A novel curvature scale space-based algorithm for ECG ST-segment morphological classification achieved 91.60% accuracy, offering a potential tool for automatic detection of myocardial ischemia.
Hypothesis-generating for automated ST-segment analysis; leaves open prospective clinical validation before any practice change.
Aomalous changes in the ST segment, including ST level deviation and ST shape change, are the major parameters in clinical electrocardiogram (ECG) diagnosis of myocardial ischemia. Automatic detection of ST segment morphology can provide a more accurate evidence for clinical diagnosis of myocardial ischemia. In this paper, we proposed a method for classifying the shape of the ST-segment based on the curvature scale space (CSS) technique. First, we established a reference ST set and preprocessed the ECG signal by using the CSS technique. Then, the corner points in the ST-segment were detected at a high scale of the CSS and tracked through multiple lower scales, in order to improve its localization. Finally, the current beat of ST morphology can be distinguished by the corner points. We applied the developed algorithm to the ECG recordings in European ST-T database and QT database to validate the accuracy of the algorithm. The experimental results showed that the average detection accuracy of our algorithm was 91.60%. We could conclude that the proposed method is able to provide a new way for the automatic detection of myocardial ischemia.
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Hu et al. (2015) studied this question.
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