Abstract

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 state-of-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 Fusion (MIF) and Multimodal Feature Fusion (MFF). At the input of these frameworks, we convert the raw ECG data into three different images using Gramian Angular Field (GAF), Recurrence Plot (RP) and Markov Transition Field (MTF). In MIF, we first perform image fusion by combining three imaging modalities to create a single image modality which serves as input to the Convolutional Neural Network (CNN). In MFF, we extracted features from penultimate layer of CNNs and fused them to get unique and interdependent information necessary for better performance of classifier. These informational features are finally used to train a Support Vector Machine (SVM) classifier for ECG heart-beat classification. We demonstrate the superiority of the proposed fusion models by performing experiments on PhysioNet's MIT-BIH dataset for five distinct conditions of arrhythmias which are consistent with the AAMI EC57 protocols and on PTB diagnostics dataset for Myocardial Infarction (MI) classification. We achieved classification accuracy of 99.7% and 99.2% on arrhythmia and MI classification, respectively. Source code at https://github.com/zaamad/ECG-Heartbeat-Classification-Using-Multimodal-Fusion.

Highlights

  • Electrocardiogram is a reliable, effective and non-invasive diagnostic tool and is the best representation of electrophysiological pattern of depolarization and repolarization of the heart muscles during each heartbeat

  • We address the imperfections of the existing literature and propose two fusion frameworks called Multimodal Image Fusion (MIF) and Multimodal Feature Fusion (MFF) which extract and fuse the features while reducing dimensionality as well

  • First we will explain ECG signal to image transformation and MIF, MFF and the two important elements of MFF, gated fusion network shown in Fig. 3 and architecture of Convolutional Neural Network (CNN) shown in Fig. 4, will be explained

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Summary

Introduction

Electrocardiogram is a reliable, effective and non-invasive diagnostic tool and is the best representation of electrophysiological pattern of depolarization and repolarization of the heart muscles during each heartbeat. Heart beat classification based on ECG provides conclusive information to the cardiologists about chronic cardiovascular diseases [1]. Arrhythmia is a heart rhythmic problem which occurs when electrical pulses that coordinate hearbeats cause heart to. Arrhythmias can be caused by coronary artery disease, high blood pressure, changes in the heart muscle (cardiomyopathy), valve disorders etc. Myocardial Infarction, known as heart attack, is caused due to the blockage of blood supply to the coronary arteries and in general to the myocardium. This blockage stops the supply of oxygen-rich blood to the heart muscle which can be life-threatening for the patient [3]

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