Atrial fibrillation (AF) is the most common cardiac arrhythmia. It tends to cause multiple cardiac conditions, such as cerebral artery blockage, stroke, and heart failure. The morbidity and mortality of AF have been progressively increasing over the past few decades, which has raised widespread concern about unobtrusive AF detection in routine life. The up-to-date non-invasive AF detection methods include electrocardiogram (ECG) signals and cardiac dynamics signals, such as the ballistocardiogram (BCG) signal, the seismocardiogram (SCG) signal and the photoplethysmogram (PPG) signal. Cardiac dynamics signals can be collected by cushions, mattresses, fabrics, or even cameras, which is more suitable for long-term monitoring. Therefore, methods for AF detection by cardiac dynamics signals bring about extensive attention for recent research. This paper reviews the current unobtrusive AF detection methods based on the three cardiac dynamics signals, summarized as data acquisition and preprocessing, feature extraction and selection, classification and diagnosis. In addition, the drawbacks and limitations of the existing methods are analyzed, and the challenges in future work are discussed.
Early ventricular fibrillation (VF) prediction is critical for prevention of sudden cardiac death, and can improve patient survival. Generally, electrocardiogram (ECG) signal features are extracted to predict VF, a process which plays an important role in prediction accuracy. Therefore, this study first proposes a novel feature based on topological data analysis (TDA) to improve the accuracy of early ventricular fibrillation prediction. Firstly, the heart activity is regarded as a cardiac dynamical system, which is described by phase space reconstruction. Then the topological structure of the phase space is characterized with persistent homology, and its statistical features are further extracted and defined as TDA features. Finally, 60 subjects (30 VF, 30 healthy) from three public ECG databases are used to validate the prediction performance of the proposed method. Compared to heart rate variability features and box-counting features, TDA features achieve a superior accuracy of 91.7%. Additionally, the three types of features are combined as fusion features, achieving the optimal accuracy of 95.0%. The fusion features are then ranked, and the first seven components are all from the TDA features. It follows that the proposed features provide a significant effect in improving the predictive performance of early VF.