ECG Marker Evaluation for the Machine-Learning-Based Classification of Acute and Chronic Phases of Trypanosoma cruzi Infection in a Murine Model

Abstract

Chagas disease (CD) is a neglected parasitic disease caused by the protozoan Trypanosoma cruzi (T. cruzi). The disease has two clinical phases: acute and chronic. In the acute phase, the parasite circulates in the blood. The infection can be asymptomatic or can cause unspecific clinical symptoms. During the chronic phase, the infection can cause electrical conduction abnormalities and progress to cardiac failure. The use of an electrocardiogram (ECG) has been a methodology for diagnosing and monitoring CD, but it is necessary to study the ECG signals to better understand the behavior of the disease. The aim of this study is to analyze different ECG markers using machine-learning-based algorithms for the classification of the acute and chronic phases of T. cruzi infection in a murine experimental model. The presented methodology includes a statistical analysis of control vs. infected models in both phases, followed by an automatic selection of ECG descriptors and the implementation of several machine learning algorithms for the automatic classification of control vs. infected mice in acute and/or chronic phases (binomial classification), as well as a multiclass classification strategy (control vs. the acute group vs. the chronic group). Feature selection analysis showed that P wave duration, R and P wave voltages, and the QRS complex are some of the most important descriptors. The classifiers showed good results in detecting the acute phase of infection (with an accuracy of 87.5%), as well as in multiclass classification (control vs. the acute group vs. the chronic group), with an accuracy of 91.3%. These results suggest that it is possible to detect infection at different phases, which can help in experimental and clinical studies of CD.