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A Dynamic Systems Approach for Detecting and Localizing of Infarct-Related Artery in Acute Myocardial Infarction Using Compressed Paper-Based Electrocardiogram (ECG)
- Source :
- Sensors, Vol 20, Iss 3975, p 3975 (2020), Sensors, Volume 20, Issue 14, Sensors (Basel, Switzerland)
- Publication Year :
- 2020
- Publisher :
- MDPI AG, 2020.
-
Abstract
- Timely evaluation and reperfusion have improved the myocardial salvage and the subsequent recovery rate of the patients hospitalized with acute myocardial infarction (MI). Long waiting time and time-consuming procedures of in-hospital diagnostic testing severely affect the timeliness. We present a Poincare pattern ensemble-based method with the consideration of multi-correlated non-stationary stochastic system dynamics to localize the infarct-related artery (IRA) in acute MI by fully harnessing information from paper-based Electrocardiogram (ECG). The vectorcardiogram (VCG) diagnostic features extracted from only 2.5-s long paper ECG recordings were used to hierarchically localize the IRA&mdash<br />not mere localization of the infarcted cardiac tissues&mdash<br />in acute MI. Paper ECG records and angiograms of 106 acute MI patients collected at the Heart Artery and Vein Center at Fresno California and the 12-lead ECG signals from the Physionet PTB online database were employed to validate the proposed approach. We reported the overall accuracies of 97.41% for healthy control (HC) vs. MI, 89.41 &plusmn<br />9.89 for left and right culprit arteries vs. others, 88.2 &plusmn<br />11.6 for left main arteries vs. right-coronary-ascending (RCA) and 93.67 &plusmn<br />4.89 for left-anterior-descending (LAD) vs. left-circumflex (LCX). The IRA localization from paper ECG can be used to timely triage the patients with acute coronary syndromes to the percutaneous coronary intervention facilities.
- Subjects :
- Adult
Male
medicine.medical_specialty
Systems Analysis
medicine.medical_treatment
0206 medical engineering
Myocardial Infarction
02 engineering and technology
030204 cardiovascular system & hematology
electrocardiogram
Coronary Angiography
lcsh:Chemical technology
Biochemistry
Culprit
Article
Analytical Chemistry
Electrocardiography
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Humans
Infarct related artery
lcsh:TP1-1185
Myocardial infarction
cardiovascular diseases
Electrical and Electronic Engineering
Vein
Instrumentation
business.industry
Percutaneous coronary intervention
nonlinear dynamic systems
Middle Aged
medicine.disease
Coronary Vessels
020601 biomedical engineering
Triage
Atomic and Molecular Physics, and Optics
medicine.anatomical_structure
Computer-aided diagnosis
Cardiology
Female
computer-aided diagnosis
business
Artery
Subjects
Details
- Language :
- English
- ISSN :
- 14248220
- Volume :
- 20
- Issue :
- 3975
- Database :
- OpenAIRE
- Journal :
- Sensors
- Accession number :
- edsair.doi.dedup.....2fa96182c673c52288a4ebe380a49d9f