An Empiric Analysis of Wavelet-Based Feature Extraction on Deep Learning and Machine Learning Algorithms for Arrhythmia Classification

The aberration in human electrocardiogram (ECG) affects cardiovascular events that may lead to arrhythmias. Many automation systems for ECG classification exist, but the ambiguity to wisely employ the in-built feature extraction or expert based manual feature extraction before classification still needs recognition. The proposed work compares and presents the enactment of using machine learning and deep learning classification on time series sequences. The two classifiers, namely the Support Vector Machine (SVM) and the Bi-directional Long Short-Term Memory (BiLSTM) network, are separately trained by direct ECG samples and extracted feature vectors using multiresolution analysis of Maximal Overlap Discrete Wavelet Transform (MODWT). Single beat segmentation with R-peaks and QRS detection is also involved with 6 morphological and 12 statistical feature extraction. The two benchmark datasets, multi-class, and binary class, are acquired from the PhysioNet database. For the binary dataset, BiLSTM with direct samples and with feature extraction gives 58.1% and 80.7% testing accuracy, respectively, whereas SVM outperforms with 99.88% accuracy. For the multi-class dataset, BiLSTM classification accuracy with the direct sample and the extracted feature is 49.6% and 95.4%, whereas SVM shows 99.44%. The efficient statistical workout depicts that the extracted feature-based selection of data can deliver distinguished outcomes compared with raw ECG data or in-built automatic feature extraction. The machine learning classifiers like SVM with knowledge-based feature extraction can equally or better perform than Bi-LSTM network for certain datasets

Coronary Artery Disease Classification Using One-dimensional Convolutional Neural Network

Coronary Artery Disease (CAD) diagnostic to be a major global cause of death, necessitating innovative solutions. Addressing the critical importance of early CAD detection and its impact on the mortality rate, we propose the potential of one-dimensional convolutional neural networks (1D-CNN) to enhance detection accuracy and reduce network complexity. This study goes beyond traditional diagnostic methodologies, leveraging the remarkable ability of 1D-CNN to interpret complex patterns within Electrocardiogram (ECG) signals without depending on feature extraction techniques. We explore the impact of varying sample lengths on model performance and conduct experiments involving layers reduction. The ECG data employed were obtained from the PhysioNet databases, namely the MIMIC III and Fantasia datasets, with respective sampling frequencies of 125 Hz and 250 Hz. The highest accuracy for unseen data obtained with a sample length of 250. These initial findings demonstrate the potential of 1D-CNNs in CAD diagnosis using ECG signals and highlight the sample size’s role in achieving high accuracy

Cardiovascular Disorder Detection with a PSO-Optimized Bi-LSTM Recurrent Neural Network Model

The medical community is facing ever-increasing difficulties in identifying and treating cardiovascular diseases. The World Health Organization (WHO) reports that despite the availability of numerous high-priced medical remedies for persons with heart problems, CVDs continue to be the main cause of mortality globally, accounting for over 21 million deaths annually. When cardiovascular diseases are identified and treated early on, they cause far fewer deaths. Deep learning models have facilitated automated diagnostic methods for early detection of these diseases. Cardiovascular diseases often present insidious symptoms that are difficult to identify in a timely manner. Prompt diagnosis of individuals with CVD and related conditions, such as high blood pressure or high cholesterol, is crucial to initiate appropriate treatment. Recurrent neural networks (RNNs) with gated recurrent units (GRUs) have recently emerged as a more advanced variant, capable of surpassing Long Short-Term Memory (LSTM) models in several applications. When compared to LSTMs, GRUs have the advantages of faster calculation and less memory usage. When it comes to CVD prediction, the bio-inspired Particle Swarm Optimization (PSO) algorithm provides a straightforward method of getting the best possible outcomes with minimal effort. This stochastic optimization method requires neither the gradient nor any differentiated form of the objective function and emulates the behaviour and intelligence of swarms. PSO employs a swarm of agents, called particles, that navigate the search space to find the best prediction type.This study primarily focuses on predicting cardiovascular diseases using effective feature selection and classification methods. For CVD forecasting, we offer a GRU model built on recurrent neural networks and optimized with particle swarms (RNN-GRU-PSO). We find that the proposed model significantly outperforms the state-of-the-art models (98.2% accuracy in predicting cardiovascular diseases) in a head-to-head comparison

Machine Learning Model for Classifying the Results of Fetal Cardiotocography Conducted in High-Risk Pregnancies

Purpose: Fetal well-being is usually assessed via fetal heart rate (FHR) monitoring during the antepartum period. However, the interpretation of FHR is a complex and subjective process with low reliability. This study developed a machine learning model that can classify fetal cardiotocography results as normal or abnormal. Materials and methods: In total, 17492 fetal cardiotocography results were obtained from Ajou University Hospital and 100 fetal cardiotocography results from Czech Technical University and University Hospital in Brno. Board-certified physicians then reviewed the fetal cardiotocography results and labeled 1456 of them as gold-standard; these results were used to train and validate the model. The remaining results were used to validate the clinical effectiveness of the model with the actual outcome. Results: In a test dataset, our model achieved an area under the receiver operating characteristic curve (AUROC) of 0.89 and area under the precision-recall curve (AUPRC) of 0.73 in an internal validation dataset. An average AUROC of 0.73 and average AUPRC of 0.40 were achieved in the external validation dataset. Fetus abnormality score, as calculated from the continuous fetal cardiotocography results, was significantly associated with actual clinical outcomes [intrauterine growth restriction: odds ratio, 3.626 (p=0.031); Apgar score 1 min: odds ratio, 9.523 (p<0.001), Apgar score 5 min: odds ratio, 11.49 (p=0.001), and fetal distress: odds ratio, 23.09 (p<0.001)]. Conclusion: The machine learning model developed in this study showed precision in classifying FHR signals. This suggests that the model can be applied to medical devices as a screening tool for monitoring fetal status.ope

Application of artificial intelligence techniques for automated detection of myocardial infarction: A review

Myocardial infarction (MI) results in heart muscle injury due to receiving insufficient blood flow. MI is the most common cause of mortality in middle-aged and elderly individuals around the world. To diagnose MI, clinicians need to interpret electrocardiography (ECG) signals, which requires expertise and is subject to observer bias. Artificial intelligence-based methods can be utilized to screen for or diagnose MI automatically using ECG signals. In this work, we conducted a comprehensive assessment of artificial intelligence-based approaches for MI detection based on ECG as well as other biophysical signals, including machine learning (ML) and deep learning (DL) models. The performance of traditional ML methods relies on handcrafted features and manual selection of ECG signals, whereas DL models can automate these tasks. The review observed that deep convolutional neural networks (DCNNs) yielded excellent classification performance for MI diagnosis, which explains why they have become prevalent in recent years. To our knowledge, this is the first comprehensive survey of artificial intelligence techniques employed for MI diagnosis using ECG and other biophysical signals.Comment: 16 pages, 8 figure

Comprehensive electrocardiographic diagnosis based on deep learning

Cardiovascular disease (CVD) is the leading cause of death worldwide, and coronary artery disease (CAD) is a major contributor. Early-stage CAD can progress if undiagnosed and left untreated, leading to myocardial infarction (MI) that may induce irreversible heart muscle damage, resulting in heart chamber remodeling and eventual congestive heart failure (CHF). Electrocardiography (ECG) signals can be useful to detect established MI, and may also be helpful for early diagnosis of CAD. For the latter especially, the ECG perturbations can be subtle and potentially misclassified on manual interpretation and/or when analyzed by traditional algorithms found in ECG instrumentation. For automated diagnostic systems (ADS), deep learning techniques are favored over conventional machine learning techniques, due to the automatic feature extraction and selection processes involved. This paper highlights various deep learning algorithms exploited for the classification of ECG signals into CAD, MI, and CHF conditions. The Convolutional Neural Network (CNN), followed by combined CNN and Long Short-Term Memory (LSTM) models, appear to be the most useful architectures for classification. A 16-layer LSTM model was developed in our study and validated using 10-fold cross validation. A classification accuracy of 98.5% was achieved. Our proposed model has the potential to be a useful diagnostic tool in hospitals for the classification of abnormal ECG signals