The classification of electrocardiogram (ECG) plays a crucial role in the development of an automatic cardiovascular diagnostic system. However, considerable variances in ECG signals between individuals is a significant challenge. Changes in data distribution limit cross-domain utilization of a model. In this study, we propose a solution to classify ECG in an unlabeled dataset by leveraging knowledge obtained from labeled source domain. We present a domain-adaptive deep network based on cross-domain feature discrepancy optimization. Our method comprises three stages: pre-training, cluster-centroid computing, and adaptation. In pre-training, we employ a Distributionally Robust Optimization (DRO) technique to deal with the vanishing worst-case training loss. To enhance the richness of the features, we concatenate three temporal features with the deep learning features. The cluster computing stage involves computing centroids of distinctly separable clusters for the source using true labels, and for the target using confident predictions. We propose a novel technique to select confident predictions in the target domain. In the adaptation stage, we minimize compacting loss within the same cluster, separating loss across different clusters, inter-domain cluster discrepancy loss, and running combined loss to produce a domain-robust model. Experiments conducted in both cross-domain and cross-channel paradigms show the efficacy of the proposed method. Our method achieves superior performance compared to other state-of-the-art approaches in detecting ventricular ectopic beats (V), supraventricular ectopic beats (S), and fusion beats (F). Our method achieves an average improvement of 11.78% in overall accuracy over the non-domain-adaptive baseline method on the three test datasets.
Due to the data shortage problem, which is one of the major problems in the field of machine learning, the accuracy level of many applications remains well below the expected. It prevents researchers from producing new artificial intelligence-based systems with the available data. This problem can be solved by generating new synthetic data with augmentation methods. In this study, new ECG signals are produced using MIT-BIH Arrhythmia Database by using Generative Adversarial Neural Networks (GAN), which is a modern data augmentation method. These generated data are used for training a machine l…
Institute for Biomedical Informatics（生物医学信息学研究所）；University of Kentucky Healthcare（肯塔基大学医疗中心）
Many works in biomedical computer science research use machine learning techniques to give accurate results. However, these techniques may not be feasible for real-time analysis of data pulled from live hospital feeds. In this project, different machine learning techniques are compared from various sources to find one that provides not only high accuracy but also low latency and memory overhead to be used in real-world health care systems.
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…
University of New South Wales（新南威尔士大学）；Harvard University（哈佛大学）
Electrocardiography (ECG) signal is a highly applied measurement for individual heart condition, and much effort have been endeavored towards automatic heart arrhythmia diagnosis based on machine learning. However, traditional machine learning models require large investment of time and effort for raw data preprocessing and feature extraction, as well as challenged by poor classification performance. Here, we propose a novel deep learning model, named Attention-Based Convolutional Neural Networks (ABCNN) that taking advantage of CNN and multi-head attention, to directly work on the raw ECG sig…
Electrocardiogram (ECG) is one of the non-invasive and low-risk methods to monitor the condition of the human heart. Any abnormal pattern(s) in the ECG signal is an indicative measure of malfunctioning of the heart, termed as arrhythmia. Due to the lack of human expertise and high probability to misdiagnose, computer-aided diagnosis and analysis are preferred. In this work, we perform arrhythmia detection with an optimized neural network having piecewise linear approximation based activation function to alleviate the complex computations in the traditional activation functions. Further, we pro…
Electrocardiogram (ECG) signal is a common and powerful tool to study heart function and diagnose several abnormal arrhythmias. While there have been remarkable improvements in cardiac arrhythmia classification methods, they still cannot offer acceptable performance in detecting different heart conditions, especially when dealing with imbalanced datasets. In this paper, we propose a solution to address this limitation of current classification approaches by developing an automatic heartbeat classification method using deep convolutional neural networks and sequence to sequence models. We evalu…
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…
Electrocardiogram (ECG), a technique for medical monitoring of cardiac activity, is an important method for identifying cardiovascular disease. However, analyzing the increasing quantity of ECG data consumes a lot of medical resources. This paper explores an effective algorithm for automatic classifications of multi-classes of heartbeat types based on ECG. Most neural network based methods target the individual heartbeats, ignoring the secrets embedded in the temporal sequence. And the ECG signal has temporal variation and unique individual characteristics, which means that the same type of EC…
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…
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）
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…
The classification of the electrocardiogram (ECG) signal has a vital impact on identifying heart-related diseases. This can ensure the premature finding of heart disease and the proper selection of the patient's customized treatment. However, the detection of arrhythmia is a challenging task to perform manually. This justifies the necessity of a technique for automatic detection of abnormal heart signals. Therefore, our work is based on the classification of five classes of ECG arrhythmic signals from Physionet's MIT-BIH Arrhythmia Dataset. Artificial Neural Networks (ANN) have demonstrated si…
This paper proposes a novel approach for heartbeat classification from single-lead electrocardiogram (ECG) signals based on the novel adaptive Fourier decomposition (AFD). AFD is a recently developed signal processing tool that provides useful morphological features, referred to as AFD-derived instantaneous frequency (IF) features, that are different from those provided by traditional tools. A support vector machine (SVM) classifier is trained with the AFD-derived IF features, ECG landmark features, and RR interval features. To evaluate the performance of the trained classifier, the Associatio…
This paper reports on an in-depth study of electrocardiogram (ECG) biometrics in everyday life. We collected ECG data from 20 people over a week, using a non-medical chest tracker. We evaluated user identification accuracy in several scenarios and observed equal error rates of 9.15% to 21.91%, heavily depending on 1) the number of days used for training, and 2) the number of heartbeats used per identification decision. We conclude that ECG biometrics can work in the wild but are less robust than expected based on the literature, highlighting that previous lab studies obtained highly optimistic…
Swiss Center for Electronics and Microtechnology (CSEM)（瑞士电子与微技术中心）
While most heart arrhythmias are not immediately harmful, they can lead to severe complications. In particular, atrial fibrillation, the most common arrhythmia, is characterized by fast and irregular heart beats and increases the risk of suffering a stroke. To detect such abnormal heart conditions, we propose a system composed of two main parts: a smart vest with two cooperative sensors to collect ECG data and a neural network architecture to classify heart rhythms. The smart vest uses two dry bi-electrodes to record a single lead ECG signal. The biopotential signal is then streamed via a gate…
Method: In this study, a new method is introduced for distinguishing noise-free segments of ECG from noisy segments that use sample amplitude dispersion with an adoptive threshold for variance of samples amplitude and a method which uses compatibility of detected beats in ECG and some of the other signals which are related to the heart activity such as BP, arterial pressure (ART) and pulmonary artery pressure (PAP). A prioritization is applied in other pulsatile signals based on the amplitude and clarity of the peaks on them, and a fusion strategy is employed for segments on which ECG is noisy…
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 …
The human heart is a complex system exhibiting stochastic nature, as reflected in electrocardiogram (ECG) signals. ECG signal is a weak, non-stationary, and nonlinear signal, which indicates the health of a heart in terms of temporal variations of electromagnetic pulses from the heart. Abnormal fluctuations in ECG signal invokes the possibility of various cardiovascular disorders, which is diagnosed through intuitive analysis of the ECG reports by the medical practitioners. This could be made fast, accurate, and simple by imposing advanced nonlinear tools on the recorded ECG signals. In this p…
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…
This technical paper provides a tutorial to build a low-cost (10-100 USD) and easy to assemble ECG device (ArdMob-ECG) that can be easily used for a variety of different scientific studies. The advantage of this device is that it automatically stores the data and has a built-in detection algorithm for heartbeats. Compared to a clinical ECG, this device entails a serial interface that can send triggers via USB directly to a computer and software (e.g. Unity, Matlab) with minimal delay due to its architecture. Its software and hardware is open-source and publicly available. The performance of th…
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…
Swiss Center for Electronics and Microtechnology (CSEM)（瑞士电子与微技术中心）
Except for a few specific types, cardiac arrhythmias are not immediately life-threatening. However, if not treated appropriately, they can cause serious complications. In particular, atrial fibrillation, which is characterized by fast and irregular heart beats, increases the risk of stroke. We propose three neural network architectures to detect abnormal rhythms from single-lead ECG signals. These architectures combine convolutional layers to extract high-level features pertinent for arrhythmia detection from sliding windows and recurrent layers to aggregate these features over signals of vary…
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…
University of Texas at San Antonio（德克萨斯大学圣安东尼奥分校）；Clemson University（克莱姆森大学）
ECG databases are usually highly imbalanced due to the abundance of Normal ECG and scarcity of abnormal cases. As such, deep learning classifiers trained on imbalanced datasets usually perform poorly, especially on minor classes. One solution is to generate realistic synthetic ECG signals using Generative Adversarial Networks (GAN) to augment imbalanced datasets. In this study, we combined conditional GAN with WGAN-GP and developed AC-WGAN-GP in 1D form for the first time to be applied on MIT-BIH Arrhythmia dataset. We investigated the impact of data augmentation on arrhythmia classification. …
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…
Background and Objective: Event-based analog-to-digital converters allow for sparse bio-signal acquisition, enabling local sub-Nyquist sampling frequency. However, aggressive event selection can cause the loss of important bio-markers, not recoverable with standard interpolation techniques. In this work, we leverage the self-similarity of the electrocardiogram (ECG) signal to recover missing features in event-based sampled ECG signals, dynamically selecting patient-representative templates together with a novel dynamic time warping algorithm to infer the morphology of event-based sampled heart…
Deciphering Heartbeat Signatures: A Vision Transformer Approach to Explainable Atrial Fibrillation Detection from ECG Signals
Walkky（沃基公司）；Chobanian & Avedisian School of Medicine, Boston University（波士顿大学乔巴尼亚与阿夫迪西安医学院）；Clemson University（克莱姆森大学）；Northwell Health Physician Partners（诺斯韦尔健康医师伙伴）；Lenox Hill Hospital（莱诺克斯山医院）
University of Lille（里尔大学）；ENSAIT（国立高等艺术与纺织工业学院）；GEMTEX–Laboratoire de Génie et Matériaux Textiles（纺织工程与材料实验室）；University of Kent（肯特大学）
Deep learning play a vital role in classifying different arrhythmias using the electrocardiography (ECG) data. Nevertheless, training deep learning models normally requires a large amount of data and it can lead to privacy concerns. Unfortunately, a large amount of healthcare data cannot be easily collected from a single silo. Additionally, deep learning models are like black-box, with no explainability of the predicted results, which is often required in clinical healthcare. This limits the application of deep learning in real-world health systems. In this paper, we design a new explainable a…
An electrocardiogram (ECG) feature extraction system has been developed and evaluated using Virtex-6 FPGA kit which belongs to Xilinx Ltd. In time domain, Pan-Tompkins algorithm is used for QRS detection and it is followed by a feature extractor block to extract ECG features. This whole system can be used to detect cardiac arrhythmia. The completed algorithm was implemented on Virtex-6(XC6VLX240-T) device and tested using hardware co-simulation in Modelsim and simulink environment. The software generated ECG signals are obtained from MIT-BIH arrhythmia Database [1]. The memory and time complex…
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）
Wearable electrocardiograph (ECG) recording and processing systems have been developed to detect cardiac arrhythmia to help prevent heart attacks. Conventional wearable systems, however, suffer from high energy consumption at both circuit and system levels. To overcome the design challenges, this paper proposes an event-driven compressive ECG recording and neuromorphic processing system for cardiac arrhythmia detection. The proposed system achieves low power consumption and high arrhythmia detection accuracy via system level co-design with spike-based information representation. Event-driven l…
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）
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…
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…
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 …
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…
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 …
Deep learning based ECG segmentation for delineation of diverse arrhythmias
Seoul National University（首尔大学）；Asan Medical Center, University of Ulsan College of Medicine（蔚山大学医学院附属峨山医院）；Pusan National University Hospital, Pusan National University School of Medicine（釜山大学医学院附属釜山国立大学医院）；AI Institute, Seoul National University（首尔大学人工智能研究院）；Seoul National University Hospital（首尔大学医院）；Medifarmsoft Co., Ltd.（Medifarmsoft有限公司）
本文提出一种类 U-Net 的心电图分割模型及后处理算法，用于在多种心律失常条件下准确 delineation P、QRS 和 T 波，并针对标准基准中代表性不足的心律失常提出改进策略。
Mila（米拉研究所）；Université de Montréal（蒙特利尔大学）；Icentia（Icentia公司）；Polytechnique Montréal（蒙特利尔综合理工学院）
We release the largest public ECG dataset of continuous raw signals for representation learning containing 11 thousand patients and 2 billion labelled beats. Our goal is to enable semi-supervised ECG models to be made as well as to discover unknown subtypes of arrhythmia and anomalous ECG signal events. To this end, we propose an unsupervised representation learning task, evaluated in a semi-supervised fashion. We provide a set of baselines for different feature extractors that can be built upon. Additionally, we perform qualitative evaluations on results from PCA embeddings, where we identify…
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 detectio…
The electrocardiogram (ECG) is one of the most common primary tests to evaluate the health of the heart. Reliable automatic interpretation of ECG records is crucial to the goal of improving public health. It can enable a safe inexpensive monitoring. This work presents a new methodology for morphological identification of heartbeats, which is placed outside the usual machine learning framework. The proposal considers the sparsity of the representation of a heartbeat as a parameter for morphological identification. The approach involves greedy algorithms for selecting elements from redundant dic…
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…
A language is constructed of a finite/infinite set of sentences composing of words. Similar to natural languages, Electrocardiogram (ECG) signal, the most common noninvasive tool to study the functionality of the heart and diagnose several abnormal arrhythmias, is made up of sequences of three or four distinct waves including the P-wave, QRS complex, T-wave and U-wave. An ECG signal may contain several different varieties of each wave (e.g., the QRS complex can have various appearances). For this reason, the ECG signal is a sequence of heartbeats similar to sentences in natural languages) and …
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 …
