Abstract

Myocardial infarction (MI) is a deadly disease that threatens human life worldwide, and it is essential to save threatened lives with early detection of MI. The electrocardiogram (ECG), which records the electrical activity presented in the heart, is used for the prevention and treatment of heart disease such as MI. However, it remains a challenge to visually interpret the ECG signals because of their small amplitude and duration. Inspired by the development in computer vision, we try to explore a novel approach for automatic detection of MI by imaging ECG signals without noise removal. In this paper, the ECG time series is first transformed into images using the Gramian Angular Difference Field (GADF) method. Subsequently, the processed images are subjected to the principal component analysis network (PCANet) to extract sparse high-dimensional features, which are easy to perform well in linear classifiers. We carried out several sets of experiments to test the effectiveness of our algorithm. The overall accuracy of 99.49%, the sensitivity of 99.78%, and the specificity of 98.08% are achieved in class-oriented experiments using original ECG beats. The accuracy even rises over 1% compared with the denoising one; Moreover, we also achieved favorable performance for the patient-specific experiment (accuracy of 93.17%, sensitivity of 93.91%, and specificity of 89.20%). The results of the experiments indicate that our model is an effective way to detect MI using raw ECG signals.

Highlights

  • Myocardial infarction (MI), caused by the interruption of blood flow in the myocardial segment [1], is one of the most common cardiovascular diseases

  • To address the limitations above, we propose a novel and lightweight model based on GAF and principal component analysis network (PCANet) for MI detection

  • In this study, we put forward a novel model to detect MI automatically on the Physikalisch-Technische Bundesanstalt (PTB) database

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Summary

Introduction

Myocardial infarction (MI), caused by the interruption of blood flow in the myocardial segment [1], is one of the most common cardiovascular diseases. According to the American Health Association, approximately 720,000 Americans suffer from myocardial infarction each year [2]. Myocardial infarction is often regarded as a silent heart attack because people do not realize that they have been suffering from myocardial infarction before the heart attack. An ECG is the best way to measure and diagnose abnormal heart rhythms [3]. It consists of 12 leads (I, II, III, aVR, aVL, aVF, V1–V6), corresponding to special regions of the heart.

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