2026-04-10T12:26:47Zhttps://ebiltegia.mondragon.edu/oai/request

oai:ebiltegia.mondragon.edu:20.500.11984/12232024-03-04T10:26:03Zcom_20.500.11984_473col_20.500.11984_478

Machine Learning Techniques for the Detection of Shockable Rhythms in Automated External Defibrillators Ayala, Unai Figuera, Carlos Irusta, Unai Morgado, Eduardo Aramendi, Elisabete Wik, Lars Kramer-Johansen, Jo Eftestøl, Trygve Alonso-Atienza, Felipe Early recognition of ventricular fibrillation (VF) and electrical therapy are key for the survivalof out-of-hospital cardiac arrest (OHCA) patients treated with automated external defibrilla-tors (AED). AED algorithms for VF-detection are customarily assessed using Holter record-ings from public electrocardiogram (ECG) databases, which may be different from the ECGseen during OHCA events. This study evaluates VF-detection using data from both OHCApatients and public Holter recordings. ECG-segments of 4-s and 8-s duration were ana-lyzed. For each segment 30 features were computed and fed to state of the art machinelearning (ML) algorithms. ML-algorithms with built-in feature selection capabilities wereused to determine the optimal feature subsets for both databases. Patient-wise bootstraptechniques were used to evaluate algorithm performance in terms of sensitivity (Se), speci-ficity (Sp) and balanced error rate (BER). Performance was significantly better for publicdata with a mean Se of 96.6%, Sp of 98.8% and BER 2.2% compared to a mean Se of94.7%, Sp of 96.5% and BER 4.4% for OHCA data. OHCA data required two times morefeatures than the data from public databases for an accurate detection (6 vs 3). No signifi-cant differences in performance were found for different segment lengths, the BER differ-ences were below 0.5-points in all cases. Our results show that VF-detection is morechallenging for OHCA data than for data from public databases, and that accurate VF-detection is possible with segments as short as 4-s. 2019-05-23T13:54:19Z 2019-05-23T13:54:19Z 2016 http://purl.org/coar/resource_type/c_6501 1932-6203 https://katalogoa.mondragon.edu/janium-bin/janium_login_opac.pl?find&ficha_no=125971 https://hdl.handle.net/20.500.11984/1223 eng Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ © Figuera et al. PLOS