The Internet of Things (IoT) in healthcare relates to implementing interconnected devices and systems for collecting and sharing healthcare information in real time. The integration of IoT in healthcare has the potential to enhance patient outcomes, reduce healthcare costs, and improve the efficacy of medical services. Electrocardiogram (ECG) is a non-invasive heart monitoring method that has become widely accessible due to user-friendly, low-cost, and lead-free wearable heart monitors. However, relying on overworked caregivers for manual monitoring is inefficient. This study develops a Comprehensive Learning Salp Swarm Algorithm with Ensemble Deep Learning (CLSSA-EDL) technique for ECG signal classification in IoT healthcare. The objective of CLSSA-EDL is to detect and classify ECG signals to support decision-making in the IoT healthcare environment. The CLSSA-EDL approach employs the DenseNet201 feature extraction method, with hyperparameters optimally selected by the CLSSA system. For ECG signal detection and classification, an ensemble model using a Stacked Autoencoder (SAE), Gated Recurrent Unit (GRU), and Long Short-Term Memory (LSTM) is utilized. The CLSSA-EDL technique was evaluated on a benchmark ECG dataset, achieving an accuracy of 98.7%, sensitivity of 97.5%, and specificity of 99.1%, demonstrating superior performance compared to recent algorithms.
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