Detection of Obstructive Sleep Apnea from ECG Signal using SVM based Grid Search

Obstructive Sleep Apnea is one common form of sleep apnea and is now tested by means of a process called Polysomnography which is time-consuming, expensive and also requires a human observer throughout the study of the subject which makes it inconvenient and new detection techniques are now being developed to overcome these difficulties. Heart rate variability has proven to be related to sleep apnea episodes and thus the features from the ECG signal can be used in the detection of sleep apnea. The proposed detection technique uses Support Vector Machines using Grid search algorithm and the classifier is trained using features based on heart rate variability derived from the ECG signal. The developed system is tested using the dataset and the results show that this classification system can recognize the disorder with an accuracy rate of 89%. Further, the use of the grid search algorithm has made this system a reliable and an accurate means for the classification of sleep apnea and can serve as a basis for the future development of its screening

Atrial fibrillation classification based on MLP networks by extracting Jitter and Shimmer parameters

Atrial fibrillation (AF) is the most common cardiac anomaly and one that potentially threatens human life. Due to its relation to a variation in cardiac rhythm during indeterminate periods, long-term observations are necessary for its diagnosis. With the increase in data volume, fatigue and the complexity of long-term features make analysis an increasingly impractical process. Most medical diagnostic aid systems based on machine learning, are designed to automatically detect, classify or predict certain behaviors. In this work, using the PhysioNet MIT-BIH Atrial Fibrillation database, a system based on MLP artificial neural network is proposed to differentiate, between AF and non-AF, segments and ECG’s features, obtaining average accuracy of 80.67% in test set, for the 10-fold cross-validation method. As a highlight, the extraction of jitter and shimmer parameters from ECG windows is presented to compose the network input sets, indicating a slight improvement in the model's performance. Added to these, Shannon's and logarithmic energy entropies are determined, also indicating an improvement in performance related to the use of fewer features.This work has been supported by FCT – Fundação para a Ciência e Tecnologia within the Project Scope: UIDB/05757/2020.info:eu-repo/semantics/publishedVersio

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

COMPUTER AIDED DIAGNOSIS OF VENTRICULAR ARRHYTHMIAS FROM ELECTROCARDIOGRAM LEAD II SIGNALS

In this work, we use computer aided diagnosis (CADx) to extract features from ECG signals and detect different types of cardiac ventricular arrhythmias including Ventricular Tachycardia (VT),Ventricular Fibrillation (VF), Ventricular Couplet (VC), and Ventricular Bigeminy (VB).Our methodology is unique in computing features of lower and higher order statistical parameters from six different data domains: time domain, Fourier domain, and four Wavelet domains (Daubechies, Coiflet, Symlet, and Meyer). These features proved to give superior classification performance, in general, regardless of the type of classifier used as compared with previous studies. However, Support Vector Machine (SVM) and Artificial Neural Network (ANN) classifiers got better performance than other classifiers tried including KNN and Naïve Bayes classifiers. Our unique features enabled classifiers to perform better in comparison with previous studies: for VT, 100% accuracy while best previous work got 95.8%, for VF, 100% accuracy while best previous work got 97.5%, for VC, 100% sensitivity while best previous work got 71.8%, and for VB, 100% sensitivity while best previous work got 84.6%

Electrocardiogram Recognization Based on Variational AutoEncoder

Subtle distortions on electrocardiogram (ECG) can help doctors to diagnose some serious larvaceous heart sickness on their patients. However, it is difficult to find them manually because of disturbing factors such as baseline wander and high-frequency noise. In this chapter, we propose a method based on variational autoencoder to distinguish these distortions automatically and efficiently. We test our method on three ECG datasets from Physionet by adding some tiny artificial distortions. Comparing with other approaches adopting autoencoders [e.g., contractive autoencoder, denoising autoencoder (DAE)], the results of our experiment show that our method improves the performance of publically available on ECG analysis on the distortions

Обзор методов автоматической диагностики сердечной аритмии для принятия решений о необходимости проведения дефибрилляции

Ventricular fibrillation is considered the most common cause of sudden cardiac arrest. The fibrillation, and ventricular tachycardia often preceding it, are cardiac rhythms that may respond to emergency electroshock therapy and return to normal sinus rhythm when diagnosed early after cardiac arrest with the restoration of adequate cardiac pumping function. However, manually checking ECG signals on the existence of a pattern of such arrhythmias is a risky and time-consuming task in stressful situations and practically impossible in the absence of a qualified medical specialist. Therefore, systems of the computer classification of arrhythmias with the function of making a decision on the necessity of electric cardioversion with the parameters of a high-voltage pulse calculated adaptively for each patient are widely used for the automatic diagnosis of such conditions. This paper discusses methods of analyzing the electrocardiographic signal taken from the electrodes of an external automatic or semi-automatic defibrillator in order to make a decision on the necessity for defibrillation, which are applicable in the embedded software of automatic and semiautomatic external defibrillators. The paper includes an overview of applicable filtering techniques as well as subsequent algorithms for extracting, classifying and compressing features for the ECG signal.  Lipchak D. A., Chupov A. A. Methods of Signal Analysis for Automatic Diagnosis of Shockable Cardiac Arrhythmias: A Review. Ural Radio Engineering Journal. 2021;5(4):380–409. (In Russ.) DOI: 10.15826/ urej.2021.5.4.004. Фибрилляция желудочков сердца считается наиболее часто встречающейся причиной внезапной остановки сердца. Такая фибрилляция и часто предшествующая ей желудочковая тахикардия – это ритмы сердца, которые могут реагировать на экстренную электрошоковую терапию и вернуться к нормальному синусовому ритму при ранней диагностике после остановки сердца с восстановлением адекватной насосной функции сердца. Однако ручная проверка сигналов ЭКГ на наличие паттерна такой аритмии является сложной аналитической задачей, требующей немедленного принятия решения в стрессовой ситуации, практически невыполнимой в отсутствие квалифицированного медицинского специалиста. Поэтому для автоматической диагностики острых состояний широкое применение получили системы компьютерной классификации аритмий с функцией принятия решения о необходимости проведения электрокардиотерапии с параметрами высоковольтного импульса, вычисленного адаптивно для каждого пациента. В данной работе рассмотрены методы анализа электрокардиографического сигнала, снимаемого с электродов наружного автоматического или полуавтоматического дефибриллятора, с целью принятия решения о необходимости оказания дефибрилляции, применимые во встроенном программном обеспечении автоматических и полуавтоматических внешних дефибрилляторов. Работа включает обзор применимых методов фильтрации, а также последующих алгоритмов извлечения, классификации и сжатия характерных признаков для сигнала ЭКГ.  Липчак Д. А., Чупов А. А. Обзор методов автоматической диагностики сердечной аритмии для принятия решений о необходимости проведения дефибрилляции. Ural Radio Engineering Journal. 2021;5(4):380–409. DOI: 10.15826/urej.2021.5.4.004.

A Survey Study of the Current Challenges and Opportunities of Deploying the ECG Biometric Authentication Method in IoT and 5G Environments

The environment prototype of the Internet of Things (IoT) has opened the horizon for researchers to utilize such environments in deploying useful new techniques and methods in different fields and areas. The deployment process takes place when numerous IoT devices are utilized in the implementation phase for new techniques and methods. With the wide use of IoT devices in our daily lives in many fields, personal identification is becoming increasingly important for our society. This survey aims to demonstrate various aspects related to the implementation of biometric authentication in healthcare monitoring systems based on acquiring vital ECG signals via designated wearable devices that are compatible with 5G technology. The nature of ECG signals and current ongoing research related to ECG authentication are investigated in this survey along with the factors that may affect the signal acquisition process. In addition, the survey addresses the psycho-physiological factors that pose a challenge to the usage of ECG signals as a biometric trait in biometric authentication systems along with other challenges that must be addressed and resolved in any future related research.

Multi-Class Heart Abnormalities Detection Based on ECG Graph Using Transfer Learning Method

The heart is one of the vital organs in the circulatory system. Regular checkups are very important to prevent heart disease. The most basic examination is blood pressure then further examination is related to the evaluation of the electrical activity of the heart using an electrocardiogram (ECG). The ECG carries important information regarding various abnormalities of heart function. Several automated classification techniques have been proposed to facilitate diagnosis. However, not all digital ECG devices provide raw data for analysis. ECG classification method based on images can be an alternative in classification. Therefore, in this study, it is proposed to classify ECG based on signal images. The proposed classification method uses transfer learning with VGG, AlexNet, and DenseNet architectures. The method used for the classification of multi-class ECG consists of normal, PVC, Atrial Fibrilation, AFL, Bigeminy, LBBB, and APB. The simulation results generate the best accuracy of 92% and F1-score of 92%. Best performance is achieved using DenseNet architecture at 60 epochs. This study is expected to be a new reference technique in the classification of ECG signals