scholarly journals Robust Heartbeat Classification for Wearable Single-Lead ECG via Extreme Gradient Boosting

Sensors ◽  
2021 ◽  
Vol 21 (16) ◽  
pp. 5290
Author(s):  
Huaiyu Zhu ◽  
Yisheng Zhao ◽  
Yun Pan ◽  
Hanshuang Xie ◽  
Fan Wu ◽  
...  

Wearable electrocardiogram (ECG) monitoring devices have enabled everyday ECG collection in our daily lives. However, the condition of ECG signal acquisition using wearable devices varies and wearable ECG signals could be interfered with by severe noises, resulting in great challenges of computer-aided automated ECG analysis, especially for single-lead ECG signals without spare channels as references. There remains room for improvement of the beat-level single-lead ECG diagnosis regarding accuracy and efficiency. In this paper, we propose new morphological features of heartbeats for an extreme gradient boosting-based beat-level ECG analysis method to carry out the five-class heartbeat classification according to the Association for the Advancement of Medical Instrumentation standard. The MIT-BIH Arrhythmia Database (MITDB) and a self-collected wearable single-lead ECG dataset are used for performance evaluation in the static and wearable ECG monitoring conditions, respectively. The results show that our method outperforms other state-of-the-art models with an accuracy of 99.14% on the MITDB and maintains robustness with an accuracy of 98.68% in the wearable single-lead ECG analysis.

Sensors ◽  
2018 ◽  
Vol 18 (9) ◽  
pp. 2835 ◽  
Author(s):  
Zhongjie Hou ◽  
Jinxi Xiang ◽  
Yonggui Dong ◽  
Xiaohui Xue ◽  
Hao Xiong ◽  
...  

A prototype of an electrocardiogram (ECG) signal acquisition system with multiple unipolar capacitively coupled electrodes is designed and experimentally tested. Capacitively coupled electrodes made of a standard printed circuit board (PCB) are used as the sensing electrodes. Different from the conventional measurement schematics, where one single lead ECG signal is acquired from a pair of sensing electrodes, the sensing electrodes in our approaches operate in a unipolar mode, i.e., the biopotential signals picked up by each sensing electrodes are amplified and sampled separately. Four unipolar electrodes are mounted on the backrest of a regular chair and therefore four channel of signals containing ECG information are sampled and processed. It is found that the qualities of ECG signal contained in the four channel are different from each other. In order to pick up the ECG signal, an index for quality evaluation, as well as for aggregation of multiple signals, is proposed based on phase space reconstruction. Experimental tests are carried out while subjects sitting on the chair and clothed. The results indicate that the ECG signals can be reliably obtained in such a unipolar way.


Sensors ◽  
2020 ◽  
Vol 20 (3) ◽  
pp. 606 ◽  
Author(s):  
Minggang Shao ◽  
Zhuhuang Zhou ◽  
Guangyu Bin ◽  
Yanping Bai ◽  
Shuicai Wu

In this paper we proposed a wearable electrocardiogram (ECG) telemonitoring system for atrial fibrillation (AF) detection based on a smartphone and cloud computing. A wearable ECG patch was designed to collect ECG signals and send the signals to an Android smartphone via Bluetooth. An Android APP was developed to display the ECG waveforms in real time and transmit every 30 s ECG data to a remote cloud server. A machine learning (CatBoost)-based ECG classification method was proposed to detect AF in the cloud server. In case of detected AF, the cloud server pushed the ECG data and classification results to the web browser of a doctor. Finally, the Android APP displayed the doctor’s diagnosis for the ECG signals. Experimental results showed the proposed CatBoost classifier trained with 17 selected features achieved an overall F1 score of 0.92 on the test set (n = 7270). The proposed wearable ECG monitoring system may potentially be useful for long-term ECG telemonitoring for AF detection.


2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Enbiao Jing ◽  
Haiyang Zhang ◽  
ZhiGang Li ◽  
Yazhi Liu ◽  
Zhanlin Ji ◽  
...  

Based on a convolutional neural network (CNN) approach, this article proposes an improved ResNet-18 model for heartbeat classification of electrocardiogram (ECG) signals through appropriate model training and parameter adjustment. Due to the unique residual structure of the model, the utilized CNN layered structure can be deepened in order to achieve better classification performance. The results of applying the proposed model to the MIT-BIH arrhythmia database demonstrate that the model achieves higher accuracy (96.50%) compared to other state-of-the-art classification models, while specifically for the ventricular ectopic heartbeat class, its sensitivity is 93.83% and the precision is 97.44%.


2016 ◽  
Vol 55 (03) ◽  
pp. 258-265 ◽  
Author(s):  
Dewar Finlay ◽  
Daniel Guldenring ◽  
Cathal Breen ◽  
Raymond Bond

SummaryBackground: Recently under the Connected Health initiative, researchers and small-medium engineering companies have developed Electrocardiogram (ECG) monitoring devices that incorporate non-standard limb electrode positions, which we have named the Central Einthoven (CE) configuration.Objectives: The main objective of this study is to compare ECG signals recorded from the CE configuration with those recorded from the recommended Mason-Likar (ML) configuration.Methods: This study involved extracting two different sets of ECG limb leads from each patient to compare the difference in the signals. This was done using computer simulation that is driven by body surface potential maps. This simulator was developed to facilitate this experiment but it can also be used to test similar hypotheses. This study included, (a) 176 ECGs derived using the ML electrode positions and (b) the 176 corresponding ECGs derived using the CE electrode positions. The signals from these ECGs were compared using root mean square error (RMSE), Pearson product-moment correlation coefficient (r) and similarity coefficient (SC). We also investigated whether the CE configuration influences the calculated mean cardiac axis. The top 10 cases where the ECGs were significantly different between the two configurations were visually compared by an ECG interpreter.Results: We found that the leads aVL, III and aVF are most affected when using the CE configuration. The absolute mean difference between the QRS axes from both configurations was 28° (SD = 37°). In addition, we found that in 82% of the QRS axes calculated from the CE configuration was more rightward in comparison to the QRS axes derived from the ML configuration. Also, we found that there is an 18% chance that a misleading axis will be located in the inferior right quadrant when using the CE approach. Thus, the CE configuration can emulate right axis deviation. The clinician visually identified 6 out of 10 cases where the CE based ECG yielded clinical differences that could result in false positives.Conclusions: The CE configuration will not yield the same diagnostic accuracy for diagnosing pathologies that rely on current amplitude criteria. Conversely, rhythm lead II was not significantly affected, which supports the use of the CE approach for assessing cardiac rhythm only. Any computerised analysis of the CE based ECG will need to take these findings into consideration.


2019 ◽  
Vol 13 (2) ◽  
Author(s):  
Monica Solbiati ◽  
Lucia Trombetta ◽  
Roberto M. Sacco ◽  
Luca Erba ◽  
Viviana Bozzano ◽  
...  

The aims of this study were (1) to identify research publications studying noninvasive electrocardiogram (ECG) monitoring devices, (2) to define and categorize current technology in noninvasive ECG recording, and (3) to discuss desirable noninvasive recording features for personalized syncope evaluation to guide technological advancement and future studies. We performed a systematic review of the literature that assessed noninvasive ECG-monitoring devices, regardless of the reason for monitoring. We performed an Internet search and corresponded with syncope experts and companies to help identify further eligible products. We extracted information about included studies and device features. We found 173 relevant papers. The main reasons for ECG monitoring were atrial fibrillation (n = 45), coronary artery disease (n = 10), syncope (n = 8), palpitations (n = 8), other cardiac diseases (n = 67), and technological aspects of monitoring (n = 35). We identified 198 devices: 5 hospital telemetry devices, 12 patches, 46 event recorders, 70 Holter monitors, 23 external loop recorders, 20 mobile cardiac outpatient telemetries, and 22 multifunctional devices. The features of each device were very heterogeneous. There are a large number of ECG-monitoring devices with different features available in the market. Our findings may help clinicians select the appropriate device for their patients. Since there are only a few published articles analyzing their usefulness in syncope patients, further research might improve their use in this clinical setting.


2017 ◽  
Vol 2017 ◽  
pp. 1-13 ◽  
Author(s):  
Kan Luo ◽  
Jianqing Li ◽  
Zhigang Wang ◽  
Alfred Cuschieri

Heartbeat classification is a crucial step for arrhythmia diagnosis during electrocardiographic (ECG) analysis. The new scenario of wireless body sensor network- (WBSN-) enabled ECG monitoring puts forward a higher-level demand for this traditional ECG analysis task. Previously reported methods mainly addressed this requirement with the applications of a shallow structured classifier and expert-designed features. In this study, modified frequency slice wavelet transform (MFSWT) was firstly employed to produce the time-frequency image for heartbeat signal. Then the deep learning (DL) method was performed for the heartbeat classification. Here, we proposed a novel model incorporating automatic feature abstraction and a deep neural network (DNN) classifier. Features were automatically abstracted by the stacked denoising auto-encoder (SDA) from the transferred time-frequency image. DNN classifier was constructed by an encoder layer of SDA and a softmax layer. In addition, a deterministic patient-specific heartbeat classifier was achieved by fine-tuning on heartbeat samples, which included a small subset of individual samples. The performance of the proposed model was evaluated on the MIT-BIH arrhythmia database. Results showed that an overall accuracy of 97.5% was achieved using the proposed model, confirming that the proposed DNN model is a powerful tool for heartbeat pattern recognition.


2020 ◽  
Author(s):  
Murside Degirmenci ◽  
Mehmet Akif Ozdemir ◽  
Elif Izci ◽  
Aydin Akan

Abstract Background: Electrocardiogram (ECG) is a method of recording the electrical activity of the heart and provides a diagnostic mean for heart-related diseases. An arrhythmia is any irregularity of heartbeat that causes an abnormality in one’s heart rhythm. Early detection of arrhythmia has great importance to prevent many diseases. Manual analysis of ECG signal is not sufficient for quickly identifying arrhythmias that may cause sudden deaths. Hence, many studies have been presented to developed computer-aided diagnosis (CAD) systems to automatically identify arrhythmias.Methods: This paper proposes a novel deep learning approach to identify arrhythmias in ECG signals. The signals are obtained from MIT-BIH arrhythmia database and are categorized according to five arrhythmia types. The proposed approach identifies arrhythmia classes by using Convolutional Neural Network (CNN) architecture trained by two-dimensional (2D) ECG beat images. CNN architecture is selected due to high image recognition performance. ECG signals are segmented into heartbeats, then each heartbeat is transformed into a 2D grayscale image. The heartbeat images are used as input for the CNN. Results: The proposed CNN model is compared to other common CNN architectures such as LeNet and ResNet-50 to evaluate the performance of our study. Overall, the proposed study achieved 99.7% test accuracy in the classification of five different ECG arrhythmias.Conclusions: Testing results demonstrate that CNN trained by ECG image representations provide outstanding classification performance of arrhythmic ECG signals and outperforms similar network architectures. Hence, the proposed approach provides a robust method for the classification of ECG arrhythmias.


Author(s):  
Nurul Huda ◽  
Sadia Khan ◽  
Ragib Abid ◽  
Samiul Based Shuvo ◽  
Mir Maheen Labib ◽  
...  

Continuously monitoring the Electrocardiogram (ECG) is an essential tool for Cardiovascular Disease (CVD) patients. In low-resource countries, the hospitals and health centers do not have adequate ECG systems, and this unavailability exacerbates the patients' health condition. Lack of skilled physicians, limited availability of continuous ECG monitoring devices, and their high prices, all lead to a higher CVD burden in the developing countries. To address these challenges, we present a low-cost, low-power, and wireless ECG monitoring system with deep learning-based automatic arrhythmia detection. Flexible fabric-based design and the wearable nature of the device enhances the patient's comfort while facilitating continuous monitoring. An AD8232 chip is used for the ECG Analog Front-End (AFE) with two 450 mi-Ah Li-ion batteries for powering the device. The acquired ECG signal can be transmitted to a smart-device over Bluetooth and subsequently sent to a cloud server for analysis. A 1-D Convolutional Neural Network (CNN) based deep learning model is developed that provides an accuracy of 94.03% in classifying abnormal cardiac rhythm on the MIT-BIH Arrhythmia Database.


2021 ◽  
Vol 21 (01) ◽  
pp. 2150003
Author(s):  
HUAN ZHANG ◽  
XINPEI WANG ◽  
CHANGCHUN LIU ◽  
YUANYANG LI ◽  
YUANYUAN LIU ◽  
...  

Coronary heart disease (CHD) is a typical cardiovascular disease whose occurrence and development is a long process. Timely and accurate diagnosis of patients with varying degrees of coronary artery stenosis (VDCAS) is conducive to accurate treatment and prognosis assessment. This study aims to correctly classify VDCAS patients by utilizing multi-domain features fusion of single-lead 5-min ECG signals and machine learning methods, so as to provide reference for doctors to judge the CHD development process. ECG signals were collected from 206 subjects with CHD, mild CHD, thoracalgia and normal coronary angiograms (TNCA), and healthy. Then, the time, frequency, time–frequency, and nonlinear domain features of ECG signals were extracted to establish a multi-domain feature set. To get the optimum subset of features, the recursive feature elimination (RFE) and information gain (IG) were selected. Subsequently, eXtreme Gradient Boosting (XGBoost) and random forest (RF) were adopted for classification. Results indicated that RFE combined with XGBoost was significantly effective in classifying VDCAS patients. When the four categories of subjects (CHD, mild CHD, TNCA, and healthy) were classified, the average accuracy, sensitivity, specificity, and F1-score of the proposed method were 91.74%, 89.39%, 96.80%, and 90.09%, respectively. Besides, three categories of subjects (no stenosis, luminal narrowing [Formula: see text] 50%, and luminal narrowing [Formula: see text] 50%) and two categories of subjects (CHD and healthy) were also analyzed, and the average accuracy was 91.27% and 98.46%, respectively. The results suggest that the proposed method can provide reference for doctors to judge VDCAS patients.


Author(s):  
Diptangshu Pandit ◽  
Chengyu Liu ◽  
Li Zhang

Automated Electrocardiogram (ECG) processing is an important technique which helps in identifying abnormalities in the heart before any formal diagnosis. This research presents a real-time and lightweight R-assisted feature extraction algorithm and a heartbeat classification scheme which achieves highly accurate abnormality detection. In the proposed algorithm, we extract fifteen features from each heartbeat taken from raw Lead-II ECG signals. The features carry medically valuable information such as locations, amplitude and energy of ECG waves (P, Q, R, S, T waves) which are then used for detection of any abnormality that might be present in the heartbeat using various classification algorithms. We have used four popular databases from Physionet and extracted ten thousand ECG signals from each for training the models and benchmarking results. Four classification models i.e. Naïve Bays, k-Nearest Neighbor, Neural Network, Decision Tree were used for abnormality detection validating the efficiency of the system.


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