Detection of Heart Rate Turbulence Using an Extended IPFM Model

Kristian Solem, Pablo Laguna, Leif Sörnmo

Research output: Chapter in Book/Report/Conference proceedingPaper in conference proceedingpeer-review

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Abstract

In this study, the IPFM model is extended to account
for the presence of ectopic beats and heart rate turbulence
(HRT). Based on the model extension, a new approach to
characterize HRT is presented based on a set of Karhunen-
Loeve (KL) basis functions. The three most significant
basis functions possess attractive physiological interpretations
which reflect the difference in heart rate prior to the
ventricular ectopic beat (VEB) compared to after HRT, an
“average” HRT, and a delayed “average” HRT, respectively.
HRT detection is based on the IPFM model extension,
and involves a test statistic that results from a linear
model. The HRT test statistic was studied on patients who
underwent hemodialysis treatment. The goal was to distinguish
between patients considered to be hypotensionresistant
(HtR) and hypotension-prone (HtP). The results
show that the test statistic of the two groups formed two
non-overlapping clusters. The HtR-cluster exhibited much
larger values than did the HtP-cluster (mean values 51 and
2, respectively), suggesting that HRT is mostly present in
HtR patients.
Original languageEnglish
Title of host publication[Host publication title missing]
PublisherComputers in Cardiology
Pages905-908
Volume33
Publication statusPublished - 2006
EventComputers in Cardiology, 2006 - Valencia, Spain
Duration: 2006 Sept 172006 Sept 20

Publication series

Name
Volume33
ISSN (Print)0276-6574

Conference

ConferenceComputers in Cardiology, 2006
Country/TerritorySpain
CityValencia
Period2006/09/172006/09/20

Subject classification (UKÄ)

  • Electrical Engineering, Electronic Engineering, Information Engineering

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