Prediction and classification of ventricular arrhythmia based on phase-space reconstruction and fuzzy c-means clustering

• Published in: Computers in biology and medicine Vol. 142; p. 105180
• Main Authors: Chen, Hanjie, Das, Saptarshi, Morgan, John M., Maharatna, Koushik
• Format: Journal Article
• Language: English
• Published: United States Elsevier Ltd 01.03.2022; Elsevier Limited
• Subjects: Algorithms; Arrhythmia; Arrhythmias, Cardiac; Boxes; Cardiac arrhythmia; Classification; Cluster Analysis; Clustering; Defibrillators, Implantable; Electrocardiography; Fibrillation; Fuzzy C-means clustering; Heart; Humans; Internal Medicine; Neural networks; Other; Phase space reconstruction; Prediction and classification; Predictions; Reconstruction; Signal processing; Statistical methods; Support vector machines; Tachyarrhythmia; Tachycardia; Tachycardia, Ventricular - diagnosis; Ventricle; Ventricular arrhythmia; Ventricular fibrillation; Ventricular Fibrillation - diagnosis; Wavelet transforms; Ventricular arrhythmia; Prediction and classification; Phase space reconstruction; Fuzzy C-means clustering
• ISSN: 0010-4825; 1879-0534; 1879-0534
• DOI: 10.1016/j.compbiomed.2021.105180

Prediction and classification of Ventricular Arrhythmias (VA) may allow clinicians sufficient time to intervene for stopping its escalation to Sudden Cardiac Death (SCD). This paper proposes a novel method for predicting VA and classifying its type, in particular, the fatal VA even before the event occurs. A statistical index J based on the combination of phase-space reconstruction (PSR) and box counting has been used to predict VA. The fuzzy c-means (FCM) clustering technique is applied for the classification of impending VA. 32 healthy and 32 arrhythmic subjects from two open databases - PTB Diagnostic database (PTBDB) and CU Ventricular Tachyarrhythmia (CUDB) database respectively; were used to validate our proposed method. Our method showed average prediction time of approximately 5 min (4.97 min) for impending VA in the tested dataset while classifying four types of VA (VA without ventricular premature beats (VPBs), ventricular fibrillation (VF), ventricular tachycardia (VT), and VT followed by VF) with an average 4 min (approximately) before the VA onset, i.e., after 1 min of the prediction time point with average accuracy of 98.4%, a sensitivity of 97.5% and specificity of 99.1%. The results obtained can be used in clinical practice after rigorous clinical trial to advance technologies such as implantable cardioverter defibrillator (ICD) that can help to preempt the occurrence of fatal ventricular arrhythmia - a main cause of SCD. •Arrhythmia is caused due to cumulative effect of disruptive phase relationship•Heart electrical activities from different parts lead to desynchronised operation•A statistical index based on phase-space analysis is designed to predict impending arrhythmia•Joint prediction and classification are carried out for four type of arrhythmia•Fuzzy c-means clustering based method can classify arrhythmia 4 min before the onset