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Premature Contraction Arrhythmia Classification through ECG Pattern Analysis and Template Threshold

ECG 패턴 분석과 템플릿 문턱값을 통한 조기수축 부정맥분류

  • Cho, Ik-sung (Department of Information and Communication Engineering, Kyungwoon University) ;
  • Cho, Young-Chang (Department of Information and Communication Engineering, Kyungwoon University) ;
  • Kwon, Hyeog-soong (Department of IT Engineering, Pusan National University)
  • Received : 2015.10.15
  • Accepted : 2015.11.19
  • Published : 2016.02.29

Abstract

Most methods for detecting arrhythmia require pp interval, diversity of P wave morphology, but it is difficult to detect the p wave signal because of various noise types. Therefore it is necessary to use noise-free R wave. In this paper, we propose algorithm for premature contraction arrhythmia classification through ECG pattern analysis and template threshold. For this purpose, we detected R wave through the preprocessing method using morphological filter, subtractive operation method. Also, we developed algorithm to classify premature contraction wave pattern using weighted average, premature ventricular contraction(PVC) and atrial premature contraction(APC) through template threshold for R wave amplitude. The performance of R wave detection, PVC classification is evaluated by using 6 record of MIT-BIH arrhythmia database that included over 30 PVC and APC. The achieved scores indicate the average of 99.77% in R wave detection and the rate of 94.91%, 95.76% in PVC and APC classification.

일반적인 부정맥 분류 방법의 경우 심방 박동 수와 관련한 PP간격, P모양의 다양성과 같은 조건을 이용하는데, 잡음으로 인해 정확한 P파의 검출이 어렵기 때문에 잡음의 영향을 비교적 적게 받는 R파를 이용하는 것이 유리하다. 따라서 본 연구에서는 R파 중심의 ECG(electrocardiography) 패턴 분석과 템플릿 문턱치를 도입하여 조기수축 부정맥 분류 방법을 제안한다. 이를 위해 형태 연산을 통한 전 처리 과정과 차감 동작 기법을 통해 R파를 검출하였다. 이후 RR 간격의 평균 가중치와 변화율을 이용하여 먼저 조기수축 파형의 패턴을 분류하고, R파의 진폭에 대한 템플릿 문턱값을 통해 조기심실수축과 조기심방수축을 분류하는 알고리즘을 개발하였다. 제안한 방법의 우수성을 입증하기 위해 조기 심방과 심실수축이 30개 이상 포함된 MIT-BIH 6개의 레코드를 대상으로 한 R파의 평균 검출율은 99.77%의 성능을 나타내었고, 조기심실수축과 심방수축 부정맥은 각각 94.91%와 95.76%의 평균 분류율을 나타내었다.

Keywords

References

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