Methodology for detection of paroxysmal atrial fibrillation based on P-Wave, HRV and QR electrical alternans features

Abstract

The detection of paroxysmal atrial fibrillation (PAF) is a fairly complex process performed manually by cardiologists or electrophysiologists by reading an electrocardiogram (ECG). Currently, computational techniques for automatic detection based on fast fourier transform (FFT), Bayes optimal classifier (BOC), K-nearest neighbors (K-NNs), and artificial neural network (ANN) have been proposed. In this study, six features were obtained based on the morphology of the P-Wave, the QRS complex and the heart rate variability (HRV) of the ECG. The performance of this methodology was validated using clinical ECG signals from the Physionet arrhythmia database MIT-BIH. A feedforward neural network was used to detect the presence of PAF reaching a general accuracy of 97.4%. The results obtained show that the inclusion of the information of the P-Wave, HRV and QR Electrical alternans increases the accuracy to identify the PAF event compared to other works that use the information of only one or at most two of them.