Analysis of unpredictable components within QRS complex using a finite-impulse-response prediction model for the diagnosis of patients with ventricular tachycardia.

This study proposes a finite-impulse-response (FIR) prediction model to analyze the unpredictable intra-QRS potentials (UIQP) for identifying ventricular tachycardia patients with high-risk ventricular arrhythmias. The simulation study shows that a QRS complex including abnormal intra-QRS potentials (AIQP) has a higher UIQP and UIQP-to-QRS ratio in comparison with one without AIQP. The clinical results demonstrate that the mean UIQP-to-QRS ratios of VT patients in leads X, Y and Z were significantly larger than those of the normal subjects, and the linear and logical combination of UIQP-to-QRS ratios and ventricular late potential parameters can enhance diagnosis performance for VT patients. Copyright 2010 Elsevier Ltd. All rights reserved.