Recognition of ventricular extrasystoles over the reconstructed phase space of electrocardiogram.

Abstract

Distinguishing ventricular extrasystoles from normal heartbeats is crucial to cardiac arrhythmia analysis. This paper proposes novel morphological descriptors, the major portrait partition area (MPPA) and point distribution percentage (PDP), which are extracted from the reconstructed phase space of the QRS complex. These measures can be linked to QRS width and prolonged ventricular contraction, and offer several advantages over traditional characterization of the QRS structure: it does not require QRS boundary detection, is robust under R-peak misalignment, and including some information from nearby points. The first four principal components of MPPA variables and PDPs in the first and the third quadrants of the phase space diagram were used as inputs of neural networks. The performance of networks in distinguishing premature ventricular contraction events from normal heartbeats were evaluated under a series of 50 cross-validations based on the electrocardiogram data taken from the MIT/BIH arrhythmia database. The sensitivity and specificity obtained using the aforementioned MPPA principal components and PDPs as inputs were similar to those obtained using wavelet features and Hermite coefficients. However, the phase space information performed better in situations of noise contaminations and waveform deformations.