Intricating cardiac complexities are the primary factor associated with healthcare costs and the highest cause of death rate in the world. However, preventive measures like the early detection of cardiac anomalies can prevent severe cardiovascular arrests of varying complexities and can impose a substantial impact on healthcare cost. Encountering such scenarios usually the electrocardiogram (ECG or EKG) is the first diagnostic choice of a medical practitioner or clinical staff to measure the electrical and muscular fitness of an individual heart. This paper presents a system which is capable of reading the recorded ECG and predict the cardiac anomalies without the intervention of a human expert. The paper purpose an algorithm which read and perform analysis on electrocardiogram datasets. The proposed architecture uses the Discrete Wavelet Transform (DWT) at first place to perform preprocessing of ECG data followed by undecimated Wavelet transform (UWT) to extract nine relevant features which are of high interest to a cardiologist. The probabilistic mode named Bayesian Network Classifier is trained using the extracted nine parameters on UCL arrhythmia dataset. The proposed system classifies a recorded heartbeat into four classes using Bayesian Network classifier and Tukey's box analysis. The four classes for the prediction of a heartbeat are (a) Normal Beat, (b) Premature Ventricular Contraction (PVC) (c) Premature Atrial Contraction (PAC) and (d) Myocardial Infarction. The results of experimental setup depict that the proposed system has achieved an average accuracy of 96.6 for PAC 92.8 for MI and 87 for PVC, with an average error rate of 3.3 for PAC, 6 for MI and 12.5 for PVC on real electrocardiogram datasets including Physionet and European ST-T Database (EDB).
Lately, a very few approaches have been coined to discourse the gaps and limitations of automatic detection of anomalies and generating alarms for irregular rhythms in respect of WBANs, and real-time ECG recording and monitoring remotely. HeartSaver system is such a kind of system projected in @cite_21 with similar intentions. The system is capable of analyzing the ECG in real-time and can detect cardiac pathologies which are atrioventricular block, atrial fibrillation (A-fib) and myocardial infarction. The author in @cite_27 introduced a mobile application which uses the mobile camera for heart attack detection by placing the index figure on camera. The proposed approach works only with Heart Rate by calculating the blood peaks. The purposed approach is unable to detect CVD because CVD detection involves complex features representation and analysis of the ECG signal.
@cite_27 @cite_21
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Abstract Detecting and classifying cardiac arrhythmias is critical to the diagnosis of patients with cardiac abnormalities. In this paper, a novel approach based on deep learning methodology is proposed for the classification of single-lead electrocardiogram (ECG) signals. We demonstrate the application of the Restricted Boltzmann Machine (RBM) and deep belief networks (DBN) for ECG classification following detection of ventricular and supraventricular heartbeats using single-lead ECG . The effectiveness of this proposed algorithm is illustrated using real ECG signals from the widely-used MIT-BIH database. Simulation results demonstrate that with a suitable choice of parameters, RBM and DBN can achieve high average recognition accuracies of ventricular ectopic beats (93.63 ) and of supraventricular ectopic beats (95.57 ) at a low sampling rate of 114 Hz . Experimental results indicate that classifiers built into this deep learning-based framework achieved state-of-the art performance models at lower sampling rates and simple features when compared to traditional methods. Further, employing features extracted at a sampling rate of 114 Hz when combined with deep learning provided enough discriminatory power for the classification task. This performance is comparable to that of traditional methods and uses a much lower sampling rate and simpler features. Thus, our proposed deep neural network algorithm demonstrates that deep learning-based methods offer accurate ECG classification and could potentially be extended to other physiological signal classifications, such as those in arterial blood pressure (ABP), nerve conduction (EMG), and heart rate variability (HRV) studies. A mobile medical device, dubbed HeartSaver, is developed for real-time monitoring of a patient's electrocardiogram (ECG) and automatic detection of several cardiac pathologies, including atrial fibrillation, myocardial infarction and atrio-ventricular block. HeartSaver is based on adroit integration of four different modern technologies: electronics, wireless communication, computer, and information technologies in the service of medicine. The physical device consists of four modules: sensor and ECG processing unit, a microcontroller, a link between the microcontroller and the cell phone, and mobile software associated with the system. HeartSaver includes automated cardiac pathology detection algorithms. These algorithms are simple enough to be implemented on a low-cost, limited-power microcontroller but powerful enough to detect the relevant cardiac pathologies. When an abnormality is detected, the microcontroller sends a signal to a cell phone. This operation triggers an application software on the cell phone that sends a text message transmitting information about patient's physiological condition and location promptly to a physician or a guardian. HeartSaver can be used by millions of cardiac patients with the potential to transform the cardiac diagnosis, care, and treatment and save thousands of lives. The processing of ECG signal provides a wealth of information on cardiac function and overall cardiovascular health. While multi-lead ECG recordings are often necessary for a proper assessment of cardiac rhythms, they are not always available or practical, for example in fet al ECG applications. Moreover, a wide range of small non-obtrusive single-lead ECG ambulatory monitoring devices are now available, from which heart rate variability (HRV) and other health-related metrics are derived. Proper beat detection and classification of abnormal rhythms is important for reliable HRV assessment and can be challenging in single-lead ECG monitoring devices. In this manuscript, we modelled the heart rate signal as an adaptive non-harmonic model and used the newly developed synchrosqueezing transform (SST) to characterize ECG patterns. We show how the proposed model can be used to enhance heart beat detection and classification between normal and abnormal rhythms. In particular, using the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) arrhythmia database and the Association for the Advancement of Medical Instrumentation (AAMI) beat classes, we trained and validated a support vector machine (SVM) classifier on a portion of the annotated beat database using the SST-derived instantaneous phase, the R-peak amplitudes and R-peak to R-peak interval durations, based on a single ECG lead. We obtained sentivities and positive predictive values comparable to other published algorithms using multiple leads and many more features. Electrocardiography (ECG) signals are widely used to gauge the health of the human heart, and the resulting time series signal is often analyzed manually by a medical professional to detect any arrhythmia that the patient may have suffered. Much work has been done to automate the process of analyzing ECG signals, but most of the research involves extensive preprocessing of the ECG data to derive vectorized features and subsequently designing a classifier to discriminate between healthy ECG signals and those indicative of an Arrhythmia. This approach requires knowledge and data of the different types of Arrhythmia for training. However, the heart is a complex organ and there are many different and new types of Arrhythmia that can occur which were not part of the original training set. Thus, it may be more prudent to adopt an anomaly detection approach towards analyzing ECG signals. In this paper, we utilize a deep recurrent neural network architecture with Long Short Term Memory (LSTM) units to develop a predictive model for healthy ECG signals. We further utilize the probability distribution of the prediction errors from these recurrent models to indicate normal or abnormal behavior. An added advantage of using LSTM networks is that the ECG signal can be directly fed into the network without any elaborate preprocessing as required by other techniques. Also, no prior information about abnormal signals is needed by the networks as they were trained only on normal data. We have used the MIT-BIH Arrhythmia Database to obtain ECG time series data for both normal periods and for periods during four different types of Arrhythmias, namely Premature Ventricular Contraction (PVC), Atrial Premature Contraction (APC), Paced Beats (PB) and Ventricular Couplet (VC). Results are promising and indicate that Deep LSTM models may be viable for detecting anomalies in ECG signals.