Assessing common classification methods for the identification of abnormal repolarization using indicators of T-wave morphology and QT interval
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Assessing common classification methods for the identification of abnormal repolarization using indicators of T-wave morphology and QT interval. / Shakibfar, Saeed; Graff, Claus; Ehlers, Lars Holger; Toft, Egon; Kanters, Jørgen K.; Struijk, Johannes J.
In: Computers in Biology and Medicine, Vol. 42, No. 4, 04.2012, p. 485-91.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Assessing common classification methods for the identification of abnormal repolarization using indicators of T-wave morphology and QT interval
AU - Shakibfar, Saeed
AU - Graff, Claus
AU - Ehlers, Lars Holger
AU - Toft, Egon
AU - Kanters, Jørgen K.
AU - Struijk, Johannes J.
N1 - Copyright © 2012 Elsevier Ltd. All rights reserved.
PY - 2012/4
Y1 - 2012/4
N2 - Various parameters based on QTc and T-wave morphology have been shown to be useful discriminators for drug induced I(Kr)-blocking. Using different classification methods this study compares the potential of these two features for identifying abnormal repolarization on the ECG. A group of healthy volunteers and LQT2 carriers were used to train classification algorithms using measures of T-wave morphology and QTc. The ability to correctly classify a third group of test subjects before and after receiving d,l-sotalol was evaluated using classification rules derived from training. As a single electrocardiographic feature, T-wave morphology separates normal from abnormal repolarization better than QTc. It is further indicated that nonlinear boundaries can provide stronger classifiers than a linear boundaries. Whether this is true in general with other ECG markers and other data sets is uncertain because the approach has not been tested in this setting.
AB - Various parameters based on QTc and T-wave morphology have been shown to be useful discriminators for drug induced I(Kr)-blocking. Using different classification methods this study compares the potential of these two features for identifying abnormal repolarization on the ECG. A group of healthy volunteers and LQT2 carriers were used to train classification algorithms using measures of T-wave morphology and QTc. The ability to correctly classify a third group of test subjects before and after receiving d,l-sotalol was evaluated using classification rules derived from training. As a single electrocardiographic feature, T-wave morphology separates normal from abnormal repolarization better than QTc. It is further indicated that nonlinear boundaries can provide stronger classifiers than a linear boundaries. Whether this is true in general with other ECG markers and other data sets is uncertain because the approach has not been tested in this setting.
KW - Adult
KW - Algorithms
KW - Cluster Analysis
KW - Discriminant Analysis
KW - Electrocardiography
KW - Female
KW - Fuzzy Logic
KW - Humans
KW - Long QT Syndrome
KW - Male
KW - Multivariate Analysis
KW - ROC Curve
KW - Signal Processing, Computer-Assisted
U2 - 10.1016/j.compbiomed.2012.01.001
DO - 10.1016/j.compbiomed.2012.01.001
M3 - Journal article
C2 - 22306238
VL - 42
SP - 485
EP - 491
JO - Computers in Biology and Medicine
JF - Computers in Biology and Medicine
SN - 0010-4825
IS - 4
ER -
ID: 48052437