We tackle the problem of classifying Electrocardiography (ECG) signals with the aim of predicting the onset of Paroxysmal Atrial Fibrillation (PAF). Atrial fibrillation is the most common type of arrhythmia, but in many cases PAF episodes are asymptomatic. Therefore, in order to help diagnosing PAF, it is important to design procedures for detecting and, more importantly, predicting PAF episodes. We propose a method for predicting PAF events whose first step consists of a feature extraction procedure that represents each ECG as a multi-variate time series. Successively, we design a classification framework based on kernel similarities for multi-variate time series, capable of handling missing data. We consider different approaches to perform classification in the original space of the multi-variate time series and in an embedding space, defined by the kernel similarity measure. We achieve a classification accuracy comparable with state of the art methods, with the additional advantage of detecting the PAF onset up to 15 minutes in advance.
Tarbiat Modares University（塔比亚特·莫达雷斯大学）；Shiraz University of Medical Science（设拉子医科大学）；Mälardalen University（梅拉达伦大学）；Halmstad University（哈尔姆斯塔德大学）
This paper presents a novel machine learning framework for detecting Paroxysmal Atrial Fibrillation (PxAF), a pathological characteristic of Electrocardiogram (ECG) that can lead to fatal conditions such as heart attack. To enhance the learning process, the framework involves a Generative Adversarial Network (GAN) along with a Neural Architecture Search (NAS) in the data preparation and classifier optimization phases. The GAN is innovatively invoked to overcome the class imbalance of the training data by producing the synthetic ECG for PxAF class in a certified manner. The effect of the certif…
Memorial Antalya Hospital（安塔利亚纪念医院）；Notrino Research（Notrino研究）；Akdeniz University（阿克deniz大学）；Şanlıurfa Education And Research（尚勒乌尔法教育与研究中心）；Bolu Abant Izzet Baysal University（博卢阿邦特·伊兹·巴伊萨尔大学）
Electrocardiogram recognition of cardiac arrhythmias is critical for cardiac abnormality diagnosis. Because of their strong prediction characteristics, artificial neural networks are the preferred method in medical diagnosis systems. This study presents a method to detect atrial fibrillation with lead-I ECGs using artificial intelligence. The aim of the study is to compare the accuracy of the diagnoses estimated by cardiologists and artificial intelligence over lead-I ECGs using 12-lead ECGs as references. To evaluate the performance of the proposed model, dataset were collected from China Phy…
Self-supervised inter-intra period-aware ECG representation learning for detecting atrial fibrillation
Shenzhen International Graduate School（深圳国际研究生院）；Tsinghua University（清华大学）；Beijing National Research Center for Information Science and Technology (BNRist)（北京信息科学与技术国家研究中心）；Beijing Tsinghua Changgung Hospital（北京清华长庚医院）；School of Medicine（医学院）
针对 ECG 标注昂贵及房颤特征捕获不足的问题，提出融合 RR 间期与 P 波知识的周期间-周期内自监督表示学习方法，并在多个数据集取得优异房颤检测性能。
SHDB-AF: a Japanese Holter ECG database of atrial fibrillation
Teikyo University School of Medicine（帝京大学医学部）；Saitama Medical University International Medical Center（埼玉医科大学国际医疗中心）；Technion-IIT（以色列理工学院）；Centre hospitalier Universitaire de Nancy（南锡大学医院）；INSERM（法国国家健康与医学研究院）；Universite de Lorraine（洛林大学）
The automatic detection of atrial fibrillation based on electrocardiograph (ECG) signals has received wide attention both clinically and practically. It is challenging to process ECG signals with cyclical pattern, varying length and unstable quality due to noise and distortion. Besides, there has been insufficient research on separating persistent atrial fibrillation from paroxysmal atrial fibrillation, and little discussion on locating the onsets and end points of AF episodes. It is even more arduous to perform well on these two distinct but interrelated tasks, while avoiding the mistakes inh…
Atrial fibrillation is a cardiac arrhythmia that affects an estimated 33.5 million people globally and is the potential cause of 1 in 3 strokes in people over the age of 60. Detection and diagnosis of atrial fibrillation (AFIB) is done noninvasively in the clinical environment through the evaluation of electrocardiograms (ECGs). Early research into automated methods for the detection of AFIB in ECG signals focused on traditional bio-medical signal analysis to extract important features for use in statistical classification models. Artificial intelligence models have more recently been used tha…
The University of Virginia’s College at Wise（弗吉尼亚大学怀斯学院）；The University of North Carolina at Wilmington（北卡罗来纳大学威尔明顿分校）
Atrial Fibrillation is a common form of irregular heart rhythm that can be very dangerous. Our primary goal is to analyze Atrial Fibrillation data within ECGs to develop a model based only on RR-Intervals, or the length between heart-beats, to create a real time classification model for Atrial Fibrillation to be implemented in common heart-rate monitors on the market today. Physionet's MIT-BIH Atrial Fibrillation Database \cite{goldberger2000physiobank} and 2017 Challenge Database \cite{clifford2017af} were used to identify patterns of Atrial Fibrillation and test classification models on. The…
Many types of ventricular and atrial cardiac arrhythmias have been discovered in clinical practice in the past 100 years, and these arrhythmias are a major contributor to sudden cardiac death. Ventricular tachycardia, ventricular fibrillation, and paroxysmal atrial fibrillation are the most commonly-occurring and dangerous arrhythmias, therefore early detection is crucial to prevent any further complications and reduce fatalities. Implantable devices such as pacemakers are commonly used in patients at high risk of sudden cardiac death. While great advances have been made in medical technology,…
University of Delaware（特拉华大学）；Johns Hopkins University（约翰斯·霍普金斯大学）；Taipei Veterans General Hospital（台北荣民总医院）；National Yang-Ming University（阳明大学）；University of California San Francisco（加利福尼亚大学旧金山分校）
Hypertrophic cardiomyopathy (HCM) patients have a high incidence of atrial fibrillation (AF) and increased stroke risk, even with low risk of congestive heart failure, hypertension, age, diabetes, previous stroke/transient ischemic attack scores. Hence, there is a need to understand the pathophysiology of AF and stroke in HCM. In this retrospective study, we develop and apply a data-driven, machine learning based method to identify AF cases, and clinical and imaging features associated with AF, using electronic health record data. HCM patients with documented paroxysmal/persistent/permanent AF…
National Tsing Hua University（国立清华大学）；Inventec Corporation（英业达公司）
Electrocardiogram(ECG) is commonly used to detect cardiac irregularities such as atrial fibrillation, bradycardia, and other irregular complexes. While previous studies have achieved great accomplishment classifying these irregularities with standard 12-lead ECGs, there existed limited evidence demonstrating the utility of reduced-lead ECGs in capturing a wide-range of diagnostic information. In addition, classification model's generalizability across multiple recording sources also remained uncovered. As part of the PhysioNet Computing in Cardiology Challenge 2021, our team HaoWan AIeC, propo…
We studied classification of human ECGs labelled as normal sinus rhythm, ventricular fibrillation and ventricular tachycardia by means of support vector machines in different representation spaces, using different observation lengths. ECG waveform segments of duration 0.5-4 s, their Fourier magnitude spectra, and lower dimensional projections of Fourier magnitude spectra were used for classification. All considered representations were of much higher dimension than in published studies. Classification accuracy improved with segment duration up to 2 s, with 4 s providing little improvement. We …
Prototype Learning to Create Refined Interpretable Digital Phenotypes from ECGs
1Pritzker School of Medicine, University of Chicago, IL, USA；2Center for Computational Medicine \& Clinical AI, Section of Biomedical Data Science, Department of Medicine, University of Chicago, IL, USA；3Division of Cardiovascular Medicine, Department of Internal Medicine, University of California Davis, CA, USA；4Section of Hospital Medicine, Department of Medicine, University of Chicago, IL, USA
A Dataset and Benchmarks for Atrial Fibrillation Detection from Electrocardiograms of Intensive Care Unit Patients
Department of Electrical and Computer Engineering（电气与计算机工程系）；Queen’s University（女王大学）；School of Computing（计算机学院）；Smith School of Business（商学院）；Departments of Emergency Medicine and Critical Care Medicine（急诊医学与重症医学系）；School of Computing and the Department of Electrical and Computer Engineering（计算机学院和电气与计算机工程系）；Department of Surgery（外科系）；Departments of Medicine and Critical Care Medicine（医学与重症医学系）；University of British Columbia（不列颠哥伦比亚大学）
Sparse learned kernels for interpretable and efficient medical time series processing
Duke University School of Medicine（杜克大学医学院）；Duke University（杜克大学）；Georgia Institute of Technology（佐治亚理工学院）；Emory University（埃默里大学）；Nell Hodgson Woodruff School of Nursing, Emory University（埃默里大学内尔·霍奇森·伍德拉夫护理学院）
Multi-Window Temporal Analysis for Enhanced Arrhythmia Classification: Leveraging Long-Range Dependencies in Electrocardiogram Signals
AI4Health Department, Oldenburg University（奥尔登堡大学AI4Health部门）；Department of Cardiology, Angiology and Intensive Care Medicine, Charité Campus Mitte, German Heart Center of the Charité-University Medicine Berlin（查理医院梅特校区心内科、血管科和重症医学科，查理-柏林大学医学中心心脏中心）
Echo2ECG: Enhancing ECG Representations with Cardiac Morphology from Multi-View Echos
Chair for AI in Healthcare and Medicine, Technical University of Munich (TUM) and TUM University Hospital（人工智能在医疗与医学中的中心，慕尼黑技术大学（TUM）和慕尼黑大学医院）；Department of Cardiology, TUM University Hospital（心血管科，慕尼黑大学医院）；Department of Computing, Imperial College London（计算系，伦敦帝国理工学院）；Munich Center for Machine Learning (MCML)（慕尼黑机器学习中心（MCML））
