Key result
ECG recurrence networks distinguish cardiac disease from healthy subjects via unique bimodal degree distributions.
Why the study?
Variations or anomalies in ECG data reflecting cardiac dynamics complexity require quantification through recurrence network measures to understand underlying cardiac system dynamics.
Observational (n=96)
Recurrence network analysis of ECG data reveals unique bimodality and scaling features that can quantify underlying cardiac complexity and disease-specific variations.
May support ECG recurrence network analysis for disease detection; leaves open prospective validation before clinical adoption.
Human heart is a complex system that can be studied using its electrical activity recorded as Electrocardiogram (ECG). Any variations or anomalies in the ECG can indicate abnormalities in the cardiac dynamics. In this work, we present a detailed analysis of ECG data using the framework of recurrence networks (RNs). We show how the measures of the recurrence networks constructed from ECG data sets, can quantify the complexity and variability underlying the data. Our study shows for the first time that the RNs from ECG show the unique feature of bimodality in their degree distribution. We relate this to the complex dynamics underlying the cardiac system, with structures at two spatial scales. We also show that there is relevant information to be extracted from the scaling of measures with recurrence threshold ε . Thus we observe two scaling regions in the link density for ECG data which are compared with scaling in RNs from standard chaotic and hyperchaotic systems and noise. While both bimodality and scaling are common features of RNs from all types of ECG data, we find that disease specific variations in them can be quantified.
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A 2019 study conducted an observational in Cardiac abnormalities (Bundle Branch Block, Cardiomyopathy, Dysrhythmia, Myocardial Infarction) (n=96). Recurrence network analysis vs. Healthy subjects was evaluated on Bimodality in degree distribution and scaling of link density. Recurrence networks from ECG data exhibit a unique bimodal degree distribution and specific scaling regions in link density that can distinguish cardiac disease cases from healthy subjects.
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