Multiway Sequential Hypothesis Testing for Tachyarrhythmia Discrimination

IEEE Transactions on Biomedical Engineering

Volumn 41, Issue 5, 1994, Pages 480-487

  Thakor, Nitish V ^a   Natarajan, Ananth ^a   Tomaselli, Gordon F ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ALGORITHMS; BIOMEDICAL ENGINEERING; ELECTROCARDIOGRAPHY;

MULTIWAY SEQUENTIAL HYPOTHESIS TESTING; TACHYARRYTHMIA;

CARDIOLOGY;

ADULT; ALGORITHM; ARTICLE; CLINICAL ARTICLE; DATA BASE; DIAGNOSTIC ACCURACY; ELECTROCARDIOGRAPHY; FEMALE; HEART DEPOLARIZATION; HEART VENTRICLE TACHYCARDIA; HUMAN; HYPOTHESIS; MALE; SINUS RHYTHM; STATISTICAL MODEL; SUPRAVENTRICULAR TACHYCARDIA;

ADULT; ALGORITHMS; ELECTROCARDIOGRAPHY; FEMALE; HUMAN; LIKELIHOOD FUNCTIONS; MALE; MIDDLE AGE; NORMAL DISTRIBUTION; SIGNAL PROCESSING, COMPUTER-ASSISTED; TACHYCARDIA;

EID: 0028436940     PISSN: 00189294     EISSN: 15582531     Source Type: Journal    
DOI: 10.1109/10.293223     Document Type: Article

References (24)

1. N. V. Thakor, “From Holter monitors to automatic defibrillators; developments in ambulatory arrhythmia monitoring,” IEEE Trans. Biomed. Eng., vol. BME-31, pp. 700–708, 1984.
2. N. V. Thakor, “Computers in electrocardiography,” Enchyclopedia of Biomedical Instrumentation, Webster JG, Ed, N,Y,: Wiley, pp. 1040–1059, 1988.
3. L. Mörkrid, O. J. Ohm and H. Engedal, “Time domain and spectral analysis of electrograms in man during regular ventricular activity and ventricular fibrillation,” IEEE Trans. Biomed. Eng., vol. BME-31, pp. 350–355, 1984.
4. D. S. Khoury and B. L. Wilkoff, “Tachycardia Recognition Algorithms for Implantable Systems,” IEEE Eng. Med. Biology Mag., vol. 9, pp. 40–42. 1990.
5. L. A. DiCarlo, R. D. Throne and J. M. Jenkins, “A time-domain analysis of intracardiac electrograms for arrhythmia detection,” PACE. Pacing Clin. Electrophysiol., vol. 14, pp. 329–336, 1991.
6. A. Langer, M. S. Heilman, M. M. Mower and M. Mirowski, “Considerations in the development of automatic implantable defibrillator,” Med. lustrum., vol. 10, pp. 163–167, 1976.
7. N. V. Thakor and K. Pan, “Tachycardia and Fibrillation Detection by Automatic Implantable Cardioverter-Defibrillators: Sequential Testing in the Time Domain,” IEEE Eng. Med. Biology Mag., pp. 21–24, 1990.
8. C. Shoupu, N. V. Thakor and M. M. Mower, “Ventricular fibrillation detection by regression test of autocorrelation function,” Med. Biol. Eng. Comput., vol. 25. pp. 241–249, 1987.
9. A. D. Mercando and S. Furman, “Measurement of differences in timing and sequence between two ventricular electrodes as a means of tachycardia differentiation,” PACE. Pacing Clin. Electrophysiol., vol. 9. pp. 1069–1078, 1986.
10. R. D. Throne, J. M. Jenkins and L. A. DiCario, “The Bin Area Method: a computationally efficient technique for analysis of ventricular and atrial intracardiac electrograms,” PACE. Pacing Clin. Electrophysiol., vol. 13, pp. 1286–1297, 1990.
11. M. Kleinert, H. Elmqvist and H. Strandberg, “Spectral properties of atrial and ventricular endocardial signals,” PACE. Pacing Clin. Electrophysiol., vol. 2, pp. 11–9, 1979.
12. M. Nygards and J. Hulting, “Recognition of ventricular fibrillation utilizing the power spectrum of the ECG,” Comput. Cardiol., pp. 393–397, 1977.
13. K. M. Ropella, A. V. Sahakian, J. M. Baerman and S. Swiryn, “The coherence spectrum, A quantitative discriminator of fibrillatory and nonfibrillatory cardiac rhythms,” Circulation, vol. 80, pp. 112–119, 1989.
14. J. Jenkins, K. H. Noh, A. Guezennec, T. Bump and R. Arzbaecher, “Diagnosis of atrial fibrillation using electrograms from chronic leads: evaluation of computer algorithms,” PACE. Pacing din. Electrophysiol., vol. 11, pp. 622–631, 1988.
15. J. Jenkins, T. Bump and F. Mukenbeck, “Tachycardia detection in implantable antitachycardia devices,” PACE. Pacing Clin. Electrophysiol., vol. 7, pp. 1273–1277, 1984.
16. K. L. Ripley, T. E. Bump and R. C. Arzbaecher, “Evaluation of techniques for recognition of ventricular arrhythmias by implanted devices,” IEEE Trans. Biomed. Eng., vol. 36, pp. 618–624, 1989.
17. N. V. Thakor, Y. S. Zhu and K. Y Pan, “Ventricular tachycardia and fibrillation detection by a sequential hypothesis testing algorithm,” IEEE Trans. Biomed. Eng., vol. 37, pp. 837–843, 1990.
18. M. D. Gabry, R. Brofman, D. Johnston, R. Frame, S. G. Kim, L. E. Waspe, J. D. Fisher and S. Furman, “Automatic implantable cardioverter defibrillator: patient survival, battery longevity and shock delivery analysis,” J. Am. Coll. Cardiol., vol. 8, pp. 1349–1356, 1987.
19. J. Maloney. M. Masterson. D. Khoury, R. Trohman, B. Wilkoff, T. Simmons. V. Morant and L. Castle, “Clinical performance of the implantable cardioverter defibrillator: electrocardiographic documentation of 101 spontaneous discharges,” PACE. vol. 14, pp. 280–285. 1991.
20. B. G. Hook, D. J. Callans, R. B. Keliman, B. T. Flores and F. E. Marchlinski, “Implantable cardioverter-defibrillator therapy in the absence of significant symptoms: rhythm diagnosis and management aided by stored electrogram analysis,” Circulation, vol. 87. pp. 1897–1906, 1993.
21. A. Wald, “Sequential Analysis,” N.Y.: Wiley & Sons, pp. 212, 1947.
22. S. Fleischer and E. Shwedyk, “A sequential multiple hypothesis test for the unknown parameters of a Gaussian distribution,” IEEE Trans. Binmecl. Eng., vol. BME-26, pp. 255-259. 1980.
23. J. Pan and W. J. Tompkins, “A real-time QRS detection algorithm,” IEEE Trans. Binmed. Eng., vol. BME-32. pp. 230-236, 1985.
24. N. V. Thakor and Y. Zhu. “Applications of Adaptive Filtering to ECG Analysis: Noise Cancellation and Arrhythmia Detection.” IEEE Trans. Biomed. Eng., vol. 38, pp. 785-794, 1991.