Digitalis: Is It Useful in Congestive Heart Failure in Patients in Normal Sinus Rhythm?

Cardiology ◽  
1987 ◽  
Vol 74 (5) ◽  
pp. 376-386 ◽  
Author(s):  
Melvin D. Cheitlin
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Sinus Rhythm ◽  
Normal Sinus Rhythm ◽  
Normal Sinus

Nonlinear Characterization of Heart Rate Variability in Normal Sinus Rhythm, Atrial Fibrillation and Congestive Heart Failure

2016 ◽  
Author(s):  
Syed Hassan Zaidi ◽  
Imran Akhtar ◽  
Syed Imran Majeed ◽  
Tahir Zaidi ◽  
Muhammad Saif Ullah Khalid
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Heart Rate ◽  
Congestive Heart Failure ◽  
Heart Rate Variability ◽  
Sinus Rhythm ◽  
Time Series Data ◽  
Normal Sinus Rhythm ◽  
Series Data ◽  
Normal Sinus

This paper highlights the application of methods and techniques from nonlinear analysis to illustrate their far superior capability in revealing complex cardiac dynamics under various physiological and pathological states. The purpose is to augment conventional (time and frequency based) heart rate variability analysis, and to extract significant prognostic and clinically relevant information for risk stratification and improved diagnosis. In this work, several nonlinear indices are estimated for RR intervals based time series data acquired for Healthy Sinus Rhythm (HSR) and Congestive Heart Failure (CHF), as the two groups represent different cases of Normal Sinus Rhythm (NSR). In addition to this, nonlinear algorithms are also applied to investigate the internal dynamics of Atrial Fibrillation (AFib). Application of nonlinear tools in normal and diseased cardiovascular states manifest their strong ability to support clinical decision support systems and highlights the internal complex properties of physiological time series data such as complexity, irregularity, determinism and recurrence trends in cardiovascular regulation mechanisms.

scholarly journals ECG Classification using Machine Learning

2019 ◽  
Vol 8 (4) ◽  
pp. 2492-2494
Keyword(s):  
Heart Failure ◽  
Cardiovascular Disease ◽  
Congestive Heart Failure ◽  
Sinus Rhythm ◽  
Normal Sinus Rhythm ◽  
Original Data ◽  
Ecg Signals ◽  
Normal Sinus ◽  
Electrocardiogram Signals

Recently, the obvious increasing number of cardiovascular disease, the automatic classification research of Electrocardiogram signals (ECG) has been playing a important part in the clinical diagnosis of cardiovascular disease. Convolution neural network (CNN) based method is proposed to classify ECG signals. The proposed CNN model consists of five layers in addition to the input layer and the output layer, i.e., two convolution layers, two down sampling layers and one full connection layer, extracting the effective features from the original data and classifying the features using wavelet .The classification of ARR (Arrhythmia), CHF (Congestive Heart Failure), and NSR (Normal Sinus Rhythm) signals. The experimental results contains on ARR signals from the MIT-BIH arrhythmia,CHF signals from the BIDMC Congestive Heart Failure and NSR signals from the MIT-BIH Normal Sinus Rhythm Databases show that the proposed method achieves a promising classification accuracy of 90.63%, significantly outperforming several typical ECG classification methods.

Robust correlation dimension estimator for heart rate variability

2020 ◽  
Vol 15 (16) ◽  
pp. 62-68
Author(s):  
A.V. Martynenko ◽  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Congestive Heart Failure ◽  
Sinus Rhythm ◽  
Correlation Dimension ◽  
Normal Sinus Rhythm ◽  
Robust Estimator ◽  
Normal Sinus ◽  
Significant Difference ◽  
Limited Length

Introduction. Non-linear methods of analysis have found widespread use in the Heart Rate Variability (HRV) technology, when the long-term HRV records are available. Using one of the effective nonlinear methods of analysis of HRV correlation dimension D2 for the standard 5-min HRV records is suppressed by unsatisfactory accuracy of available methods in case of short records (usually, doctors have about 500 RRs during standard 5-min HRV record), as well as complexity and ambiguity of choosing additional parameters for known methods of calculating D2. The purpose of the work. Building a robust estimator for calculating correlation dimension D2 with high accuracy for limited se-ries of RR-intervals observed in a standard 5-minute HRV record, i. e. with N  500. As well as demonstrating the capabilities of the D2 formula on a well known attractors (Lorenz, Duffing, Hennon and etc.) and in applications for Normal Sinus Rhythm (NSR), Congestive Heart Failure (CHF) and Atrial Fibrillation (AF). Materials and Methods. We used MIT-BIH long-term HRV records for normal sinus rhythm, congestive heart failure and atrial fibrillation. In order to analyze the accuracy of new robust estimator for D2, we used the known theoretical values for some famous attractors (Lorenz, Duffing, Hennon and etc.) and the most popular Grassberger-Procaccia (G-P) algorithm for D2. The results of the study. We have shown the effectiveness of the developed D2 formula for time series of limited length (N = 500–1000) by some famous attractors (Lorenz, Duffing, Hennon and etc.) and with the most popular Grassberger-Procaccia (G-P) algorithm for D2. It was demonstrated statistically significant difference of D2 for normal sinus rhythm and congestive heart failure by standard 5 min HRV segments from MIT-BIH database. The promised technology for early prediction of atrial fibrillation episodes by current D2 algorithm was shown for standard 5 min HRV segments from MIT-BIH Atrial Fibrillation database. Conclusion. Robust correlation dimension D2 estimator suggested in the article allows for time series of limited length (N ≈ 500) to calculate D2 value that differs at mean from a precise one by 5 ± 4%, as demonstrated for various well known attractors (Lorenz, Duffing, Hennon and etc.). We have shown on the standard 5-min segments from MIT-BIH database of HRV records: - the statistically significant difference of D2 for cases of normal sinus rhythm and congestive heart failure; - D2 drop significantly for the about 30 min. before of AF and D2 growth drastically under AF there was shown for HRV records with Atrial Fibrillation (AF) episodes. The suggested robust correlation dimension D2 estimator is perfect suitable for real time HRV monitoring as accurate, fast and non-consuming for computing resources. Key words: Hearth rate variability; Correlation dimension; Congestive heart failure; Atrial fibrillation.

Classification of human electrocardiograms by multi-layer convolutional neural network and hyperparameter optimization

2021 ◽  
pp. 1-9
Author(s):  
Yao-Mei Chen ◽  
Yenming J. Chen ◽  
Yun-Kai Tsai ◽  
Wen-Hsien Ho ◽  
Jinn-Tsong Tsai
Keyword(s):  
Neural Network ◽  
Heart Failure ◽  
Congestive Heart Failure ◽  
Sinus Rhythm ◽  
Convolutional Neural Network ◽  
Large Scale ◽  
Normal Sinus Rhythm ◽  
Performance Tests ◽  
Hyperparameter Optimization ◽  
Normal Sinus

A multi-layer convolutional neural network (MCNN) with hyperparameter optimization (HyperMCNN) is proposed for classifying human electrocardiograms (ECGs). For performance tests of the HyperMCNN, ECG recordings for patients with cardiac arrhythmia (ARR), congestive heart failure (CHF), and normal sinus rhythm (NSR) were obtained from three PhysioNet databases: MIT-BIH Arrhythmia Database, BIDMC Congestive Heart Failure Database, and MIT-BIH Normal Sinus Rhythm Database, respectively. The MCNN hyperparameters in convolutional layers included number of filters, filter size, padding, and filter stride. The hyperparameters in max-pooling layers were pooling size and pooling stride. Gradient method was also a hyperparameter used to train the MCNN model. Uniform experimental design approach was used to optimize the hyperparameter combination for the MCNN. In performance tests, the resulting 16-layer CNN with an appropriate hyperparameter combination (16-layer HyperMCNN) was used to distinguish among ARR, CHF, and NSR. The experimental results showed that the average correct rate and standard deviation obtained by the 16-layer HyperMCNN were superior to those obtained by a 16-layer CNN with a hyperparameter combination given by Matlab examples. Furthermore, in terms of performance in distinguishing among ARR, CHF, and NSR, the 16-layer HyperMCNN was superior to the 25-layer AlexNet, which was the neural network that had the best image identification performance in the ImageNet Large Scale Visual Recognition Challenge in 2012.

scholarly journals Determination of Sample Entropy and Fuzzy Measure Entropy Parameters for Distinguishing Congestive Heart Failure from Normal Sinus Rhythm Subjects

Entropy ◽  
2015 ◽  
Vol 17 (12) ◽  
pp. 6270-6288 ◽  
Author(s):  
Lina Zhao ◽  
Shoushui Wei ◽  
Chengqiu Zhang ◽  
Yatao Zhang ◽  
Xinge Jiang ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Sinus Rhythm ◽  
Normal Sinus Rhythm ◽  
Sample Entropy ◽  
Fuzzy Measure ◽  
Normal Sinus ◽  
Measure Entropy
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