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02 — Arrhythmia and the N/V/S/F/Q classes

flowchart TD
    PULSE["electrical pulse"] --> OK{"normal path?"}
    OK -->|yes| N["N — ordinary beat"]
    OK -->|born in ventricles| V["V — ventricular ectopic"]
    OK -->|born early above ventricles| S["S — supraventricular ectopic"]
    OK -->|two pulses collide| F["F — fusion hybrid"]
    OK -->|paced / unreadable| Q["Q — unknown"]

Arrhythmia = beats arriving early, from the wrong chamber, or deformed. Ventricle-born beats are the dangerous ones — runs of them lead toward arrest.

Class Plain meaning Danger Typical share
N normal beats + harmless wiring detours none the bulk
V born in ventricles, wide bizarre shape highest — missing one is the worst mistake small
S born above ventricles, arrives early moderate small
F normal + ventricular pulse collide low tiny
Q paced or unclassifiable tiny

MIT-BIH holds 48 half-hour patient recordings with ~110,000 expert-labeled beats. Five classes (hospital standard AAMI) keep every class large enough to learn while matching what all papers report.

Next: 03-ml-classification-basics.md