Application of Wavelet Entropy to Predict Atrial Fibrillation Progression from the Surface ECG英文文献资料.docVIP

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Application of Wavelet Entropy to Predict Atrial Fibrillation Progression from the Surface ECG英文文献资料.doc

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Application of Wavelet Entropy to Predict Atrial Fibrillation Progression from the Surface ECG英文文献资料

HindawiPublishingCorporation ComputationalandMathematicalMethodsinMedicine Volume2012,ArticleID245213,9pages doi:10.1155/2012/245213 ResearchArticle ApplicationofWaveletEntropytoPredictAtrialFibrillation ProgressionfromtheSurfaceECG Rau′lAlcaraz andJos′eJ.Rieta 1 2 1 InnovationinBioengineeringResearchGroup,UniversityofCastilla-LaMancha, EscuelaPolit′ecnica,CampusUniversitario,16071Cuenca,Spain 2 BiomedicalSynergy,ElectronicEngineeringDepartment,UniversidadPolit′ecnicadeValencia,46730Gand′?a,Spain CorrespondenceshouldbeaddressedtoRau′lAlcaraz,raul.alcaraz@uclm.es Received28May2012;Revised4August2012;Accepted20August2012 AcademicEditor:ThierryBusso Copyright?2012R.AlcarazandJ.J.Rieta.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttribution License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly cited. Atrial?brillation(AF)isthemostcommonsupraventriculararrhythmiainclinicalpractice,thus,beingthesubjectofintensive researchbothinmedicineandengineering.WaveletEntropy(WE)isameasureofthedisorderdegreeofaspeci?cphenomena inbothtimeandfrequencydomains,allowingtorevealunderlyingdynamicalprocessesoutofsightforothermethods.The presentworkintroducestwodi?erentWEapplicationstotheelectrocardiogram(ECG)ofpatientsinAF.The?rstapplication predictsthespontaneousterminationofparoxysmalAF(PAF),whereasthesecondonedealswiththeelectricalcardioversion (ECV)outcomeinpersistentAFpatients.Inbothapplications,WEwasusedwiththeobjectiveofassessingtheatrial?brillatory (f)wavesorganization.Structuralchangesintothefwavesre?ecttheatrialactivityorganizationvariation,andthisfactcanbe usedtopredictAFprogression.Tothisrespect,resultsinthepredictionofPAFterminationregardingsensitivity,speci?city,and accuracywere95.38%,91.67%,and93.60%,respectively.Ontheotherhand,forECVoutcomeprediction,85.24%sensitivity, 81.82%speci?city,and84.05%accuracywereobtained.TheseresultsturnWEasthehighestsinglepredictorofspontaneousPAF terminationa