Bilateral Signal Warping for Left Ventricular Hypertrophy Diagnosis

Left Ventricular Hypertrophy (LVH) is a major cardiovascular risk factor, linked to heart failure, arrhythmia, and sudden cardiac death, often resulting from chronic stress like hypertension. Electrocar-diography (ECG), while varying in sensitivity, is widely accessible and cost-effective for detecting LVH-related morphological changes. This work introduces a bilateral signal warping (BSW) approach to improve ECG-based LVH diagnosis. Our method creates a library of heartbeat prototypes from patients with consistent ECG patterns. After preprocessing to eliminate baseline wander and detect R peaks, we apply BSW to cluster heartbeats, generating prototypes for both normal and LVH classes. We compare each new record to these references to support diagnosis. Experimental results show promising potential for practical application in clinical settings.