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

Exploring ECG Signal Analysis Techniques for Arrhythmia Detection: A Review

The heart holds paramount importance in the human body as it serves the crucial function of supplying blood and nutrients to various organs. Thus, maintaining its health is imperative. Arrhythmia, a heart disorder, arises when the heart's rhythm becomes irregular. Electrocardiogram (ECG) signals are commonly utilized for analyzing arrhythmia due to their simplicity and cost-effectiveness. The peaks observed in ECG graphs, particularly the R peak, are indicative of heart conditions, facilitating arrhythmia diagnosis. Arrhythmia is broadly categorized into Tachycardia and Bradycardia for identification purposes. This paper explores diverse techniques such as Deep Convolutional Neural Networks (CNNs), Long Short-Term Memory (LSTM), Support Vector Machines (SVM), Neural Network (NN) classifiers, as well as Wavelet and Time–Frequency Transform (TQWT), which have been employed over the past decade for arrhythmia detection using various datasets. The study delves into the analysis of arrhythmia classification on ECG datasets, highlighting the effectiveness of data preprocessing, feature extraction, and classification techniques in achieving superior performance in classifying ECG signals for arrhythmia detection

A Context-Responsive LSTM based IoT Enabled E- Healthcare Monitoring System for Arrhythmia Detection

Detecting Arrhythmia, a life-threatening cardiac condition, in real-time is crucial for timely intervention and improved healthcare outcomes. Traditional manual methods for Arrhythmia detection using Electrocardiogram (ECG) signals are error-prone and resource-intensive. To address these limitations, this paper presents an automated system based on the Context Responsive Long Short-Term Memory (CR-LSTM) model for real-time Arrhythmia classification. The system leverages IoT technology to continuously monitor vital signs and effectively combines contextual information with temporal sensor data to accurately discern different types of Arrhythmias. The CR-LSTM model achieves an impressive accuracy of 99.72% in multiclass classification of Arrhythmias, making it a promising solution for dynamic healthcare settings and proactive personalized care

Deep Learning Models for Arrhythmia Classification Using Stacked Time-frequency Scalogram Images from ECG Signals

Electrocardiograms (ECGs), a medical monitoring technology recording cardiac activity, are widely used for diagnosing cardiac arrhythmia. The diagnosis is based on the analysis of the deformation of the signal shapes due to irregular heart rates associated with heart diseases. Due to the infeasibility of manual examination of large volumes of ECG data, this paper aims to propose an automated AI based system for ECG-based arrhythmia classification. To this front, a deep learning based solution has been proposed for ECG-based arrhythmia classification. Twelve lead electrocardiograms (ECG) of length 10 sec from 45, 152 individuals from Shaoxing People's Hospital (SPH) dataset from PhysioNet with four different types of arrhythmias were used. The sampling frequency utilized was 500 Hz. Median filtering was used to preprocess the ECG signals. For every 1 sec of ECG signal, the time-frequency (TF) scalogram was estimated and stacked row wise to obtain a single image from 12 channels, resulting in 10 stacked TF scalograms for each ECG signal. These stacked TF scalograms are fed to the pretrained convolutional neural network (CNN), 1D CNN, and 1D CNN-LSTM (Long short-term memory) models, for arrhythmia classification. The fine-tuned CNN models obtained the best test accuracy of about 98% followed by 95% test accuracy by basic CNN-LSTM in arrhythmia classification.Comment: 4 pages,1 figure

Heartbeat classification and arrhythmia detection using a multi-model deep-learning technique

Cardiac arrhythmias pose a significant danger to human life; therefore, it is of utmost importance to be able to efficiently diagnose these arrhythmias promptly. There exist many techniques for the detection of arrhythmias; however, the most widely adopted method is the use of an Electrocardiogram (ECG). The manual analysis of ECGs by medical experts is often inefficient. Therefore, the detection and recognition of ECG characteristics via machine-learning techniques have become prevalent. There are two major drawbacks of existing machine-learning approaches: (a) they require extensive training time; and (b) they require manual feature selection. To address these issues, this paper presents a novel deep-learning framework that integrates various networks by stacking similar layers in each network to produce a single robust model. The proposed framework has been tested on two publicly available datasets for the recognition of five micro-classes of arrhythmias. The overall classification sensitivity, specificity, positive predictive value, and accuracy of the proposed approach are 98.37%, 99.59%, 98.41%, and 99.35%, respectively. The results are compared with state-of-the-art approaches. The proposed approach outperformed the existing approaches in terms of sensitivity, specificity, positive predictive value, accuracy and computational cost

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/

Reliable Multimodal Heartbeat Classification using Deep Neural Networks

Copyright © 2023 Authors. Arrhythmias are deviations from the normal heart rhythm with impact on the cardiovascular health. Their prompt detection plays an important role in mitigating potential negative outcomes, particularly in patients in the intensive care units (ICU). Heartbeat detection has mainly been focused on electrocardiogram (ECG) signals. However, ICU patient mobility frequently leads to disconnection of certain ECG leads, potentially compromising the accurate heartbeat classification. Arterial line blood pressure (ABP) and central venous pressure (CVP) signals are routinely monitored in ICU patients. Changes in the ABP and CVP suggest alterations in the haemodynamic status and cardiac function of the patients. Thus, leveraging these signals for heartbeat classification, either independently or in conjunction with ECG data, present a viable approach to ensure that even in scenarios where ECG signals are unavailable, alarm systems alerting healthcare providers of arrhythmias remain functional. Moreover, while many researchers have successfully created methodologies to accurately classify heartbeats including paced beats, none were able to distinguish various sub-classes of paced heartbeats. A more comprehensive distinction is crucial as it not only aids in the identification of pacing settings but also facilitates the detection of inadequate pacing settings, a critical aspect in patient care. In this paper, we employ a hybrid model using long-short term memory networks (LSTM) and convolutional neural network (CNN), along with different residual CNN (ResNet) models for multimodal arrhythmia classification and for comprehensive paced heartbeats classification. When using all three channels, ResNet50 achieved the best accuracy of 99.58% on 5 different arrhythmia classes, whereas ResNet34 achieved an accuracy of 93.82% on 12 paced classes. The significant efficiency of utilizing ABP and CVP signals independently for classification, was also highlighted. ResNet50 was trained with ABP and CVP signals independently and correctly identified arrhythmias with an accuracy of 98.79% and 96.67%, respectively. For classifying 12 different paced heartbeats, ResNet34 achieved 74.04% accuracy with ABP signals and 74.38% with CVP signals. Moreover, the same ResNet50 model was trained on the MIT-BIH arrhythmia database, achieving an accuracy, sensitivity, and precision of 98.78%, 98.77% and 98.80%, which demonstrates the scalability of the proposed model.British Heart Foundation for sponsoring this project (No.FS/19/73/34690

Electrocardiogram Monitoring Wearable Devices and Artificial-Intelligence-Enabled Diagnostic Capabilities: A Review

Worldwide, population aging and unhealthy lifestyles have increased the incidence of high-risk health conditions such as cardiovascular diseases, sleep apnea, and other conditions. Recently, to facilitate early identification and diagnosis, efforts have been made in the research and development of new wearable devices to make them smaller, more comfortable, more accurate, and increasingly compatible with artificial intelligence technologies. These efforts can pave the way to the longer and continuous health monitoring of different biosignals, including the real-time detection of diseases, thus providing more timely and accurate predictions of health events that can drastically improve the healthcare management of patients. Most recent reviews focus on a specific category of disease, the use of artificial intelligence in 12-lead electrocardiograms, or on wearable technology. However, we present recent advances in the use of electrocardiogram signals acquired with wearable devices or from publicly available databases and the analysis of such signals with artificial intelligence methods to detect and predict diseases. As expected, most of the available research focuses on heart diseases, sleep apnea, and other emerging areas, such as mental stress. From a methodological point of view, although traditional statistical methods and machine learning are still widely used, we observe an increasing use of more advanced deep learning methods, specifically architectures that can handle the complexity of biosignal data. These deep learning methods typically include convolutional and recurrent neural networks. Moreover, when proposing new artificial intelligence methods, we observe that the prevalent choice is to use publicly available databases rather than collecting new data

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