Abstract
Ventricular tachycardia or fibrillation (VT) as fatal cardiac arrhythmias are the main factors triggering sudden cardiac death. The objective of this recurrence quantification analysis approach is to find early signs of sustained VT in patients with an implanted cardioverter-defibrillator (ICD). These devices are able to safeguard patients by returning their hearts to a normal rhythm via strong defibrillatory shocks; additionally, they are able to store at least 1000 beat-to-beat intervals immediately before the onset of a life-threatening arrhythmia. We study these 1000 beat-to-beat intervals of 63 chronic heart failure ICD patients before the onset of a life-threatening arrthymia and at a control time, i.e. without VT event. We find that no linear parameter shows significant differences in heart rate variability between the VT and the control time series. However, the results of the recurrence quantification analysis are promising for this classification task.
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References
Mirowski, M., Reid, P.R., Mower, M.M., Watkins, L., Gott, V.L., Schauble, J.F., Langer, A., Heilman, M.S., Kolenik, S.A., Fischell, R.E., Weisfeldt, M.L.: Termination of malignant ventricular tachyarrhythmias with an implanted automatic defibrillator in human beings. N Engl J Med 303 (1980) 322–324
Grimm, W., Floresm, B.T., Marchlinski, F.E.: Shock occurence and survival in 241 patients with implantable cardioverter-defibrillator therapy. Circulation 87 (1993) 18880–18888
The antiarrhythmic versus implantable defibrillators (AVID) investigators: A comparison of antiarrhythmic drug therapy with implantable defibrillators in patients resuscitated from near fatal ventricular arrhythmias. N Engl J Med 337 (1997) 1576–1583
Hook, B.G., Callans, D.J., Kleiman, R.B., Flores, B.T., Marchlinski, F.E.: Implantable cardioverter-defibrillator therapy in the absence of significant symptoms. Circulation 87 (1993) 1897–1906
Gronefeld, G.C., Mauss, O., Li, Y.G., Klingeheben, T., Hohnloser, S.H.: Association between atrial fibrillation and appropriate implantable cardioverted defibrillator therapy: results from a prospective study. J Cardiovasc Electrophysiol 11 (2000) 1208–1214
Kleiger, R.E., Miller, J.P., Bigger, J.T., Moss, A.: Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. Am J Cardiol 59 (1987) 256–262
Tsuji, H., Larson, M.G., Venditti, F.J. Jr, Manders, E.S., Evans, J.C., Feldman, C.L., Levy, D.: Impact of reduced heart rate variability on risk for cardiac events. The Framingham Heart Study. Circulation 94 (1996) 2850–2855
Kurths, J., Voss, A., Witt, A., Saparin, P., Kleiner, H.J., Wessel, N.: Quantitative analysis of heart rate variability. Chaos 5 (1995) 88–94
Voss, A., Kurths, J., Kleiner, H.J., Witt, A., Wessel, N., Saparin, P., Osterziel, K.J., Schurath, R., Dietz, R.: The application of methods of non-linear dynamics for the improved and predictive recognition of patients threatened by sudden cardiac death. Cardiovasc Res 31 (1996) 419–433
Wessel, N., Ziehmann, Ch., Kurths, J., Meyerfeldt, U., Schirdewan, A., Voss, A.: Short-term Forecasting of Life-threatening Cardiac Arrhythmias based on Symbolic Dynamics and Finite-Time Growth Rates. Phys Rev E 61 (2000) 733–739
Wessel, N., Voss, A., Malberg, H., Ziehmann, Ch., Voss, H.U., Schirdewan, A., Meyerfeldt, U., Kurths, J.: Nonlinear analysis of complex phenomena in cardiological data. Herzschr Elektrophys 11 (2000) 159–173
Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electropysiology. Circulation 93 (1996) 1043–1065
Eckmann, J.-P., Kamphorst, S.O., Ruelle, D.: Recurrence plots of dynamical systems. Europhys Lett 4 (1987) 973–977
Argyris, J.H., Faust, G., Haase, M.: An exploration of Chaos. North Holland, Amsterdam, 1994
Ott, E.: Chaos in dynamical systems: University Press, Cambridge, 1993
Zbilut, J.P., Webber Jr., C.L.: Embeddings and delays as derived from quantification of recurrence plots. Phys. Lett. A 171 (1992) 199–203
Giuliani, A., Piccirillo, G., Marigliano, V., Colosimo, A.: A nonlinear explanation of aging-induced changes in heartbeat dynamics. Am J Physiol 275 (1998) H1455-H14691
Gonzalez, J.J., Cordero, J.J., Feria, M., Pereda, E.: Detection and sources of nonlinearity in the variability of cardiac R-R intervals and blood pressure in rats. Am J Physiol Heart Circ Physiol 279 (2000) H3040-H3046
Censi, F., Barbaro, V., Bartolini, P., Calcagnini, G., Michelucci, G. F., Cerutti, S.: Recurrent patterns of atrial depolarization during atrial fibrillation assessed by recurrence plot quantification. in: Annals of Biomedical Engineering 28 (2000), 61–70
Gao, J., Cai, H.: On the structures and quantification of recurrence plots. Physics Letter A 270 (2000), 75–87
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Wessel, N., Marwan, N., Meyerfeldt, U., Schirdewan, A., Kurths, J. (2001). Recurrence Quantification Analysis to Characterise the Heart Rate Variability Before the Onset of Ventricular Tachycardia. In: Crespo, J., Maojo, V., Martin, F. (eds) Medical Data Analysis. ISMDA 2001. Lecture Notes in Computer Science, vol 2199. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-45497-7_45
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DOI: https://doi.org/10.1007/3-540-45497-7_45
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