Life-threatening ventricular arrhythmias (VA) are the leading cause of sudden cardiac death (SCD), which is the most significant cause of natural death in the US. The implantable cardioverter defibrillator (ICD) is a small device implanted to patients under high risk of SCD as a preventive treatment. The ICD continuously monitors the intracardiac rhythm and delivers shock when detecting the life-threatening VA. Traditional methods detect VA by setting criteria on the detected rhythm. However, those methods suffer from a high inappropriate shock rate and require a regular follow-up to optimize criteria parameters for each ICD recipient. To ameliorate the challenges, we propose the personalized computing framework for deep learning based VA detection on medical IoT systems. The system consists of intracardiac and surface rhythm monitors, and the cloud platform for data uploading, diagnosis, and CNN model personalization. We equip the system with real-time inference on both intracardiac and surface rhythm monitors. To improve the detection accuracy, we enable the monitors to detect VA collaboratively by proposing the cooperative inference. We also introduce the CNN personalization for each patient based on the computing framework to tackle the unlabeled and limited rhythm data problem. When compared with the traditional detection algorithm, the proposed method achieves comparable accuracy on VA rhythm detection and 6.6% reduction in inappropriate shock rate, while the average inference latency is kept at 71ms.
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,…
Indian Institute of Engineering Science and Technology, Shibpur（印度工程科学与技术学院，斯赫普尔）；IIT (ISM), Dhanbad（印度理工学院（印度矿业学院），丹巴德）
In primary diagnosis and analysis of heart defects, an ECG signal plays a significant role. This paper presents a model for the prediction of ventricular tachycardia arrhythmia using noise filtering, a unique set of ECG features, and a machine learning-based classifier model. Before signal feature extraction, we detrend and denoise the signal to eliminate the noise for detecting features properly. After that necessary features have been extracted and necessary parameters related to these features are measured. Using these parameters, we prepared one efficient multiclass classifier model using …
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 …
This study targets to automatically annotate on arrhythmia by deep network. The investigated types include sinus rhythm, asystole (Asys), supraventricular tachycardia (Tachy), ventricular flutter or fibrillation (VF/VFL), ventricular tachycardia (VT). Methods: 13s limb lead ECG chunks from MIT malignant ventricular arrhythmia database (VFDB) and MIT normal sinus rhythm database were partitioned into subsets for 5-fold cross validation. These signals were resampled to 200Hz, filtered to remove baseline wandering, projected to 2D gray spectrum and then fed into a deep network with brand-new stru…
École de technologie supérieure (ÉTS), Université du Québec（魁北克大学高等技术学院）
Idiopathic ventricular arrhythmia (IVAs) is extra abnormal heartbeats disturbing the regular heart rhythm that can become fatal if left untreated. Cardiac catheter ablation is the standard approach to treat IVAs, however, a crucial prerequisite for the ablation is the localization of IVAs' origin. The current IVA localization techniques are invasive, rely on expert interpretation, or are inaccurate. In this study, we developed a new deep-learning algorithm that can automatically identify the origin of IVAs from ECG signals without the need for expert manual analysis. Our developed deep learnin…
TinyML Design Contest for Life-Threatening Ventricular Arrhythmia Detection
University of Notre Dame（圣母大学）；South Central Minzu University（中南民族大学）；Guangdong Cardiovascular Institute（广东省心血管病研究所）；Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences)（广东省人民医院（广东省医学科学院））；Southern Medical University（南方医科大学）；Singular Medical Co., Ltd（奇点医疗有限公司）
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）
Clinical risk stratification for sudden cardiac death (SCD) in hypertrophic cardiomyopathy (HC) employs rules derived from American College of Cardiology Foundation/American Heart Association (ACCF/AHA) guidelines or the HCM Risk-SCD model (C-index of 0.69), which utilize a few clinical variables. We assessed whether data-driven machine learning methods that consider a wider range of variables can effectively identify HC patients with ventricular arrhythmias (VAr) that lead to SCD. We scanned the electronic health records of 711 HC patients for sustained ventricular tachycardia or ventricular …
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…
National University of Singapore（新加坡国立大学）；HeartVoice Medical Technology（心声医疗科技）；University of Science and Technology of China（中国科学技术大学）；Sir Run Run Shaw Hospital, Zhejiang University School of Medicine（浙江大学医学院附属邵逸夫医院）；Peking University（北京大学）；Institute of Medical Technology, Health Science Center of Peking University（北京大学医学部医学技术研究院）
Ventricular arrhythmias (VA) are the main causes of sudden cardiac death. Developing machine learning methods for detecting VA based on electrocardiograms (ECGs) can help save people's lives. However, developing such machine learning models for ECGs is challenging because of the following: 1) group-level diversity from different subjects and 2) individual-level diversity from different moments of a single subject. In this study, we aim to solve these problems in the pre-training and fine-tuning stages. For the pre-training stage, we propose a novel model agnostic meta-learning (MAML) with curr…
ArrhythmiaVision: Resource-Conscious Deep Learning Models with Visual Explanations for ECG Arrhythmia Classification
Dipartimento di Informatica, Università di Verona, Verona, Italy（信息学院，威尼斯大学，威尼斯，意大利）；Department of Computer Science, School of Mathematics and Computer Science, Institute of Business Administration, Karachi, Pakistan（计算机科学系，数学与计算机科学学院，商学院，卡拉奇，巴基斯坦）；Faculty of Information Technology, Salim Habib University, Karachi, Pakistan（信息技术学院，萨利姆·哈比大学，卡拉奇，巴基斯坦）
uPVC-Net: A Universal Premature Ventricular Contraction Detection Deep Learning Algorithm
Faculty of Biomedical Engineering, Technion-IIT（生物医学工程学院，技术ion-IIT）；Ruth and Bruce Rappaport Faculty of Medicine, Technion-IIT（鲁思和布鲁斯·拉帕波特医学学院，技术ion-IIT）
The purpose of this study is to optimize the selection of prophylactic cardioverter defibrillator implantation candidates. Currently, the main criterion for implantation is a low Left Ventricular Ejection Fraction (LVEF) whose specificity is relatively poor. We designed two classifiers aimed to predict, from long term ECG recordings (Holter), whether a low-LVEF patient is likely or not to undergo ventricular arrhythmia in the next six months. One classifier is a single hidden layer neural network whose variables are the most relevant features extracted from Holter recordings, and the other cla…
Compact Neural Network Algorithm for Electrocardiogram Classification
Centro de Física Aplicada y Tecnología Avanzada（应用物理与先进技术中心）；Instituto de Ciencias Nucleares（核科学研究所）；Instituto Tecnológico y de Estudios Superiores de Monterrey（蒙特雷技术与高等研究学院）
Monitoring medical data, e.g., Electrocardiogram (ECG) signals, is a common application of Internet of Things (IoT) devices. Compression methods are often applied on the massive amounts of sensor data generated prior to sending it to the Cloud to reduce the storage and delivery costs. A lossy compression provides high compression gain (CG), but may reduce the performance of an ECG application (downstream task) due to information loss. Previous works on ECG monitoring focus either on optimizing the signal reconstruction or the task's performance. Instead, we advocate a self-adapting lossy compr…
Towards Family-Grouped Hierarchical Federated Learning on Sub-5KB Models: A Feasibility Study of Privacy-Preserving ECG Monitoring for Ultra-Resource-Constrained Wearables
BITS-Pilani（博拉理工学院皮拉尼校区）；CVR College of Engineering（CVR工程学院）
Using deep learning models to classify time series data generated from the Internet of Things (IoT) devices requires a large amount of labeled data. However, due to constrained resources available in IoT devices, it is often difficult to accommodate training using large data sets. This paper proposes and demonstrates a Similarity Learning-based Few Shot Learning for ECG arrhythmia classification using Siamese Convolutional Neural Networks. Few shot learning resolves the data scarcity issue by identifying novel classes from very few labeled examples. Few Shot Learning relies first on pretrainin…
School of Mathematical Sciences, University of Southampton（南安普顿大学数学科学学院）；University Hospital of Southampton（南安普顿大学医院）；St George’s University Hospitals NHS Foundation Trust（圣乔治大学医院NHS基金会信托）
Subcutaneous Implantable Cardioverter-Defibrillators (S-ICDs) are used for prevention of sudden cardiac death triggered by ventricular arrhythmias. T Wave Over Sensing (TWOS) is an inherent risk with S-ICDs which can lead to inappropriate shocks. A major predictor of TWOS is a high T:R ratio (the ratio between the amplitudes of the T and R waves). Currently patients' Electrocardiograms (ECGs) are screened over 10 seconds to measure the T:R ratio, determining the patients' eligibility for S-ICD implantation. Due to temporal variations in the T:R ratio, 10 seconds is not long enough to reliably …
