Skip to main content
Postgraduate Medical Journal logoLink to Postgraduate Medical Journal
. 1978 Feb;54(628):86–91. doi: 10.1136/pgmj.54.628.86

Differentiation of irregular rhythms by frequency distribution analysis.

S Talbot, L S Dreifus
PMCID: PMC2425069  PMID: 76311

Abstract

Distinctive electrocardiographic patterns for atrial fibrillation, sinus rhythm and atrial extrasystoles, sinus arrhythmia and atrial flutter were found by analysing the frequency distribution of cycle lengths of the electrocardiogram. Frequency distribution analysis, demonstrated that atrial fibrillation is not completely irregular, but shows more long cycles than expected by chance and often a mode at the lower end of the distribution. Irregular atrial flutter is similar. Sinus arrhythmia has more variable organization, but usually there is a centrally situated mode with decreasing observations to the two extremities, and positive skewing. Examples of sinus rhythm and atrial extrasystoles usually have a mode at the upper end of the distribution with a secondary concentration of observations at the lower extremity. Ratios derived from the frequency distributions were of value in differentiating these arrhythmias. It is suggested that such information will improve computer identification of arrhythmia.

Full text

PDF
86

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bootsma B. K., Hoelsen A. J., Strackee J., Meijler F. L. Analysis of R-R intervals in patients with atrial fibrillation at rest and during exercise. Circulation. 1970 May;41(5):783–794. doi: 10.1161/01.cir.41.5.783. [DOI] [PubMed] [Google Scholar]
  2. SODERSTROM N. What is the reason for the ventricular arrhythmia in cases of auricular fibrillation? Am Heart J. 1950 Aug;40(2):212–223. doi: 10.1016/0002-8703(50)90166-9. [DOI] [PubMed] [Google Scholar]
  3. Talbot S., Dreifus L. S., Watanabe Y., Reich M., Chiang R., Morris K. Diagnostic accuracy of a 15-lead hybrid computer-aided electrocardiographic system. Eur J Cardiol. 1973 Sep;1(1):29–39. [PubMed] [Google Scholar]
  4. Urbach J. R., Grauman J. J., Straus S. H. Quantititive methods for the recognition of atrioventricular junctional rhythms in atrial fibrillation. Circulation. 1969 Jun;39(6):803–817. doi: 10.1161/01.cir.39.6.803. [DOI] [PubMed] [Google Scholar]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES