Deep learning has improved automated electrocardiogram (ECG) classification, but limited insight into prediction reliability hinders its use in safety-critical settings. This paper proposes UCTECG-Net, an uncertainty-aware hybrid architecture that combines one-dimensional convolutions and Transformer encoders to process raw ECG signals and their spectrograms jointly. Evaluated on the MIT-BIH Arrhythmia and PTB Diagnostic datasets, UCTECG-Net outperforms LSTM, CNN1D, and Transformer baselines in terms of accuracy, precision, recall and F1 score, achieving up to 98.58% accuracy on MIT-BIH and 99.14% on PTB. To assess predictive reliability, we integrate three uncertainty quantification methods (Monte Carlo Dropout, Deep Ensembles, and Ensemble Monte Carlo Dropout) into all models and analyze their behavior using an uncertainty-aware confusion matrix and derived metrics. The results show that UCTECG-Net, particularly with Ensemble or EMCD, provides more reliable and better-aligned uncertainty estimates than competing architectures, offering a stronger basis for risk-aware ECG decision support.
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…
The analysis of electrocardiogram (ECG) signals can be time consuming as it is performed manually by cardiologists. Therefore, automation through machine learning (ML) classification is being increasingly proposed which would allow ML models to learn the features of a heartbeat and detect abnormalities. The lack of interpretability hinders the application of Deep Learning in healthcare. Through interpretability of these models, we would understand how a machine learning algorithm makes its decisions and what patterns are being followed for classification. This thesis builds Convolutional Neura…
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）
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…
EXGnet: a single-lead explainable-AI guided multiresolution network with train-only quantitative features for trustworthy ECG arrhythmia classification
Dept. of Electrical and Electronic Engineering（电子与电气工程系）；Bangladesh University of Engineering and Technology（孟加拉工程与技术大学）；Dept. of Electronics & Communication Engineering（电子与通信工程系）；Khulna University of Engineering and Technology（库尔纳工程与技术大学）
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…
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…
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…
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…
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…
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）
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 …
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…
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…
Due to the recent advances in the area of deep learning, it has been demonstrated that a deep neural network, trained on a huge amount of data, can recognize cardiac arrhythmias better than cardiologists. Moreover, traditionally feature extraction was considered an integral part of ECG pattern recognition; however, recent findings have shown that deep neural networks can carry out the task of feature extraction directly from the data itself. In order to use deep neural networks for their accuracy and feature extraction, high volume of training data is required, which in the case of independent…
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…
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. …
Towards Automated Diagnosis of Inherited Arrhythmias: Combined Arrhythmia Classification Using Lead-Aware Spatial Attention Networks
University of Alberta（阿尔伯塔大学）；University of British Columbia（不列颠哥伦比亚大学）；Montreal Heart Institute（蒙特利尔心脏研究所）；London Health Sciences Center（伦敦健康科学中心）；Quebec Heart and Lung Institute（魁北克心肺研究所）；Children’s Heart Centre（儿童心脏中心）；University of Toronto（多伦多大学）；Sunnybrook Health Sciences Centre（桑尼布鲁克健康科学中心）
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…
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…
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…
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）
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…
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…
A Personalized Zero-Shot ECG Arrhythmia Monitoring System: From Sparse Representation Based Domain Adaption to Energy Efficient Abnormal Beat Detection for Practical ECG Surveillance
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。
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…
High-quality synthetic data can support the development of effective predictive models for biomedical tasks, especially in rare diseases or when subject to compelling privacy constraints. These limitations, for instance, negatively impact open access to electrocardiography datasets about arrhythmias. This work introduces a self-supervised approach to the generation of synthetic electrocardiography time series which is shown to promote morphological plausibility. Our model (ECGAN) allows conditioning the generative process for specific rhythm abnormalities, enhancing synchronization and diversi…
Objective: Global (inter-patient) ECG classification for arrhythmia detection over Electrocardiogram (ECG) signal is a challenging task for both humans and machines. The main reason is the significant variations of both normal and arrhythmic ECG patterns among patients. Automating this process with utmost accuracy is, therefore, highly desirable due to the advent of wearable ECG sensors. However, even with numerous deep learning approaches proposed recently, there is still a notable gap in the performance of global and patient-specific ECG classification performances. This study proposes a nov…
University of Nevada, Reno（内华达大学雷诺分校）；Deakin University（迪肯大学）
Electrocardiogram (ECG) acquisition requires an automated system and analysis pipeline for understanding specific rhythm irregularities. Deep neural networks have become a popular technique for tracing ECG signals, outperforming human experts. Despite this, convolutional neural networks are susceptible to adversarial examples that can misclassify ECG signals and decrease the model's precision. Moreover, they do not generalize well on the out-of-distribution dataset. The GAN architecture has been employed in recent works to synthesize adversarial ECG signals to increase existing training data. …
