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Detección de fibrilación auricular en electrocardiogramas de corta duración (Detection of atrial fibrillation in short duration electrocardiograms)

Authors: Marco Scavino; Virginia Estragó; Matı́as Muñoz Wolf; Andrés Castrillejo; Ramón Álvarez-Vaz;

Detección de fibrilación auricular en electrocardiogramas de corta duración (Detection of atrial fibrillation in short duration electrocardiograms)

Abstract

{"references": ["Chugh S.S., Havmoeller R., Narayanan K., Singh D., Rienstra M., Benjamin E.J., Gillum R.F., et al., Worldwide Epidemiology of Atrial Fi- brillation: A Global Burden of Disease 2010 study. Circulation, 129(8), 837-847 (2014). https://doi.org/10.1161/CIRCULATIONAHA.113.005119", "Kishore A., Vail A., Majid A., Dawson J., Lees K.R., Tyrrell P.J., Smith C.J., Detection of Atrial Fibrillation After Ischemic Stroke or Transient Ischemic Attack. Stroke, 45(2), 520-526 (2014). https://doi.org/10.1161/ STROKEAHA.113.003433", "Serra C.M.J., El Electrocardiograma en la Pr\u00e1ctica M\u00e9dica, segunda edici\u00f3n, editorial Atlante (2013). ISBN: 9509539155", "Chee J., Seow S.-C., The Electrocardiogram. In: Acharya U.R., Suri J.S., Spaan J.A.E., Krishnan S.M. (eds) Advances in Cardiac Signal Proces- sing, 1-53. Springer, Berlin, Heidelberg (2007). https://doi.org/10.1007/ 978-3-540-36675-1_1", "Chee J., Seow S.-C., The Electrocardiogram. In: Acharya U.R., Suri J.S., Spaan J.A.E., Krishnan S.M. (eds) Advances in Cardiac Signal Proces- sing, 1-53. Springer, Berlin, Heidelberg (2007). https://doi.org/10.1007/ 978-3-540-36675-1_1", "Platonov P.G., Corino V.D.A., A Clinical Perspective on Atrial Fibrilla- tion. In: S\u00f6rnmo L. (eds) Atrial Fibrillation from an Engineering Perspective. Series in BioEngineering. Springer, Cham (2018). https://doi.org/10.1007/ 978-3-319-68515-1_1", "Estrag\u00f3 V., Mu\u00f1oz, M., \u00c1lvarez-Vaz R., Reyes, X., Reyes, W., Utiliza- ci\u00f3n de un dispositivo m\u00f3vil de tecnolog\u0131\u0301a electr\u00f3nica para tamizaje de fibrilaci\u00f3n auricular. Estudio piloto. Revista Uruguaya de Cardiolog\u0131\u0301a, 36(2), e201 (2021). http://dx.doi.org/10.29277/cardio.36.2.7", "R Core Team. R, A Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria, 2021.", "Clifford G.D., Liu C., Moody B., Lehman L.H., Silva I., Li Q., John- son A.E., and Mark R.G., AF Classification from a Short Single Lead ECG Recording: the PhysioNet/Computing in Cardiology Challenge 2017. Computing in Cardiology, 44 (2017). https://doi.org/10.22489/CinC.2017.065-469", "Pan J. and Tompkins W.J., A Real-Time QRS Detection Algorithm. IEEE Transactions on Biomedical Engineering, BME-32(3), 230-236 (1985). https: //doi.org/0.1109/TBME.1985.325532", "Therneau T., Atkinson B., rpart: Recursive Partitioning and Regres- sion Trees. R package version 4.1-15 (2019). https://CRAN.R-project.org/ package=rpart", "Breiman L., Friedman J.H., Olshen R.A., Stone, C.J., CBreiman L., Friedman J.H., Olshen R.A., Stone, C.J., Classification and Regression Trees. Routledge, Boca Raton (1984). https://doi.org/10. 1201/9781315139470lassification and Regression Trees. Routledge, Boca Raton (1984). https://doi.org/10. 1201/9781315139470", "Liaw A., Wiener M., Classification and Regression by randomForest. R News 2(3), 18-22 (2002). https://CRAN.R-project.org/doc/Rnews/Rnews_2002-3. pdf", "Breiman L., Random Forests. Machine Learning, 45(1), 5-32 (2001). https: //doi.org/10.1023/A:1010933404324"]}

In this chapter, we present the general guidelines in the application of two machine learning algorithms to detect a common cardiac arrhythmia, atrial fibrillation (AF), when employing short-duration recordings taken through a portable single-lead electrocardiographic (ECG) electronic device. Due to the importance of the early diagnosis of cardiovascular pathologies such as AF, our goal is to improve the classification performance of the mobile device that, in practice, leaves a relevant set of ECG recordings unclassified. We analyze the performance of supervised classification techniques such as recursive partitioning and random forests in combination with ECG signal feature extraction methods. Our methodology applies to an international ECG training set and a national test set of ECG recordings generated in 2019 for the elder adult population of Uruguay, under a collaboration between the CHSCV and the Ibirapitá Plan. The available diagnoses of the ECG signals performed by expert clinical cardiologists allow the interpretation of the obtained results.

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Keywords

Mobile Device for Electronic Technology,, Electrocardiogram,, Atrial Fibrillation,, Supervised Classification.

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This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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