Methods and systems for characterizing cardiac signal morphology using K-fit analysis

• US 8,483,808 B2
• Filed: 09/10/2010
• Issued: 07/09/2013
• Est. Priority Date: 09/25/2009
• Status: Expired due to Fees

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Dong, Yanting, Zhang, Shijie, Li, Dan, Lin, Yayun
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Wu, Eugene
• Application Number:
  US12/879,147
• Publication Number:
  US 20110077541A1
• Time in Patent Office: 1,033 Days
• Field of Search: 607/25, 607/26, 600/508, 600/509, 600515-518
• US Class Current: 600/509
• CPC Class Codes: A61B 5/35 by template matching
• CPC Class Codes: G06F 2218/12 Classification; Matching

Abstract

A system and method for automatically analyzing a cardiac signal, including the step of providing an episode database on a computer storage medium including a plurality of episode data records of one or more patients. Each episode data record includes a cardiac signal from at least one data-generating device. The method also includes the step of selecting one or more of the N beats to be one or more beat templates, for at least a first cardiac signal having N beats. Another step is determining a value K for the cardiac signal using a computer system where K beat templates can represent all the N beats in the cardiac signal.

Claims

1. A method for automatically analyzing a cardiac signal comprising the steps of:

i) providing an episode database on a computer system including at least one episode data record, wherein each episode data record includes a cardiac signal from at least one data-generating device, wherein the cardiac signal has N beats;

ii) selecting a range of possible values for K;

iii) for each value of K, performing the following steps using a computer system;

(a) for each set S of K beats, perform the following steps;

1. for each beat b not in Set S, find which member s(b) of the set S is closest to b and calculate a morphology distance between s(b) and b;

2. for each beat b, calculate a morphology distance compilation value for each set S, wherein the morphology distances are used in calculating the morphology distance compilation value;

(b) compare the morphology distance compilation values to identify which set S of K beats results in the best representation of the cardiac signal based on the morphology distance compilation value; and

(c) record the set s of K beats that results in the best representation of the cardiac signal as a beat template for the value of K and record the morphology distance compilation value for the beat template;

iv) based on the morphology distance compilation values for each value of K, determine a best value of K for the cardiac signal where K beat templates can represent all the beats in the cardiac signal; and

v) output the best value of K for the cardiac signal.

2. The method of claim 1 further comprising the step of:

assigning an episode characterization for each episode data record based at least partially on the value K and how well the episode is represented by K beat templates.

3. The method of claim 2 wherein the episode characterization is an arrhythmia episode characterization.

4. The method of claim 3 wherein the arrhythmia characterization is selected from a group comprising at least polymorphic ventricular tachycardia (PVT/VF), monomorphic ventricular tachycardia (MVT), atrial fibrillation (AF), and other supraventricular tachycardia (other SVT).

5. The method of claim 1 wherein the morphology distance is selected from a group comprising at least Euclidean distance, Mahalanobis distance, and Manhattan distance.

6. The method of claim 1 wherein:

calculating the morphology distance compilation value for each set S of K beats comprises summing the morphology distances between each beat in the set S and each beat b not in Set S in the cardiac signal to calculate a morphology distance sum, and

recording the set S of K beats that results in the best representation of the cardiac signal as a beat template for the value of K comprises recording the set S of K beats with a lowest morphology distance sum.

7. The method of claim 1

wherein each beat comprises multiple channels of the cardiac signal, and wherein the morphology distance is based on a channel morphology distance for each channel and a beat length difference.

8. The method of claim 1 wherein for a particular cardiac signal, K beat templates are presented to a user on a display device to represent the signal morphology of the particular cardiac signal.

9. The method of claim 1 wherein for a particular cardiac signal, M beat templates are presented to a user on a display device to represent the signal morphology of the particular cardiac signal, where M is less than K.

10. A system for automatically analyzing a cardiac signal, comprising:

an episode database including a plurality of episode data records of one or more patients, wherein each episode data record includes a cardiac signal having N beats from at least one data-generating device;

an adjudication processor configured to;

i) for each value of K in a range of possible values of K, perform the following steps;

(a) for each set S of K beats in the cardiac signal, perform the following steps;

1. for each beat b not in Set S, find which member s(b) of the set S is closest to b and calculate a morphology distance between s(b) and b;

2. for each beat b, calculate a morphology distance compilation value for each set S, wherein the morphology distances are used in calculating the morphology distance compilation value;

(b) compare the morphology distance compilation values to identify which set S of K beats results in the best representation of the cardiac signal based on the morphology distance compilation value; and

(c) record the set s of K beats that results in the best representation of the cardiac signal as a beat template for the value of K and record the morphology distance compilation value for the beat template; and

ii) based on the morphology distance compilation values for each value of K, determine a best value of K for the cardiac signal where K beat templates can represent all the beats in the cardiac signal; and

an output database comprising a best value of K for the cardiac signal.

11. The system of claim 10 wherein the output database further comprises an episode characterization for each episode data record that is determined by the adjudication processor based at least partially on the value K.

12. The system of claim 11 wherein the episode characterization is an arrhythmia episode characterization.

13. The system of claim 12 wherein the arrhythmia characterization is selected from a group comprising at least polymorphic ventricular tachycardia (PVT/VF), monomorphic ventricular tachycardia (MVT), atrial fibrillation (AF),and other supraventricular tachycardia (other SVT).

14. The system of claim 10 wherein the morphology distance is selected from a group comprising at least Euclidean distance, Mahalanobis distance, and Manhattan distance.

15. The system of claim 10 further comprising a display device, wherein for a particular cardiac signal, K beat templates are presented to a user on the display device to represent the signal morphology of the particular cardiac signal.