Tele-Monitoring of Heart Failure using CART Method

Presented by RAMESH KUMAR.A II M.E

Guide
Mrs.E.Siva Sankari, Senior Lecturer/IT/NEC

Co-Guide
Mr.S.Chidambaram Lecturer/IT/NEC
1

Tele-Monitoring of Heart Failure using CART method

Objective
Our aim is to present the preliminary results of the DM for HF detection and severity assessment. The Preliminary results databases of signals reproducibility achieved on to improve public their

Our proposed classification aimed to early detection of any worsening, assuming that during worsening, patients will gradually show characteristic of a more severe HF. Also To take the decisions for how to prevent the Heart failure Patients.
Tele-Monitoring of Heart Failure using CART method 2

Description of Software Tool

NetBeans The NetBeans IDE is open source and written in java programming language. The NetBeans platform and IDE are free for commercial and non-commercial use, and they are supported by Sun Microsystems. NetBeans IDE is a java IDE That can help you build robust application. Benefits: Lower costs Comprehensive Java Support

Tele-Monitoring of Heart Failure using CART method

Contd

WAMP Server
WAMP stands for Windows-Apache-MySQLphp, and the WAMP server is a one-stop installation package. WAMP is a form of mini-server that can run on almost any Windows Operating System. It is a web server running on windows which uses at least 4 components. 1. Windows 2. Apache 3. MySQL 4. PHP
Tele-Monitoring of Heart Failure using CART method 4

Proposed Methodology

Tele-Monitoring of Heart Failure using CART method

Signup

Login

No Check_ID

Patient Details

Yes (Hospital )Home Page Send ECG Report

Server Area

Tele-Monitoring of Heart Failure using CART A method

Preprocessing

Patient Details

HRV Feature Extraction Classification (CART) HF Detection Severity Assessment Performance Results
Tele-Monitoring of Heart Failure using CART method

Functional Modules
Collect Signal Data Preprocessing HRV Feature Extraction Classification on CART

Evaluation Results

Tele-Monitoring of Heart Failure using CART method

Module Description
Collect Signal Data
Communicate from Client to server First the patient signup(Register) their details in that particular hospital. We then provide one of the security code to that registered patients. After the patients use their code and will send their ecg report to hospital. These are all communicate from client to server.

Tele-Monitoring of Heart Failure using CART method

Module Description
Preprocessing

Contd

The collected Patients reports are stored in database. Now we extract that reports and clean the dataset. To clean the data, the fields were identified, duplication were extracted, missing values were filled from the given dataset. So only we get the clear input and easy to use in future. After data cleaning, the number of cases was reduced.
Tele-Monitoring of Heart Failure using CART method

10

Module Description
HRV Feature Extraction

Contd

The Heartbeat sequence as a point process. We get the heart beat from patients Ecg signals. VLF. The power in the very-low-frequency range: 0.003 0.04 cycles/interval. LF. The power in the low-frequency range: 0.040.15 cycles/interval. HF. The power in the high-frequency range: 0.150.4 cycles/interval. LF/HF. The ratio of the low-frequency-range power to that in the high-frequency range. HRV called heart rate variability, the variability of the RR-interval sequence.

Tele-Monitoring of Heart Failure using CART method

11

Module Description
Classification on CART

Contd

Classification consist of two steps: -HF Detection - HF severity assessment HF Detection: Classified as normal or abnormal depend on three standard HRV features. 1. Standard deviation 2. Ratio between LF/HF 3. Square root of the mean of the sum of the squares of differences between adjacent NN intervals.Tele-Monitoring of Heart Failure using CART
method 12

Module Description

Contd

HF Severity Assessment This Severity assessment classified Mild or Severe of Heart failure patients. In this method three features are used
LF/HF

total power (TP) and RMSSD between adjacent normal beats. This Classification using NYHA method and also display the results in tree this will be easy to understand.

Tele-Monitoring of Heart Failure using CART method

13

Module Description
Evaluation results

Contd

The results are clinically consistent and confirm that patients suffering from HF present a depressed HRV. Similarly, those patients suffering from severe HF present a more depressed HRV compared to those affected by mild HF. Also improve the enrolling of new patients and the use of DM on new significant signals, signs, or symptoms. Finally the result will be shown in which patients are affected in heart failure, and shown severe or mild and normal or abnormal patients.
Tele-Monitoring of Heart Failure using CART method 14

Implementation Result

Tele-Monitoring of Heart Failure using CART method

15

Contd

Tele-Monitoring of Heart Failure using CART method

16

Contd

Tele-Monitoring of Heart Failure using CART method

17

Contd

Tele-Monitoring of Heart Failure using CART method

18

Contd

Tele-Monitoring of Heart Failure using CART method

19

Contd

Tele-Monitoring of Heart Failure using CART method

20

Contd

Tele-Monitoring of Heart Failure using CART method

21

References and future trends, Int. S. Koch, Home telehealthCurrent state

J. Med.Inform., vol. 75, no. 8, pp. 565576, 2006. G. Pare, M. Jaana, and C. Sicotte, Systematic review of home telemonitoring for chronic diseases: The evidence base, J. Amer. Med. Inform. Assoc., vol. 14, no. 3, pp. 269277, 2007. L. Pecchia, U. Bracale, and M. Bracale, Health technology assessment of home monitoring for the continuity of care of patient suffering from congestive heart failure, in Proc.Med. Phys. Biomed. Eng.World. Congr., Munich, Germany, 2009, pp. 184187. L. Liao, J. G. Jollis, K. J. Anstrom, D. J. Whellan, D. W. Kitzman, G. P. Aurigemma, D. B.Mark, K. A. Schulman, and J. S. Gottdiener, Costs for heart failure with normal vs reduced ejection fraction, Arch. Int. Med., vol. 166, no. 1, pp. 112118, 2006. 804 IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, VOL. 58, NO. 3, MARCH 2011

Tele-Monitoring of Heart Failure using CART method

22

Contd

L. Pecchia, P. Melillo,M. Sansone, and M. Bracale, Heart rate variability in healthy people compared with patients with congestive heart failure, in Proc. 9th Int. Conf. Inform. Technol. Appl. Biomed., Larnaca, Cyprus, 2009, pp. 14. L. Pecchia, P. Melillo, M. Sansone, and M. Bracale, Discrimination power of short-term heart rate variability measures for CHF assessment, IEEE Trans. Inform. Technol. Biomed., to be published. DOI: 10.1109/TITB.2010.2091647. L. Breiman, J. H. Friedman, R. A. Olshen, and C. J. Stone, Classification and Regression Trees. Belmont, CA: Wadsworth, 1984.

Tele-Monitoring of Heart Failure using CART method

23

Conclusion
Studied about the fundamental concepts in data mining. Studied about the Base Paper. Literature survey has been completed. Collecting the signal data and Preprocessing has been implemented.

Tele-Monitoring of Heart Failure using CART method

24