Classification of the long-QT syndrome based on discriminant analysis of T-wave morphology

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Johannes J. Struijk
  • Kanters, Jørgen K.
  • M P Andersen
  • Thomas Bork Hardahl
  • Claus Graff
  • M Christiansen
  • E Toft
The long QT syndrome (LQTS) is a genetic disorder, typically characterized by a prolonged QT interval in the ECG due to abnormal cardiac repolarization. LQTS may lead to syncopal episodes and sudden cardiac death. Various parameters based on T-wave morphology, as well as the QT interval itself have been shown to be useful discriminators, but no single ECG parameter has been sufficient to solve the diagnostic problem. In this study we present a method for discrimination among persons with a normal genotype and those with mutations in the KCNQ1 (KvLQT1 or LQT1) and KCNH2 (HERG or LQT2) genes on the basis of parameters describing T-wave morphology in terms of duration, asymmetry, flatness and amplitude. Discriminant analyses based on 4 or 5 parameters both resulted in perfect discrimination in a learning set of 36 subjects. In both cases cross-validation of the resulting classifiers showed no misclassifications either.
OriginalsprogEngelsk
TidsskriftMedical & Biological Engineering & Computing
Vol/bind44
Udgave nummer7
Sider (fra-til)543-549
Antal sider7
ISSN0140-0118
DOI
StatusUdgivet - 1 jul. 2006

ID: 1207427