Classification of Arrhythmia by Using Deep Learning with 2-D ECG Spectral Image Representation

The electrocardiogram (ECG) is one of the most extensively employed signals used in the diagnosis and prediction of cardiovascular diseases (CVDs). The ECG signals can capture the heart's rhythmic irregularities, commonly known as arrhythmias. A careful study of ECG signals is crucial for precise diagnoses of patients' acute and chronic heart conditions. In this study, we propose a two-dimensional (2-D) convolutional neural network (CNN) model for the classification of ECG signals into eight classes; namely, normal beat, premature ventricular contraction beat, paced beat, right bundle branch block beat, left bundle branch block beat, atrial premature contraction beat, ventricular flutter wave beat, and ventricular escape beat. The one-dimensional ECG time series signals are transformed into 2-D spectrograms through short-time Fourier transform. The 2-D CNN model consisting of four convolutional layers and four pooling layers is designed for extracting robust features from the input spectrograms. Our proposed methodology is evaluated on a publicly available MIT-BIH arrhythmia dataset. We achieved a state-of-the-art average classification accuracy of 99.11\%, which is better than those of recently reported results in classifying similar types of arrhythmias. The performance is significant in other indices as well, including sensitivity and specificity, which indicates the success of the proposed method.Comment: 14 pages, 5 figures, accepted for future publication in Remote Sensing MDPI Journa

Algorithms for automated diagnosis of cardiovascular diseases based on ECG data: A comprehensive systematic review

The prevalence of cardiovascular diseases is increasing around the world. However, the technology is evolving and can be monitored with low-cost sensors anywhere at any time. This subject is being researched, and different methods can automatically identify these diseases, helping patients and healthcare professionals with the treatments. This paper presents a systematic review of disease identification, classification, and recognition with ECG sensors. The review was focused on studies published between 2017 and 2022 in different scientific databases, including PubMed Central, Springer, Elsevier, Multidisciplinary Digital Publishing Institute (MDPI), IEEE Xplore, and Frontiers. It results in the quantitative and qualitative analysis of 103 scientific papers. The study demonstrated that different datasets are available online with data related to various diseases. Several ML/DP-based models were identified in the research, where Convolutional Neural Network and Support Vector Machine were the most applied algorithms. This review can allow us to identify the techniques that can be used in a system that promotes the patient’s autonomy.N/

Recognition and Evaluation of Heart Arrhythmias via a General Sparse Neural Network

In clinical use, an electrocardiogram (ECG) is an essential medical tool for assessing heart arrhythmias. Thousands of human beings worldwide are affected by different cardiac problems nowadays. As a consequence, studying the features of the ECG pattern is critical for detecting a wide range of cardiac diseases. The ECG is a test which assesses the intensity of the electrical impulses in the circulatory system. In the present investigation, detection and examination of arrhythmias in the heart on the  system using GSNNs (General sparsed neural network classifier) can be carried out[1]. In this paper, the methodologies of support vector regression(SVR), neural mode decomposition(NMD), Artificial Neural Network (ANN), Support Vector Machine(SVM) and are examined. To assess the suggested structure, three distinct ECG waveform situations are chosen from the MIT-BIH arrhythmia collection. The main objective of this assignment is to create a simple, accurate, and simply adaptable approach for classifying the three distinct heart diseases chosen. The wavelet transform Db4 is used in the present paper to obtain several features from an ECG signal. The suggested setup was created using the MATLAB programme. The algorithms suggested are 98% accurate for forecasting cardiac arrhythmias, which is greater than prior techniques

HARDC : A novel ECG-based heartbeat classification method to detect arrhythmia using hierarchical attention based dual structured RNN with dilated CNN

In this paper have developed a novel hybrid hierarchical attention-based bidirectional recurrent neural network with dilated CNN (HARDC) method for arrhythmia classification. This solves problems that arise when traditional dilated convolutional neural network (CNN) models disregard the correlation between contexts and gradient dispersion. The proposed HARDC fully exploits the dilated CNN and bidirectional recurrent neural network unit (BiGRU-BiLSTM) architecture to generate fusion features. As a result of incorporating both local and global feature information and an attention mechanism, the model's performance for prediction is improved.By combining the fusion features with a dilated CNN and a hierarchical attention mechanism, the trained HARDC model showed significantly improved classification results and interpretability of feature extraction on the PhysioNet 2017 challenge dataset. Sequential Z-Score normalization, filtering, denoising, and segmentation are used to prepare the raw data for analysis. CGAN (Conditional Generative Adversarial Network) is then used to generate synthetic signals from the processed data. The experimental results demonstrate that the proposed HARDC model significantly outperforms other existing models, achieving an accuracy of 99.60\%, F1 score of 98.21\%, a precision of 97.66\%, and recall of 99.60\% using MIT-BIH generated ECG. In addition, this approach substantially reduces run time when using dilated CNN compared to normal convolution. Overall, this hybrid model demonstrates an innovative and cost-effective strategy for ECG signal compression and high-performance ECG recognition. Our results indicate that an automated and highly computed method to classify multiple types of arrhythmia signals holds considerable promise.Comment: 23 page

A Novel Application for Real-time Arrhythmia Detection using YOLOv8

In recent years, there has been an increasing need to reduce healthcare costs in remote monitoring of cardiovascular health. Detecting and classifying cardiac arrhythmia is critical to diagnosing patients with cardiac abnormalities. This paper shows that complex systems such as electrocardiograms (ECG) can be applicable for at-home monitoring. This paper proposes a novel application for arrhythmia detection using the state-of-the-art You-Only-Look-Once (YOLO)v8 algorithm to classify single-lead ECG signals. We proposed a loss-modified YOLOv8 model that was fine-tuned on the MIT-BIH arrhythmia dataset to detect to allow real-time continuous monitoring. Results show that our model can detect arrhythmia with an average accuracy of 99.5% and 0.992 mAP@50 with a detection time of 0.002s on an NVIDIA Tesla V100. Our study demonstrated the potential of real-time arrhythmia detection, where the model output can be visually interpreted for at-home users. Furthermore, this study could be extended into a real-time XAI model, deployed in the healthcare industry, and significantly advancing healthcare needs

Deep Learning in Cardiology

The medical field is creating large amount of data that physicians are unable to decipher and use efficiently. Moreover, rule-based expert systems are inefficient in solving complicated medical tasks or for creating insights using big data. Deep learning has emerged as a more accurate and effective technology in a wide range of medical problems such as diagnosis, prediction and intervention. Deep learning is a representation learning method that consists of layers that transform the data non-linearly, thus, revealing hierarchical relationships and structures. In this review we survey deep learning application papers that use structured data, signal and imaging modalities from cardiology. We discuss the advantages and limitations of applying deep learning in cardiology that also apply in medicine in general, while proposing certain directions as the most viable for clinical use.Comment: 27 pages, 2 figures, 10 table

Efficient Premature Ventricular Contraction Detection Based on Network Dynamics Features

Automatic detection of premature ventricular contractions (PVCs) is essential for early identification of cardiovascular abnormalities and reduction of clinical workload. As the most prevalent arrhythmia, PVCs can cause cardiac failure or sudden death. The difficulty resides in extracting features that effectively reflect the electrocardiogram (ECG) signals. Transition networks (TN), which represent the transition relationships between various phases of a time series, are advantageous for capturing temporal dynamics. Therefore, in order to recognize PVCs, each heartbeat was firstly split into serval segments; then their statistical properties were calculated for the sequence construction; finally, network topology related features were extracted from TN constructed by these sequences of statistical properties, and input into decision trees-based Gentleboost for PVC recognition. The algorithm was trained on MIT-BIH arrhythmia database (MIT-BIH-AR), and tested on St. Petersburg Institute of Cardiological Technics 12-lead arrhythmia database (INCART), wearable ECG database (WECG), and noise stress test database by four evaluation metrics: sensitivity, positive predictivity, F1-score (F1) and area under the curve (AUC). The proposed algorithm achieved an average F1 of 0.9784 and AUC of 0.9975 on MIT-BIH-AR, and proved good generalization ability on INCART and WECG with F1=0.9633 and 0.9467, AUC=0.9887 and 0.9755, respectively. The algorithm also exhibited robustness and noise immunity as evidenced by tests on sensitivity of R-wave peak offset and noise, and real-world daily life conditions. Overall, the proposed PVC detection algorithm based on TN theory offered high classification accuracy, strong robustness, and good generalization ability, with great potential for wearable mobile applications