High accuracy of automatic detection of atrial fibrillation using wavelet transform of heart rate intervals

Pacing Clin Electrophysiol. 2002 Apr;25(4 Pt 1):457-62. doi: 10.1046/j.1460-9592.2002.00457.x.

Abstract

Permanent and paroxysmal AF is a risk factor for the occurrence and the recurrence of stroke, which can occur as its first manifestation. However, its automatic identification is still unsatisfactory. In this study, a new mathematical approach was evaluated to automate AF identification. A derivation set of 30 24-hour Holter recordings, 15 with chronic AF (CAF) and 15 with sinus rhythm (SR), allowed the authors to establish specific RR variability characteristics using wavelet and fractal analysis. Then, a validation set of 50 subjects was studied using these criteria, 19 with CAF, 16 with SR, and 15 with paroxysmal AF (PAF); and each QRS was classified as true or false sinus or AF beat. In the SR group, specificity reached 99.9%; in the CAF group, sensitivity reached 99.2%; in the PAF group, sensitivity reached 96.1%, and specificity 92.6%. However, classification on a patient basis provided a sensitivity of 100%. This new approach showed a high sensitivity and a high specificity for automatic AF detection, and could be used in screening for AF in large populations at risk.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Atrial Fibrillation / diagnosis*
  • Atrial Fibrillation / physiopathology
  • Chronic Disease
  • Diagnosis, Computer-Assisted / instrumentation*
  • Electrocardiography, Ambulatory / instrumentation*
  • Fractals
  • Heart Rate / physiology
  • Humans
  • Sensitivity and Specificity
  • Signal Processing, Computer-Assisted / instrumentation*