T wave alternans features for automated detection

Abstract

T wave features suitable for automatic T wave alternans detection in low signal-to-noise ratio electrocardiograms are explored using a correlation-to-template-based algorithm for detecting T waves of variable duration. Amplitude and area features of T waves are found to be notably less sensitive to template selection than are duration features. T wave alternans features and measures which can be determined more stably provide better classification accuracy of patients with and without coronary artery lesions.