Atrial fibrillation (AF) is one of the most common arrhythmias with challenging public health implications. Therefore, automatic detection of AF episodes on ECG is one of the essential tasks in biomedical engineering. In this paper, we applied the recently introduced method of compressor-based text classification with gzip algorithm for AF detection (binary classification between heart rhythms). We investigated the normalized compression distance applied to RR-interval and $\Delta$RR-interval sequences ($\Delta$RR-interval is the difference between subsequent RR-intervals). Here, the configuration of the k-nearest neighbour classifier, an optimal window length, and the choice of data types for compression were analyzed. We achieved good classification results while learning on the full MIT-BIH Atrial Fibrillation database, close to the best specialized AF detection algorithms (avg. sensitivity = 97.1\%, avg. specificity = 91.7\%, best sensitivity of 99.8\%, best specificity of 97.6\% with fivefold cross-validation). In addition, we evaluated the classification performance under the few-shot learning setting. Our results suggest that gzip compression-based classification, originally proposed for texts, is suitable for biomedical data and quantized continuous stochastic sequences in general.

Heart rate variability (HRV) indices describe properties of interbeat intervals in electrocardiogram (ECG). Usually HRV is measured exclusively in normal sinus rhythm (NSR) excluding any form of paroxysmal rhythm. Atrial fibrillation (AF) is the most widespread cardiac arrhythmia in human population. Usually such abnormal rhythm is not analyzed and assumed to be chaotic and unpredictable. Nonetheless, ranges of HRV indices differ between patients with AF, yet physiological characteristics which influence them are poorly understood. In this study, we propose a statistical model that describes relationship between HRV indices in NSR and AF. The model is based on Mahalanobis distance, the k-Nearest neighbour approach and multivariate normal distribution framework. Verification of the method was performed using 10 min intervals of NSR and AF that were extracted from long-term Holter ECGs. For validation we used Bhattacharyya distance and Kolmogorov-Smirnov 2-sample test in a k-fold procedure. The model is able to predict at least 7 HRV indices with high precision.