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A TIME-DOMAIN HYBRID ANALYSIS METHOD FOR DETECTING AND QUANTIFYING T-WAVE ALTERNANS

https://doi.org/10.15829/1560-4071-2014-4-ENG-46-53

Abstract

T-wave alternans (TWA) in surface electrocardiograph (ECG) signals has been recognized as a marker of cardiac electrical instability, and is hypothesized to be related with patients at increased risk for ventricular arrhythmias. A novel timedomain TWA hybrid analysis method (HAM) utilizing the correlation method and least squares regression technique is described in this paper. Simulated ECGs containing artificial TWA (cases of absence of TWA and presence of stationary or time-varying or phase-reversal TWA) under different baseline wanderings are used to test the method, and the results shows the HAM has a better ability to quantifying TWA amplitude compared with the Correlation Method (CM) and Adapting Match Filter Method (AMFM). The HAM is subsequently used to analyze the clinical ECGs, and results produced by the HAM have, in general, demonstrated the consistency with those produced by the CM and the AMFM, while the quantifying TWA amplitudes by the HAM are universally higher than those by the other two methods.

About the Authors

Xiangkui Wan
School of Information Engineering, Guangdong University of Technology, Guangzhou


Kanghui Yan
School of Information Engineering, Guangdong University of Technology, Guangzhou


Jun Zhang
School of Information Engineering, Guangdong University of Technology, Guangzhou


Yanjun Zeng
Biomedical Engineering Center, Beijing University of Technology, Beijing, China

Professor of Biomechanics & Medical Information Institute, Beijing University of Technology, Beijing 100022, China, Tel:
+8610 67391809, Fax: +8610 67391975



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Review

For citations:


Wan X., Yan K., Zhang J., Zeng Ya. A TIME-DOMAIN HYBRID ANALYSIS METHOD FOR DETECTING AND QUANTIFYING T-WAVE ALTERNANS. Russian Journal of Cardiology. 2014;(4-ENG):46-53. https://doi.org/10.15829/1560-4071-2014-4-ENG-46-53

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ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)