Clustering of electrocardiograph signals in computer-aided Holter analysis. 2003

David Cuesta-Frau, and Juan C Pérez-Cortés, and Gabriela Andreu-García
Department of Computer Engineering (DISCA), Polytechnic University of Valencia, EPSA, Plaza Ferrándiz y Carbonell 2, 03801 Alcoi, Spain. dcuesta@disca.upv.es

A number of methods for temporal alignment, feature extraction and clustering of electrocardiographic signals are proposed. The ultimate aim of the paper is to find a method to automatically reduce the quantity of beats to examine in a long-term electrocardiographic signal, known as Holter signal, without loss of valuable information for the diagnosis. These signals include thousands of beats and therefore visual inspection is difficult and cumbersome. All the elements involved in each stage will be described and a thorough experimental study will be presented. The electrocardiograph signals used in the experiments belong to the well-known MIT database, where many different waveforms can be found. Based on the results of the experiments, a complete process is proposed to obtain the significant beats present within a signal, with a reasonable computational cost. Hence, cardiologists will only have to examine a small but fully representative subset of beats, making this method a very useful tool for medical decision support systems.

UI MeSH Term Description Entries
D015716 Electrocardiography, Ambulatory Method in which prolonged electrocardiographic recordings are made on a portable tape recorder (Holter-type system) or solid-state device ("real-time" system), while the patient undergoes normal daily activities. It is useful in the diagnosis and management of intermittent cardiac arrhythmias and transient myocardial ischemia. Ambulatory Electrocardiography,Electrocardiography, Dynamic,Electrocardiography, Holter,Holter ECG,Holter EKG,Holter Monitoring,Monitoring, Ambulatory Electrocardiographic,Monitoring, Holter,Ambulatory Electrocardiography Monitoring,Dynamic Electrocardiography,Electrocardiography Monitoring, Ambulatory,Holter Electrocardiography,Ambulatory Electrocardiographic Monitoring,ECG, Holter,ECGs, Holter,EKG, Holter,EKGs, Holter,Electrocardiographic Monitoring, Ambulatory,Holter ECGs,Holter EKGs,Monitoring, Ambulatory Electrocardiography
D016000 Cluster Analysis A set of statistical methods used to group variables or observations into strongly inter-related subgroups. In epidemiology, it may be used to analyze a closely grouped series of events or cases of disease or other health-related phenomenon with well-defined distribution patterns in relation to time or place or both. Clustering,Analyses, Cluster,Analysis, Cluster,Cluster Analyses,Clusterings

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