Deep learning applied to electrocardiogram (ECG) data can be used to achieve personal authentication in biometric security applications, but it has not been widely used to diagnose cardiovascular disorders. We developed a deep learning model for the detection of arrhythmia in which time-sliced ECG data representing the distance between successive R-peaks are used as the input for a convolutional neural network (CNN). The main objective is developing the compact deep learning based detect system which minimally uses the dataset but delivers the confident accuracy rate of the Arrhythmia detection. This compact system can be implemented in wearable devices or real-time monitoring equipment because the feature extraction step is not required for complex ECG waveforms, only the R-peak data is needed. The results of both tests indicated that the Compact Arrhythmia Detection System (CADS) matched the performance of conventional systems for the detection of arrhythmia in two consecutive test runs. All features of the CADS are fully implemented and publicly available in MATLAB.
ECGadv: Generating Adversarial Electrocardiogram to Misguide Arrhythmia Classification System
The Hong Kong University of Science and Technology（香港科技大学）；Southern University of Science and Technology, Peng Cheng Laboratory（南方科技大学鹏城实验室）；Huazhong University of Science and Technology（华中科技大学）
A generative adversarial network (GAN) based fully automatic electrocardiogram (ECG) arrhythmia classification system with high performance is presented in this paper. The generator (G) in our GAN is designed to generate various coupling matrix inputs conditioned on different arrhythmia classes for data augmentation. Our designed discriminator (D) is trained on both real and generated ECG coupling matrix inputs, and is extracted as an arrhythmia classifier upon completion of training for our GAN. After fine-tuning the D by including patient-specific normal beats estimated using an unsupervised…
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）
An electrocardiogram (ECG) is a time-series signal that is represented by one-dimensional (1-D) data. Higher dimensional representation contains more information that is accessible for feature extraction. Hidden variables such as frequency relation and morphology of segment is not directly accessible in the time domain. In this paper, 1-D time series data is converted into multi-dimensional representation in the form of multichannel 2-D images. Following that, deep learning was used to train a deep neural network based classifier to detect arrhythmias. The results of simulation on testing data…
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）
Angular Gaussian Supervised Contrastive Learning for Long-Tailed Electrocardiogram Arrhythmia Diagnosis
School of Biomedical Engineering, Shanghai Jiao Tong University（上海交通大学生物医学工程学院）；Department of Neurology and Neurological Rehabilitation, Shanghai Yangzhi Rehabilitation Hospital, School of Medicine, Tongji University（同济大学医学院附属上海养志康复医院神经科与神经康复科）
Deep Neural Network Architectures for Electrocardiogram Classification: A Comprehensive Evaluation
Independent Researcher（独立研究者）；Department of Materials Engineering, Xi'an Polytechnic University（材料工程系，西安理工大学）；Tandon School of Engineering, New York University（工程学院，纽约大学）；College of Computing, Georgia Institute of Technology（计算学院，佐治亚理工学院）
Low-power sensing technologies, such as wearables, have emerged in the healthcare domain since they enable continuous and non-invasive monitoring of physiological signals. In order to endow such devices with clinical value, classical signal processing has encountered numerous challenges. However, data-driven methods, such as machine learning, offer attractive accuracies at the expense of being resource and memory demanding. In this paper, we focus on the inference of neural networks running in microcontrollers and low-power processors which wearable sensors and devices are generally equipped w…
This paper is targeted in the area of biometric data enabled security system based on the machine learning for the digital health. The disadvantages of traditional authentication systems include the risks of forgetfulness, loss, and theft. Biometric authentication is therefore rapidly replacing traditional authentication methods and is becoming an everyday part of life. The electrocardiogram (ECG) was recently introduced as a biometric authentication system suitable for security checks. The proposed authentication system helps investigators studying ECG-based biometric authentication technique…
Objectives: Atrial fibrillation (AF) is a common heart rhythm disorder associated with deadly and debilitating consequences including heart failure, stroke, poor mental health, reduced quality of life and death. Having an automatic system that diagnoses various types of cardiac arrhythmias would assist cardiologists to initiate appropriate preventive measures and to improve the analysis of cardiac disease. To this end, this paper introduces a new approach to detect and classify automatically cardiac arrhythmias in electrocardiograms (ECG) recordings. Methods: The proposed approach used a combi…
The heart is one of the most vital organs in the human body. It supplies blood and nutrients in other parts of the body. Therefore, maintaining a healthy heart is essential. As a heart disorder, arrhythmia is a condition in which the heart's pumping mechanism becomes aberrant. The Electrocardiogram is used to analyze the arrhythmia problem from the ECG signals because of its fewer difficulties and cheapness. The heart peaks shown in the ECG graph are used to detect heart diseases, and the R peak is used to analyze arrhythmia disease. Arrhythmia is grouped into two groups - Tachycardia and Brad…
Many people are currently suffering from heart diseases that can lead to untimely death. The most common heart abnormality is arrhythmia, which is simply irregular beating of the heart. A prediction system for the early intervention and prevention of heart diseases, including cardiovascular diseases (CDVs) and arrhythmia, is important. This paper introduces the classification of electrocardiogram (ECG) heartbeats into normal or abnormal. The approach is based on the combination of swarm optimization algorithms with a modified PannTompkins algorithm (MPTA) and support vector machines (SVMs). Th…
Healthcare Technology and Innovation Center (HTIC), Indian Institute of Technology (IIT-M)（印度理工学院马德拉斯分校医疗技术与创新中心）；Indian Institute of Technology, Madras (IITM)（印度理工学院马德拉斯分校）
Cardiac arrhythmia is a prevalent and significant cause of morbidity and mortality among cardiac ailments. Early diagnosis is crucial in providing intervention for patients suffering from cardiac arrhythmia. Traditionally, diagnosis is performed by examination of the Electrocardiogram (ECG) by a cardiologist. This method of diagnosis is hampered by the lack of accessibility to expert cardiologists. For quite some time, signal processing methods had been used to automate arrhythmia diagnosis. However, these traditional methods require expert knowledge and are unable to model a wide range of arr…
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…
HeartVoice Medical Technology（心音医疗科技）；University of Science and Technology of China（中国科学技术大学）
Electrocardiogram (ECG) is one of the most convenient and non-invasive tools for monitoring peoples' heart condition, which can use for diagnosing a wide range of heart diseases, including Cardiac Arrhythmia, Acute Coronary Syndrome, et al. However, traditional ECG disease detection models show substantial rates of misdiagnosis due to the limitations of the abilities of extracted features. Recent deep learning methods have shown significant advantages, but they do not provide publicly available services for those who have no training data or computational resources. In this paper, we demonstra…
With tens of thousands of electrocardiogram (ECG) records processed by mobile cardiac event recorders every day, heart rhythm classification algorithms are an important tool for the continuous monitoring of patients at risk. We utilise an annotated dataset of 12,186 single-lead ECG recordings to build a diverse ensemble of recurrent neural networks (RNNs) that is able to distinguish between normal sinus rhythms, atrial fibrillation, other types of arrhythmia and signals that are too noisy to interpret. In order to ease learning over the temporal dimension, we introduce a novel task formulation…
The Ohio State University（俄亥俄州立大学）；Wuhan University of Technology（武汉理工大学）
Electrocardiogram (ECG) is a widely used reliable, non-invasive approach for cardiovascular disease diagnosis. With the rapid growth of ECG examinations and the insufficiency of cardiologists, accurate and automatic diagnosis of ECG signals has become a hot research topic. Deep learning methods have demonstrated promising results in predictive healthcare tasks. In this paper, we developed a deep neural network for multi-label classification of cardiac arrhythmias in 12-lead ECG recordings. Experiments on a public 12-lead ECG dataset showed the effectiveness of our method. The proposed model ac…
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…
HP Enterprises（惠普企业）；Indian Institute of Technology (IIT) Hyderabad（印度理工学院海得拉巴分校）
We present algorithms for the detection of a class of heart arrhythmias with the goal of eventual adoption by practicing cardiologists. In clinical practice, detection is based on a small number of meaningful features extracted from the heartbeat cycle. However, techniques proposed in the literature use high dimensional vectors consisting of morphological, and time based features for detection. Using electrocardiogram (ECG) signals, we found smaller subsets of features sufficient to detect arrhythmias with high accuracy. The features were found by an iterative step-wise feature selection metho…
Chonnam National University（全南国立大学）；University of Arkansas（阿肯色大学）；West Virginia University（西弗吉尼亚大学）
Electrocardiogram (ECG) signal is one of the most effective sources of information mainly employed for the diagnosis and prediction of cardiovascular diseases (CVDs) connected with the abnormalities in heart rhythm. Clearly, single modality ECG (i.e. time series) cannot convey its complete characteristics, thus, exploiting both time and time-frequency modalities in the form of time-series data and spectrogram is needed. Leveraging the cutting-edge self-supervised learning (SSL) technique on unlabeled data, we propose SSL-based multimodality ECG classification. Our proposed network follows SSL …
Heartbeat classification using electrocardiogram (ECG) data is a vital assistive technology for wearable health solutions. We propose heartbeat feature classification based on a novel sparse representation using time-frequency joint distribution of ECG. Fundamental to this is a multi-layer perceptron, which incorporates these signatures to detect cardiac arrhythmia. This approach is validated with ECG data from MIT-BIH arrhythmia database. Results show that our approach has an average 95.7% accuracy, an improvement of 22% over state-of-the-art approaches. Additionally, ECG sparse distributed r…
Manifold Learning for Personalized and Label-Free Detection of Cardiac Arrhythmias
Department of Electrical and Computer Engineering, Princeton University, Princeton, 08544, New Jersey, USA（电气与计算机工程系，普林斯顿大学）；Princeton Precision Health, Princeton University, Princeton, 08544, New Jersey, USA（普林斯顿精准健康，普林斯顿大学）；Omenn-Darling Bioengineering Institute, Princeton University, 35 Ivy Lane, Princeton, 08540, New Jersey, USA（Omenn-Darling生物工程研究所，普林斯顿大学）
Institute of Data Science, National University of Singapore（新加坡国立大学数据科学研究所）；School of Computing, National University of Singapore（新加坡国立大学计算学院）；National University of Singapore（新加坡国立大学）
Atrial Fibrillation (AF) is a common cardiac arrhythmia affecting a large number of people around the world. If left undetected, it will develop into chronic disability or even early mortality. However, patients who have this problem can barely feel its presence, especially in its early stage. A non-invasive, automatic, and effective detection method is therefore needed to help early detection so that medical intervention can be implemented in time to prevent its progression. Electrocardiogram (ECG), which records the electrical activities of the heart, has been widely used for detecting the p…
Electrocardiogram (ECG) is a simple non-invasive measure to identify heart-related issues such as irregular heartbeats known as arrhythmias. While artificial intelligence and machine learning is being utilized in a wide range of healthcare related applications and datasets, many arrhythmia classifiers using deep learning methods have been proposed in recent years. However, sizes of the available datasets from which to build and assess machine learning models is often very small and the lack of well-annotated public ECG datasets is evident. In this paper, we propose a deep transfer learning fra…
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 …
School of Information Science and Technology, University of Science and Technology of China（中国科学技术大学信息科学技术学院）；Department of Electrocardiogram, The First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital)（中国科学技术大学附属第一医院（安徽省立医院）心电图科）
Automatic arrhythmia detection using 12-lead electrocardiogram (ECG) signal plays a critical role in early prevention and diagnosis of cardiovascular diseases. In the previous studies on automatic arrhythmia detection, most methods concatenated 12 leads of ECG into a matrix, and then input the matrix to a variety of feature extractors or deep neural networks for extracting useful information. Under such frameworks, these methods had the ability to extract comprehensive features (known as integrity) of 12-lead ECG since the information of each lead interacts with each other during training. How…
Texas A&M University（得克萨斯农工大学）；Dell Inc.（戴尔公司）；Heart Artery and Vein Center of Fresno（弗雷斯诺心脏动脉与静脉中心）
Recent introduction of wearable single-lead ECG devices of diverse configurations has caught the intrigue of the medical community. While these devices provide a highly affordable support tool for the caregivers for continuous monitoring and to detect acute conditions, such as arrhythmia, their utility for cardiac diagnostics remains limited. This is because clinical diagnosis of many cardiac pathologies is rooted in gleaning patterns from synchronous 12-lead ECG. If synchronous 12-lead signals of clinical quality can be synthesized from these single-lead devices, it can transform cardiac care…
NYU Langone Health（纽约大学朗格尼医学中心）；Evidation Health, Inc.（Evidation健康公司）；Center for Data Science, New York University（纽约大学数据科学中心）；Courant Institute of Mathematics, New York University（纽约大学库朗数学研究所）
In recent years, the electrocardiogram (ECG) has seen a large diffusion in both medical and commercial applications, fueled by the rise of single-lead versions. Single-lead ECG can be embedded in medical devices and wearable products such as the injectable Medtronic Linq monitor, the iRhythm Ziopatch wearable monitor, and the Apple Watch Series 4. Recently, deep neural networks have been used to automatically analyze ECG tracings, outperforming even physicians specialized in cardiac electrophysiology in detecting certain rhythm irregularities. However, deep learning classifiers have been shown…
Zhejiang University（浙江大学）；The First Affiliated Hospital of University of Science and Technology of China（中国科学技术大学附属第一医院）；HeartVoice Medical Technology（心声医疗科技）；University of Science and Technology of China（中国科学技术大学）；Peking University（北京大学）
With the development of deep learning-based methods, automated classification of electrocardiograms (ECGs) has recently gained much attention. Although the effectiveness of deep neural networks has been encouraging, the lack of information given by the outputs restricts clinicians' reexamination. If the uncertainty estimation comes along with the classification results, cardiologists can pay more attention to "uncertain" cases. Our study aims to classify ECGs with rejection based on data uncertainty and model uncertainty. We perform experiments on a real-world 12-lead ECG dataset. First, we es…
ETH Zürich（苏黎世联邦理工学院）；University of Bologna（博洛尼亚大学）；Huawei Technologies（华为技术有限公司）
Personalized ubiquitous healthcare solutions require energy-efficient wearable platforms that provide an accurate classification of bio-signals while consuming low average power for long-term battery-operated use. Single lead electrocardiogram (ECG) signals provide the ability to detect, classify, and even predict cardiac arrhythmia. In this paper, we propose a novel temporal convolutional network (TCN) that achieves high accuracy while still being feasible for wearable platform use. Experimental results on the ECG5000 dataset show that the TCN has a similar accuracy (94.2%) score as the state…
Electrocardiogram (ECG) can be reliably used as a measure to monitor the functionality of the cardiovascular system. Recently, there has been a great attention towards accurate categorization of heartbeats. While there are many commonalities between different ECG conditions, the focus of most studies has been classifying a set of conditions on a dataset annotated for that task rather than learning and employing a transferable knowledge between different tasks. In this paper, we propose a method based on deep convolutional neural networks for the classification of heartbeats which is able to ac…
Investigation on the electrocardiogram (ECG) signals is an essential way to diagnose heart disease since the ECG process is noninvasive and easy to use. This work presents a supraventricular arrhythmia prediction model consisting of a few stages, including filtering of noise, a unique collection of ECG characteristics, and automated learning classifying model to classify distinct types, depending on their severity. We de-trend and de-noise a signal to reduce noise to better determine functionality before extractions are performed. After that, we present one R-peak detection method and Q-S dete…
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…
Toward Energy-Efficient and Low-Power Arrhythmia Detection for Wearable Devices
Computer Architecture for Embedded Systems, University of Twente, The Netherlands（嵌入式系统计算机架构，特文特大学，荷兰）；Biomedical Signals and Systems, University of Twente, The Netherlands（生物医学信号与系统，特文特大学，荷兰）；Faculty of Science, Computer Science, Vrije Universiteit Amsterdam, The Netherlands（科学学院，计算机科学，阿姆斯特丹自由大学，荷兰）
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…
Amplitude-Phase Fusion for Enhanced Electrocardiogram Morphological Analysis
Fudan University（复旦大学）；Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University（复旦大学附属中山医院上海市心血管病研究所）；Zhongshan Hospital, Fudan University（复旦大学附属中山医院）；University of Shanghai for Science and Technology（上海理工大学）
The University of Tennessee（田纳西大学）；University of Oklahoma Health Sciences Center（俄克拉荷马大学健康科学中心）
Cardiac disease is the leading cause of death in the US. Accurate heart disease detection is of critical importance for timely medical treatment to save patients' lives. Routine use of electrocardiogram (ECG) is the most common method for physicians to assess the electrical activities of the heart and detect possible abnormal cardiac conditions. Fully utilizing the ECG data for reliable heart disease detection depends on developing effective analytical models. In this paper, we propose a two-level hierarchical deep learning framework with Generative Adversarial Network (GAN) for automatic diag…
