S. Sitthisook, P. Tosukhowong, and K. Tungsanga, "New electrocardiographic leads and the procainamide test for the detection of the Brugada sign in sudden unexplained death syndrome survivors and their relatives," Eur. Heart J., vol. 22, no. 24, pp. 2290-2296, 2001. https://doi.org/10.1053/euhj.2001.2691
  2. S. F.Wung and B. Drew, "Comparison of 18-lead ECG and selected body surface potential mapping leads in determining maximally deviated ST lead and efficacy in detecting acute myocardial ischemia during coronary occlusion," J. Electrocardiol., vol. 32, pp. 30-37, 1999. https://doi.org/10.1016/S0022-0736(99)90032-8
  3. A. D. C. Chan, M. M. Hamdy, A. Badre, and V. Badee, "Wavelet distance measure for person identification using electrocardiograms," IEEE Trans. Instrum. Meas., vol. 57, no. 2, pp. 248-253, Feb. 2008. https://doi.org/10.1109/TIM.2007.909996
  4. S. Chauhan, A. S. Arora, and A. Kaul, "A survey of emerging biometric modalites," Procedia Comput. Sci., vol. 2, pp. 213-218, 2010. https://doi.org/10.1016/j.procs.2010.11.027
  5. G. Wubbeler, M. Stavridis, D. Kreiseler, R.-D. Bousseljot, and C. Elster, "Verification of humans using the electrocardiogram," Pattern Recognit.Lett., vol. 28, pp. 1172-1175, 2007. https://doi.org/10.1016/j.patrec.2007.01.014
  6. S. A. Israel, J. M. Irvine, A. Cheng, M. D. Wiederhold, and B. K. Wiederhold, "ECG to identify individuals," Pattern Recognit., vol. 38, no. 1,pp. 133-142, 2005. https://doi.org/10.1016/j.patcog.2004.05.014
  7. Beuchee A, Pladys P, Senhadji L, Betremieux P, Carre F. "Beat-to-beat blood pressure variability and patent ductus arteriosus in ventilated, premature infants", Pflugers Arch, 446:154-160. 2003. https://doi.org/10.1007/s00424-002-0961-3
  8. Awdah Al-Hazimi, Nabil Al-Ama, Ahmad Syiamic, Reem Qosti, and Khidir Abdel-Galil, "Time domain analysis of heart rate variability in diabetic patients with and without autonomic neuropathy," Annals of Saudi Medicine, 22 (5-6), pp. 400-402. 2002. https://doi.org/10.5144/0256-4947.2002.400
  9. Erik Zellmer, Fei Shang, Hao Zhang "Highly Accurate ECG Beat Classfication based on Continuous Wavelet Transformation and Multiple Support Vector Machine Classifiers," Biomedical Engineering and Informatics Conference MMEI, 2009, pp. 1-5, 2009.
  10. Ince, T., Kiranyaz, S., Gabbouj, M, "Automated patientspecific classification of premature ventricular contractions," Proc. 30th Int. Conf. IEEE EMBS, 2008, pp. 5474-5477.
  11. Shyu, L.Y., Wu, Y.H., Hu, W, "Using wavelet transform and fuzzy neural network for VPC detection from the holter ECG," IEEE Trans. Biomed. Eng., 2004, 51, (7), pp. 1269-1273. https://doi.org/10.1109/TBME.2004.824131
  12. Ik-sung Cho et al., "Baseline Wander Removing Method Based on Morphological Filter for Efficient QRS Detection," Journal of KIICE, vol. 17, no. 1, 2013, pp.166-174. https://doi.org/10.6109/jkiice.2013.17.1.166
  13. Ik-Sung Cho, Hyeog-Soong Kwon, "Efficient QRS Detection and PVC Classification based on Profiling Method," Journal of KIICE, vol. 17, no. 4, 2013, pp.705-711. https://doi.org/10.6109/jkiice.2013.17.3.705
  14. Faezipour. M. Saeed. A, Nourani. M, "Automated ECG profiling and beat classification," Acoustics Speech and Signal Processing (ICASSP), 2010 IEEE International Conference on, pp. 2198 - 2201, 2010.