Abstract

A lightweight convolutional neural network (CNN) is presented in this study to automatically indentify atrial fibrillation (AF) from single-lead ECG recording. In contrast to existing methods employing a deeper architecture or complex feature-engineered inputs, this work presents an attempt to employ a lightweight CNN to confront current drawbacks such as higher computational requirement and inadequate training dataset, by using representative rhythms features of AF rather than raw ECG signal or hand-crafted features without any electrophysiological considerations. The experimental results suggested that this method presents the following significant advantages: (1) higher performances for indentifying AF in terms of accuracy, sensitivity, and specificity that are 97.5%, 97.8%, and 97.2%, respectively; (2) It is capable of automatically extracting the shared features of AF episodes of different patients and would be much robust and reliable; (3) with the cardiac rhythm features as input dataset, rather than complex transforming and classifying the raw data, thus requiring a lower computational resource. In conclusion, this automated method could analyze large amounts of data in a short time while assuring a relative high accuracy, and thus would potentially serve to provide a comfortable single-lead monitoring for patients and a clinical useful tool for doctors.

Highlights

  • Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in humans [1], occurring in 1 – 2% of the general population [2], increasing with each decade of life to a prevalence of 6% in the population older than 65 years [3], [4]

  • All of 23 recordings were marked by various annotations manually by expert clinicians including atrial fibrillation (AF), atrial flutter (AFL), atrial-ventricular junctional rhythm (AVJ) and all other rhythms, which was given as the golden standard to represent changes of the heart rhythm in this work

  • All of the designed lightweight convolutional neural network (CNN) ran on the deep learning framework Tensorflow 1.6, using the Microsoft Windows 7 operating system

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Summary

INTRODUCTION

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in humans [1], occurring in 1 – 2% of the general population [2], increasing with each decade of life to a prevalence of 6% in the population older than 65 years [3], [4]. We examined the performance of the proposed method in an open access database, and compared with that of other recent methods based on CNN in terms of the sensitivity, specificity, and accuracy and VOLUME 7, 2019 computation complexity This automated method could analyze large amounts of data in a short time while assure a relative high accuracy, and would potentially serve to provide a comfortable single-lead, real-time monitoring for patients and a clinical useful tool for doctors

MATERIAL AND METHODS
EVALUATION PROTOCOL
EXPERIMENTAL ENVIROMENT
OPTIMIZED LIGHTWEIGHT CNN MODELS
CONCLUSION
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