A depolarization waveform classifier based on the Modified lifting line
wavelet Transform is described. Overcomes problems in existing rate-based
event classifiers. A task for pacemaker/defibrillators is the accurate
identification of rhythm categories so correct electrotherapy can be
administered. Because some rhythms cause rapid dangerous drop in cardiac
output, it's desirable to categorize depolarization waveforms on a
beat-to-beat basis to accomplish rhythm classification as rapidly as
possible. Although rate based methods of event categorization have served
well in implanted devices, these methods suffer in sensitivity and
specificity when atrial/ventricular rates are similar. Human experts
differentiate rhythms by morphological features of strip chart
electrocardiograms. The wavelet transform approximates human expert
analysis function because it correlates distinct morphological features
at multiple scales. The accuracy of implanted rhythm determination can
then be improved by using human-appreciable time domain features enhanced
by time scale decomposition of depolarization waveforms.