title: Wavelet-based markers of ventricular fibrillation in optimizing human cardiac resuscitation.
abstract: During cardiac resuscitation from ventricular fibrillation (VF) it would be helpful if we could monitor and predict the optimal state of the heart to be shocked into a perfusing rhythm. Real-time feedback of this state to the emergency medical staff (EMS) could improve the survival rate after resuscitation. In this paper, using real world out-of-the-hospital human VF data obtained during resuscitation by EMS personnel, we present the results of applying wavelet markers in predicting the shock outcomes. We also performed comparative analysis of 5 existing techniques (spectral and correlation based approaches) against the proposed wavelet markers. A database of 29 human VF tracings was extracted from the defibrillator recordings collected by the EMS personnel and was used to validate the waveform markers. The results obtained by the comparison of the wavelet based features with other spectral, and correlation-based features indicates that the proposed wavelet features perform well with an overall accuracy of 79.3% in predicting the shock outcomes and hence demonstrate potential to provide near real-time feedback to EMS personnel in optimizing resuscitation outcomes.
authors.affiliation: Ryerson University, Toronto, Canada.
authors.forename: F H
authors.initials: FH
authors.lastname: Foomany
authors.forename: K
authors.initials: K
authors.lastname: Umapathy
authors.forename: L
authors.initials: L
authors.lastname: Sugavaneswaran
authors.forename: S
authors.initials: S
authors.lastname: Krishnan
authors.forename: S
authors.initials: S
authors.lastname: Masse
authors.forename: T
authors.initials: T
authors.lastname: Farid
authors.forename: K
authors.initials: K
authors.lastname: Nair
authors.forename: P
authors.initials: P
authors.lastname: Dorian
authors.forename: K
authors.initials: K
authors.lastname: Nanthakumar
mesh_terms: D000465:Algorithms; D002170:Canada; D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation* / Q000379:methods*; D016208:Databases, Factual; D004554:Electric Countershock / Q000295:instrumentation; D004632:Emergency Medical Services; D006323:Heart Arrest / Q000401:mortality; D006801:Humans; D015233:Models, Statistical; D015203:Reproducibility of Results; D012151:Resuscitation; D012815:Signal Processing, Computer-Assisted; D016896:Treatment Outcome; D014693:Ventricular Fibrillation