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January 1, 1999IEEE Transactions on Biomedical Engineering470 citations

Real-time discrimination of ventricular tachyarrhythmia with Fourier-transform neural network

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KMKentaro MinamiHNHiroyuki NakajimaTTTakeshi Toyoshima

Key Result

A Fourier-transform neural network algorithm achieved high sensitivity and specificity (≥0.98) in discriminating supraventricular from ventricular rhythms using human surface ECGs and intracardiac EGMs.

Structured PICO

Does a Fourier-transform neural network accurately discriminate supraventricular from ventricular rhythms using ECGs and EGMs?

P
Population
Human surface electrocardiograms (ECGs) and intracardiac electrograms (EGMs)
I
Intervention
Fourier-transform neural network algorithm for real-time discrimination of ventricular arrhythmias
O
Outcome
Discrimination of supraventricular rhythms from ventricular ones (sensitivity and specificity)surrogate

A Fourier-transform neural network algorithm demonstrates high sensitivity and specificity (≥0.98) for real-time discrimination of ventricular from supraventricular arrhythmias.

Main Result

Effect estimate: Sensitivity and specificity ≥0.98

Abstract

We have developed a method to discriminate life-threatening ventricular arrhythmias by observing the QRS complex of the electrocardiogram (ECG) in each heartbeat. Changes in QRS complexes due to rhythm origination and conduction path were observed with the Fourier transform, and three kinds of rhythms were discriminated by a neural network. In this paper, the potential of our method for clinical uses and real-time detection was examined using human surface ECG's and intracardiac electrograms (EGM's). The method achieved high sensitivity and specificity (> or = 0.98) in discrimination of supraventricular rhythms from ventricular ones. We also present a hardware implementation of the algorithm on a commercial single-chip CPU.

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Cite This Study

Minami et al. (1999) studied Ventricular tachyarrhythmia. Fourier-transform neural network was evaluated on Discrimination of supraventricular rhythms from ventricular ones (Sensitivity and specificity ≥0.98). A Fourier-transform neural network algorithm achieved high sensitivity and specificity (≥0.98) in discriminating supraventricular from ventricular rhythms using human surface ECGs and intracardiac EGMs.

synapsesocial.com/papers/6a12bb2683732aa7db9e315ahttps://doi.org/10.1109/10.740880
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