Diagnosis of sudden cardiac arrest using principal component analysis in automated external defibrillators

Abstract Sudden cardiac arrest (SCA) consisting of ventricular fibrillation and ventricular tachycardia considered as shockable rhythms is a life-threatening heart disease, which is treated efficiently by the automated external defibrillator (AED). This work proposes a novel design of the SAA, which...

Full description

Bibliographic Details
Main Authors: Van-Su Pham, Anh Nguyen, Hoai Bac Dang, Hai-Chau Le, Minh Tuan Nguyen
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-36011-9
_version_ 1797811530636460032
author Van-Su Pham
Anh Nguyen
Hoai Bac Dang
Hai-Chau Le
Minh Tuan Nguyen
author_facet Van-Su Pham
Anh Nguyen
Hoai Bac Dang
Hai-Chau Le
Minh Tuan Nguyen
author_sort Van-Su Pham
collection DOAJ
description Abstract Sudden cardiac arrest (SCA) consisting of ventricular fibrillation and ventricular tachycardia considered as shockable rhythms is a life-threatening heart disease, which is treated efficiently by the automated external defibrillator (AED). This work proposes a novel design of the SAA, which includes a k-nearest neighbors model and a subset of 8 features extracted from the ECG segments, for the SCA diagnosis on the electrocardiogram (ECG) signal. These features are addressed as the most productive subset among 31 input features based on the evaluation of the feature correlation. The recursive feature elimination algorithm combined with the Boosting model and wise-patient fivefold cross-validation method is adopted for the calculation of the average feature importance, which shows the degree of feature correlation, to construct various input feature subsets. Moreover, component feature combinations known as the representatives of the input feature subsets with an enormous level of correlation and independence are transformed from the input subsets by the principal component analysis method. The wise-patient fivefold cross-validation procedure is used for the evaluation of these component feature combinations on the validation set. The proposed SAA is certainly efficient for SCA detection with a small number of the extracted feature and relatively high diagnosis performance such as accuracy of 99.52%, sensitivity of 97.69%, and specificity of 99.91%.
first_indexed 2024-03-13T07:25:05Z
format Article
id doaj.art-29db1117dd504283a2cdcd711ddcbab8
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-03-13T07:25:05Z
publishDate 2023-05-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-29db1117dd504283a2cdcd711ddcbab82023-06-04T11:25:27ZengNature PortfolioScientific Reports2045-23222023-05-0113111010.1038/s41598-023-36011-9Diagnosis of sudden cardiac arrest using principal component analysis in automated external defibrillatorsVan-Su Pham0Anh Nguyen1Hoai Bac Dang2Hai-Chau Le3Minh Tuan Nguyen4Data and intelligent systems laboratory, Posts and Telecommunications Institute of TechnologyData and intelligent systems laboratory, Posts and Telecommunications Institute of TechnologyPosts and Telecommunications Institute of TechnologyData and intelligent systems laboratory, Posts and Telecommunications Institute of TechnologyData and intelligent systems laboratory, Posts and Telecommunications Institute of TechnologyAbstract Sudden cardiac arrest (SCA) consisting of ventricular fibrillation and ventricular tachycardia considered as shockable rhythms is a life-threatening heart disease, which is treated efficiently by the automated external defibrillator (AED). This work proposes a novel design of the SAA, which includes a k-nearest neighbors model and a subset of 8 features extracted from the ECG segments, for the SCA diagnosis on the electrocardiogram (ECG) signal. These features are addressed as the most productive subset among 31 input features based on the evaluation of the feature correlation. The recursive feature elimination algorithm combined with the Boosting model and wise-patient fivefold cross-validation method is adopted for the calculation of the average feature importance, which shows the degree of feature correlation, to construct various input feature subsets. Moreover, component feature combinations known as the representatives of the input feature subsets with an enormous level of correlation and independence are transformed from the input subsets by the principal component analysis method. The wise-patient fivefold cross-validation procedure is used for the evaluation of these component feature combinations on the validation set. The proposed SAA is certainly efficient for SCA detection with a small number of the extracted feature and relatively high diagnosis performance such as accuracy of 99.52%, sensitivity of 97.69%, and specificity of 99.91%.https://doi.org/10.1038/s41598-023-36011-9
spellingShingle Van-Su Pham
Anh Nguyen
Hoai Bac Dang
Hai-Chau Le
Minh Tuan Nguyen
Diagnosis of sudden cardiac arrest using principal component analysis in automated external defibrillators
Scientific Reports
title Diagnosis of sudden cardiac arrest using principal component analysis in automated external defibrillators
title_full Diagnosis of sudden cardiac arrest using principal component analysis in automated external defibrillators
title_fullStr Diagnosis of sudden cardiac arrest using principal component analysis in automated external defibrillators
title_full_unstemmed Diagnosis of sudden cardiac arrest using principal component analysis in automated external defibrillators
title_short Diagnosis of sudden cardiac arrest using principal component analysis in automated external defibrillators
title_sort diagnosis of sudden cardiac arrest using principal component analysis in automated external defibrillators
url https://doi.org/10.1038/s41598-023-36011-9
work_keys_str_mv AT vansupham diagnosisofsuddencardiacarrestusingprincipalcomponentanalysisinautomatedexternaldefibrillators
AT anhnguyen diagnosisofsuddencardiacarrestusingprincipalcomponentanalysisinautomatedexternaldefibrillators
AT hoaibacdang diagnosisofsuddencardiacarrestusingprincipalcomponentanalysisinautomatedexternaldefibrillators
AT haichaule diagnosisofsuddencardiacarrestusingprincipalcomponentanalysisinautomatedexternaldefibrillators
AT minhtuannguyen diagnosisofsuddencardiacarrestusingprincipalcomponentanalysisinautomatedexternaldefibrillators