An arrhythmia classification system based on the RR-interval signal

  • Authors:
  • M. G. Tsipouras;D. I. Fotiadis;D. Sideris

  • Affiliations:
  • Deparment of Computer Science, Unit of Medical Technology and Intelligent Information Systems, University of Ioannina Campus, P.O. Box 1186, GR 45110 Ioannina, Greece and Biomedical Research Insti ...;Deparment of Computer Science, Unit of Medical Technology and Intelligent Information Systems, University of Ioannina Campus, P.O. Box 1186, GR 45110 Ioannina, Greece and Biomedical Research Insti ...;Division of Cardiology, Medical School, University of Ioannina, GR 45110 Ioannina, Greece and Michaelidion Cardiology Center, GR 45110 Ioannina, Greece

  • Venue:
  • Artificial Intelligence in Medicine
  • Year:
  • 2005

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Abstract

Objective: This paper proposes a knowledge-based method for arrhythmic beat classification and arrhythmic episode detection and classification using only the RR-interval signal extracted from ECG recordings. Methodology: A three RR-interval sliding window is used in arrhythmic beat classification algorithm. Classification is performed for four categories of beats: normal, premature ventricular contractions, ventricular flutter/fibrillation and 2^o heart block. The beat classification is used as input of a knowledge-based deterministic automaton to achieve arrhythmic episode detection and classification. Six rhythm types are classified: ventricular bigeminy, ventricular trigeminy, ventricular couplet, ventricular tachycardia, ventricular flutter/fibrillation and 2^o heart block. Results: The method is evaluated by using the MIT-BIH arrhythmia database. The achieved scores indicate high performance: 98% accuracy for arrhythmic beat classification and 94% accuracy for arrhythmic episode detection and classification. Conclusion: The proposed method is advantageous because it uses only the RR-interval signal for arrhythmia beat and episode classification and the results compare well with more complex methods.