Features Of Electrocardiogram Signal Research Articles

Differentiated knowledge distillation: Patient-specific single-sample personalization for electrocardiogram diagnostic models

To achieve optimal performance in practical applications, the electrocardiogram (ECG) diagnosis models have to be personalized using the ECG data of specific patients. Most current research on personalized ECG diagnosis centres around large-sample transfer learning aimed at specific populations or collection conditions. However, the time and economic costs of collecting such a large amount of data are unacceptable for specific individuals. Moreover, the characteristics of ECG signals mean that most data augmentation methods may not produce positive effects. To address these issues, we propose a novel differentiated knowledge distillation (DKD) method, which purposefully transfers specific knowledge in knowledge distillation by inputting differentiated data to the teacher and student models. Specifically, this method constructs differences between the input data of student and teacher models using one single ECG record of a specific patient, so as to transfer individual knowledge of the patient into the student model while maintaining the diagnostic ability of the baseline teacher model. For other ECG data of the target patient, the model personalized by this method shows a significant improvement of up to 10% in accuracy, micro-F1-score, and micro-sensitivity compared to the baseline model. Additionally, this method demonstrates excellent efficacy for various existing networks in the field of ECG diagnosis.

ECG autoencoder based on low-rank attention

The prevalence of cardiovascular disease (CVD) has surged in recent years, making it the foremost cause of mortality among humans. The Electrocardiogram (ECG), being one of the pivotal diagnostic tools for cardiovascular diseases, is increasingly gaining prominence in the field of machine learning. However, prevailing neural network models frequently disregard the spatial dimension features inherent in ECG signals. In this paper, we propose an ECG autoencoder network architecture incorporating low-rank attention (LRA-autoencoder). It is designed to capture potential spatial features of ECG signals by interpreting the signals from a spatial perspective and extracting correlations between different signal points. Additionally, the low-rank attention block (LRA-block) obtains spatial features of electrocardiogram signals through singular value decomposition, and then assigns these spatial features as weights to the electrocardiogram signals, thereby enhancing the differentiation of features among different categories. Finally, we utilize the ResNet-18 network classifier to assess the performance of the LRA-autoencoder on both the MIT-BIH Arrhythmia and PhysioNet Challenge 2017 datasets. The experimental results reveal that the proposed method demonstrates superior classification performance. The mean accuracy on the MIT-BIH Arrhythmia dataset is as high as 0.997, and the mean accuracy and F1\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$F_1$$\\end{document}-score on the PhysioNet Challenge 2017 dataset are 0.850 and 0.843.

A novel approach for denoising electrocardiogram signals to detect cardiovascular diseases using an efficient hybrid scheme.

Electrocardiogram (ECG) signals are inevitably contaminated with various kinds of noises during acquisition and transmission. The presence of noises may produce the inappropriate information on cardiac health, thereby preventing specialists from making correct analysis. In this paper, an efficient strategy is proposed to denoise ECG signals, which employs a time-frequency framework based on S-transform (ST) and combines bi-dimensional empirical mode decomposition (BEMD) and non-local means (NLM). In the method, the ST maps an ECG signal into a subspace in the time frequency domain, then the BEMD decomposes the ST-based time-frequency representation (TFR) into a series of sub-TFRs at different scales, finally the NLM removes noise and restores ECG signal characteristics based on structural self-similarity. The proposed method is validated using numerous ECG signals from the MIT-BIH arrhythmia database, and several different types of noises with varying signal-to-noise (SNR) are taken into account. The experimental results show that the proposed technique is superior to the existing wavelet based approach and NLM filtering, with the higher SNR and structure similarity index measure (SSIM), the lower root mean squared error (RMSE) and percent root mean square difference (PRD). The proposed method not only significantly suppresses the noise presented in ECG signals, but also preserves the characteristics of ECG signals better, thus, it is more suitable for ECG signals processing.

Elimination of Random Mixed Noise in ECG using Convolutional Denoising Autoencoder with Transformer Encoder.

Electrocardiogram (ECG) signals frequently encounter diverse types of noise, such as baseline wander (BW), electrode motion (EM) artifacts, muscle artifact (MA), and others. These noises often occur in combination during the actual data acquisition process, resulting in erroneous or perplexing interpretations for cardiologists. To suppress random mixed noise (RMN) in ECG with less distortion, we propose a Transformer-based Convolutional Denoising AutoEncoder model (TCDAE) in this study. The encoder of TCDAE is composed of three stacked gated convolutional layers and a Transformer encoder block with a point-wise multi-head self-attention module. To obtain minimal distortion in both time and frequency domains, we also propose a frequency weighted Huber loss function in training phase to better approximate the original signals. The TCDAE model is trained and tested on the QT Database (QTDB) and MIT-BIH Noise Stress Test Database (NSTDB), with the training data and testing data coming from different records. All the metrics perform the most robust in overall noise and separate noise intervals for RMN removal compared with the baseline methods. We also conduct generalization tests on the Icentia11k database where the TCDAE outperforms the state-of-the-art models, with a 55% reduction of the false positives in R peak detection after denoising. The TCDAE model approximates the short-term and long-term characteristics of ECG signals and has higher stability even under extreme RMN corruption. The memory consumption and inference speed of TCDAE are also feasible for its deployment in clinical applications.

Convolutional transformer-driven robust electrocardiogram signal denoising framework with adaptive parametric ReLU.

The electrocardiogram (ECG) is a widely used diagnostic tool for cardiovascular diseases. However, ECG recording is often subject to various noises, which can limit its clinical evaluation. To address this issue, we propose a novel Transformer-based convolutional neural network framework with adaptively parametric ReLU (APtrans-CNN) for ECG signal denoising. The proposed APtrans-CNN architecture combines the strengths of transformers in global feature learning and CNNs in local feature learning to address the inadequacy of learning with long sequence time-series features. By fully exploiting the global features of ECG signals, our framework can effectively extract critical information that is necessary for signal denoising. We also introduce an adaptively parametric ReLU that can assign a value to the negative information contained in the ECG signal, thereby overcoming the limitation of ReLU to retain negative information. Additionally, we introduce a dynamic feature aggregation module that enables automatic learning and retention of valuable features while discarding useless noise information. Results obtained from two datasets demonstrate that our proposed APtrans-CNN can accurately extract pure ECG signals from noisy datasets and is adaptable to various applications. Specifically, when the input consists of ECG signals with a signal-to-noise ratio (SNR) of -4 dB, APtrans-CNN successfully increases the SNR to more than 6 dB, resulting in the diagnostic model's accuracy exceeding 96%.

12-Lead ECG signal classification for detecting ECG arrhythmia via an information bottleneck-based multi-scale network

The 12-lead electrocardiogram (ECG) is a reliable diagnostic tool for detecting and treating severe cardiovascular conditions like arrhythmia and heart attack. Deep neural networks (DNNs) have achieved higher accuracy in recent years than traditional ECG signal classification task methods. Convolutional neural network (CNN) and Transformer are the two mainstream architectures of DNN, respectively good at extracting local and global features from input data. This paper proposes the multi-scale convolutional Transformer network (MCTnet), an efficient combination of Transformer encoder and CNN for ECG signal classification. MCTnet utilizes the advantages of CNN and self-attention mechanisms to capture potential features in ECG signal accurately. The dual-branch Transformer encoder extracts different-scale feature representations, enabling the capture of both local and global information. Additionally, an information bottleneck method eliminates redundant information and enhances task-relevant information in the learned representations. To evaluate the performance of MCTnet, comprehensive experiments are conducted on three commonly used ECG datasets. The results demonstrate that MCTnet outperforms current deep learning-based models, highlighting its effectiveness in ECG signal classification. It also shows that the performance of the model can be effectively improved by utilizing multi-scale representation learning and information bottleneck.

Automatic detection of artifacts and improved classification models for emotional activity detection from multimodal physiological data

This manuscript proposes an automated artifacts detection and multimodal classification system for human emotion analysis from human physiological signals. First, multimodal physiological data, including the Electrodermal Activity (EDA), electrocardiogram (ECG), Blood Volume Pulse (BVP) and respiration rate signals are collected. Second, a Modified Compressed Sensing-based Decomposition (MCSD) is used to extract the informative Skin Conductance Response (SCR) events of the EDA signal. Third, raw features (edge and sharp variations), statistical and wavelet coefficient features of EDA, ECG, BVP, respiration and SCR signals are obtained. Fourth, the extracted raw features, statistical and wavelet coefficient features from all physiological signals are fed into the parallel Deep Convolutional Neural Network (DCNN) to reduce the dimensionality of feature space by removing artifacts. Fifth, the fused artifact-free feature vector is obtained for neutral, stress and pleasure emotion classes. Sixth, an artifact-free feature vector is used to train the Random Forest Deep Neural Network (RFDNN) classifier. Then, a trained RFDNN classifier is applied to classify the test signals into different emotion classes. Thus, leveraging the strengths of both RF and DNN algorithms, more comprehensive feature learning using multimodal psychological data is achieved, resulting in robust and accurate classification of human emotional activities. Finally, an extensive experiment using the Wearable Stress and Affect Detection (WESAD) dataset shows that the proposed system outperforms other existing human emotion classification systems using physiological data.

Wearable graphene-based fabric electrodes for enhanced and long-term biosignal detection

Wearable health sensing devices are crucial and the development of multi-sensing textiles for non-invasive and continuous long-term biosignal monitoring is of primary interest. Nowadays, different wearable sensors are available but they usually lack comfort for continuous use during normal daily life activities. In this study, new graphene-based flexible dry electrodes are investigated to overcome the limitations of the currently available electrodes. Briefly, they are realized through casting PVDF (polyvinylidene fluoride)/GNP (graphene nanoplatelets) nanocomposite over commercial textiles. These electrodes are soft and flexible and adhere more easily to the skin. In terms of performance, the PVDF/GNP electrodes show lower impedance per unit area compared to commercial ones, hence they can be employed for biosignal detection. In particular, the developed electrodes are used for electrocardiogram (ECG) signal monitoring. The recorded ECG signal-to-noise ratio (SNR) reached up to 40 dB and all necessary ECG signal features and intervals are clearly distinguishable. Furthermore, the essential ECG signal intervals on each cadiac cycle show very small variations in time. Finally, the superhydrophobic property allows the electrodes to be used repeatedly after washing. As a final note, the developed dry PVDF/GNP electrodes provide reusability, biocompatibility, good skin-electrode contact, and no signs of skin irritation.

Detection of Different Stages of Anxiety From Single-Channel Wearable ECG Sensor Signal Using Fourier–Bessel Domain Adaptive Wavelet Transform

In this letter, the Fourier-Bessel domain adaptive wavelet transform (FBDAWT) is proposed for the automated detection of anxiety stages using the single-channel wearable electrocardiogram (ECG) sensor signal. The modes or components are evaluated using the FBDAWT of the ECG signal. The increment entropy (IE) and energy features are computed from each mode of ECG data. The cross gradient boosting (XGBoost) model is employed for the normal (N) versus light anxiety (LA) versus moderate (MA) versus severe anxiety (SA) based detection task using the FBDAWT domain ECG signal features. The wearable sensor-based ECG signals from a publicly available database are used to assess the performance of the proposed approach. The results show that the XGBoost model has obtained the accuracy, F1-score, and Kappa score values of 92.27%, 92.13%, and 0.89, respectively. We have compared the performance of the proposed FBDAWT domain approach with existing methods for anxiety detection using physiological signals.

Automatic Classification Method of Arrhythmias Based on 12-Lead Electrocardiogram.

Cardiovascular disease is one of the main causes of death worldwide. Arrhythmias are an important group of cardiovascular diseases. The standard 12-lead electrocardiogram signals are an important tool for diagnosing arrhythmias. Although 12-lead electrocardiogram signals provide more comprehensive arrhythmia information than single-lead electrocardiogram signals, it is difficult to effectively fuse information between different leads. In addition, most of the current researches working on automatic diagnosis of cardiac arrhythmias are based on modeling and analysis of single-mode features extracted from one-dimensional electrocardiogram sequences, ignoring the frequency domain features of electrocardiogram signals. Therefore, developing an automatic arrhythmia detection algorithm based on 12-lead electrocardiogram with high accuracy and strong generalization ability is still challenging. In this paper, a multimodal feature fusion model based on the mechanism is developed. This model utilizes a dual channel deep neural network to extract different dimensional features from one-dimensional and two-dimensional electrocardiogram time-frequency maps, and combines attention mechanism to effectively fuse the important features of 12-lead, thereby obtaining richer arrhythmia information and ultimately achieving accurate classification of nine types of arrhythmia signals. This study used electrocardiogram signals from a mixed dataset to train, validate, and evaluate the model, with an average of F1 score and average accuracy reached 0.85 and 0.97, respectively. Experimental results show that our algorithm has stable and reliable performance, so it is expected to have good practical application potential.

Automatic cardiac arrhythmias classification using CNN and attention-based RNN network.

Cardiac disease has become a severe threat to public health according to the government report. In China, there are 0.29 billion cardiac patients and early diagnosis will greatly reduce mortality and improve life quality. Electrocardiogram (ECG) signal is a priority tool in the diagnosis of heart diseases because it is non-invasive and easily available with a simple diagnostic tool of low cost. The paper proposes an automatic classification model by combing convolutional neural network (CNN) and recurrent neural network (RNN) to distinguish different types of cardiac arrhythmias. Morphology features of the raw ECG signals are extracted by CNN blocks and fed into a bidirectional gated recurrent unit (GRU) network. Attention mechanism is used to highlight specific features of the input sequence and contribute to the performance improvement of classification. The model is evaluated with two datasets considering the class imbalance problem constructed with records from MIT-BIH arrhythmia database and China Physiological Signal Challenge 2018 database. Experimental results show that this model achieves good performance with an average F1 score of 0.9110 on public dataset and 0.9082 on subject-specific dataset, which may have potential practical applications.

Automatic diagnosis and localization of myocardial infarction using morphological features of ECG signal

Electrocardiogram (ECG) is a non-invasive and economical diagnostic tool for detecting myocardial infarction (MI). The occurrence of a heart attack causes distortions in the ECG waves. This article extracts morphological features from ECG signals to detect and localize MI. After preprocessing the ECG signal, its fiducial points are identified. Then morphological features such as the amplitude, interval, and angle between waves are extracted. A random forest classifier with 100 trees has been used for classification and feature selection. The method was evaluated using the PTB dataset, containing 52 healthy and 148 MI subjects. We tried to diagnose and localize MI in two schemes: interpatient and intrapatient. In this method, we obtained superior results with an accuracy of 80.98%, a sensitivity of 80.98%, a specificity of 96.32%, a positive predictive value of 79.72%, and an F-score of 79.53% for MI localization in the interpatient scheme compared to the state-of-the-art. Our model achieves an accuracy of 96.54%, a sensitivity of 99.74%, a positive predictive value of 96.09%, and an F-score of 97.88% in the interpatient scheme detection. In the interpatient domain, 96.68% accuracy was obtained using only 6 chest leads for detection. The proposed method is interpretable with low computational complexity and applies a new package of morphological features. Compared to recent studies, in this study, the results have been improved in the interpatient scheme which has more vital clinical significance.

An Automatic ECG Signal Quality Assessment Method Based on Resnet and Self-Attention

Electrocardiogram (ECG) signals are among the significant physiological signals that indicate the essential properties of the human body. In recent years, the measurement of ECG signals has become more portable thanks to the increasing usage of wearable health testing technology. However, the enormous amount of signal data gathered over a long period of time does impose a heavy load on medical professionals. In addition, false alarms might occur due to the potential for the detected signal to become jumbled with noise and motion perturbations. Therefore, analyzing the quality of the measured raw ECG signal automatically is a valuable task. In this paper, we propose a new single-channel ECG signal quality assessment method that combines the Resnet network structure and the principle of self-attention to extract ECG signal features using the principle of similarity between individual QRS heartbeats within a time slice of ten seconds. In addition, an improved self-attention module is introduced into the deep neural network to learn the similarity between features. Finally, the network distinguishes between acceptable and unacceptable ECG segments. The model test results indicate that the F1-score can approach 0.954, which leads to a more accurate assessment of the ECG signal quality.

Analysis of ECG-based arrhythmia detection system using machine learning

The 3D Discrete Wavelet Transform (DWT) and Support Vector Machine (SVM) are used in this study to analyze and characterize Electrocardiogram (ECG) signals. This technique consists of three stages: ECG signal preprocessing, feature extraction, and ECG signal order. The 3D wavelet transform is a signal preprocessing technique, de-noising, along with wavelet coefficient extraction.•SVM is used to categorize the ECG through each of the nine heartbeat types recognized by the various classifiers. For this work, around 6400 ECG beats were looked at over the China Physiological Signal Challenge (CPSC) 2018 arrhythmia dataset.•The best degree of exactness was acquired when level 4 rough constants with Symlet-8 (Sym8) channel were utilized for arrangement. Utilizing the ECG signals from CPSC 2018 data set, the SVM classifier has a normal precision of 99.02%, which is much better than complex support vector machine (CSVM) 98.5%, and weighted support vector machine (WSVM) 99%.•The suggested approach is far superior to others in terms of accuracy, and classification of several diseases of arrhythmia.

ECG Analysis-Based Cardiac Disease Prediction Using Signal Feature Selection with Extraction Based on AI Techniques

ECG (Electrocardiogram) performs classification using a machine learning model for processing different features in the ECG signal. The electrical activity of the heart is computed with the ECG signal with machine learning library. The key issue in the handling of ECG signals is an estimation of irregularities to evaluate the health status of patients. The ECG signal evaluate the impulse waveform for the specialized tissues in the cardiac heart diseases. However, the ECG signal comprises of the different difficulties associated with waveform estimation to derive certain features. Through machine learning (ML) model the input features are computed with input ECG signals. In this paper, proposed a Noise QRS Feature to evaluate the features in the ECG signals for the effective classification. The Noise QRS Feature model computes the ECG signal features of the waveform sequences. Initially, the signal is pre-processed with the Finite Impulse response (FIR) filter for the analysis of ECG signal. The features in the ECG signal are processed and computed with the QRS signal responses in the ECG signal. The Noise QRS Feature evaluate the ECG signal with the kNN for the estimation and classification of features in the ECG signals. The performance of the proposed Noise QRS Feature features are comparatively examined with the Discrete Wavelet Transform (DWT), Dual-Tree Complex Wavelet Transforms (DTCWT) and Discrete Orthonormal Stockwell Transform (DOST) and the machine learning model Cascade Feed Forward Neural Network (CFNN), Feed Forward Neural Network (FFNN). Simulation analysis expressed that the proposed Noise QRS Feature exhibits a higher classification accuracy of 99% which is ~6 – 7% higher than the conventional classifier model.

A simple self-supervised ECG representation learning method via manipulated temporal–spatial reverse detection

Learning representations from electrocardiogram (ECG) signals can serve as a fundamental step for different machine learning-based ECG tasks. In order to extract general ECG representations that can be adapted to various downstream tasks, the learning process needs to be based on a general ECG-related task which can be achieved through self-supervised learning (SSL). However, existing SSL approaches either fail to provide satisfactory ECG representations or require too much effort to construct the learning data. In this paper, we propose the T-S reverse detection, a simple yet effective self-supervised approach to learn ECG representations. Inspired by the temporal and spatial characteristics of ECG signals, we flip the original signals horizontally (temporal reverse), vertically (spatial reverse), and both horizontally and vertically (temporal–spatial reverse). Learning is then done by classifying four types of signals including the original one. To verify the effectiveness of the proposed method, we perform a downstream task to detect atrial fibrillation (AF) which is one of the most common ECG tasks. The results show that the ECG representations learned with our method achieve remarkable performance. Furthermore, after exploring the representation feature space and investigating salient ECG locations, we conclude that the temporal reverse is more effective for learning ECG representations than the spatial reverse.

Congestive heart failure detection based on attention mechanism-enabled bi-directional long short-term memory model in the internet of medical things

As congestive heart failure (CHF) has become an important medical problem facing the world, the detection of the CHF is very important. Internet of medical things (IoMT) has been increasing popularity as its application and function in industry 4.0 era. IoMT systems provide an opportunity for innovations and cross-discipline applications in the medical fields, that can significantly improve the efficiency. With the help of IoMT systems, patients can have in-home and on-body sensors that monitor their vitals easily and constantly, which can provide massive data for detecting disease. However, the most important thing is to find a good model to the automatic detection for massive medical data collected by IoMT systems. In this case, the paper proposes attention mechanism-enabled bi-directional long short-term memory (ABLSTM) model based on Electrocardiogram (ECG) signals, to automatically detect the CHF in IoMT systems. This method makes full use of the model features that can record long-term and short-term signal information, as well as the functions of attention mechanism with adaptive learning in local features, and effectively extracts complex features of ECG signals and performs detection. ECG signal data is from two public datasets, to train and test the proposed ABLSTM model. At the same time, for the cases with noise and data differences, we propose a preprocessing process for ECG signals, and discuss the impact of different data segmentation methods on the model performance. The experimental results show that the proposed ABLSTM model has the highest accuracy rate with 96.6% for the CHF detection, which is higher than other four baseline methods. Therefore, this proposed method can achieve a good result in the detection of the CHF.

ECG Signal Features Classification for the Mental Fatigue Recognition

Mental fatigue is a major public health issue worldwide that is common among both healthy and sick people. In the literature, various modern technologies, together with artificial intelligence techniques, have been proposed. Most techniques consider complex biosignals, such as electroencephalogram, electro-oculogram or classification of basic heart rate variability parameters. Additionally, most studies focus on a particular area, such as driving, surgery, etc. In this paper, a novel approach is presented that combines electrocardiogram (ECG) signal feature extraction, principal component analysis (PCA), and classification using machine learning algorithms. With the aim of daily mental fatigue recognition, an experiment was designed wherein ECG signals were recorded twice a day: in the morning, i.e., a state without fatigue, and in the evening, i.e., a fatigued state. PCA analysis results show that ECG signal parameters, such as Q and R wave amplitude values, as well as QT and T intervals, presented with the largest differences between states compared to other ECG signal parameters. Furthermore, the random forest classifier achieved more than 94.5% accuracy. This work demonstrates the feasibility of ECG signal feature extraction for automatic mental fatigue detection.

Arrhythmia Classification Algorithm Based on a Two-Dimensional Image and Modified EfficientNet.

The classification and identification of arrhythmias using electrocardiogram (ECG) signals are of great practical significance in the early prevention and diagnosis of cardiovascular diseases. In this study, we propose an arrhythmia classification algorithm based on two-dimensional (2D) images and modified EfficientNet. First, we developed a method for converting original one-dimensional (1D) ECG signals into 2D image signals. In contrast with the existing classification method that uses only the time-domain features of a 1D ECG signal, the classification of 2D images can consider the spatiotemporal characteristics of the signal. Then, to better assign feature weights, we introduced an attention feature fusion module (AFF) into the EfficientNet network to replace the addition operation in the mobile inverted bottleneck convolution (MBConv) structure of the network. We selected EfficientNet for modification because, compared with most convolutional neural networks (CNNs), EfficientNet does not require manual adjustment of parameters, which improves the accuracy and speed of the network. Finally, we combined the 2D images and the improved EfficientNet network and tested its performance as an arrhythmia classification method. Our experimental results show that the network training of the proposed method requires less equipment and training time, and this method can effectively distinguish eight types of heartbeats in the MIT-BIH arrhythmia database, with a classification accuracy of 99.54%. Thus, the model has a good classification effect.

Classification of Atrial Fibrillation and Congestive Heart Failure Using Convolutional Neural Network with Electrocardiogram

Atrial fibrillation (AF) and congestive heart failure (CHF) are the most prevalent types of cardiovascular disorders as the leading cause of death due to delayed diagnosis. Early diagnosis of these cardiac conditions is possible by manually analyzing electrocardiogram (ECG) signals. However, manual diagnosis is complex, owing to the various characteristics of ECG signals. An accurate classification system for AF and CHF has the potential to save patient lives. Therefore, this study proposed an ECG signal classification system for AF and CHF using a one-dimensional convolutional neural network (1-D CNN) to provide a robust classification system performance. This study used ECG signal recording of AF, CHF, and NSR, which can be accessed on the Physionet website. A total of 5600 ECG signal segments were obtained from 56 subjects, divided into train sets from 42 subjects (N = 4200 ECG segments), and test sets from 14 subjects (N = 1400). We applied for leave-one-out cross-validation in training to select the best model. The proposed 1-D CNN algorithm successfully classified raw data of ECG signals into normal sinus rhythm (NSR), AF, and CHF by providing the highest classification accuracy of 99.643%, f1-score, recall, and precision of 0.996, respectively, with an AUC score of 0.999. The results showed that the proposed method extracted the ECG signal information directly without needing several preprocessing steps and feature extraction methods that potentially reduce the information contained in the ECG signals. Furthermore, the proposed method outperformed previous studies in classifying AF, CHF, and NSR. Therefore, this approach can be considered as an adjunct for medical personnel to diagnose AF, CHF, and NSR.