Systems, methods, and an event detection apparatus, for the detection of an imminent adverse physiological event, such as an epileptic seizure or cardiac event. Physiological state data can be generated based on at least one of pre-processed physiological state data, electrocardiogram (ECG) signals, and motion sensor signals. A plurality of features from the physiological state data can be extracted. The plurality of features can be classified based on a predetermined classifier. Responsive to the plurality of features corresponding to at least one of a plurality of adverse physiological event profiles, an adverse physiological event can be determined to be imminent.