Detection of Inferior Myocardial Infarction using Shallow Convolutional Neural Networks

Myocardial Infarction is one of the leading causes of death worldwide. This paper presents a Convolutional Neural Network (CNN) architecture which takes raw Electrocardiography (ECG) signal from lead II, III and AVF and differentiates between inferior myocardial infarction (IMI) and healthy signals. The performance of the model is evaluated on IMI and healthy signals obtained from Physikalisch-Technische Bundesanstalt (PTB) database. A subject-oriented approach is taken to comprehend the generalization capability of the model and compared with the current state of the art. In a subject-oriented approach, the network is tested on one patient and trained on rest of the patients. Our model achieved a superior metrics scores (accuracy= 84.54%, sensitivity= 85.33% and specificity= 84.09%) when compared to the benchmark. We also analyzed the discriminating strength of the features extracted by the convolutional layers by means of geometric separability index and euclidean distance and compared it with the benchmark model

Reliable Detection of Myocardial Ischemia Using Machine Learning Based on Temporal-Spatial Characteristics of Electrocardiogram and Vectorcardiogram

Background: Myocardial ischemia is a common early symptom of cardiovascular disease (CVD). Reliable detection of myocardial ischemia using computer-aided analysis of electrocardiograms (ECG) provides an important reference for early diagnosis of CVD. The vectorcardiogram (VCG) could improve the performance of ECG-based myocardial ischemia detection by affording temporal-spatial characteristics related to myocardial ischemia and capturing subtle changes in ST-T segment in continuous cardiac cycles. We aim to investigate if the combination of ECG and VCG could improve the performance of machine learning algorithms in automatic myocardial ischemia detection. Methods: The ST-T segments of 20-second, 12-lead ECGs, and VCGs were extracted from 377 patients with myocardial ischemia and 52 healthy controls. Then, sample entropy (SampEn, of 12 ECG leads and of three VCG leads), spatial heterogeneity index (SHI, of VCG) and temporal heterogeneity index (THI, of VCG) are calculated. Using a grid search, four SampEn and two features are selected as input signal features for ECG-only and VCG-only models based on support vector machine (SVM), respectively. Similarly, three features (S ( I ), THI, and SHI, where S ( I ) is the SampEn of lead I) are further selected for the ECG + VCG model. 5-fold cross validation was used to assess the performance of ECG-only, VCG-only, and ECG + VCG models. To fully evaluate the algorithmic generalization ability, the model with the best performance was selected and tested on a third independent dataset of 148 patients with myocardial ischemia and 52 healthy controls. Results: The ECG + VCG model with three features (S ( I ),THI, and SHI) yields better classifying results than ECG-only and VCG-only models with the average accuracy of 0.903, sensitivity of 0.903, specificity of 0.905, F1 score of 0.942, and AUC of 0.904, which shows better performance with fewer features compared with existing works. On the third independent dataset, the testing showed an AUC of 0.814. Conclusion: The SVM algorithm based on the ECG + VCG model could reliably detect myocardial ischemia, providing a potential tool to assist cardiologists in the early diagnosis of CVD in routine screening during primary care services