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Learning - Based Approach to Predict Fatal Events in Brugada Syndrome

Randazzo, Vincenzo and Marchetti, Gaia and Giustetto, Carla and Gugliermina, Erica and Kumar, Rahul R. and Cirrincione, Giansalvo and Gaita, Fiorenzo and Pasero, Eros (2023) Learning - Based Approach to Predict Fatal Events in Brugada Syndrome. In: Applications of Artificial Intelligence and Neural Systems to Data Science. Smart Innovation, Systems and Technologies. Springer Nature, Singapore, pp. 63-72. ISBN 978-981-99-3591-8

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Abstract

Brugada Syndrome (BrS) is an arrhythmic disorder which increases the probability of developing arrhythmic events, even life-threatening ones, in young and otherwise healthy individuals. It accounts for 5--20% of sudden deaths in people with no structural cardiac abnormality. The first clinical manifestation of this syndrome is, usually, a cardiac arrest. A correct evaluation of the risk of developing an arrhythmic event could prevent premature deaths and unnecessary procedures. This paper focuses on the idea that analysis based on machine learning can extract some piece of information not visible to the human eye and, thus, forecast if a sudden death will occur or not. The study population comprises 209 electrocardiograms (ECGs) from the Piedmont Brugada register, 41 of subjects who had an event, while the remaining 168 are used as controls; therefore, it is a binary classification problem. Cardiologists manually measured 24 features per ECG. Then, a multi-layer perceptron (MLP), a boosted decision tree (BDT) model, a decision tree, a Support Vector Machine (SVM), and a Naïve Bayes (NB) classifier were employed to classify the ECGs. All models show a high negative predictive value: a patient whose predicted class is negative is likely to remain asymptomatic. Since the positive predictive values of the MLP and NB are not sufficiently high, the opposite cannot be stated. Finally, F1-score shows BDT outperforms (0.67) all the other models.

Item Type: Book Chapter
Subjects: Q Science > QA Mathematics > QA75 Electronic computers. Computer science
T Technology > T Technology (General)
T Technology > TK Electrical engineering. Electronics Nuclear engineering
T Technology > TK Electrical engineering. Electronics Nuclear engineering > Robotics and Automation
Divisions: School of Information Technology, Engineering, Mathematics and Physics (STEMP)
Depositing User: Rahul Kumar
Date Deposited: 07 Mar 2024 00:03
Last Modified: 07 Mar 2024 00:32
URI: https://repository.usp.ac.fj/id/eprint/14448

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