Electrocardiogram Dataset Research Articles

A MIL-based framework via contrastive instance learning and multimodal learning for long-term ECG classification

Recently, deep learning-based models are widely employed for electrocardiogram (ECG) classification. However, classifying long-term ECGs, which contain vast amounts of data, is challenging. Due to the limitation of memory with respect to the original data size, preprocessing techniques such as resizing or cropping are often applied, leading to information loss. Therefore, introducing multi-instance learning (MIL) to address long-term ECG classification problems is crucial. However, a major drawback of employing MIL is the destruction of sample integrity, which consequently hinders the interaction among instances. To tackle this challenge, we proposed a multimodal MIL neural network named CIMIL, which consists of three key components: an instance interactor, a feature fusion method based on attention mechanisms, and a multimodal contrastive instance loss. First, we designed an instance interactor to improve the interaction and keep continuity among instances. Second, we proposed a novel feature fusion method based on attention mechanisms to effectively aggregate multimodal instance features for final classification, which selects key instances within each class, not only enhances the performance of our model but also reduces the number of parameters. Third, a multimodal contrastive instance loss is proposed to enhance the model’s ability to distinguish positive and negative multimodal instances. Finally, we evaluated CIMIL on both intrapatient and interpatient patterns of two commonly used ECG datasets. The experimental results show that the proposed CIMIL outperforms existing state-of-the-art methods on long-term ECG tasks.

A flexible and fast digital twin for RRAM systems applied for training resilient neural networks

Resistive Random Access Memory (RRAM) has gained considerable momentum due to its non-volatility and energy efficiency. Material and device scientists have been proposing novel material stacks that can mimic the “ideal memristor” which can deliver performance, energy efficiency, reliability and accuracy. However, designing RRAM-based systems is challenging. Engineering a new material stack, designing a device, and experimenting takes significant time for material and device researchers. Furthermore, the acceptability of the device is ultimately decided at the system level. We see a gap here where there is a need for facilitating material and device researchers with a “push button” modeling framework that allows to evaluate the efficacy of the device at system level during early device design stages. Speed, accuracy, and adaptability are the fundamental requirements of this modelling framework. In this paper, we propose a digital twin (DT)-like modeling framework that automatically creates RRAM device models from device measurement data. Furthermore, the model incorporates the peripheral circuit to ensure accurate energy and performance evaluations. We demonstrate the DT generation and DT usage for multiple RRAM technologies and applications and illustrate the achieved performance of our GPU implementation. We conclude with the application of our modeling approach to measurement data from two distinct fabricated devices, validating its effectiveness in a neural network processing an Electrocardiogram (ECG) dataset and incorporating Fault Aware Training (FAT).

Evaluation of the performance of a machine learning based atrial fibrillation screening algorithm using an oscillometric blood pressure monitor

Blood pressure monitors (BPMs) with atrial fibrillation (AFib) detection function can be used to detect AFib early. However, conventional algorithms require multiple BP measurements. Here, the feasibility of a machine-learning-based approach for AFib detection through single BP measurement was evaluated. First, a custom AdaBoost-based software, which analyzes the pulse-to-pulse interval (PPI) pattern and classifies it based on AFib detection, was created. Then, its classification performance was validated. For the validation study, PPI and standard 12-lead electrocardiogram (ECG) datasets were collected from 79 and 92 Japanese participants with and without AFib, respectively. PPI data were obtained using two different BPMs. All ECG results were interpreted by cardiologists. The custom software output for the PPI dataset and ECG interpreted results was compared, and the sensitivity and specificity were calculated. A sensitivity and specificity for PPI from main device were 97.5% (95% confidence interval [CI] 91.2–99.3%) and 98.9 (95% CI 94.1–99.8), respectively. No significant differences in sensitivity and specificity were observed in the subgroup analysis between different devices, age groups, and arm size groups. These results reflect the high accuracy and robustness of this AFib algorithm using a single BP measurement and supports its use for widespread AFib screening.

Visual interpretation of deep learning model in ECG classification: A comprehensive evaluation of feature attribution methods

Feature attribution methods can visually highlight specific input regions containing influential aspects affecting a deep learning model's prediction. Recently, the use of feature attribution methods in electrocardiogram (ECG) classification has been sharply increasing, as they assist clinicians in understanding the model's decision-making process and assessing the model's reliability. However, a careful study to identify suitable methods for ECG datasets has been lacking, leading researchers to select methods without a thorough understanding of their appropriateness. In this work, we conduct a large-scale assessment by considering eleven popular feature attribution methods across five large ECG datasets using a model based on the ResNet-18 architecture. Our experiments include both automatic evaluations and human evaluations. Annotated datasets were utilized for automatic evaluations and three cardiac experts were involved for human evaluations. We found that Guided Grad-CAM, particularly when its absolute values are utilized, achieves the best performance. When Guided Grad-CAM was utilized as the feature attribution method, cardiac experts confirmed that it can identify diagnostically relevant electrophysiological characteristics, although its effectiveness varied across the 17 different diagnoses that we have investigated.

A coordinated adaptive multiscale enhanced spatio-temporal fusion network for multi-lead electrocardiogram arrhythmia detection

The multi-lead electrocardiogram (ECG) is widely utilized in clinical diagnosis and monitoring of cardiac conditions. The advancement of deep learning has led to the emergence of automated multi-lead ECG diagnostic networks, which have become essential in the fields of biomedical engineering and clinical cardiac disease diagnosis. Intelligent ECG diagnosis techniques encompass Recurrent Neural Networks (RNN), Transformers, and Convolutional Neural Networks (CNN). While CNN is capable of extracting local spatial information from images, it lacks the ability to learn global spatial features and temporal memory features. Conversely, RNN relies on time and can retain significant sequential features. However, they are not proficient in extracting lengthy dependencies of sequence data in practical scenarios. The self-attention mechanism in the Transformer model has the capability of global feature extraction, but it does not adequately prioritize local features and cannot extract spatial and channel features. This paper proposes STFAC-ECGNet, a model that incorporates CAMV-RNN block, CBMV-CNN block, and TSEF block to enhance the performance of the model by integrating the strengths of CNN, RNN, and Transformer. The CAMV-RNN block incorporates a coordinated adaptive simplified self-attention module that adaptively carries out global sequence feature retention and enhances spatial–temporal information. The CBMV-CNN block integrates spatial and channel attentional mechanism modules in a skip connection, enabling the fusion of spatial and channel information. The TSEF block implements enhanced multi-scale fusion of image spatial and sequence temporal features. In this study, comprehensive experiments were conducted using the PTB-XL large publicly available ECG dataset and the China Physiological Signal Challenge 2018 (CPSC2018) database. The results indicate that STFAC-ECGNet surpasses other cutting-edge techniques in multiple tasks, showcasing robustness and generalization.

LDCNN: A new arrhythmia detection technique with ECG signals using a linear deep convolutional neural network.

The electrocardiogram (ECG) is a fundamental and widely used tool for diagnosing cardiovascular diseases. It involves recording cardiac electrical signals using electrodes, which illustrate the functioning of cardiac muscles during contraction and relaxation phases. ECG is instrumental in identifying abnormal cardiac activity, heart attacks, and various cardiac conditions. Arrhythmia detection, a critical aspect of ECG analysis, entails accurately classifying heartbeats. However, ECG signal analysis demands a high level of expertise, introducing the possibility of human errors in interpretation. Hence, there is a clear need for robust automated detection techniques. Recently, numerous methods have emerged for arrhythmia detection from ECG signals. In our research, we developed a novel one-dimensional deep neural network technique called linear deep convolutional neural network (LDCNN) to identify arrhythmias from ECG signals. We compare our suggested method with several state-of-the-art algorithms for arrhythmia detection. We evaluate our methodology using benchmark datasets, including the PTB Diagnostic ECG and MIT-BIH Arrhythmia databases. Our proposed method achieves high accuracy rates of 99.24% on the PTB Diagnostic ECG dataset and 99.38% on the MIT-BIH Arrhythmia dataset.

MI-CSBO: a hybrid system for myocardial infarction classification using deep learning and Bayesian optimization

Myocardial Infarction (MI) refers to damage to the heart tissue caused by an inadequate blood supply to the heart muscle due to a sudden blockage in the coronary arteries. This blockage is often a result of the accumulation of fat (cholesterol) forming plaques (atherosclerosis) in the arteries. Over time, these plaques can crack, leading to the formation of a clot (thrombus), which can block the artery and cause a heart attack. Risk factors for a heart attack include smoking, hypertension, diabetes, high cholesterol, metabolic syndrome, and genetic predisposition. Early diagnosis of MI is crucial. Thus, detecting and classifying MI is essential. This paper introduces a new hybrid approach for MI Classification using Spectrogram and Bayesian Optimization (MI-CSBO) for Electrocardiogram (ECG). First, ECG signals from the PTB Database (PTBDB) were converted from the time domain to the frequency domain using the spectrogram method. Then, a deep residual CNN was applied to the test and train datasets of ECG imaging data. The ECG dataset trained using the Deep Residual model was then acquired. Finally, the Bayesian approach, NCA feature selection, and various machine learning algorithms (k-NN, SVM, Tree, Bagged, Naïve Bayes, Ensemble) were used to derive performance measures. The MI-CSBO method achieved a 100% correct diagnosis rate, as detailed in the Experimental Results section.

Open-world electrocardiogram classification via domain knowledge-driven contrastive learning

Automatic electrocardiogram (ECG) classification provides valuable auxiliary information for assisting disease diagnosis and has received much attention in research. The success of existing classification models relies on fitting the labeled samples for every ECG type. However, in practice, well-annotated ECG datasets usually cover only limited ECG types. It thus raises an issue: conventional classification models trained with limited ECG types can only identify those ECG types that have already been observed in the training set, but fail to recognize unseen (or unknown) ECG types that exist in the wild and are not included in training data. In this work, we investigate an important problem called open-world ECG classification that can predict fine-grained observed ECG classes and identify unseen classes. Accordingly, we propose a customized method that first incorporates clinical knowledge into contrastive learning by generating “hard negative” samples to guide learning diagnostic ECG features (i.e., distinguishable representations), and then performs multi-hypersphere learning to learn compact ECG representations for classification. The experiment results on 12-lead ECG datasets (CPSC2018, PTB-XL, and Georgia) demonstrate that the proposed method outperforms the state-of-the-art methods. Specifically, our method achieves superior accuracy than the comparative methods on the unseen ECG class and certain seen classes. Overall, the investigated problem (i.e., open-world ECG classification) helps to draw attention to the reliability of automatic ECG diagnosis, and the proposed method is proven effective in tackling the challenges. The code and datasets are released at https://github.com/betterzhou/Open_World_ECG_Classification.

ECGVEDNET: A Variational Encoder-Decoder Network for ECG Delineation in Morphology Variant ECGs.

Electrocardiogram (ECG) delineation to identify the fiducial points of ECG segments, plays an important role in cardiovascular diagnosis and care. Whilst deep delineation frameworks have been deployed within the literature, several factors still hinder their development: (a) data availability: the capacity of deep learning models to generalise is limited by the amount of available data; (b) morphology variations: ECG complexes vary, even within the same person, which degrades the performance of conventional deep learning models. To address these concerns, we present a large-scale 12-leads ECG dataset, ICDIRS, to train and evaluate a novel deep delineation model-ECGVEDNET. ICDIRS is a large-scale ECG dataset with 156,145 QRS onset annotations and 156,145 T peak annotations. ECGVEDNET is a novel variational encoder-decoder network designed to address morphology variations. In ECGVEDNET, we construct a well-regularized latent space, in which the latent features of ECG follow a regular distribution and present smaller morphology variations than in the raw data space. Finally, a transfer learning framework is proposed to transfer the knowledge learned on ICDIRS to smaller datasets. On ICDIRS, ECGVEDNET achieves accuracy of 86.28%/88.31% within 5/10 ms tolerance for QRS onset and accuracy of 89.94%/91.16% within 5/10 ms tolerance for T peak. On QTDB, the average time errors computed for QRS onset and T peak are -1.86 ± 8.02 ms and -0.50 ± 12.96 ms, respectively, achieving state-of-the-art performances on both large and small-scale datasets. We will release the source code and the pre-trained model on ICDIRS once accepted.

Enhancing ECG Heartbeat classification with feature fusion neural networks and dynamic minority-biased batch weighting loss function

Objective. This study aims to address the challenges of imbalanced heartbeat classification using electrocardiogram (ECG). In this proposed novel deep-learning method, the focus is on accurately identifying minority classes in conditions characterized by significant imbalances in ECG data. Approach. We propose a feature fusion neural network enhanced by a dynamic minority-biased batch weighting loss function. This network comprises three specialized branches: the complete ECG data branch for a comprehensive view of ECG signals, the local QRS wave branch for detailed features of the QRS complex, and the R wave information branch to analyze R wave characteristics. This structure is designed to extract diverse aspects of ECG data. The dynamic loss function prioritizes minority classes while maintaining the recognition of majority classes, adjusting the network’s learning focus without altering the original data distribution. Together, this fusion structure and adaptive loss function significantly improve the network’s ability to distinguish between various heartbeat classes, enhancing the accuracy of minority class identification. Main results. The proposed method demonstrated balanced performance within the MIT-BIH dataset, especially for minority classes. Under the intra-patient paradigm, the accuracy, sensitivity, specificity, and positive predictive value for Supraventricular ectopic beat were 99.63 % , 93.62 % , 99.81 % , and 92.98 % , respectively, and for Fusion beat were 99.76 % , 85.56 % , 99.87 % , and 84.16 % , respectively. Under the inter-patient paradigm, these metrics were 96.56 % , 89.16 % , 96.84 % , and 51.99 % for Supraventricular ectopic beat, and 96.10 % , 77.06 % , 96.25 % , and 13.92 % for Fusion beat, respectively. Significance. This method effectively addresses the class imbalance in ECG datasets. By leveraging diverse ECG signal information and a novel loss function, this approach offers a promising tool for aiding in the diagnosis and treatment of cardiac conditions.

A simplified model for predicting ventricular hypertrophy than traditional methods

Ventricular hypertrophy is the thickening of the muscles in the ventricular chambers of the heart which stiffens and thickens the cardiac walls giving rise to many complications like arrhythmia, high blood pressure, or even heart failure. One of the ways to diagnose ventricular hypertrophy is through an Echocardiogram which can be predicted by the positive large amplitude of Chest Leads [V4–V6] of an Electrocardiogram (ECG). But chest lead application is one of the complicated more parts of the ECG than limb lead. Here we have tried to predict ventricular hypertrophy with bipolar limb lead electrocardiogram [L-I, L-II & L-III] without any chest leads which can be easily designed to make an ECG prototype instead of any sophisticated instruments to increase its global accessibility even in remote areas for the prediction of ventricular hypertrophy even may be for other diagnosis in future. We acquired electrocardiogram data sets from the physio-net database, specifically collected data from both normal and hypertrophic patients in an institute. These data sets were obtained using the same recording device. The Lead-I of the RVH and normal patients were not satisfactorily distinguishable. However, in this work, it has been established that Lead-I can be used to predict for identification of LVH patients.

Small Sample Time Series Classification Based on Data Augmentation and Semi-supervised Learning

Realistic scenarios produce labeled data and unlabeled data, however, there are significant challenges in labeling time series data. It is imperative to effectively integrate the relationship between labeled and unlabeled data within semi-supervised classification model. This paper presents a novel semi-supervised classification method, namely Data Augmentation-Fast Shapelet Semi-Supervised Classification, which employs a data augmentation module to enhance the diversity of data and improve the generalization ability of the model, as well as a feature fusion module to enhance the semi-supervised network. A conditional generative adversarial network is used to synthesize excellent labeled time series samples to enhance the homogeneous data in the sample space, the fast shapelets method is used to quickly extract the important shape feature vectors in the time series, self-supervised and supervised learning are combined to fully learn the unlabeled and labeled data of the time series dataset. Thejoint loss function combines the loss functions of the two networks to optimize multiple objectives. Reinforcement learning is used to determine the weight coefficients of the joint loss function, at the same time, the reward function is modified to bias the supervisory loss, which improves the classification performance of the model under limited labeled data, and the model can also better achieve the semi-supervised classification task. The proposed method is validated on the UCR benchmark dataset, Electrocardiogram dataset, and Electroencephalogram dataset, the results show that the semi-supervised classification method can perform a more accurate semi-supervised classification of the time series, with an accuracy better than the comparison methods. Meanwhile, we use the plant electrical signal dataset obtained from actual measurements for testing, the visualizationanalysis can clearly show the model role in the semi-supervised classification task, and the experimental results fully demonstrate the effectiveness and applicability of the proposed method.

Intelligent deep model based on convolutional neural network's and multi-layer perceptron to classify cardiac abnormality in diabetic patients.

The ECG is a crucial tool in the medical field for recording the heartbeat signal over time, aiding in the identification of various cardiac diseases. Commonly, the interpretation of ECGs necessitates specialized knowledge. However, this paper explores the application of machine learning algorithms and deep learning algorithm to autonomously identify cardiac diseases in diabetic patients in the absence of expert intervention. Two models are introduced in this study: The MLP model effectively distinguishes between individuals with heart diseases and those without, achieving a high level of accuracy. Subsequently, the deep CNN model further refines the identification of specific cardiac conditions. The PTB-Diagnostic ECG dataset commonly used in the field of biomedical signal processing and machine learning, particularly for tasks related to electrocardiogram (ECG) analysis. a widely recognized dataset in the field, is employed for training, testing, and validation of both the MLP and CNN models. This dataset comprises a diverse range of ECG recordings, providing a comprehensive representation of cardiac conditions. The proposed models feature two hidden layers with weights and biases in the MLP, and a three-layer CNN, facilitating the mapping of ECG data to different disease classes. The experimental results demonstrate that the MLP and deep CNN based models attain accuracy levels of up to 90.0% and 98.35%, and sensitivity 97.8%, 95.77%, specificity 88.9%, 96.3% F1-Score 93.13%, 95.84% respectively. These outcomes underscore the efficacy of deep learning approaches in automating the diagnosis of cardiac diseases through ECG analysis, showcasing the potential for accurate and efficient healthcare solutions.

Artificial Intelligence-Based Atrial Fibrillation Recognition Method for Motion Artifact-Contaminated Electrocardiogram Signals Preprocessed by Adaptive Filtering Algorithm.

Atrial fibrillation (AF) is a common arrhythmia, and out-of-hospital, wearable, long-term electrocardiogram (ECG) monitoring can help with the early detection of AF. The presence of a motion artifact (MA) in ECG can significantly affect the characteristics of the ECG signal and hinder early detection of AF. Studies have shown that (a) using reference signals with a strong correlation with MAs in adaptive filtering (ADF) can eliminate MAs from the ECG, and (b) artificial intelligence (AI) algorithms can recognize AF when there is no presence of MAs. However, no literature has been reported on whether ADF can improve the accuracy of AI for recognizing AF in the presence of MAs. Therefore, this paper investigates the accuracy of AI recognition for AF when ECGs are artificially introduced with MAs and processed by ADF. In this study, 13 types of MA signals with different signal-to-noise ratios ranging from +8 dB to -16 dB were artificially added to the AF ECG dataset. Firstly, the accuracy of AF recognition using AI was obtained for a signal with MAs. Secondly, after removing the MAs by ADF, the signal was further identified using AI to obtain the accuracy of the AF recognition. We found that after undergoing ADF, the accuracy of AI recognition for AF improved under all MA intensities, with a maximum improvement of 60%.

The Real-Time Image Sequences-Based Stress Assessment Vision System for Mental Health

Early detection and prevention of stress is crucial because stress affects our vital signs like heart rate, blood pressure, skin temperature, respiratory rate, and heart rate variability. There are different ways to determine stress using different devices, such as the electrocardiogram (ECG), electrodermal activity (EDA), the electroencephalogram (EEG), photoplethysmography (PPG), or a questionnaire-based method of stress assessment. In this study, we proposed a camera-based real-time stress detection system using remote photoplethysmography (rPPG). We trained different machine learning models using three datasets: the SWELL dataset, the PPG sensor dataset, and the last ECG and EEG-based stress dataset. The models with the highest predictive accuracy were used to classify stress based on HR and HRV features obtained from the face using a camera. HR and HRV estimations from the face were validated on the PURE public dataset and the custom dataset. In this study, it was observed that the random forest algorithm performs significantly better than other models, achieving an impressive 99% predictive accuracy in the SWELL dataset. In the second dataset, the logistic regression technique shows the best result, achieving an accuracy rate of 84.24%. In the last dataset, the ensemble model achieved an accuracy rate of 67%. We also checked the proposed algorithm in the process of public speaking to estimate stress in a real-time situation.

Multiscale dilated convolutional neural network for Atrial Fibrillation detection.

Atrial Fibrillation (AF), a type of heart arrhythmia, becomes more common with aging and is associated with an increased risk of stroke and mortality. In light of the urgent need for effective automated AF monitoring, existing methods often fall short in balancing accuracy and computational efficiency. To address this issue, we introduce a framework based on Multi-Scale Dilated Convolution (AF-MSDC), aimed at achieving precise predictions with low cost and high efficiency. By integrating Multi-Scale Dilated Convolution (MSDC) modules, our model is capable of extracting features from electrocardiogram (ECG) datasets across various scales, thus achieving an optimal balance between precision and computational savings. We have developed three MSDC modules to construct the AF-MSDC framework and assessed its performance on renowned datasets, including the MIT-BIH Atrial Fibrillation Database and Physionet Challenge 2017. Empirical results unequivocally demonstrate that our technique surpasses existing state-of-the-art (SOTA) methods in the AF detection domain. Specifically, our model, with only a quarter of the parameters of a Residual Network (ResNet), achieved an impressive sensitivity of 99.45%, specificity of 99.64% (on the MIT-BIH AFDB dataset), and an [Formula: see text] score of 85.63% (on the Physionet Challenge 2017 AFDB dataset). This high efficiency makes our model particularly suitable for integration into wearable ECG devices powered by edge computing frameworks. Moreover, this innovative approach offers new possibilities for the early diagnosis of AF in clinical applications, potentially improving patient quality of life and reducing healthcare costs.

ECG Arrhythmia Classification using Deep Learning

An electrocardiogram (ECG) is a painless, noninvasive way to help diagnose numerous common heart problems. ECG plays an important role in diagnosing various Cardiac ailments. In recent years, Deep learning techniques have shown remarkable promise in achieving accurate and automated ECG arrhythmia classification. The primary goal of the system is to develop a robust and accurate system for the automated detection and classification of arrhythmias in electrocardiogram (ECG) data. By leveraging state-of-the-art techniques such as Convolutional Neural Networks (CNNs), we analyze pattern recognition within ECG signals to detect arrhythmias. Furthermore, we address the challenge of dataset scarcity by augmenting the data through nine different image cropping methods during the training phase. The implementation of techniques like Batch Normalization and data augmentation will further enhance the model's adaptability to diverse data sources, making it an invaluable tool for healthcare professionals. The CNN will be trained and tested using the ECG Dataset obtained from the MIT-BIH Database and from it, seven types of signals of arrhythmia will be classified. These seven signals are Premature Ventricular contractions (PVC), Paced beat (PAB), Right bundle branch block beat (RBB), Left bundle branch block beat (LBB), Atrial premature contraction (APC), Ventricular escape beat (VEB) and Normal beat. This system bridges the gap between advanced technology and healthcare, offering a transformative approach to ECG arrhythmia classification that has the potential to significantly improve patient outcomes and reduce the burden of manual diagnosis

Arrhythmia detection by the graph convolution network and a proposed structure for communication between cardiac leads

One of the most common causes of death worldwide is heart disease, including arrhythmia. Today, sciences such as artificial intelligence and medical statistics are looking for methods and models for correct and automatic diagnosis of cardiac arrhythmia. In pursuit of increasing the accuracy of automated methods, many studies have been conducted. However, in none of the previous articles, the relationship and structure between the heart leads have not been included in the model. It seems that the structure of ECG data can help develop the accuracy of arrhythmia detection. Therefore, in this study, a new structure of Electrocardiogram (ECG) data was introduced, and the Graph Convolution Network (GCN), which has the possibility of learning the structure, was used to develop the accuracy of cardiac arrhythmia diagnosis. Considering the relationship between the heart leads and clusters based on different ECG poles, a new structure was introduced. In this structure, the Mutual Information(MI) index was used to evaluate the relationship between the leads, and weight was given based on the poles of the leads. Weighted Mutual Information (WMI) matrices (new structure) were formed by R software. Finally, the 15-layer GCN network was adjusted by this structure and the arrhythmia of people was detected and classified by it. To evaluate the performance of the proposed new network, sensitivity, precision, specificity, accuracy, and confusion matrix indices were used. Also, the accuracy of GCN networks was compared by three different structures, including WMI, MI, and Identity. Chapman’s 12-lead ECG Dataset was used in this study. The results showed that the values of sensitivity, precision, specificity, and accuracy of the GCN-WMI network with 15 intermediate layers were equal to 98.74%, 99.08%, 99.97% & 99.82%, respectively. This new proposed network was more accurate than the Graph Convolution Network-Mutual Information (GCN-MI) with an accuracy equal to 99.71% and GCN-Id with an accuracy equal to 92.68%. Therefore, utilizing this network, the types of arrhythmia were recognized and classified. Also, the new network proposed by the Graph Convolution Network-Weighted Mutual Information (GCN-WMI) was more accurate than those conducted in other studies on the same data set (Chapman). Based on the obtained results, the structure proposed in this study increased the accuracy of cardiac arrhythmia diagnosis and classification on the Chapman data set. Achieving such accuracy for arrhythmia diagnosis is a great achievement in clinical sciences.

MA-MIL: Sampling point-level abnormal ECG location method via weakly supervised learning

Background and ObjectiveCurrent automatic electrocardiogram (ECG) diagnostic systems could provide classification outcomes but often lack explanations for these results. This limitation hampers their application in clinical diagnoses. Previous supervised learning could not highlight abnormal segmentation output accurately enough for clinical application without manual labeling of large ECG datasets. MethodIn this study, we present a multi-instance learning framework called MA-MIL, which has designed a multi-layer and multi-instance structure that is aggregated step by step at different scales. We evaluated our method using the public MIT-BIH dataset and our private dataset. ResultsThe results show that our model performed well in both ECG classification output and heartbeat level, sub-heartbeat level abnormal segment detection, with accuracy and F1 scores of 0.987 and 0.986 for ECG classification and 0.968 and 0.949 for heartbeat level abnormal detection, respectively. Compared to visualization methods, the IoU values of MA-MIL improved by at least 17 % and at most 31 % across all categories. ConclusionsMA-MIL could accurately locate the abnormal ECG segment, offering more trustworthy results for clinical application.

A novel hybrid GRU-CNN and residual bias (RB) based RB-GRU-CNN models for prediction of PTB Diagnostic ECG time series data

Time series analysis is crucial in the field of medical sciences. Recently, it has become crucial to comprehend the intricacies of data to forecast and assess the likelihood of survival in patients with different ailments. The study employs diverse datasets from multiple PTB electrocardiogram (ECG) datasets, which exhibit a high degree of uncorrelation. These datasets include patients with various heart diseases and age groups, ensuring dataset diversity. The paper presents two models that utilize deep learning and residual bias. The primary approach proposed is a hybrid GRU-CNN model. In contrast, the second model incorporates residual bias (RB) to improve upon the first model, referred to as the RB-GRU-CNN model. The hybrid GRU-CNN model has been compared to conventional deep learning models across multiple metrics, achieving the highest average percentage of improvement in RMSE (46.73%), MSE (67.46%), MAPE (43.92%), and MAE (48.52%) compared to LSTM. The RB-GRU-CNN proposed model demonstrated greater efficacy than the GRU-CNN proposed model, as confirmed by non-parametric statistical Friedman ranking and their corresponding Holm’s p-values. The comprehensive study of the results proves that the proposed models outperformed the performance of the traditional models.