Arrhythmia Classification Method Research Articles

Cardiac Arrhythmia multiclass classification using optimized FLS-based 3D-CNN

Arrhythmia is the medical term for any irregularities in the normal functioning of the heart. Due to their ease of use and non-invasive nature, electrocardiograms (ECGs) are frequently used to identify heart problems. Analyzing a huge number of ECG data manually by medical professionals uses excessive medical resources. Consequently, identifying ECG characteristics based on machine learning has become increasingly popular. However, these conventional methods have some limitations, including the need for manual feature recognition, complex models, and lengthy training periods. This research offers a unique hybrid POA-F3DCNN method for arrhythmia classification that combines the Pelican Optimisation algorithm with fuzzy-based 3D-CNN (F3DCNN) to alleviate the shortcomings of the existing methods. The POA is applied to hyper-tune the parameters of 3DCNN and determine the ideal parameters of the Gaussian Membership Functions used for FLSs. The experimental results were obtained by testing the performance of five and thirteen categories of arrhythmia classification, respectively, on UCI-arrhythmia and the MIT-BIH Arrhythmia datasets. Standard measures such as F1-score, Precision, Accuracy, Specificity, and Recall enabled the classification results to be expressed appropriately. The outcomes of the novel framework achieved testing average accuracies after ten-fold cross-validation are 98.96 % on the MIT-BIH dataset and 99.4% on the UCI arrhythmia datasets compared to state-of-the-art approaches.

YOLO-ECG: multi-stage ECG arrhythmia classification using deep learning based YOLO network for portable monitoring

Cardiovascular disease is the leading cause of death and more than half million people were died around the world. However, cardiovascular health monitoring is crucial for effective heart disease diagnosis and management. In this paper, a novel deep learning-based YOLO-ECG model is proposed to ECG arrhythmia classification method for portable monitoring. Initially, the ECG signals are gathered using 12-lead electrodes in the real time and these signals are denoised using two-dimensional stationary wavelet transform (2D-SWT). In SWT, zeros are inserted between filter taps rather than decimal points to eliminate repetitions and increase robustness. The denoised ECG signals are fed into the deep learning-based YOLO network with Gaussian error linear unit (GELU) activation function for detecting the ECG abnormalities of arrythmia. ECG waveforms are analyzed for the local fractal dimension at each sample point before heartbeat waveforms are extracted within a set length window. A squeeze and excitation attention (SEAN) module is introduced in the YOLO network for selecting size of 1D convolution kernel, and the dimension is preserved during local cross-channel interactions, decrease network complexity and enhance model efficiency. The classification findings demonstrate that the proposed YOLO-ECG model performs better by ECG recordings from the MIT-BIH arrhythmia dataset. From the experimental analysis, the proposed YOLO-ECG model yields the overall accuracy of 99.16% for efficient classification of arrythmia ECG signals.

Fetal ECG Arrhythmia Detection Based on DensNet Transfer Learning

Purpose: The mortality rate of fetuses due to heart defects is a major concern for clinicians. The fetus's heart is monitored non-invasively using the abdominal Electrocardiogram (ECG) of the mother. Most of the methods in literature diagnose fetal arrhythmia based on fetal heart rate. However, there are various challenges in fetal heart rate monitoring and arrhythmia detection. Therefore, very few methods are explored for fetal arrhythmia classification and have not achieved promising results.
 Materials and Methods: In this article, a fetal arrhythmia classification method is investigated. The method has exploited the transfer learning principle where DenseNet architecture is utilized to learn fetal ECG patterns. Fetal ECG (fECG) signal extracted from the mothers abdominal has been processed for denoising and heartbeats are segmented using signal processing techniques. The extracted heartbeats have transformed into 2D fECG images to re-train the pre-trained DenseNet architecture.
 Results: The proposed method has been evaluated on the publicly available Non-Invasive Fetal Arrhythmia Database (NIFADB) of Physionet and achieved 98.56% classification accuracy, thus outperforming other existing methods.
 Conclusion: The arrhythmia in a fetus can be detected using a non-invasive fetal ECG. Due to the faster convergence of the learning algorithm, the proposed method offers better fetal diagnosis in real-time.

Combining the Taguchi Method and Convolutional Neural Networks for Arrhythmia Classification by Using ECG Images with Single Heartbeats

In recent years, deep learning has been applied in numerous fields and has yielded excellent results. Convolutional neural networks (CNNs) have been used to analyze electrocardiography (ECG) data in biomedical engineering. This study combines the Taguchi method and CNNs for classifying ECG images from single heartbeats without feature extraction or signal conversion. All of the fifteen types (five classes) in the MIT-BIH Arrhythmia Dataset were included in this study. The classification accuracy achieved 96.79%, which is comparable to the state-of-the-art literature. The proposed model demonstrates effective and efficient performance in the identification of heartbeat diseases while minimizing misdiagnosis.

HARDC : A novel ECG-based heartbeat classification method to detect arrhythmia using hierarchical attention based dual structured RNN with dilated CNN

Deep learning-based models have achieved significant success in detecting cardiac arrhythmia by analyzing ECG signals to categorize patient heartbeats. To improve the performance of such models, we have developed a novel hybrid hierarchical attention-based bidirectional recurrent neural network with dilated CNN (HARDC) method for arrhythmia classification. This solves problems that arise when traditional dilated convolutional neural network (CNN) models disregard the correlation between contexts and gradient dispersion. The proposed HARDC fully exploits the dilated CNN and bidirectional recurrent neural network unit (BiGRU–BiLSTM) architecture to generate fusion features. As a result of incorporating both local and global feature information and an attention mechanism, the model’s performance for prediction is improved. By combining the fusion features with a dilated CNN and a hierarchical attention mechanism, the trained HARDC model showed significantly improved classification results and interpretability of feature extraction on the PhysioNet 2017 challenge dataset. Sequential Z-Score normalization, filtering, denoising, and segmentation are used to prepare the raw data for analysis. CGAN (Conditional Generative Adversarial Network) is then used to generate synthetic signals from the processed data. The experimental results demonstrate that the proposed HARDC model significantly outperforms other existing models, achieving an accuracy of 99.60%, F1 score of 98.21%, a precision of 97.66%, and recall of 99.60% using MIT-BIH generated ECG. In addition, this approach significantly reduces run time when using dilated CNN compared to normal convolution. Overall, this hybrid model demonstrates an innovative and cost-effective strategy for ECG signal compression and high-performance ECG recognition. Our results indicate that an automated and highly computed method to classify multiple types of arrhythmia signals holds considerable promise.

Classification of ECG signal using FFT based improved Alexnet classifier.

Electrocardiograms (ECG) are extensively used for the diagnosis of cardiac arrhythmias. This paper investigates the use of machine learning classification algorithms for ECG analysis and arrhythmia detection. This is a crucial component of a conventional electronic health system, and it frequently necessitates ECG signal reduction for long-term data storage and remote transmission. Signal processing methods must be used to extract the function of the morphological properties of the ECG signal changing with time, which is difficult to discern in the typical visual depiction of the ECG signal. In biomedical research, signal processing and data analysis are commonly employed methodologies. This work proposes the use of an ECG arrhythmia classification method based on Fast Fourier Transform (FFT) for feature extraction and an improved AlexNet classifier to distinguish the difference between four types of arrhythmia conditions that were collected from records. The Convolutional Neural Network (CNN) algorithm's results are compared to those of other algorithms, and the simulation results prove that the proposed technique is more effective for various parameters. The final results of the proposed system show that its ability to find deviations is 20% better than that of traditional systems.

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.

A biosensing system using a multiparameter nonlinear dynamic analysis of cardiomyocyte beating for drug-induced arrhythmia recognition

Cardiovascular disease is the number one cause of death in humans. Therefore, cardiotoxicity is one of the most important adverse effects assessed by arrhythmia recognition in drug development. Recently, cell-based techniques developed for arrhythmia recognition primarily employ linear methods such as time-domain analysis that detect and compare individual waveforms and thus fall short in some applications that require automated and efficient arrhythmia recognition from large datasets. We carried out the first report to develop a biosensing system that integrated impedance measurement and multiparameter nonlinear dynamic algorithm (MNDA) analysis for drug-induced arrhythmia recognition and classification. The biosensing system cultured cardiomyocytes as physiologically relevant models, used interdigitated electrodes to detect the mechanical beating of the cardiomyocytes, and employed MNDA analysis to recognize drug-induced arrhythmia from the cardiomyocyte beating recording. The best performing MNDA parameter, approximate entropy, enabled the system to recognize the appearance of sertindole- and norepinephrine-induced arrhythmia in the recording. The MNDA reconstruction in phase space enabled the system to classify the different arrhythmias and quantify the severity of arrhythmia. This new biosensing system utilizing MNDA provides a promising and alternative method for drug-induced arrhythmia recognition and classification in cardiological and pharmaceutical applications.

Segment Origin Prediction: A Self-supervised Learning Method for Electrocardiogram Arrhythmia Classification.

The automatic arrhythmia classification system has made a significant contribution to reducing the mortality rate of cardiovascular diseases. Although the current deep-learning-based models have achieved ideal effects in arrhythmia classification, their performance still needs to be further improved due to the small scale of the dataset. In this paper, we propose a novel self-supervised pre-training method called Segment Origin Prediction (SOP) to improve the model's arrhythmia classification performance. We design a data reorganization module, which allows the model to learn ECG features by predicting whether two segments are from the same original signal without using annotations. Further, by adding a feed-forward layer to the pre-training stage, the model can achieve better performance when using labeled data for arrhythmia classification in the downstream stage. We apply the proposed SOP method to six representative models and evaluate the performances on the PhysioNet Challenge 2017 dataset. After using the SOP pre-training method, all baseline models gain significant improvement. The experimental results verify the effectiveness of the proposed SOP method.

An ECG Heartbeat Classification Method Based on Deep Convolutional Neural Network.

The electrocardiogram (ECG) is one of the most powerful tools used in hospitals to analyze the cardiovascular status and check health, a standard for detecting and diagnosing abnormal heart rhythms. In recent years, cardiovascular health has attracted much attention. However, traditional doctors' consultations have disadvantages such as delayed diagnosis and high misdiagnosis rate, while cardiovascular diseases have the characteristics of early diagnosis, early treatment, and early recovery. Therefore, it is essential to reduce the misdiagnosis rate of heart disease. Our work is based on five different types of ECG arrhythmia classified according to the AAMI EC57 standard, namely, nonectopic, supraventricular ectopic, ventricular ectopic, fusion, and unknown beat. This paper proposed a high-accuracy ECG arrhythmia classification method based on convolutional neural network (CNN), which could accurately classify ECG signals. We evaluated the classification effect of this classification method on the supraventricular ectopic beat (SVEB) and ventricular ectopic beat (VEB) based on the MIT-BIH arrhythmia database. According to the results, the proposed method achieved 99.8% accuracy, 98.4% sensitivity, 99.9% specificity, and 98.5% positive prediction rate for detecting VEB. Detection of SVEB achieved 99.7% accuracy, 92.1% sensitivity, 99.9% specificity, and 96.8% positive prediction rate.

An arrhythmia classification method based on deep learning parallel network model

We propose a parallel neural network classification method to improve the performance of classification of 4 types of arrhythmias: normal beat, supraventricular ectopic beat, ventricular ectopic beat and fused beat. Preprocessing was performed including denoising of ECG signal, segmentation of small-scale heartbeat and large-scale heartbeat and data enhancement. Based on deep learning theory, densely connected convolutional network was applied to improve the limitation of waveform feature extraction, and bidirectional long short-term memory network and efficient channel attention network were combined to enhance the function of time series features and important features of the waveform. The parallel network structure was adopted, and the waveform features of small- scale heartbeat and large-scale heartbeat were input to improve the accuracy of arrhythmia classification at the same time. Softmax was used to carry out the 4 classification tasks of arrhythmia by the parallel network model. The proposed method was verified using MIT-BIH Arrhythmia Database and 3 groups of experiments. The experiments for comparing the classification performance of multiple parallel network models and that of each classification model under different heartbeat input methods showed that the proposed classification model had an overall accuracy, average sensitivity and average specificity of 99.36%, 96.08% and 99.41%, respectively. Convergence performance analysis of the parallel network classification model showed that the training time of the classification model was 41 s. The parallel multi-network classification method can improve the average sensitivity, specificity and training time while maintaining a high overall accuracy, and may thus provide a new technical solution for clinical diagnosis of arrhythmia.

12-Lead ECG arrhythmia classification using cascaded convolutional neural network and expert feature

Owing to widely available digital ECG data and recent advances in deep learning techniques, automatic ECG arrhythmia classification based on deep neural network has gained growing attention. However, existing neural networks are mainly validated on single‑lead ECG, not involving the correlation and difference between multiple leads, while multiple leads ECG provides more complete description of the cardiac activity in different directions. This paper proposes a 12‑lead ECG arrhythmia classification method using a cascaded convolutional neural network (CCNN) and expert features. The one-dimensional (1-D) CNN is firstly designed to extract features from each single‑lead signal. Subsequently, considering the temporal correlation and spatial variability between multiple leads, features are cascaded as input to two-dimensional (2-D) densely connected ResNet blocks to classify the arrhythmia. Furthermore, features based on expert knowledge are extracted and a random forest is applied to get a classification probability. Results from both CCNN and expert features are combined using the stacking technique as the final classification result. The method has been validated against the first China ECG Intelligence Challenge, obtaining a final score of 86.5% for classifying 12‑lead ECG data with multiple labels into 9 categories.

An efficient ECG arrhythmia classification method based on Manta ray foraging optimization

The Electrocardiogram (ECG) arrhythmia classification has become an interesting research area for researchers and developers as it plays a vital role in early prevention and diagnosis of cardiovascular diseases. In ECG signal classification, the feature extraction and selection processes are critical steps. Thus, in this paper, different ECG signal descriptors based on one-dimensional local binary pattern (LBP), wavelet, higher-order statistical (HOS), and morphological information are introduced for feature extraction. For feature selection and classification processes, a new hybrid ECG arrhythmia classification approach called MRFO-SVM that combines a metaheuristic algorithm termed Manta ray foraging optimization (MRFO) with support vector machine (SVM) is proposed to automatically determine the relevance features of LBP, HOS, wavelet and magnitude values. In MRFO-SVM approach, the MRFO is utilized to optimize the parameters of SVM and to select the significant features subset that provides the best classification performance, meanwhile SVM is used for classification purposes. The proposed MRFO-SVM approach is trained on the MIT-BIH Arrhythmia database containing four abnormal and one normal heartbeats. The experimental results of ECG arrhythmia classification using the proposed MRFO-SVM revealed with evidence its superiority with overall classification accuracy of 98.26% over seven well-known metaheuristic algorithms.

Inception based GAN for ECG arrhythmia classification

Cardiovascular diseases are the world's principal reason for death, accounting it about 17.9 million people per year, as reported by World Health Organization(WHO). Arrhythmia is often a heart disease that is interpreted by a variation in the linearity of the heartbeat. The goal of this study would be to develop a new deep learning technique to accurately interpret arrhythmia utilizing a one-second segment. This paper introduces a novel method for automatic GAN-based arrhythmia classification. The input ECG signal is derived from the fusion of well known Physionet dataset from MIT-BIH and some Hospital ECG databases. The ECG segment over time is used to detect 15 different classes of arrhythmias. The GAN network uses an attention-based generator to learn local essential features and to maintain data integrity for both time and frequency domains. Among these, the highest accuracy obtained is 98%. It can be inferred from the results that the proposed approach is smart enough to make meaningful predictions and produces excellent performance on the related metrics.

A Proof-of-Concept of Ultra-Edge Smart IoT Sensor: A Continuous and Lightweight Arrhythmia Monitoring Approach

Due to the proliferation of the Internet of Things (IoT), the IoT devices are becoming utilized at the edge network at a much higher rate. Conventionally, the IoT devices lack the computation resources required for carrying out ultra-edge analytics. In this paper, we go beyond the typical edge analytics paradigm, which is mostly limited to user-smartphones, and investigate how to embed intelligence into the ultra-edge IoT sensors. To conceptualize the smart IoT sensors with enhanced intelligence, we select the arrhythmia detection task employing Electrocardiogram (ECG) trace as one of the mobile health (mHealth) cases. The existing approaches are not feasible for ultra-edge IoT sensors due to the extensive noise-filtering and manual feature extraction phase. Hence, in this paper, to facilitate the analytics, we propose a Deep Learning-based Lightweight Arrhythmia Classification (DL-LAC) method, which employs only single-lead ECG trace and does not require noise-filtering and manual feature extraction steps. As the proposed technique, we design a one-dimensional Convolutional Neural Network (CNN) architecture. Complying with the ANSI/AAMI EC57:1998 standard, four heartbeat types are taken into consideration as class labels. The efficiency and the generalization ability of the proposed model are evaluated, employing four different datasets from PhysioNet. The experimental results demonstrate that the proposed DL method outperforms traditional methods such as the Delay Differential Equation (DDE)-based optimization, K-Nearest Neighbor (KNN), and Random Forest (RF). The proposed DL-LAC illustrates encouraging performance in terms of time and memory requirement when the trained model is transferred to virtualized microcontrollers connected to IoT sensors.

A high-precision arrhythmia classification method based on dual fully connected neural network

As an important arrhythmia detection method, the electrocardiogram (ECG) can directly reflect abnormalities in cardiac physiological activity. In view of the difficulty in the diagnosis of arrhythmia in different people, automatic arrhythmia detection methods have been studied in previous works. In this paper, we present a dual fully-connected neural network model for accurate classification of heartbeats. Our method is following the AAMI inter-patient standard, which includes normal beats (N), supraventricular ectopic beats (S), ventricular ectopic beats (V), fusion beats (F), and unknown beats (Q). Firstly, a total of 105 features are extracted from the preprocessed signals. Then, a two-layer classifier is introduced in the classification stage. Each layer contains two independent fully-connected neural networks, and the threshold criterion is also added in the second layer. For verification, both the MIT arrhythmia database (MITDB) and the MIT supraventricular arrhythmia database (SVDB) were adopted. The experiments demonstrate that the proposed method has high performance for arrhythmia detection. It also achieves high sensitivity for class S and V, which can easily detect potentially abnormal heartbeats. Furthermore, the proposed method can interfere with the classification effect for a certain disease and have more advantages in dataset size when comparing a convolutional neural network (CNN). Once properly trained, the proposed method can be employed as a tool to automatically detect arrhythmia from ECG.

Spectral feature and optimization- based actor-critic neural network for arrhythmia classification using ECG signal

ABSTRACTArrhythmia classification is an interesting research field that serves as the solution for most of the cardiac-related diseases. The patients with cardiac diseases are experiencing the greatest risk rate of death, and hence, there is a need to identify the presence of arrhythmia in patients to reduce the fatality rate. This paper proposes an arrhythmia classification method, which offers better classification accuracy and releases the time spend for classifying the patients. The proposed method of arrhythmia classification uses the Electrocardiography (ECG) signal to classify the patients with and without arrhythmia. Initially, the wave components are identified from the ECG signal and are subjected to the feature extraction. The spectral and statistical features are extracted from the wave components that yield the texture and the geometric nature of ECG such that classification of ECG becomes effective. The classification is carried out using the Actor-Critic (AC) Neural Network that is trained using the Proposed Taylor-Sine Cosine Algorithm (Taylor-SCA). The Proposed Taylor-SCA algorithm is the integration of Taylor series and SCA. The experimentation is performed using the MIT-BIH Arrhythmia Database, and the experimental results show that the proposed algorithm exhibits the maximum accuracy, sensitivity, and specificity of 0.9545, 0.77, and 0.9375, respectively.

ECG Arrhythmia Classification Using STFT-Based Spectrogram and Convolutional Neural Network

The classification of electrocardiogram (ECG) signals is very important for the automatic diagnosis of heart disease. Traditionally, it is divided into two steps, including the step of feature extraction and the step of pattern classification. Owing to recent advances in artificial intelligence, it has been demonstrated that deep neural network, which trained on a huge amount of data, can carry out the task of feature extraction directly from the data and recognize cardiac arrhythmias better than professional cardiologists. This paper proposes an ECG arrhythmia classification method using two-dimensional (2D) deep convolutional neural network (CNN). The time domain signals of ECG, belonging to five heart beat types including normal beat (NOR), left bundle branch block beat (LBB), right bundle branch block beat (RBB), premature ventricular contraction beat (PVC), and atrial premature contraction beat (APC), were first transformed into time-frequency spectrograms by short-time Fourier transform. Subsequently, the spectrograms of the five arrhythmia types were utilized as input to the 2D-CNN such that the ECG arrhythmia types were identified and classified finally. Using ECG recordings from the MIT-BIH arrhythmia database as the training and testing data, the classification results show that the proposed 2D-CNN model can reach an averaged accuracy of 99.00%. On the other hand, in order to achieve optimal classification performances, the model parameter optimization was investigated. It was found when the learning rate is 0.001 and the batch size parameter is 2500, the classifier achieved the highest accuracy and the lowest loss. We also compared the proposed 2D-CNN model with a conventional one-dimensional CNN model. Comparison results show that the 1D-CNN classifier can achieve an averaged accuracy of 90.93%. Therefore, it is validated that the proposed CNN classifier using ECG spectrograms as input can achieve improved classification accuracy without additional manual pre-processing of the ECG signals.

A Novel Method of Clustering ECG Arrhythmia data using Robust Spatial Kernel Fuzzy C-Means

This paper presents an robust and efficient unsupervised method for ECG arrhythmia classification. The proposed method consists of two steps: feature selection and clustering. In proposed method, initially the input ECG data is fed into feature selection method to reduce the dimensionality. In this paper, three well known feature selection methods i.e., Principal Component Analysis, Linear Discriminant Analysis (LDA) and Regularized Locality Preserving Indexing (RLPI) are employed. Further, the reduced data is clustered using a Robust Spatial Kernel FCM (RSKFCM) method. RSKFCM is variant of FCM method which uses Gaussian kernel as distance metric and incorporates neighborhood information. To evaluate the proposed method the experimentation’s are conducted on UCI arrhythmia dataset and compared the results with traditional FCM and Kernel Fuzzy C-Means (KFCM). Extensive experimental results show that, the proposed RSKFCM method with RLPI feature selection method outperforms other methods in comparison.

An Arrhythmia Classification Method in Utilizing the Weighted KNN and the Fitness Rule

BackgroundArrhythmia is the disturbance in the heart's regular rhythmic activity. Although arrhythmia signals are generally reflected on electrocardiogram records, some arrhythmias do not continuously appear. In such cases, heart-rate variability signals may have to be obtained over long periods of time and should be inspected by experts. However, analyses by experts require a long time and may omit important information. Therefore, computer aided diagnosis systems are required to automatically detect diverse types of arrhythmias. In addition, although many efforts have been made to develop arrhythmia detection techniques, studies on algorithms that are reliable, robust, and have an excellent adaptability to diverse situations remain necessary. ObjectiveIn this paper, we integrate coefficients extracted through principal component analysis (PCA) and linear discriminant analysis (LDA) for reinforcing the original signal's representative features and use the weighted k-nearest neighbor (WKNN) applying the weighted value control for reducing the sensitivity depending on the K size of k-nearest neighbor (KNN), and reclassify the data that were not accurately classified using the fitness rule for improving the arrhythmia classification accuracy. MethodsIn the preprocessing phase, the amplitude is adjusted through normalization and baseline fluctuations, and diverse noises existing in signals are removed using wavelets. In the feature extraction and selection phase, using daubechies 2, the pre-processed electrocardiogram signals are decomposed, and d4 and a4 feature coefficients are extracted. Thereafter, the dimensions of the d4 and a4 feature coefficients are reduced using PCA and LDA, respectively, and the resultant coefficients from the reduction are combined and composed as features. In the classification phase, the test data are classified into four classes using the KNN. The goodness of fit of the classified data is tested using the fitness rules, and any beats that are not classified correctly are reclassified by applying them to the WKNN algorithm. ResultsThe results show that sensitivity = 97.57%, specificity = 99.42%, and positive predictive value = 94.41% are exhibited, as well as slightly higher sensitivity, specificity, and positive predictive values than other results. ConclusionThe classification combining the features of PCA and LDA shows better results than classification using the features of PCA and LDA each. Additionally, the classification using WKNN and fitness rules exhibits higher sensitivity, specificity, and positive predictive values than classification without using WKNN and fitness rules thereby classifying arrhythmia more efficiently.