©2010 International Journal of Computer Applications (0975 – 8887)
Volume 1 – No. 12
71
HRV Analysis of Arrhythmias Using Linear – Nonlinear
Parameters
Asha V. Thalange
Assistant Professor,
Walchand Institute of Technology, Solapur,
Maharashtra, India.
Rohini R. Mergu
Assistant Professor,
Walchand Institute of Technology, Solapur,
Maharashtra, India.
ABSTRACT
Heart rate variability (HRV) refers to the beat-to-beat alterations
in heart rate. HRV analysis is based on the concept that, fast
fluctuations reflect the changes of sympathetic and vagal activity
which results in variability of intervals between R waves i.e.
“RR intervals”. In the current work HRV was assessed by
traditional linear time and frequency-domain indexes, in parallel
with the non linear Poincare plot analysis.
Initially R peaks are detected from the ECG and RR interval
signal is obtained which is further used to get the HRV signal.
Spectral analysis of this HRV signal is done to estimate the power
content in different frequency bands. Two frequency bands play a
vital role in the power spectrum, a low frequency and a high
frequency. Simultaneously, for time domain analysis, parameters
such as mean of RR interval signal, standard deviation, coefficient
of variance, root mean square of standard deviation are evaluated
from RR interval signal and analyzed for different arrhythmias.
Poincare plot analysis is an emerging quantitative-visual
technique whereby the shape of the plot is categorized into
functional classes that indicate the different arrhythmia. In this
each R-R interval is plotted as a function of the previous one, and
the standard deviations of the instantaneous and long-term R-R
interval variability are calculated.
It is observed that mean of RR interval signal and coefficient of
variance plays an important role and can be used in classification
along with the power content in low and high frequency bands.
Also position and orientation of RR intervals in Poincare plot play
an important role in visual identification of arrhythmias. The
method is applied to normal sinus rhythm, ST change, CU
Ventricular Tachyarrhythmia, Malignant ventricular arrhythmia
signals. In this work, the different linear and non linear
parameters evaluated show a particular range for various cardiac
arrhythmias.
General Terms
Signal Processing, Biomedical signal processing, ECG
Arrhythmia Classification.
Keywords
Coefficient of variance, Heart Rate Time Series (HRTS), Heart
Rate Variability (HRV), Poincare plot, Power Spectral Density
(PSD), Standard deviation.
1. INTRODUCTION
Heart disease is a broad term that includes several more specific
heart conditions which are Coronary Heart Disease, Heart Attack,
Acute Coronary Syndrome, Aortic Aneurysm and Dissection,
Ischemia, Arrhythmias, Cardiomyopathy, Congenital Heart
Disease, Peripheral Arterial Disease (PAD). ECG analysis plays
an important role in identifying the disorder. Some of the ECG
feature extraction methods implemented in previous research
includes Discrete Wavelet Transform, Karhunen-Loeve
Transform, Hermitian Basis and other methods ([1]-[3]).In recent
years special attention has been given to the analysis of the heart
rate variability (HRV) and its relation to the other physiological
signals. Methods for quantifying HRV are categorized as: time
domain, spectral or frequency domain, geometric and nonlinear
([4],[ 5]).
In time domain analysis, the intervals between adjacent normal R
waves are measured over the period of recordings. A variety of
statistical variables can be calculated from the intervals [5].
In frequency domain method ([6],[7]) either fast Fourier
transformation or autoregression techniques can be used to
quantify cyclic fluctuations of RR intervals. Two peaks are seen in
RR interval power spectra a low frequency peak between 0.04 Hz
– 0.15 Hz, and high frequency peak between 0.15 Hz – 0.40 Hz.
The magnitude of power in LF and HF regions provide
quantitative index of the sympatho-vagal dynamic balance in
control of the heart rate.
One nonlinear method used is the Poincare plot [8]. It is a
graphical representation of the correlation between consecutive
RR intervals. It is a graph of each RR interval plotted against the
next interval as shown in figure 1. Poincare plot analysis is an
emerging quantitative-visual technique whereby the shape of the
plot is categorized into functional classes that indicate the degree
of heart failure in a subject. Two basic descriptors of the plot are
SD1and SD2. The line of identity is the 45
0
imaginary diagonal
line on the Poincare plot. SD1 and SD2 are dispersions as shown
in figure 1.