Key result
Novel arterial blood pressure waveform analysis classifies cardiac arrhythmias with ~96% accuracy.
Why the study?
Early and correct diagnosis of cardiac arrhythmias is important, but previous studies mainly used ECG signals rather than arterial blood pressure for classification.
May enable ABP-based arrhythmia classification when ECG unavailable; leaves open prospective validation before clinical use.
Early and correct diagnosis of cardiac arrhythmias is an important step in the treatment of patients. In the recent decades, a wide area of bio-signal processing is allocated to cardiac arrhythmia classification. Unlike other studies, which have employed Electrocardiogram (ECG) signal as a main signal to classify the arrhythmia and sometimes they have used other vital signals as an auxiliary signal to fill missing data and robust detections. In this study, the Arterial Blood Pressure (ABP) is used to classify six types of heart arrhythmias. In other words, in this study for first time, the arrhythmias are classified according ABP signal information. Discrete Wavelet Transform (DWT) is used to de-noise and decompose ABP signal. On feature extraction stage, three types of features including frequency, power, and entropy are extracted. In classification stage, Least Square Support Vector Machine (LS-SVM) is employed as a classifier. The accuracy, sensitivity, and specificity rates of 95.75%, 96.77%, and 96.32% are achieved, respectively. Currently, the classification of cardiac arrhythmias is based on the ABP signal which has some advantages. The recording of ABP signal is done by means of one electrode and therefore it has resulted in lower costs compared with the ECG signal. Finally, it has been shown that ABP has very important and valuable information about the heart performance and can be used in arrhythmia classification.
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Arvanaghi et al. (2017) studied Cardiac arrhythmias. Arterial Blood Pressure (ABP) signal classification using Discrete Wavelet Transform and LS-SVM was evaluated on Classification accuracy. Arterial Blood Pressure signal processing using Discrete Wavelet Transform and LS-SVM classified six types of cardiac arrhythmias with 95.75% accuracy, 96.77% sensitivity, and 96.32% specificity.
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