According to the American Heart Association, in its latest commission about Ventricular Arrhythmias and Sudden Death 2006, the epidemiology of the ventricular arrhythmias ranges from a series of risk descriptors and clinical markers that go from ventricular premature complexes and nonsustained ventricular tachycardia to sudden cardiac death due to ventricular tachycardia in patients with or without clinical history. The premature ventricular complexes (PVCs) are known to be associated with malignant ventricular arrhythmias and sudden cardiac death (SCD) cases. Detecting this kind of arrhythmia has been crucial in clinical applications. The electrocardiogram (ECG) is a clinical test used to measure the heart electrical activity for inferences and diagnosis. Analyzing large ECG traces from several thousands of beats has brought the necessity to develop mathematical models that can automatically make assumptions about the heart condition. In this work, 80 different features from 108,653 ECG classified beats of the gold-standard MIT-BIH database were extracted in order to classify the Normal, PVC, and other kind of ECG beats. Three well-known Bayesian classification algorithms were trained and tested using these extracted features. Experimental results show that the F1 scores for each class were above 0.95, giving almost the perfect value for the PVC class. This gave us a promising path in the development of automated mechanisms for the detection of PVC complexes.
Cardiovascular disease (CVD) is a global public health problem. It is a disease of multifactorial origin, and with this characteristic, having an accurate diagnosis of its incidence is a problem that health personnel face every day. That is why having all the indispensable tools to achieve optimal results is of utmost importance. Time is an essential factor when identifying heart problems, specialists look for and develop options to improve this aspect, which requires a thorough analysis of the patient, electrocardiograms being the factor standard for diagnosis and monitoring of patients. In this paper, we review patents and combined systems for the analysis of existing electrocardiogram signals, specific to cardiovascular diseases. All these methods and equipment have the purpose of giving an accurate diagnosis and a prediction of the presence of CVD in patients with positive risk factors. These are considered as the first diagnostic option, based on the guidelines already established in the field of preventive cardiology. The methodology consists of the searching of specific electrocardiography and cardiovascular disease subjects, taking as a reference the use of various patent databases. A total of 2634 patents were obtained in the consulted databases. Of that total, only 30 patents that met all the previous criteria were considered; furthermore, a second in-depth review of their information was conducted. It is expected that studying and reviewing these patents will allow us to know the variety of tools available for the different pathologies that make up CVD, not only for its immediate diagnosis because, as mentioned, the time factor is decisive for the best forecast but also to allow us to follow up on all the cases that arise, being able to provide a better quality of life to patients with CVD or even being able to lead them to a full recovery.
Peer-to-peer systems are known to be vulnerable to the Sybil attack. The lack of a central authority allows a malicious user to create many fake identities (called Sybil nodes) pretending to be independent honest nodes. The goal of the malicious user is to influence the system on his/her behalf. In order to detect the Sybil nodes and prevent the attack, a reputation system is used for the nodes, built through observing its interactions with its peers. The construction makes every node a part of a distributed authority that keeps records on the reputation and behavior of the nodes. Records of interactions between nodes are broadcast by the interacting nodes and honest reporting proves to be a Nash Equilibrium for correct (non-Sybil) nodes.In this research is argued that in realistic communication schedule scenarios, simple graph-theoretic queries such as the computation of Strongly Connected Components and Densest Subgraphs, help in exposing those nodes most likely to be Sybil, which are then proved to be Sybil or not through a direct test executed by some peers.
Currently the Electrocardiogram (ECG) is still an important and conventional tool that represents a pre-diagnosis system in a wide variety of heart diseases. Conventional Electrocardiography pre-diagnosis is based on time variations and ECG waveforms characteristics. Because of this, there are many studies and tables that describe time variations as heart healthy patterns, but there are almost no waveform amplitude variation studies that describe heart healthy patterns in an ECG trace. We reported here a complete evaluation of time and amplitude variations described by a very used ECG database called The PTB Diagnostic ECG Database. In order to measure ECG waveforms patterns in time and amplitude, we used a slightly modified and classic algorithm developed by Pan and Tompkins, as wells as a proposed method based on wavelets. Results show complete descriptive tables that represent a heart-healthy subject both in time amplitude variations.
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