Massachusetts Institute Of Technology-Beth Israel Hospital Research Articles

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.

The deep convolutional networks for the classification of multi-class arrhythmia

An arrhythmia is an irregular heartbeat. Many researchers in the AI field have carried out the automatic classification of arrhythmias, and the issue that has been widely discussed is imbalanced data. A popular technique for overcoming this problem is the synthetic minority oversampling technique (SMOTE) technique. In this paper, the author adds some sampling of data obtained from other datasets into the primary dataset. In this case, the main dataset is the Massachusetts Institute of Technology–Beth Israel Hospital (MIT-BIH) arrhythmia database and an additional dataset from the MIT-BIH supraventricular arrhythmia database. The classification process is carried out with one-dimensional convolutional neural network model (1D-CNN) to perform multiclass and subject-class advancement of medical instrumentation (AAMII) classifications. The results obtained from this study are an accuracy of 99.10% for multiclass and 99.25% for subject-class.

Arrhythmia classification for non-experts using infinite impulse response (IIR)-filter-based machine learning and deep learning models of the electrocardiogram.

Arrhythmias are a leading cause of cardiovascular morbidity and mortality. Portable electrocardiogram (ECG) monitors have been used for decades to monitor patients with arrhythmias. These monitors provide real-time data on cardiac activity to identify irregular heartbeats. However, rhythm monitoring and wave detection, especially in the 12-lead ECG, make it difficult to interpret the ECG analysis by correlating it with the condition of the patient. Moreover, even experienced practitioners find ECG analysis challenging. All of this is due to the noise in ECG readings and the frequencies at which the noise occurs. The primary objective of this research is to remove noise and extract features from ECG signals using the proposed infinite impulse response (IIR) filter to improve ECG quality, which can be better understood by non-experts. For this purpose, this study used ECG signal data from the Massachusetts Institute of Technology Beth Israel Hospital (MIT-BIH) database. This allows the acquired data to be easily evaluated using machine learning (ML) and deep learning (DL) models and classified as rhythms. To achieve accurate results, we applied hyperparameter (HP)-tuning for ML classifiers and fine-tuning (FT) for DL models. This study also examined the categorization of arrhythmias using different filters and the changes in accuracy. As a result, when all models were evaluated, DenseNet-121 without FT achieved 99% accuracy, while FT showed better results with 99.97% accuracy.

Secure healthcare monitoring of arrythmias in internet of things with deep learning and elgamal encryption

Arrhythmia disorders are the leading cause of death worldwide and are primarily recognized by the patient’s irregular cardiac rhythms. Wearable Internet of Things (IoT) devices can reliably measure patients’ heart rhythms by producing electrocardiogram (ECG) signals. Due to their non-invasive nature, ECG signals have been frequently employed to detect arrhythmias. The manual procedure, however, takes a long time and is prone to error. Utilizing deep learning models for early automatic identification of cardiac arrhythmias is a preferable approach that will improve diagnosis and therapy. Though ECG analysis using cloud-based methods can perform satisfactorily, they still suffer from security issues. It is essential to provide secure data transmission and storage for IoT medical data because of its significant development in the healthcare system. So, this paper proposes a secure arrhythmia classification system with the help of effective encryption and a deep learning (DL) system. The proposed method mainly involved two phases: ECG signal transmission and arrhythmia disease classification. In the ECG signal transmission phase, the patient’s ECG data collected through the IoT sensors is encrypted using the optimal key-based elgamal elliptic curve cryptography (OKEGECC) mechanism, and the encrypted data is securely transmitted to the cloud. After that, in the arrhythmia disease classification phase, the system collects the data from the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) database to perform training. The collected data is preprocessed by applying the continuous wavelet transform (CWT) to improve the quality of the ECG data. Next, the feature extraction is carried out by deformable attention-centered residual network 50 (DARNet-50), and finally, the classification is performed using butterfly-optimized Bi-directional long short-term memory (BOBLSTM). The experimental outcomes showed that the proposed system achieves 99.76% accuracy, which is better than the existing related schemes.

Enhancing Security in IoMT: A Blockchain-Based Cybersecurity Framework for Machine Learning-Driven ECG Signal Classification

The Internet of Medical Things (IoMT) revolutionizes healthcare, enhances patient care, and optimizes workflows. However, the integration of IoMT introduces concerns related to privacy and security. In addressing these issues and aiming to bolster privacy and data security, this study presents a novel cybersecurity framework based on blockchain (BC) technology. The primary goal is to ensure secure communication among IoMT devices, preventing unauthorized access and tampering with sensitive data. The proposed framework is implemented in a model designed for classifying electrocardiogram (ECG) signals, utilizing two datasets: a Medical Technology Database (MTDB) with a limited sample size and the Massachusetts Institute of Technology–Beth Israel Hospital (MITBIH) dataset with a more extensive sample size. The datasets are subsequently partitioned into training and testing data. Feature extraction and selection are performed using the Pan-Tomkins and genetic algorithms. To enhance security, BC technology is employed to encrypt the test data. Finally, signal classification is performed using the support vector machine (SVM) classifier. Thus, the model trained on the MITBIH dataset outperforms its small data counterpart, achieving an impressive accuracy rate of 99.9%. Additionally, the model exhibits a true positive rate (TPR) and true negative rate (TNR) of 100%, an F-score of 100%, and a positive predictive value (PPV) of 100%.

A new epileptic seizure prediction model based on maximal overlap discrete wavelet packet transform, homogeneity index, and machine learning using ECG signals

Epilepsy, a complex pathology with various etiological origins, is characterized by producing hyperexcitability in the brain, which can have multiple disruptive symptoms. It impacts about 40 million people worldwide, of which 20 to 30% have chronic and intractable seizures. Each seizure can create hazardous situations for patients resulting from fractures, burns, submersion accidents, and soft-tissue injuries. Therefore, a method capable of predicting a seizure with sufficient window time before its onset is highly desirable because it will allow the patient to locate a safe place or take appropriate precautionary actions. In this article, a novel method is presented through adroit integration of maximal overlap wavelet packet transform, homogeneity index, and a K-Nearest Neighbors classifier to predict an epileptic event twenty minutes before its onset using electrocardiogram (ECG) signals. The method's effectiveness for predicting an epileptic seizure is verified by employing a database provided by the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH), which includes seven patients with ten epileptic seizures. The results show that the proposed method effectively predicts an epileptic seizure 20 min prior to its onset with an accuracy of 93.25%.

Comparison of shallow and deep learning methods of ECG signals clas-sification for arrhythmia detection

The research aimed to compare the classification performance of arrhythmia classification from the ECG signal dataset from the Massachusetts Institute of Technology–Beth Israel Hospital (MIT-BIH) database. Shallow learning methods that were used in this study are Support Vector Machine, Naïve Bayes, and Random Forest. 1D Convolutional Neural Network (1D CNN), Long Short Term Memory (LSTM), and Gated Recurrent Unit (GRU) were deep learning methods that were used for the study. The models were tested on a dataset with 140 samples that were grouped into four class labels, and each sample has 2160 features. Those models were tested for classification performance. This research shows Random Forest and 1D CNN have the best performance.

Efficient Clustering-Based electrocardiographic biometric identification

The correct identification of individuals through different biometric traits is becoming increasingly important. Apart from traditional biomarkers (like fingerprints), many alternative measures have been proposed during the last two decades: electrocardiogram (ECG) and electroencephalogram (EEG) signals, iris or facial recognition, conductual traits, etc. Several works have shown that ECG-based recognition is a feasible alternative, either for stand-alone or multi-biometric recognition systems. In this paper, we propose a novel framework for ECG-based biometric identification, consisting of a simple and robust feature extraction approach and a clustering-based feature reduction method, that enables for an efficient and scalable biometric identification. The proposed feature reduction approach is a two phase method: it uses a clustering algorithm to group features according to their similarities first, and then clusters are represented in terms of a prototype vector and associated to the available subjects. On its side, the proposed time-domain feature extraction method is a semi-fiducial procedure, where the well-known Pan–Tompkins algorithm is first used to detect the R wave peaks of the QRS complexes, and then fixed-width time segments are selected for further dimensionality reduction and feature extraction. The resulting combined methods are efficient, robust, scalable and attain excellent results (with up-to 98.6% sensitivity) on all the subjects of the Physikalisch-Technische Bundesanstalt (PTB) database, regardless of their pathological or healthy status. Additionally, we also show how the existing Auto Correlation/Discrete Cosine Transform (AC/DCT)-based non-fiducial feature extraction method can be integrated within our framework, allowing us to attain up to 90.6% sensitivity on the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) arrhythmia database. Since this database is much noisier and has a much lower sampling rate (360 Hz instead of 1000 Hz), we claim that this is a very good result.

Meta-Heuristic Optimized Hybrid Wavelet Features for Arrhythmia Classification

The non-invasive evaluation of the heart through EectroCardioGraphy (ECG) has played a key role in detecting heart disease. The analysis of ECG signals requires years of learning and experience to interpret and extract useful information from them. Thus, a computerized system is needed to classify ECG signals with more accurate results effectively. Abnormal heart rhythms are called arrhythmias and cause sudden cardiac deaths. In this work, a Computerized Abnormal Heart Rhythms Detection (CAHRD) system is developed using ECG signals. It consists of four stages; preprocessing, feature extraction, feature optimization and classifier. At first, Pan and Tompkins algorithm is employed to detect the envelope of Q, R and S waves in the preprocessing stage. It uses a recursive filter to eliminate muscle noise, <i>T</i>-wave interference and baseline wander. As the analysis of ECG signal in the spatial domain does not provide a complete description of the signal, the feature extraction involves using frequency contents obtained from multiple wavelet filters; bi-orthogonal, Symlet and Daubechies at different resolution levels in the feature extraction stage. Then, Black Widow Optimization (BWO) is applied to optimize the hybrid wavelet features in the feature optimization stage. Finally, a kernel based Support Vector Machine (SVM) is employed to classify heartbeats into five classes. In SVM, Radial Basis Function (RBF), polynomial and linear kernels are used. A total of ∼15000 ECG signals are obtained from the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) arrhythmia database for performance evaluation of the proposed CAHRD system. Results show that the proposed CAHRD system proved to be a powerful tool for ECG analysis. It correctly classifies five classes of heartbeats with 99.91% accuracy using an RBF kernel with 2^nd level wavelet coefficients. The CAHRD system achieves an improvement of ∼6% over random projections with the ensemble SVM approach and ∼2% over morphological and ECG segment based features with the RBF classifier.

Secured Health Data Transmission Using Lagrange Interpolation and Artificial Neural Network

In recent decades, the cloud computing contributes a prominent role in health care sector as the patient health records are transferred and collected using cloud computing services. The doctors have switched to cloud computing as it provides multiple advantageous measures including wide storage space and easy availability without any limitations. This necessitates the medical field to be redesigned by cloud technology to preserve information about patient’s critical diseases, electrocardiogram (ECG) reports, and payment details. The proposed work utilizes a hybrid cloud pattern to share Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) resources over the private and public cloud. The stored data are categorized as significant and non-significant by Artificial Neural Networks (ANN). The significant data undergoes encryption by Lagrange key management which automatically generates the key and stores it in the hidden layer. Upon receiving the request from a secondary user, the primary user verifies the authentication of the request and transmits the key via Gmail to the secondary user. Once the key matches the key in the hidden layer, the preserved information will be shared between the users. Due to the enhanced privacy preserving key generation, the proposed work prevents the tracking of keys by malicious users. The outcomes reveal that the introduced work provides improved success rate with reduced computational time.

An Automatic Premature Ventricular Contraction Recognition System Based on Imbalanced Dataset and Pre-Trained Residual Network Using Transfer Learning on ECG Signal

The development of automatic monitoring and diagnosis systems for cardiac patients over the internet has been facilitated by recent advancements in wearable sensor devices from electrocardiographs (ECGs), which need the use of patient-specific approaches. Premature ventricular contraction (PVC) is a common chronic cardiovascular disease that can cause conditions that are potentially fatal. Therefore, for the diagnosis of likely heart failure, precise PVC detection from ECGs is crucial. In the clinical settings, cardiologists typically employ long-term ECGs as a tool to identify PVCs, where a cardiologist must put in a lot of time and effort to appropriately assess the long-term ECGs which is time consuming and cumbersome. By addressing these issues, we have investigated a deep learning method with a pre-trained deep residual network, ResNet-18, to identify PVCs automatically using transfer learning mechanism. Herein, features are extracted by the inner layers of the network automatically compared to hand-crafted feature extraction methods. Transfer learning mechanism handles the difficulties of required large volume of training data for a deep model. The pre-trained model is evaluated on the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) Arrhythmia and Institute of Cardiological Technics (INCART) datasets. First, we used the Pan-Tompkins algorithm to segment 44,103 normal and 6423 PVC beats, as well as 106,239 normal and 9987 PVC beats from the MIT-BIH Arrhythmia and IN-CART datasets, respectively. The pre-trained model employed the segmented beats as input after being converted into 2D (two-dimensional) images. The method is optimized with the using of weighted random samples, on-the-fly augmentation, Adam optimizer, and call back feature. The results from the proposed method demonstrate the satisfactory findings without the using of any complex pre-processing and feature extraction technique as well as design complexity of model. Using LOSOCV (leave one subject out cross-validation), the received accuracies on MIT-BIH and INCART are 99.93% and 99.77%, respectively, suppressing the state-of-the-art methods for PVC recognition on unseen data. This demonstrates the efficacy and generalizability of the proposed method on the imbalanced datasets. Due to the absence of device-specific (patient-specific) information at the evaluating stage on the target datasets in this study, the method might be used as a general approach to handle the situations in which ECG signals are obtained from different patients utilizing a variety of smart sensor devices.

Diagnosis Myocardial Infarction Based on Stacking Ensemble of Convolutional Neural Network

Artificial Intelligence (AI) technologies are vital in identifying patients at risk of serious illness by providing an early hazards risk. Myocardial infarction (MI) is a silent disease that has been harvested and is still threatening many lives. The aim of this work is to propose a stacking ensemble based on Convolutional Neural Network model (CNN). The proposed model consists of two primary levels, Level-1 and Level-2. In Level-1, the pre-trained CNN models (i.e., CNN-Model1, CNN-Model2, and CNN-Model3) produce the output probabilities and collect them in stacking for the training and testing sets. In Level-2, four meta-leaner classifiers (i.e., SVM, LR, RF, or KNN) are trained by stacking the output probabilities of the training set and are evaluated using the stacking of the output probabilities of the testing set to make the final prediction results. The proposed work was evaluated based on two ECG heartbeat signals datasets for MI: Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) and Physikalisch-Technische Bundesanstalt (PTB) datasets. The proposed model was compared with a diverse set of classical machine learning algorithms such as decision tree, K-nearest neighbor, and support vector machine, and the three base CNN classifiers of CNN-Model1, CNN-Model2, and CNN-Model3. The proposed model based on the RF meta-learner classifier obtained the highest scores, achieving remarkable results on both databases used. For the MIT-BIH dataset it achieved an accuracy of 99.8%, precision of 97%, recall of 96%, and F1-score of 94.4%, outperforming all other methods. while with PTB dataset achieved an accuracy of 99.7%, precision of 99%, recall of 99%, and F1-score of 99%, exceeding the other methods.

An End-to-End Cardiac Arrhythmia Recognition Method with an Effective DenseNet Model on Imbalanced Datasets Using ECG Signal.

Electrocardiography (ECG) is a well-known noninvasive technique in medical science that provides information about the heart's rhythm and current conditions. Automatic ECG arrhythmia diagnosis relieves doctors' workload and improves diagnosis effectiveness and efficiency. This study proposes an automatic end-to-end 2D CNN (two-dimensional convolution neural networks) deep learning method with an effective DenseNet model for addressing arrhythmias recognition. To begin, the proposed model is trained and evaluated on the 97720 and 141404 beat images extracted from the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) arrhythmia and St. Petersburg Institute of Cardiological Technics (INCART) datasets (both are imbalanced class datasets) using a stratified 5-fold evaluation strategy. The data is classified into four groups: N (normal), V (ventricular ectopic), S (supraventricular ectopic), and F (fusion), based on the Association for the Advancement of Medical Instrumentation® (AAMI). The experimental results show that the proposed model outperforms state-of-the-art models for recognizing arrhythmias, with the accuracy of 99.80% and 99.63%, precision of 98.34% and 98.94%, and F1-score of 98.91% and 98.91% on the MIT-BIH arrhythmia and INCART datasets, respectively. Using a transfer learning mechanism, the proposed model is also evaluated with only five individuals of supraventricular MIT-BIH arrhythmia and five individuals of European ST-T datasets (both of which are also class imbalanced) and achieved satisfactory results. So, the proposed model is more generalized and could be a prosperous solution for arrhythmias recognition from class imbalance datasets in real-life applications.

An efficient honey badger based Faster region CNN for chronc heart Failure prediction

If the blood circulation of the heart is not adequate then it causes arrhythmias and Congestive Heart Failure (CHF) which requires immediate medical attention or else it leads to the loss of one's life. An Electrocardiogram (ECG) is a golden standard to diagnose the fatal complications in the heart caused by arrhythmias and it comprises a massive information related to the heartbeat rhythm. The main challenge focused in this paper is to extract the crucial information present in the ECG signal by visual analysis and classify the different abnormalities exhibited in the ECG signal. This paper presents a Honey Badger Algorithm optimized Faster Region-based Convolutional Neural Network (HBA-FRCNN) for CHF prediction with higher diagnostic accuracy. The noisy input ECG signals such as muscle contraction, electrode touch noise, and different noise artifacts are preprocessed using the Delayed Normalized Least Mean Square (DNLMS). The electrocardiographic complex (QRS complex) consisting of the Q, R, and S waves are extracted using the Discrete Cosine Transform (DCT) and fast Fourier transforms(FFT). The target detection box and the anchor parameter for the FRCNN model are tuned using the HBA algorithm to overcome the missed target detection, overfitting, and computational cost. The ECG signals for this study were obtained from Beth Israel Deaconess Medical Center (BIDMC) Congestive Heart Failure Database and the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) Normal Sinus Rhythm Database. The proposed methodology offers an accuracy, positive predictive value, sensitivity, and specificity score of 98.65%, 97.81%, 98.5%, and 98.2% respectively when evaluated with the ECG signals of the two datasets. For the Cardiac Arrhythmias (ARR), Congestive Heart Failure (CHF), and Normal Sinus Rhythm (NSR) classes present in the MIT-BIH dataset, the proposed model offers an accuracy of 99%, 100%, and 98% respectively and for the classes such as CHF severe and CHF normal in the BIDMC dataset, it offers an accuracy of 98% and 97%. The study mainly demonstrates the effectiveness of the FRCNN technique in predicting arrhythmias and CHF in patients by taking the increased number of features in the ECG signal. It also serves as a promising solution for physicians for long-time surveillance of patients prone to CHF with abnormal heartbeat rhythm.

An automated detection of atrial fibrillation from single‑lead ECG using HRV features and machine learning

BackgroundAtrial fibrillation (AF) is a disorder of the heart rhythm where irregular and rapid heartbeats are observed. This supraventricular arrhythmia may increase the risk of blood clots, stroke, heart failure, and other serious heart complications. Automatic analysis of AF that is based on machine learning (ML) plays an important role in detecting this heart disease. MethodsA new approach for automated AF detection is presented using heart rate variability (HRV) features and machine learning. A set of time-domain, frequency-domain and nonlinear features are extracted from the R-R intervals. A new method for frequency-domain analysis of R-R intervals using the Fourier Decomposition Method is presented, which provides promising results as compared to the usual method of power spectral density estimation. We train the algorithm on the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) atrial fibrillation database and perform a comprehensive analysis using statistical tests to obtain the results without any intra-patient bias. ResultsThe proposed method is able to achieve average result of 95.16% sensitivity, 92.46% specificity and 94.43% accuracy and its performance is better than the existing approaches. Furthermore, the efficacy of the proposed algorithm is tested on eight records from a previously unseen MIT-BIH Arrhythmia Database. ConclusionThis work shows that the proposed HRV features and ML approach can be effectively used for the analysis, detection, and classification of AF.

ECG Heartbeat Classification Using CONVXGB Model

ELECTROCARDIOGRAM (ECG) signals are reliable in identifying and monitoring patients with various cardiac diseases and severe cardiovascular syndromes, including arrhythmia and myocardial infarction (MI). Thus, cardiologists use ECG signals in diagnosing cardiac diseases. Machine learning (ML) has also proven its usefulness in the medical field and in signal classification. However, current ML approaches rely on hand-crafted feature extraction methods or very complicated deep learning networks. This paper presents a novel method for feature extraction from ECG signals and ECG classification using a convolutional neural network (CNN) with eXtreme Gradient Boosting (XBoost), ConvXGB. This model was established by stacking two convolutional layers for automatic feature extraction from ECG signals, followed by XGBoost as the last layer, which is used for classification. This technique simplified ECG classification in comparison to other methods by minimizing the number of required parameters and eliminating the need for weight readjustment throughout the backpropagation phase. Furthermore, experiments on two famous ECG datasets–the Massachusetts Institute of Technology–Beth Israel Hospital (MIT-BIH) and Physikalisch-Technische Bundesanstalt (PTB) datasets–demonstrated that this technique handled the ECG signal classification issue better than either CNN or XGBoost alone. In addition, a comparison showed that this model outperformed state-of-the-art models, with scores of 0.9938, 0.9839, 0.9836, 0.9837, and 0.9911 for accuracy, precision, recall, F1-score, and specificity, respectively.

Automated sleep apnea classification based on statistical and spectral analysis of electrocardiogram signals

&lt;span&gt;Well-being sleep is a significant segment for maintaining mental comparably as genuine flourishing. More than six-hour recordings are required to distinguish sleep apnea, which are extremely long duration recordings. It's difficult for a human to deduce the problem from electrocardiogram (ECG) readings. As a result, automated PC-based assessment is expected to detect &lt;span&gt;abnormalities as early as possible. An automated framework for the classification of obstructive sleep apnea (OSA) can moreover be distinguished from the ECG Signals. From the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) polysomnographic informational collection, 18 subjects have been considered as data signals. The signal is segmented into 30 seconds and features are extracted by using the discrete wavelet transform (DWT). DWT of seven-level decomposition is applied on the segmented signal by using&lt;/span&gt; the wavelet 'sym3'. 12 features were extracted from each level and all of them are used to categorize the five types of sleep apnea. Random forest, k-nearest neighbor (KNN), and support vector machine (SVM) are used for classification of apnea. The random forest (RF) classifier outperformed the others with an average of accuracy (Acc) of 98.53% according to the study's findings. The experimental results show the developed model outperforms the state of art algorithms in the literature.&lt;/span&gt;

A deep learning-based cardio-vascular disease diagnosis system

Recently ehealth technologies are becoming an overwhelming aspect of public health services that provides seamless access to healthcare information. Machine learning tools associated with IoT technology play an important role in developing such health technologies. This paper proposes a decision support system-based system (DSS) to make diagnosis of cardiovascular diseases. It uses deep learning approaches that classify electrocardiogram (ECG) signals. Thus, a two-stage long-short term memory (LSTM) based neural network architecture, along with an adequate preprocessing of the ECG signals is designed as a diagnosis-aided system for cardiac arrhythmia detection based on an ECG signal analysis. This deep learning based cardio-vascular disease diagnosis system (namely ‘DLCVD’) is built to meet higher performance requirements in terms of accuracy, specificity, and sensitivity. This must also be capable of an online real-time classification. Experimental results using the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) arrhythmia database show that DLCVD led to outstanding performance

Classify arrhythmia by using 2D spectral images and deep neural network

Electrocardiogram (ECG) is the most common method for monitoring the working of the heart. ECG signal is the basis to determine normal or abnormal rhythm, thereby helping to accurately diagnose cardiovascular diseases. Therefore, an automatic algorithm to detect and diagnose abnormal heart rhythms is essential. There are many methods of classifying arrhythmias using machine learning algorithms such as k-nearest neighbors (KNN), support vector machines (SVM), based on the features extracted from the record of ECG signal. Actually, deep learning algorithms are evolving and highly effective in image analysis and processing. In this research, a dense neural network model is proposed to classify normal and abnormal beats. Input ECG signal presenting a time series is converted into 2-D spectral image by applying wavelet transform. Our research is evaluated based on using the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) arrhythmia database. The accuracy of the classification algorithm we employ is 99.8%, demonstrating the model's validity when compared to other reports' findings. This is the foundation for our algorithm to prove it can be utilized as an efficient model for categorizing arrhythmia using ECG signals.

Sub-Nyquist Sampling of ECG Signals Based on the Extension of Variable Pulsewidth Model

To prevent lifestyle diseases, portable heartbeat detection systems by electrocardiograms (ECGs) for daily life monitoring have attracted attentions. For portable systems, power consumption is critical and it is thus beneficial to reduce the sampling frequency at the point of acquisition. Recent developed variable pulsewidth finite rate of innovation (VPW-FRI) framework provides an effective way for low-rate sampling and compression of ECG signals. Unfortunately, noise and model mismatch will induce inaccuracies to such scheme in the reconstruction process. In this article, a sub-Nyquist sampling scheme based on the extension of VPW model is proposed for ECG signals, which reduce the model dismatch error, and improve the reconstruction quality under model mismatch and noise scenario. In the proposed scheme, ECG signal is modeled as the differentiated VPW model to reduce the model mismatch error. Then a FRI sampling framework based on the differentiated VPW model is proposed to sample the ECG signal at a sub-Nyquist rate. After the ECG signal is sampled, some consecutive Fourier series coefficients are calculated according to the samples. Then a modified annihilating filter algorithm is proposed to estimate parameters of the ECG signal and reconstruct the ECG signal. Finally, simulation experiments with real ECG signals from Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) Arrhythmia Database have shown that the proposed scheme outperformed the traditional methods for model mismatch. The signal-to-residual ratio (SRR) of the reconstructed signal of the proposed scheme is higher than that of the VPW-FRI scheme.