Topology and random-walk network representation of cardiac dynamics for localization of myocardial infarction

IEEE Trans Biomed Eng. 2013 Aug;60(8):2325-31. doi: 10.1109/TBME.2013.2255596. Epub 2013 Apr 1.

Abstract

While detection of acute cardiac disorders such as myocardial infarction (MI) from electrocardiogram (ECG) and vectorcardiogram (VCG) has been widely reported, identification of MI locations from these signals, pivotal for timely therapeutic and prognostic interventions, remains a standing issue. We present an approach for MI localization based on representing complex spatiotemporal patterns of cardiac dynamics as a random-walk network reconstructed from the evolution of VCG signals across a 3-D state space. Extensive tests with signals from the PTB database of the PhysioNet databank suggest that locations of MI can be determined accurately (sensitivity of ∼88% and specificity of ∼92%) from tracking certain consistently estimated invariants of this random-walk representation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Algorithms*
  • Data Interpretation, Statistical*
  • Diagnosis, Computer-Assisted / methods*
  • Humans
  • Myocardial Infarction / diagnosis*
  • Myocardial Infarction / physiopathology*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Vectorcardiography / methods*