Detection of structural changes in tachogram series for the diagnosis of Atrial Fibrillation events

Atrial Fibrillation (AF) is the most common cardiac arrhythmia. It naturally tends to become a chronic condition, and chronic Atrial Fibrillation leads to an increase in the risk of death. The study of the electrocardiographic signal, and in particular of the tachogram series, is an usual and effective way to investigate the presence of Atrial Fibrillation and to detect when a single event starts and ends. This work presents a new statistical method to deal with the identication of Atrial Fibrillation events, based on the order identication of the ARIMA models used for describing the RR time series that characterize the dierent phases of AF (pre-, during and post- AF). A simulation study is carried out in order to assess the performance of the proposed method. Moreover, an application to real data concerning patients aected by Atrial Fibrillation is presented and discussed. Since the proposed method looks at structural changes of ARIMA models tted on the RR time series for the AF event with respect to the pre- and post- AF phases, it is able to identify starting and ending points of an AF event even when AF follows or comes before irregular heartbeat time slots.