A wavelet leaders model with multiscale entropy measures for diagnosing arrhythmia and congestive heart failure

This study proposes a wavelet leaders method with multiscale entropy measures to analyze multiscale complexities in electrocardiogram (ECG) signals to characterize arrhythmia (ARR), congestive heart failure (CHF), and normal sinus rhythm (NSR). The statistical results show evidence of multiscale fractal and multiscale entropy in all health conditions. In addition, ECG signals under NSR conditions display the largest complexity compared to ARR and CHF. Further, statistical tests confirm the presence of differences in terms of multifractals between health conditions in ECG signals. Finally, multiscale entropy increases with scale. The results from statistical analyses indicate that healthy ECG signals are more complex than abnormal ones. Hence, abnormality alters and reduces complexity in arrhythmia and congestive heart failure signals.