title: New Vectorcardiographic non-planarity measure of T-wave loop improves separation between healthy subjects and myocardial infarction patients.
abstract: Principal component analysis of vectorcardio-graphic T-wave loop has been shown to be a potential tool to describe the abnormality of the cardiac repolarization and to predict cardiac events in patients with cardiac disease. In this paper a new method for estimating the non-planarity of the T-wave loop is introduced and tested with healthy subjects and subjects with anterior or inferior myocardial infarction. The method is based on the resamping of T-wave data points with respect to the arc-length, the total least squares plane fitting, the identifying and reordering of the fitted axes, and decomposing the optimal rotation matrix. A recently published related measure, PCA3, was used for comparison purposes. The results showed that the non-planarity of T-wave loop increased significantly in patients with myocardial infarction compared to the healthy group. The new method separated healthy and patient groups with p-value 0.002 while PCA3 only with p-value 0.075. The new method was superior to PCA3 in separating the healthy patients from both infarction types.
authors: Department Electrical and Information Engineering, Computer Engineering Laboratory PO BOX 4500, 90014 University of Oulu, Finland. mari.karsikas@ee.oulu.fi
authors: Mari
authors: M
authors: Karsikas
authors: Kai
authors: K
authors: Noponen
authors: Heikki
authors: H
authors: Huikuri
authors: Tapio
authors: T
authors: Seppanen
mesh_terms: D016022:Case-Control Studies; D004562:Electrocardiography / Q000379:methods*; D006801:Humans; D009203:Myocardial Infarction / Q000503:physiopathology*