Electrocardiogram (ECG) is the most widely used diagnostic tool to monitor the condition of the cardiovascular system. Deep neural networks (DNNs), have been developed in many research labs for automatic interpretation of ECG signals to identify potential abnormalities in patient hearts. Studies have shown that given a sufficiently large amount of data, the classification accuracy of DNNs could reach human-expert cardiologist level. However, despite of the excellent performance in classification accuracy, it has been shown that DNNs are highly vulnerable to adversarial noises which are subtle changes in input of a DNN and lead to a wrong class-label prediction with a high confidence. Thus, it is challenging and essential to improve robustness of DNNs against adversarial noises for ECG signal classification, a life-critical application. In this work, we designed a CNN for classification of 12-lead ECG signals with variable length, and we applied three defense methods to improve robustness of this CNN for this classification task. The ECG data in this study is very challenging because the sample size is limited, and the length of each ECG recording varies in a large range. The evaluation results show that our customized CNN reached satisfying F1 score and average accuracy, comparable to the top-6 entries in the CPSC2018 ECG classification challenge, and the defense methods enhanced robustness of our CNN against adversarial noises and white noises, with a minimal reduction in accuracy on clean data.
It is challenging to visually detect heart disease from the electrocardiographic (ECG) signals. Implementing an automated ECG signal detection system can help diagnosis arrhythmia in order to improve the accuracy of diagnosis. In this paper, we proposed, implemented, and compared an automated system using two different frameworks of the combination of convolutional neural network (CNN) and long-short term memory (LSTM) for classifying normal sinus signals, atrial fibrillation, and other noisy signals. The dataset we used is from the MIT-BIT Arrhythmia Physionet. Our approach demonstrated that …
University College Dublin（都柏林大学）；National University of Singapore（新加坡国立大学）
Using smart wearable devices to monitor patients electrocardiogram (ECG) for real-time detection of arrhythmias can significantly improve healthcare outcomes. Convolutional neural network (CNN) based deep learning has been used successfully to detect anomalous beats in ECG. However, the computational complexity of existing CNN models prohibits them from being implemented in low-powered edge devices. Usually, such models are complex with lots of model parameters which results in large number of computations, memory, and power usage in edge devices. Network pruning techniques can reduce model co…
School of Electrical and Electronics Engineering（电气与电子工程学院）；University of Manchester（曼彻斯特大学）
Effective and powerful methods for denoising real electrocardiogram (ECG) signals are important for wearable sensors and devices. Deep Learning (DL) models have been used extensively in image processing and other domains with great success but only very recently have been used in processing ECG signals. This paper presents several DL models namely Convolutional Neural Networks (CNNs), Long Short-Term Memory (LSTM), Restricted Boltzmann Machine (RBM) together with the more conventional filtering methods (low pass filtering, high pass filtering, Notch filtering) and the standard wavelet-based te…
University College Dublin（都柏林大学学院）；National University of Singapore（新加坡国立大学）
Sudden cardiac death and arrhythmia account for a large percentage of all deaths worldwide. Electrocardiography (ECG) is the most widely used screening tool for cardiovascular diseases. Traditionally, ECG signals are classified manually, requiring experience and great skill, while being time-consuming and prone to error. Thus machine learning algorithms have been widely adopted because of their ability to perform complex data analysis. Features derived from the points of interest in ECG - mainly Q, R, and S, are widely used for arrhythmia detection. In this work, we demonstrate improved perfor…
Electrocardiogram (ECG) is the most widely used diagnostic tool to monitor the condition of the cardiovascular system. Deep neural networks (DNNs), have been developed in many research labs for automatic interpretation of ECG signals to identify potential abnormalities in patient hearts. Studies have shown that given a sufficiently large amount of data, the classification accuracy of DNNs could reach human-expert cardiologist level. A DNN-based automated ECG diagnostic system would be an affordable solution for patients in developing countries where human-expert cardiologist are lacking. Howev…
Atrial fibrillation(termed as AF/Afib henceforth) is a discrete and often rapid heart rhythm that can lead to clots near the heart. We can detect Afib by ECG signal by the absence of p and inconsistent intervals between R waves as shown in fig(1). Existing methods revolve around CNN that are used to detect afib but most of them work with 12 point lead ECG data where in our case the health gauge watch deals with single-point ECG data. Twelve-point lead ECG data is more accurate than a single point. Furthermore, the health gauge watch data is much noisier. Implementing a model to detect Afib for…
University of Isfahan（伊斯法罕大学）；Amirkabir University of Technology（阿米尔卡比尔理工大学）；New Jersey Institute of Technology（新泽西理工学院）；Rutgers University（罗格斯大学）
Electrocardiogram (ECG) is the most frequent and routine diagnostic tool used for monitoring heart electrical signals and evaluating its functionality. The human heart can suffer from a variety of diseases, including cardiac arrhythmias. Arrhythmia is an irregular heart rhythm that in severe cases can lead to heart stroke and can be diagnosed via ECG recordings. Since early detection of cardiac arrhythmias is of great importance, computerized and automated classification and identification of these abnormal heart signals have received much attention for the past decades. Methods: This paper in…
Arrhythmia is a cardiovascular disease that manifests irregular heartbeats. In arrhythmia detection, the electrocardiogram (ECG) signal is an important diagnostic technique. However, manually evaluating ECG signals is a complicated and time-consuming task. With the application of convolutional neural networks (CNNs), the evaluation process has been accelerated and the performance is improved. It is noteworthy that the performance of CNNs heavily depends on their architecture design, which is a complex process grounded on expert experience and trial-and-error. In this paper, we propose a novel …
Electrocardiogram (ECG) is the most widely used diagnostic tool to monitor the condition of the human heart. By using deep neural networks (DNNs), interpretation of ECG signals can be fully automated for the identification of potential abnormalities in a patient's heart in a fraction of a second. Studies have shown that given a sufficiently large amount of training data, DNN accuracy for ECG classification could reach human-expert cardiologist level. However, despite of the excellent performance in classification accuracy, DNNs are highly vulnerable to adversarial noises that are subtle change…
National Physical Laboratory（英国国家物理实验室）；University of Surrey（萨里大学）
The electrocardiogram (ECG) is one of the most widespread diagnostic tools in healthcare and supports the diagnosis of cardiovascular disorders. Deep learning methods are a successful and popular technique to detect indications of disorders from an ECG signal. However, there are open questions around the robustness of these methods to various factors, including physiological ECG noise. In this study we generate clean and noisy versions of an ECG dataset before applying Symmetric Projection Attractor Reconstruction (SPAR) and scalogram image transformations. A pretrained convolutional neural ne…
University of Engineering and Technology Taxila（塔克西拉工程技术大学）；University of Central Florida（中佛罗里达大学）；Hankuk University of Foreign Studies（韩国外国语大学）；Xiamen University Malaysia（厦门大学马来西亚分校）
The electrocardiogram (ECG) is one of the most extensively employed signals used in the diagnosis and prediction of cardiovascular diseases (CVDs). The ECG signals can capture the heart's rhythmic irregularities, commonly known as arrhythmias. A careful study of ECG signals is crucial for precise diagnoses of patients' acute and chronic heart conditions. In this study, we propose a two-dimensional (2-D) convolutional neural network (CNN) model for the classification of ECG signals into eight classes; namely, normal beat, premature ventricular contraction beat, paced beat, right bundle branch b…
HARDC : A novel ECG-based heartbeat classification method to detect arrhythmia using hierarchical attention based dual structured RNN with dilated CNN
Universiti Malaysia Pahang（马来西亚彭亨大学）；Queensland University of Technology（昆士兰科技大学）；Islamic University（伊斯兰大学）；The University of Sydney（悉尼大学）；University of Cambridge（剑桥大学）；The Garvan Institute of Medical Research（加文医学研究所）；The University of Queensland（昆士兰大学）
Qatar University（卡塔尔大学）；Izmir University of Economics（伊兹密尔经济大学）；Tampere University（坦佩雷大学）
Noise and low quality of ECG signals acquired from Holter or wearable devices deteriorate the accuracy and robustness of R-peak detection algorithms. This paper presents a generic and robust system for R-peak detection in Holter ECG signals. While many proposed algorithms have successfully addressed the problem of ECG R-peak detection, there is still a notable gap in the performance of these detectors on such low-quality ECG records. Therefore, in this study, a novel implementation of the 1D Convolutional Neural Network (CNN) is used integrated with a verification model to reduce the number of…
Philips Research North America（飞利浦北美研究院）；Advanced Algorithm Research Center, Philips Healthcare（飞利浦医疗先进算法研究中心）
The development of new technology such as wearables that record high-quality single channel ECG, provides an opportunity for ECG screening in a larger population, especially for atrial fibrillation screening. The main goal of this study is to develop an automatic classification algorithm for normal sinus rhythm (NSR), atrial fibrillation (AF), other rhythms (O), and noise from a single channel short ECG segment (9-60 seconds). For this purpose, signal quality index (SQI) along with dense convolutional neural networks was used. Two convolutional neural network (CNN) models (main model that acce…
Explainable Parallel CNN-LSTM Model for Differentiating Ventricular Tachycardia from Supraventricular Tachycardia with Aberrancy in 12-Lead ECGs
Cardiac Rehabilitation Research Center（心脏康复研究中心）；Cardiovascular Research Institute（心血管研究所）；Department of Cardiology（心内科部）；School of Medicine（医学院）；University of Isfahan（伊斯法罕大学）；Department of Computer Science（计算机科学系）；Faculty of Engineering（工程学院）；Department of Electrical, Computer and Biomedical Engineering（电气、计算机与生物医学工程系）；Toronto Metropolitan University（多伦多 Metropolitan 大学）；Faculty of Electrical Engineering（电气工程学院）；K.N. Toosi University of Technology（K.N. Toosi 技术大学）
In this paper, a novel ECG monitoring approach based on IoT technology is suggested. This paper proposes a routing system for IoT healthcare platforms based on Dynamic Source Routing (DSR) and Routing by Energy and Link Quality (REL). In addition, the Artificial Neural Network (ANN), Support Vector Machine (SVM), and Convolution Neural Networks (CNNs)-based approaches for ECG signal categorization were tested in this study. Deep-ECG will employ a deep CNN to extract important characteristics, which will then be compared using simple and fast distance functions in order to classify cardiac prob…
EcoScaleNet: A Lightweight Multi Kernel Network for Long Sequence 12 lead ECG Classification
Department of Electrical and Computer Engineering, Inha University, Republic of Korea（电气与计算机工程系，釜山大学，大韩民国）；DeepCardio, Republic of Korea（DeepCardio，大韩民国）
University of Nevada, Reno（内华达大学里诺分校）；Fudan University（复旦大学）
Automating arrhythmia detection from ECG requires a robust and trusted system that retains high accuracy under electrical disturbances. Many machine learning approaches have reached human-level performance in classifying arrhythmia from ECGs. However, these architectures are vulnerable to adversarial attacks, which can misclassify ECG signals by decreasing the model's accuracy. Adversarial attacks are small crafted perturbations injected in the original data which manifest the out-of-distribution shifts in signal to misclassify the correct class. Thus, security concerns arise for false hospita…
Despite the proliferation of numerous deep learning methods proposed for generic ECG classification and arrhythmia detection, compact systems with the real-time ability and high accuracy for classifying patient-specific ECG are still few. Particularly, the scarcity of patient-specific data poses an ultimate challenge to any classifier. Recently, compact 1D Convolutional Neural Networks (CNNs) have achieved the state-of-the-art performance level for the accurate classification of ventricular and supraventricular ectopic beats. However, several studies have demonstrated the fact that the learnin…
Objectives: With the technological advancements in the field of tele-health monitoring, it is now possible to gather huge amounts of electro-physiological signals such as electrocardiogram (ECG). It is therefore necessary to develop models/algorithms that are capable of analysing these massive amounts of data in real-time. This paper proposes a deep learning model for real-time segmentation of heartbeats. Methods: The proposed algorithm, named as the DENS-ECG algorithm, combines convolutional neural network (CNN) and long short-term memory (LSTM) model to detect onset, peak, and offset of diff…
Manual interpretation and classification of ECG signals lack both accuracy and reliability. These continuous time-series signals are more effective when represented as an image for CNN-based classification. A continuous Wavelet transform filter is used here to get corresponding images. In achieving the best result generic CNN architectures lack sufficient accuracy and also have a higher run-time. To address this issue, we propose an ensemble method of transfer learning-based models to classify ECG signals. In our work, two modified VGG-16 models and one InceptionResNetV2 model with added featu…
Electrocardiogram (ECG) is an authoritative source to diagnose and counter critical cardiovascular syndromes such as arrhythmia and myocardial infarction (MI). Current machine learning techniques either depend on manually extracted features or large and complex deep learning networks which merely utilize the 1D ECG signal directly. Since intelligent multimodal fusion can perform at the stateof-the-art level with an efficient deep network, therefore, in this paper, we propose two computationally efficient multimodal fusion frameworks for ECG heart beat classification called Multimodal Image Fus…
Automated QRS detection methods depend on the ECG data which is sampled at a certain frequency, irrespective of filter-based traditional methods or convolutional network (CNN) based deep learning methods. These methods require a selection of the sampling frequency at which they operate in the very first place. While working with data from two different datasets, which are sampled at different frequencies, often, data from both the datasets may need to resample at a common target frequency, which may be the frequency of either of the datasets or could be a different one. However, choosing data …
The classification of electrocardiogram (ECG) signals, which takes much time and suffers from a high rate of misjudgment, is recognized as an extremely challenging task for cardiologists. The major difficulty of the ECG signals classification is caused by the long-term sequence dependencies. Most existing approaches for ECG signal classification use Recurrent Neural Network models, e.g., LSTM and GRU, which are unable to extract accurate features for such long sequences. Other approaches utilize 1-Dimensional Convolutional Neural Network (CNN), such as ResNet or its variant, and they can not m…
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…
Sichuan University（四川大学）；University of Agder（阿格德大学）；West China Hospital（华西医院）
Neural network-based models have found wide use in automatic long-term electrocardiogram (ECG) analysis. However, such black box models are inadequate for analysing physiological signals where credibility and interpretability are crucial. Indeed, how to make ECG analysis transparent is still an open problem. In this study, we develop a Tsetlin machine (TM) based architecture for premature ventricular contraction (PVC) identification by analysing long-term ECG signals. The architecture is transparent by describing patterns directly with logical AND rules. To validate the accuracy of our approac…
Indian Institute of Technology Hyderabad（印度理工学院海得拉巴分校）
Objective: Heartbeat detection remains central to cardiac disease diagnosis and management, and is traditionally performed based on electrocardiogram (ECG). To improve robustness and accuracy of detection, especially, in certain critical-care scenarios, the use of additional physiological signals such as arterial blood pressure (BP) has recently been suggested. There, estimation of heartbeat location requires information fusion from multiple signals. However, reported efforts in this direction often obtain multimodal estimates somewhat indirectly, by voting among separately obtained signal-spe…
This paper presents an end-to-end ECG signal classification method based on a novel segmentation strategy via 1D Convolutional Neural Networks (CNN) to aid the classification of ECG signals. The ECG segmentation strategy named R-R-R strategy (i.e., retaining ECG data between the R peaks just before and after the current R peak) for segmenting the original ECG data into segments in order to train and test the 1D CNN models. The novel strategy mimics physicians in scanning ECG to a greater extent, and maximizes the inherent information of ECG segments. The performance of the classification model…
Carnegie Mellon University（卡内基梅隆大学）；Allegheny Health Network（阿勒格尼健康网络）；University of Colorado（科罗拉多大学）
In this paper, we focus on a new method of data augmentation to solve the data imbalance problem within imbalanced ECG datasets to improve the robustness and accuracy of heart disease detection. By using Optimal Transport, we augment the ECG disease data from normal ECG beats to balance the data among different categories. We build a Multi-Feature Transformer (MF-Transformer) as our classification model, where different features are extracted from both time and frequency domains to diagnose various heart conditions. Learning from 12-lead ECG signals, our model is able to distinguish five categ…
CPR: Causal Physiological Representation Learning for Robust ECG Analysis under Distribution Shifts
Faculty of Innovation Engineering, Macau University of Science and Technology, Macau, China（创新工程学院，澳门科技大学，澳门，中国）；Shenzhen University of Advanced Technology, Shenzhen, China（深圳先进技术大学，深圳，中国）
HSE University（高等经济大学）；Sber AI Lab（俄联邦储蓄银行人工智能实验室）；Artificial Intelligence Research Institute (AIRI)（人工智能研究院（AIRI））
Cardiovascular disease remains a significant problem in modern society. Among non-invasive techniques, the electrocardiogram (ECG) is one of the most reliable methods for detecting abnormalities in cardiac activities. However, ECG interpretation requires expert knowledge and it is time-consuming. Developing a novel method to detect the disease early could prevent death and complication. The paper presents novel various approaches for classifying cardiac diseases from ECG recordings. The first approach suggests the Poincare representation of ECG signal and deep-learning-based image classifiers …
IIT Bhubaneswar（布巴内斯瓦尔印度理工学院）；University of Auckland（奥克兰大学）
Biophysical signals such as Electrocardiogram (ECG) and Photoplethysmogram (PPG) are key to the sensing of vital parameters for wellbeing. Coincidentally, ECG and PPG are signals, which provide a "different window" into the same phenomena, namely the cardiac cycle. While they are used separately, there are no studies regarding the exact correction of the different ECG and PPG events. Such correlation would be helpful in many fronts such as sensor fusion for improved accuracy using cheaper sensors and attack detection and mitigation methods using multiple signals to enhance the robustness, for …
