Arrhythmia Classification Research Articles

Clinical findings from a large endo-epicardial atrial arrhythmia ablation registry

Abstract Background Despite advances, catheter ablation success rates for persistent AF remain at 50-60%. The approach for recurrent persistent AF, beyond pulmonary vein isolation, remains contentious. Surgical maze procedures have demonstrated superior outcomes compared to catheter ablation. Catheter-based linear lesions sets have failed to demonstrate efficacy, perhaps due to a lack of consistent transmurality with endocardial radiofrequency. Objective We report our safety and clinical data of an endo-epicardial approach using high-power radiofrequency ablation for atrial arrhythmias. Methods 126 patients (80% male; mean age 65 years [43-81]) underwent redo ablation, between August 2020 and February 2024, for recurrent symptomatic atrial arrhythmias using an endo-epicardial approach. We used a standardised linear lesion set (posterior wall isolation and anterior mitral line) for recurrent persistent AF. Results Utilising an intentional coronary sinus exit and C02 insufflation technique, we achieved epicardial access in 121 anti-coagulated patients. 5 patients were found to have pericardial adhesions, prohibiting access. There were 2 LIMA punctures which were coiled, 2 cases of excess pericardial bleeding (not access related), that settled conservatively, and no surgery or death. 92% of patients received epicardial ablation. 86 anterior mitral lines (95% acute block, 79% with epi ablation), 88 roof lines (92% blocked, 50% with epi ablation) and 81 floor lines (98% blocked, 36% with epi ablation) were undertaken. 106 posterior wall isolations were performed (94% isolated, 51% epi ablation). 75 patients had a standardised lesion set and were included for recurrence analysis. 49 had persistent AF (71% male, mean age 65 years, mean LAVI 38 ml/m2, 26 PVI at baseline and 23 PV reconnections) and 26 longstanding persistent AF (92% male, median age 64 years, mean LAVI 37.1 mls/m2, 16 PVI at baseline and 10 PV reconnections). 82% with persistent AF (median follow up time 11 months) and 38% with longstanding persistent AF (median follow up time 10.1 months) maintained sinus rhythm. The submitted image demonstrates the freedom from persistent AF, for the cohort who are beyond the 3-month blanking period, as per classification of atrial arrhythmia. Conclusion In one the largest cohorts to date, we have shown that endo-epicardial atrial ablation is feasible and safe with epicardial ablation allowing improved transmurality and thus acute linear block. Clinical outcomes, using a posterior wall isolation and anterior mitral line, were favourable for persistent but not longstanding persistent AF.

Dynamics of changes in heart rate, ST segment and T-wave on patients with ventricular rhythm disturbances on the background of type 2 diabetes mellitus according to the results of 24-hour cardiac monitoring

The aim of the study was to analyze the dynamics of heart rate, assess the morphogenesis of the ST segment and T wave in patients with ventricular arrhythmias associated with type 2 diabetes mellitus (type 2 DM) based on the results of daily cardiac monitoring against the background of two regimens of metabolitotropic treatment. The study included 133 patients with type 2 DM with ventricular arrhythmias. The inclusion criteria for the study were: moderately severe type 2 diabetes in the stage of sub-/compensation on the background of combined glucose-lowering therapy without insulin, the presence of ventricular arrhythmias of classes III–V according to Lown B. and Wolf M. (1971). By random sampling, patients were randomized into 3 observation groups, statistically homogeneous in age, sex, duration of the diabetic syndrome, classes of ventricular arrhythmias. Patients of the 1st group (n = 44) received amiodarone and beta-blocker. Patients of the 2nd group (n = 45) received the same antiarrhythmic treatment, but in combination with meldonium for 3 consecutive months with the next 3-month course repeated after 6 months. Representatives of the 3rd group (n = 44) received treatment with amiodarone, beta-blocker and trimetazidine of the same duration. 24-hour ECG monitoring was performed at baseline, 3 months later, and 1 year later. Statistica 6.0 software was used for statistical processing. The examination revealed tachycardia syndrome and signs of pain and painless myocardial ischemia. It has been established that ventricular arrhythmias in type 2 DM are of a secondary nature, largely dependent on ischemic manifestations. Trimetazidine compared with meldonium showed a greater anti-ischemic effect, which made it possible to obtain a better antiarrhythmic effect. Trimetazidine is considered as one of the justified components of the treatment of ventricular arrhythmias of ischemic origin in patients with type 2 DM.

A dual-branch convolutional neural network with domain-informed attention for arrhythmia classification of 12-lead electrocardiograms

The automatic classification of arrhythmia is an important task in the intelligent auxiliary diagnosis of an electrocardiogram. Its efficiency and accuracy are vital for practical deployment and applications in the medical field. For the 12-lead electrocardiogram, we know that the comprehensive utilization of lead characteristics is key to enhancing diagnostic accuracy. However, existing classification methods (1) neglect the similarities and differences between the limb lead group and the precordial lead group; (2) the commonly adopted attention mechanisms struggle to capture the domain characteristics in an electrocardiogram. To address these issues, we propose a new dual-branch convolutional neural network with domain-informed attention, which is novel in two ways. First, it adopts a dual-branch network to extract intra-group similarities and inter-group differences of limb and precordial leads. Second, it proposes a domain-informed attention mechanism to embed the critical domain knowledge of electrocardiogram, multiple RR (R wave to R wave) intervals, into coordinated attention to adaptively assign attention weights to key segments, thereby effectively capturing the characteristics of the electrocardiogram domain. Experimental results show that our method achieves an F1-score of 0.905 and a macro area under the curve of 0.936 on two widely used large-scale datasets, respectively. Compared to state-of-the-art methods, our method shows significant performance improvements with a drastic reduction in model parameters.

A hybrid deep learning network for automatic diagnosis of cardiac arrhythmia based on 12-lead ECG

Cardiac arrhythmias are the leading cause of death and pose a huge health and economic burden globally. Electrocardiography (ECG) is an effective technique for the diagnosis of cardiovascular diseases because of its noninvasive and cost-effective advantages. However, traditional ECG analysis relies heavily on the clinical experience of physicians, which can be challenging and time-consuming to produce valid diagnostic results. This work proposes a new hybrid deep learning model that combines convolutional neural network (CNN) and bidirectional gated recurrent unit (BiGRU) with multi-head attention (CBGM model). Specifically, the model consists of seven convolutional layers with varying filter sizes (4, 16, 32, and 64) and three pooling layers, respectively, while the BiGRU module includes two layers with 64 units each followed by multi-head attention (8-heads). The combination of CNN and BiGRU effectively captures spatio-temporal features of ECG signals, with multi-head attention comprehensively extracted global correlations among multiple segments of ECG signals. The validation in the MIT-BIH arrhythmia database achieved an accuracy of 99.41%, a precision of 99.15%, a specificity of 99.68%, and an F1-Score of 99.21%, indicating its robust performance across different evaluation metrics. Additionally, the model’s performance was evaluated on the PTB Diagnostic ECG Database, where it achieved an accuracy of 98.82%, demonstrating its generalization capability. Comparative analysis against previous methods revealed that our proposed CBGM model exhibits more higher performance in automatic classification of arrhythmia and can be helpful for assisting clinicians by enabling real-time detection of cardiac arrhythmias during routine ECG screenings.

ElectrApp: Deep learning framework to enhance cardiac arrhythmia detection

Abstract Medical specialists who diagnose patients with cardiovascular arrhythmias are not promptly available in rural areas. The proposed information system provides access to upload the data to a cloud-based processing module in which different arrhythmias are classified, allowing the classification of various arrhythmias to solve the scarcity of physicians in remote areas through an automatic system that helps with the diagnosis. This information system has a controller module for the operation that manages data collection, processing, beautification and visualization tasks. We used the MIT-BIH Arrhythmia Database during the training and validation of the classification module. The module uses deep learning to identify five different types of heartbeats according to standards, reporting 98.9% accuracy. The information system will improve health coverage in the prediagnosis of cardiovascular diseases.

Unveiling the mystery of the female heart's rhythm: a look into gender inequalities in electrophysiology.

This review explores gender disparities in cardiac electrophysiology, highlighting differences in the electrical activity of the heart between men and women. It emphasizes the importance of understanding these variances for correct diagnosis and effective treatment of cardiac arrhythmias. Women show distinct cardiac characteristics influenced by sex hormones, affecting their susceptibility to various arrhythmias. The manuscript covers the classification, mechanisms, and management of arrhythmias in women, considering factors such as pregnancy and menopause. By addressing these gender-specific nuances, it aims to improve healthcare practices and outcomes for female patients with cardiac rhythm disorders.

MULTI-LEVEL CLASSIFICATION BASED ON DEEP LEARNING FOR ACCURATE RISK STRATIFICATION OF ARRHYTHMIAS

Arrhythmias, also known as irregular heartbeats, are important health problems that must be accurately identified to diagnose and treat cardiovascular disease. Within the scope of this study, a network for classifying arrhythmias, which are important in the diagnosis and treatment of cardiovascular diseases, was proposed by using one-dimensional convolutional neural network (1D CNN), one of the deep learning techniques. With the proposed 1D-CNN architecture, arrhythmia types and normal rhythm ECGs were subjected to a more detailed examination from general to specific according to urgency situations. In the classifications made, first of all, a binary classification was made and an evaluation was made as whether there was a life risk or not. In triple, quadruple and six-fold classification, the detection of arrhythmia status is detailed. More complex classifications have helped to define different types of arrhythmias in more detail. This study proposes a deep learning network for automatic identification and classification of arrhythmias and shows that different arrhythmia conditions can be diagnosed with a single network model by applying the proposed network structure to multi-class arrhythmia disorders.

FPGA‐Based Implementation of Real‐Time Cardiologist‐Level Arrhythmia Detection and Classification in Electrocardiograms Using Novel Deep Learning

ABSTRACTCardiac arrhythmia refers to irregular heartbeats caused by anomalies in electrical transmission in the heart muscle, and it is an important threat to cardiovascular health. Conventional monitoring and diagnosis still depend on the laborious visual examination of electrocardiogram (ECG) devices, even though ECG signals are dynamic and complex. This paper discusses the need for an automated system to assist clinicians in efficiently recognizing arrhythmias. The existing machine‐learning (ML) algorithms have extensive training cycles and require manual feature selection; to eliminate this, we present a novel deep learning (DL) architecture. Our research introduces a novel approach to ECG classification by combining the vision transformer (ViT) and the capsule network (CapsNet) into a hybrid model named ViT‐Cap. We conduct necessary preprocessing operations, including noise removal and signal‐to‐image conversion using short‐time Fourier transform (SIFT) and continuous wavelet transform (CWT) algorithms, on both normal and abnormal ECG data obtained from the MIT‐BIH database. The proposed model intelligently focuses on crucial features by leveraging global and local attention to explore spectrogram and scalogram image data. Initially, the model divides the images into smaller patches and linearly embeds each patch. Features are then extracted using a transformer encoder, followed by classification using the capsule module with feature vectors from the ViT module. Comparisons with existing conventional models show that our proposed model outperforms the original ViT and CapsNet in terms of classification accuracy for both binary and multi‐class ECG classification. The experimental findings demonstrate an accuracy of 99% on both scalogram and spectrogram images. Comparative analysis with state‐of‐the‐art methodologies confirms the superiority of our framework. Additionally, we configure a field‐programmable gate array (FPGA) to implement the proposed model for real‐time arrhythmia classification, aiming to enhance user‐friendliness and speed. Despite numerous suggestions for high‐performance FPGA accelerators in the literature, our FPGA‐based accelerator utilizes optimization of loop parallelization, FP data, and multiply accumulation (MAC) unit. Our accelerator architecture achieves a 57% reduction in processing time and utilizes fewer resources compared to a floating‐point (FlP) design.

An Arrhythmia Classification Model Based on a CNN-LSTM-SE Algorithm

Arrhythmia is the main cause of sudden cardiac death, and ECG signal analysis is a common method for the noninvasive diagnosis of arrhythmia. In this paper, we propose an arrhythmia classification model based on the combination of a channel attention mechanism (SE module), convolutional neural network (CNN), and long short-term memory neural network (LSTM). The data of this model use the MIT-BIH arrhythmia database, and after noise reduction of raw ECG data by the EEMD denoising algorithm, a CNN-LSTM is used to learn features from the data, and the fusion channel attention mechanism is used to adjust the weight of the feature map. The CNN-LSTM-SE model is compared with the LSTM, CNN-LSTM, and LSTM-attention models, and the models are evaluated using Precision, Recall, and F1-Score. The classification performance of the tested CNN-LSTM-SE classification prediction model is better, with a classification accuracy of 98.5%, a classification precision rate of more than 97% for each label, a recall rate of more than 98%, and an F1-score of more than 0.98. It meets the requirements of arrhythmia classification prediction and has a certain practical value.

AOCBLS: A novel active and online learning system for ECG arrhythmia classification with less labeled samples

Electrocardiogram (ECG) is a pivotal determinant of cardiac arrhythmia. In practice, ECG data are often acquired as continuous unlabeled chunks with high labeling costs and severe class imbalances. This poses formidable challenges to existing offline learning methods. To address these issues, we propose a novel model called active online class-specific broad learning system (AOCBLS) to learn streaming imbalanced ECG and classify arrhythmias. First, a two-stage active learning strategy combining diversity and uncertainty queries was designed to select the most valuable beats from the current chunk for further labeling and learning, thereby reducing labeling costs. Subsequently, a stable training weight update rule was developed to address the dynamic imbalances in the streaming data. Finally, an incremental learning algorithm was proposed to update network weights online using selected beats, eliminating the need for retraining from scratch. Thus, the AOCBLS can effectively learn online from imbalanced data streams with less label information. Intra-patient experiments on the benchmark MIT-BIH arrhythmia database showed our model achieved an overall accuracy of 99.10% and a G-mean of 96.35% in identifying the four AAMI-recommended beat types, with only 10% additional annotation, outperforming advanced methods at lower labeling cost. Additionally, patient-specific experimental results on the benchmark database and two other databases, INCARTDB and SVDB, suggest the potential of AOCBLS for personalized ECG monitoring on portable devices.

Classification of imbalanced ECGs through segmentation models and augmented by conditional diffusion model.

Electrocardiograms (ECGs) provide essential data for diagnosing arrhythmias, which can potentially cause serious health complications. Early detection through continuous monitoring is crucial for timely intervention. The Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) arrhythmia dataset employed for arrhythmia analysis research comprises imbalanced data. It is necessary to create a robust model independent of data imbalances to classify arrhythmias accurately. To mitigate the pronounced class imbalance in the MIT-BIH arrhythmia dataset, this study employs advanced augmentation techniques, specifically variational autoencoder (VAE) and conditional diffusion, to augment the dataset. Furthermore, accurately segmenting the continuous heartbeat dataset into individual heartbeats is crucial for confidently detecting arrhythmias. This research compared a model that employed annotation-based segmentation, utilizing R-peak labels, and a model that utilized an automated segmentation method based on a deep learning model to segment heartbeats. In our experiments, the proposed model, utilizing MobileNetV2 along with annotation-based segmentation and conditional diffusion augmentation to address minority class, demonstrated a notable 1.23% improvement in the F1 score and 1.73% in the precision, compared to the model classifying arrhythmia classes with the original imbalanced dataset. This research presents a model that accurately classifies a wide range of arrhythmias, including minority classes, moving beyond the previously limited arrhythmia classification models. It can serve as a basis for better data utilization and model performance improvement in arrhythmia diagnosis and medical service research. These achievements enhance the applicability in the medical field and contribute to improving the quality of healthcare services by providing more sophisticated and reliable diagnostic tools.

Review on spiking neural network-based ECG classification methods for low-power environments.

This paper reviews arrhythmia classification studies using electrocardiogram (ECG) signals. Research on automatically diagnosing arrhythmia in daily life has been actively underway for early detection and treatment of heart disease. Development of automatic arrhythmia classification using ECG signal began based on handcrafted morphological feature extraction and machine learning-based classification methods. As deep neural networks (DNN) show excellent performance in the signal processing field, studies using various types of DNN are also being conducted in ECG classification. However, these DNN-based studies have extremely high computational complexity, making it challenging to perform real-time classification, and are unsuitable for low-power environments such as wearable devices due to high power consumption. Currently, research based on spiking neural network (SNN), which mimics the low-power operation of the human nervous system, is attracting attention as a method that can dramatically reduce complexity and power consumption. The classification accuracy of the SNN-based ECG classification studies is close to that of the DNN-based studies. When combined with neuromorphic hardware, it shows ultra-low-power performance, suggesting the possibility of use in lightweight devices. In this paper, the SNN-based ECG classification studies for low-power environments are mainly reviewed, and prior to this, conventional and DNN-based ECG classification studies are also reviewed. We hope that this review will be helpful to researchers and engineers interested in the field of ECG classification.

The emergence of deep learning as the current state of art for classification and risk assessment of ventricular arrhythmias.

The emergence of deep learning as the current state of art for classification and risk assessment of ventricular arrhythmias.

Temporal attention network for CNNE model of variable-length ECG signals in early arrhythmia detection

<p>Cardiac arrhythmia identification and categorization are crucial for prompt treatment and better patient outcomes. Arrhythmia identification is the main focus of this study's temporal attention network (TAN)-based multiclass categorization of varied-length electrocardiogram (ECG) data. The suggested TAN is designed to handle variable-duration ECG signals, making it ideal for real-time monitoring. The TAN uses a dynamic snippet extraction approach to choose meaningful ECG segments to ensure the model captures essential properties despite the constraints of processing such heterogeneous data. Training and assessment use a large dataset of atrial fibrillation, ventricular, and supraventricular arrhythmias. The TAN outperforms current approaches in multiclass early arrhythmia classification and is very accurate. Concatenating EfficientNet with CNN layer helped overcome different data and variable-length signals. High accuracy: 98% of normal, 97.1% of atrial fibrillation (AF), 98% of other, and 98% of noisy using the proposed CEEC model. Early arrhythmia diagnosis has improved due to the TAN's ability to effectively identify varied-length ECG data and give interpretability. It enables quicker interventions, personalised treatment plans, and improved arrhythmia control, which can greatly benefit patient care.</p>

ECG arrhythmia classification based on the fast ant colony clustering algorithm with improved spatiotemporal feature perception ability

Electrocardiograph (ECG) is one of the most critical physiological signals used for arrhythmia diagnosis. In recent years, ECG arrhythmia classification devices consisting of multi-module sensors, clustering algorithms and neural networks play an important role in monitoring and diagnosing cardiovascular diseases. However, the commonly used ECG arrhythmia classification methods are still facing some problems such as the complex model structure and long running time. To address the above problems, this paper proposes an ECG arrhythmia classification method based on the fast ant colony clustering algorithm with improved spatiotemporal feature perception ability (SFP-FACC), which uses LSTM to fit the cluster centers and avoids the time consumption of updating the cluster centers during the classification process. The spatiotemporal feature perception ability of this model with the dynamic time warping (DTW) algorithm is improved. The classification is achieved by applying the combination of Euclidean distance and DTW. The convergence speed of the model is improved by using dynamic pheromone volatility coefficient; and finally the optimal solution of the model is determined by using radix sort. Based on the MIT-BIH arrhythmia dataset, the overall accuracy of the proposed classification method in this paper achieves 99.04 %, and even the accuracy of certain types of classification achieves 100 %, and the running time is about 3.5 times faster than that of the basic models. The experiments show that the method proposed in this paper has certain advantages.

XDTEncoder: A Deep Explainable Arrhythmia Classification Framework for Smart Healthcare

In the context of smart healthcare, the integration of multimedia and digital twin technologies has driven significant advances in telemedicine. Electrocardiogram (ECG) signals, as a part of multimedia healthcare data, provide crucial digital information about the electrical activity of the heart, which is essential for diagnosing arrhythmias and ensuring a healthy life. Arrhythmia classification is a fundamental step in analyzing ECG signals and a critical problem for diagnosing heart diseases. One key challenge in arrhythmia classification is the lack of high accuracy for classifying arrhythmia heartbeats, and another key challenge is the lack of interpretability of decision-making models. This study aims to develop a novel approach to improve the performance of arrhythmia classification while providing explainable diagnostic decision paths. We propose XDTEncoder, an explainable arrhythmia classification framework that leverages multi-level features to classify arrhythmia heartbeats while offering an explainable diagnostic decision path. XDTEncoder is novel in three aspects. (1) It constructs a human-machine collaborative knowledge representation based on the Encoder-Decoder paradigm, which allows our model to classify arrhythmias while producing decision paths for cardiologists. (2) XDTEncoder compares two encoding methods (the binary tree encoding method and the Huffman encoding method) to embed the diagnostic decision tree into the arrhythmia classification framework. (3) XDTEncoder fuses multi-level features to improve the performance of arrhythmias classification. Evaluation on 5 types of arrhythmias in the MIT-BIH database demonstrates that our new approach outperforms state-of-the-art classifiers while providing interpretability.

Enhancing Inter-Patient Performance for Arrhythmia Classification with Adversarial Learning Using Beat-Score Maps

Research on computer-aided arrhythmia classification is actively conducted, but the limited generalization capacity constrains its applicability in practical clinical settings. One of the primary challenges in deploying such techniques in real-world scenarios is the inter-patient variability and the consequent performance degradation. In this study, we leverage our previous innovation, the n-beat-score map (n-BSM), to introduce an adversarial framework to mitigate the issue of poor performance in arrhythmia classification within the inter-patient paradigm. The n-BSM is a 2D representation of the ECG signal, capturing its constituent beat characteristics through beat-score vectors derived from a pre-trained beat classifier. We employ adversarial learning to eliminate patient-dependent features during the training of the beat classifier, thereby generating the patient-independent n-BSM (PI-BSM). This approach enables us to concentrate primarily on the learning characteristics associated with beat type rather than patient-specific features. Through a beat classifier pre-trained with adversarial learning, a series of beat-score vectors are generated for the beat segments that make up a given ECG signal. These vectors are then concatenated chronologically to form a PI-BSM. Utilizing PI-BSMs as the input, an arrhythmia classifier is trained to differentiate between distinct types of rhythms. This approach yields a 14.27% enhancement in the F1-score in the MIT-BIH arrhythmia database and a 4.97% improvement in cross-database evaluation using the Chapman–Shaoxing 12-lead ECG database.

Advancing cardiac diagnostics: Exceptional accuracy in abnormal ECG signal classification with cascading deep learning and explainability analysis

Arrhythmias, cardiac rhythm disorders, demand precise diagnosis for effective treatment planning, emphasizing the crucial role of electrocardiogram (ECG) signal interpretation. While deep learning excels in ECG classification, its interpretability remains a challenge. Addressing this issue, our research introduces an innovative approach employing image-based ECG representations and cascading deep neural networks (CDNNs) to enhance arrhythmia detection precision. Initiating with the transformation of 12-lead ECG time-series data, particularly focusing on Lead II, into image-based representations using relative positioning matrices (RPM), this novel conversion captures spatial and temporal information concurrently, enriching the depth of our data analysis. Subsequently, CDNNs play a pivotal role in feature extraction, designed to automatically extract impactful features from image-based ECG representations, providing profound insights into cardiac electrical activity. Extracted features serve as inputs for the subsequent deep neural network for classification. Experimental results on the Shaoxing–Chapman ECG database, encompassing over 10,000 recordings with an 80/10/10 split, 80/20 split, 60/40 split, and 10-fold cross-validation, showcase a remarkable 100% accuracy in distinguishing between seven and four different arrhythmia classes. Incorporating SHapley Additive exPlanations (SHAP) values, our methodology offers comprehensive insights into the model’s decision-making, ensuring interpretability. Additionally, Gradient-weighted Class Activation Mapping (Grad-CAM) aids feature visualization, elucidating key features driving predictions. By amalgamating image-based representation, CDNNs, and interpretability techniques, our research not only attains exceptional classification performance but also boosts model transparency and trustworthiness. These findings hold promise for advancing arrhythmia diagnosis and enhancing interpretability in deep learning-based medical applications.

Development and Validation of a Real-Time Service Model for Noise Removal and Arrhythmia Classification Using Electrocardiogram Signals.

Arrhythmias range from mild nuisances to potentially fatal conditions, detectable through electrocardiograms (ECGs). With advancements in wearable technology, ECGs can now be monitored on-the-go, although these devices often capture noisy data, complicating accurate arrhythmia detection. This study aims to create a new deep learning model that utilizes generative adversarial networks (GANs) for effective noise removal and ResNet for precise arrhythmia classification from wearable ECG data. We developed a deep learning model that cleans ECG measurements from wearable devices and detects arrhythmias using refined data. We pretrained our model using the MIT-BIH Arrhythmia and Noise databases. Least squares GANs were used for noise reduction, maintaining the integrity of the original ECG signal, while a residual network classified the type of arrhythmia. After initial training, we applied transfer learning with actual ECG data. Our noise removal model significantly enhanced data clarity, achieving over 30 dB in a signal-to-noise ratio. The arrhythmia detection model was highly accurate, with an F1-score of 99.10% for noise-free data. The developed model is capable of real-time, accurate arrhythmia detection using wearable ECG devices, allowing for immediate patient notification and facilitating timely medical response.

Deep Learning based DWT- Bi-LSTM Classifier for Enhanced Cardiovascular Arrhythmia Classification

Nowadays heart diseases and their diagnosis have emerged as a prominent subject in health care systems, given that the heart performs a crucial role in the human body. Several computational techniques have been explored for the recognition and classification of cardiac diseases using Electrocardiogram (ECG) signals. Deep Learning (DL) is a present focus in healthcare solicitations, particularly in the classification of heartbeats in ECG signals. Many studies have utilized dissimilar DL models, including RNN (Recurrent Neural Networks), GRU (Gated Recurrent Unit), and CNN (Convolutional Neural Networks), to classify heartbeats using the MIT-BIH arrhythmia dataset. This article presents a methodical exploration of Bi-LSTM (Bi directional Long Short-Term Memory) based DL models for heartbeat classification using various quality metrics. Proposed variants include the Bi-LSTM model, demonstrating remarkable accuracy in classifying the heartbeats into five classes: Normal (N) beat, Supraventricular (S) beat, Ventricular contraction (V), Fusion beats (F), and Unclassifiable Beat (Q). The proposed technique outperforms present classifiers with Accuracy, Sensitivity, Specificity, and F1 score values of 98%, 96.9%, 97.4%, and 97.5% respectively. The simulations are conducted using MATLAB 2020a.