Atrial fibrillation detection based on poincaré plot and P wave analysis

Gergely Tuboly, Gyorgy Kozmann, Orsolya Kiss, B. Merkely

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Atrial fibrillation (AF) is a common supraventricular cardiac arrhythmia characterized by irregular RR intervals and the absence of P waves on the ECG. Since it may significantly increase the risk of stroke, the early diagnosis is crucial which can be supported by today's quickly developing mobile ECG technology. This paper describes an efficient AF detection method which is suitable for the processing of single-channel ECG signals. The algorithm makes the decision about AF based on the Poincaré plot consisting of RR intervals and the presence of the P wave on the average majority cycle. The Poincaré plot analysis was tested earlier on reference ECG signals from the PhysioNet database resulting in the average sensitivity (Se) of 98.69% and average specificity (Sp) of 99.59%. After improving our method by adding P wave analysis, it was built into the WIWE mobile ECG system produced by Sanatmetal Ltd. During clinical validation 29 AF and 315 non-AF WIWE records were processed (mainly to test Sp), 57 of which were non-AF arrhythmia cases. No false decision occurred regarding the clinical measurements in terms of AF.

Original languageEnglish
Title of host publication2019 Proceedings of the 12th International Conference on Measurement, MEASUREMENT 2019
EditorsJana Svehl�kova, Jan Manka, Ivan Frollo, Viktor Witkovsky
PublisherInstitute of Electrical and Electronics Engineers Inc.
Pages17-20
Number of pages4
ISBN (Electronic)9788097262938
Publication statusPublished - May 1 2019
Event12th International Conference on Measurement, MEASUREMENT 2019 - Smolenice, Slovakia
Duration: May 27 2019May 29 2019

Publication series

Name2019 Proceedings of the 12th International Conference on Measurement, MEASUREMENT 2019

Conference

Conference12th International Conference on Measurement, MEASUREMENT 2019
CountrySlovakia
CitySmolenice
Period5/27/195/29/19

Fingerprint

fibrillation
Electrocardiography
P waves
plots
arrhythmia
intervals
strokes
Processing
cycles
sensitivity

Keywords

  • Atrial Fibrillation Detection
  • Mobile ECG Technology
  • P Wave Analysis
  • Poincaré Plot

ASJC Scopus subject areas

  • Biomedical Engineering
  • Physics and Astronomy (miscellaneous)
  • Instrumentation

Cite this

Tuboly, G., Kozmann, G., Kiss, O., & Merkely, B. (2019). Atrial fibrillation detection based on poincaré plot and P wave analysis. In J. Svehl�kova, J. Manka, I. Frollo, & V. Witkovsky (Eds.), 2019 Proceedings of the 12th International Conference on Measurement, MEASUREMENT 2019 (pp. 17-20). [8779967] (2019 Proceedings of the 12th International Conference on Measurement, MEASUREMENT 2019). Institute of Electrical and Electronics Engineers Inc..

Atrial fibrillation detection based on poincaré plot and P wave analysis. / Tuboly, Gergely; Kozmann, Gyorgy; Kiss, Orsolya; Merkely, B.

2019 Proceedings of the 12th International Conference on Measurement, MEASUREMENT 2019. ed. / Jana Svehl�kova; Jan Manka; Ivan Frollo; Viktor Witkovsky. Institute of Electrical and Electronics Engineers Inc., 2019. p. 17-20 8779967 (2019 Proceedings of the 12th International Conference on Measurement, MEASUREMENT 2019).

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Tuboly, G, Kozmann, G, Kiss, O & Merkely, B 2019, Atrial fibrillation detection based on poincaré plot and P wave analysis. in J Svehl�kova, J Manka, I Frollo & V Witkovsky (eds), 2019 Proceedings of the 12th International Conference on Measurement, MEASUREMENT 2019., 8779967, 2019 Proceedings of the 12th International Conference on Measurement, MEASUREMENT 2019, Institute of Electrical and Electronics Engineers Inc., pp. 17-20, 12th International Conference on Measurement, MEASUREMENT 2019, Smolenice, Slovakia, 5/27/19.
Tuboly G, Kozmann G, Kiss O, Merkely B. Atrial fibrillation detection based on poincaré plot and P wave analysis. In Svehl�kova J, Manka J, Frollo I, Witkovsky V, editors, 2019 Proceedings of the 12th International Conference on Measurement, MEASUREMENT 2019. Institute of Electrical and Electronics Engineers Inc. 2019. p. 17-20. 8779967. (2019 Proceedings of the 12th International Conference on Measurement, MEASUREMENT 2019).
Tuboly, Gergely ; Kozmann, Gyorgy ; Kiss, Orsolya ; Merkely, B. / Atrial fibrillation detection based on poincaré plot and P wave analysis. 2019 Proceedings of the 12th International Conference on Measurement, MEASUREMENT 2019. editor / Jana Svehl�kova ; Jan Manka ; Ivan Frollo ; Viktor Witkovsky. Institute of Electrical and Electronics Engineers Inc., 2019. pp. 17-20 (2019 Proceedings of the 12th International Conference on Measurement, MEASUREMENT 2019).
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