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February 16, 1998Physical Review Letters189 citationsOpen Access

Multiresolution Wavelet Analysis of Heartbeat Intervals Discriminates Healthy Patients from Those with Cardiac Pathology

STStefan ThurnerMFMarkus FeursteinMTMalvin C. Teich

Key Result

Multiresolution wavelet analysis of R-R intervals correctly classified patients as either normal or having heart failure with 100% sensitivity and 100% specificity at a scale window of 16 to 32 heartbeats.

Study Design

Type

Observational (n=27)

Multicenter

No

Structured PICO

Does multiresolution wavelet analysis of R-R intervals improve diagnostic classification of heart failure compared to standard scaling measures in patients?

P
Population
27 patients (12 healthy adults and 15 with severe congestive heart failure) whose R-R intervals were analyzed from a standard Holter monitor database.
E
Exposure
Multiresolution wavelet analysis of R-R intervals (specifically evaluating wavelet-coefficient standard deviation at scales of 16-32 heartbeats).
C
Comparator
Standard interbeat-interval standard deviation and other scaling measures (e.g., scaling instability index).
O
Outcome
Classification accuracy (sensitivity and specificity) for discriminating heart-failure patients from normal patients.surrogate

Multiresolution wavelet analysis of R-R intervals provides a highly accurate, non-invasive method to discriminate between healthy individuals and those with severe heart failure based on short-term heart rate variability.

Main Result

Effect estimate: 100% accuracy

Absolute Event Rate: 100% vs 100%

Limitations

  • Small sample size of only 27 patients from a single database
  • Requires further study in transplanted hearts to fully assess the role of the autonomic nervous system in heart rate variability

Abstract

We applied multiresolution wavelet analysis to the sequence of times between human heartbeats (R-R intervals) and have found a scale window, between 16 and 32 heartbeat intervals, over which the widths of the R-R wavelet coefficients fall into disjoint sets for normal and heart-failure patients. This has enabled us to correctly classify every patient in a standard data set as belonging either to the heart-failure or normal group with 100% accuracy, thereby providing a clinically significant measure of the presence of heart failure from the R-R intervals alone. Comparison is made with previous approaches, which have provided only statistically significant measures.

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Cite This Study

Thurner et al. (1998) conducted an observational in Congestive heart failure (n=27). Multiresolution wavelet analysis of R-R intervals vs. Healthy normal patients was evaluated on Discrimination between normal and heart-failure patients (100% accuracy). Multiresolution wavelet analysis of R-R intervals correctly classified patients as either normal or having heart failure with 100% sensitivity and 100% specificity at a scale window of 16 to 32 heartbeats.

synapsesocial.com/papers/6aa2695eadc9f8b8e5a898b9https://doi.org/10.1103/physrevlett.80.1544
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Sinus Arrhythmia in Acute Myocardial Infarction1978 · 484 citations
  2. 2Ten Lectures on Wavelets1992 · 15,355 citations
  3. 3Decreased heart rate variability and its association with increased mortality after acute myocardial infarction1987 · 4,019 citations
  4. 4Measuring the Accuracy of Diagnostic Systems1988 · 10,150 citations
  5. 5Long-range anticorrelations and non-Gaussian behavior of the heartbeat1993 · 1,069 citations