Abstract
Recurrence is a basic property of scattering dynamical systems. Recurrence plots visualize the recurrent behavior of these systems. The cardiovascular system in sudden cardiac death (SCD) patients appeared to be such dynamical system as the patient meets sudden death within few minutes or an hour after onset of the symptoms. Therefore, the present study was designed to explore an algorithm to predict the SCD 1 h before the “SCD Onset” using recurrence plots of the RR-intervals. The MIT-BIH database was used for designing the samples of the study. The 5-min ECG signals of the SCD patients which were 1 h before the SCD onset and just 5 min before the SCD onset were preprocessed for noise removal and RR-interval extraction. The RR-intervals were then processed to obtain a set of nonlinear features using recurrence plots. These features were checked for correlation among the SCD patients using Spearman’s function of correlation. The classification of the optimal features into normal control subjects and SCD was implemented using classifier k-Nearest Neighbor or k-NN classifier. A maximum accuracy of 98.44% was obtained using k-NN. The results indicate that, the proposed algorithm can efficiently identify the person at risk of progressive SCD 1 h before, which would be helpful in supporting sufficient time for the medical staff attending the patient to respond with preventive treatment.
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Devi, R., Tyagi, H.K., Kumar, D. (2019). Recurrence Plot Features of RR-Interval Signal for Early Stage Mortality Identification in Sudden Cardiac Death Patients. In: Krishna, C., Dutta, M., Kumar, R. (eds) Proceedings of 2nd International Conference on Communication, Computing and Networking. Lecture Notes in Networks and Systems, vol 46. Springer, Singapore. https://doi.org/10.1007/978-981-13-1217-5_40
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DOI: https://doi.org/10.1007/978-981-13-1217-5_40
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