Key result
Multifractal analysis of ECG signals combined with a supervised machine learning approach predicted healthy versus unhealthy heart dynamics with greater than 90% accuracy.
Why the study?
Does multifractal analysis of ECG signals accurately distinguish healthy from unhealthy subjects?
Observational (n=129)
Does multifractal analysis of ECG signals accurately distinguish healthy from unhealthy subjects?
Multifractal analysis of short-duration ECG signals combined with machine learning can accurately distinguish between healthy and unhealthy heart dynamics.
Hypothesis-generating for ECG-based heart dynamics classification; leaves open prospective validation before clinical use.
The characterization of heart dynamics with a view to distinguish abnormal from normal behavior is an interesting topic in clinical sciences. Here we present an analysis of the Electro-cardiogram (ECG) signals from several healthy and unhealthy subjects using the framework of dynamical systems approach to multifractal analysis. Our analysis differs from the conventional nonlinear analysis in that the information contained in the amplitude variations of the signal is being extracted and quantified. The results thus obtained reveal that the attractor underlying the dynamics of the heart has multifractal structure and the variations in the resultant multifractal spectra can clearly separate healthy subjects from unhealthy ones. We use supervised machine learning approach to build a model that predicts the group label of a new subject with very high accuracy on the basis of the multifractal parameters. By comparing the computed indices in the multifractal spectra with that of beat replicated data from the same ECG, we show how each ECG can be checked for variations within itself. The increased variability observed in the measures for the unhealthy cases can be a clinically meaningful index for detecting the abnormal dynamics of the heart.
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A 2017 study conducted an observational in Cardiac abnormalities (n=129). Multifractal analysis of ECG signals vs. Healthy subjects was evaluated on Accuracy of predicting group label (healthy vs unhealthy) using Support Vector Clustering based on multifractal parameters. Multifractal analysis of ECG signals combined with a supervised machine learning approach predicted healthy versus unhealthy heart dynamics with greater than 90% accuracy.
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