Abstract

Heartbeat classification is an important step in the early-stage detection of cardiac arrhythmia, which has been identified as a type of cardiovascular diseases (CVDs) affecting millions of people around the world. The current progress on heartbeat classification from ECG recordings is facing a challenge to achieve high classification sensitivity on disease heartbeats with a satisfied overall accuracy. Most of the work take individual heartbeats as independent data samples in processing. Furthermore, the use of a static feature set for classification of all types of heartbeats often causes distractions when identifying supraventricular (S) ectopic beats. In this work, a pyramid-like model is proposed to improve the performance of heartbeat classification. The model distinguishes the classification of normal and S beats and takes advantage of the neighbor-related information to assist identification of S bests. The proposed model was evaluated on the benchmark MIT-BIH-AR database and the St. Petersburg Institute of Cardiological Technics(INCART) database for generalization performance measurement. The results reported prove that the proposed pyramid-like model exhibits higher performance than the state-of-the-art rivals in the identification of disease heartbeats as well as maintains a reasonable overall classification accuracy.

Highlights

  • An electrocardiogram (ECG) is a recording of the electrical activity of the heart over a period of time

  • The performance is evaluated by sensitivity (Se), positive predictive value (+P) and accuracy value (Acc) as follows, where TP, TN, FP and FN denotes true positive, true negative, false positive and false negative, respectively, and ∑ represents the amount of instances in the data set

  • It should be noted that penalties would not be applied for the misclassification of class F and Q, as recommended by the Advancement of Medical Instrumentation (AAMI) standard

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Summary

Introduction

An electrocardiogram (ECG) is a recording of the electrical activity of the heart over a period of time. It provides a noninvasive and inexpensive way for studying the heart. Heartbeat classification is one of the important fields in ECG analysis. The Association for Advancement of Medical Instrumentation (AAMI) categorized heartbeats into 5 classes: Normal(N), Supraventricular (S) ectopic, Ventricular (V) ectopic, Fusion (F) and Unknown (Q) beats [1]. Heartbeat classification is an essential step toward identifying arrhythmias. Arrhythmias can be divided as lifethreatening and non-life-threatening ones [2]. Ventricular fibrillation and tachycardia are life-threatening arrhythmias, which are fatal and require medical attention immediately. Non-life-threatening arrhythmias, such as atrial fibrillation, just present a chronic

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