A patient-specific methodology for prediction of paroxysmal atrial fibrillation onset

摘要

In spite of the progress in management of Atrial Fibrillation (AF), this arrhythmia is one of the major causes of stroke and heart failure. The progression of this pathology from a silent paroxysmal form (PAF) into a sustained AF can be prevented by predicting the onset of PAF episodes. Moreover, since AF is caused by heterogeneous mechanisms in different patients, as we demonstrate in this paper, a patient-specific approach offers a promising solution. In this work, we consider two ECG recordings, one close to PAF onset and one far away from any PAF episode. For each patient, we extract two 5-minute ECG segments approximately 20 minutes apart. Next, we train a linear Support Vector Machine (SVM) classifier using patient-specific sets of time- and amplitude-domain features. In particular, we consider the P-waves and the QRS complexes in short windows of 5 consecutive heart beats. Finally, we validate the method on the PAF Prediction Challenge (2001) PhysioNet database predicting the onset with an F1 score of 97.1%, sensitivity of 96.2% and specificity of 98.1%.