We present a model for predicting electrocardiogram (ECG) abnormalities in short-duration 12-lead ECG signals which outperformed medical doctors on the 4th year of their cardiology residency. Such exams can provide a full evaluation of heart activity and have not been studied in previous end-to-end machine learning papers. Using the database of a large telehealth network, we built a novel dataset with more than 2 million ECG tracings, orders of magnitude larger than those used in previous studies. Moreover, our dataset is more realistic, as it consist of 12-lead ECGs recorded during standard in-clinics exams. Using this data, we trained a residual neural network with 9 convolutional layers to map 7 to 10 second ECG signals to 6 classes of ECG abnormalities. Future work should extend these results to cover a large range of ECG abnormalities, which could improve the accessibility of this diagnostic tool and avoid wrong diagnosis from medical doctors.
Classical ECG software, such as University of Glasgow's ECG analysis program @cite_2 , extracts the main features of the ECG signal using signal processing techniques and use them as input for classifiers. A literature review of these methods is given by @cite_3 . @cite_27 a different approach is taken, where the ECG features are learned using an unsupervised method and then used as input to a supervised learning method.
@cite_27 @cite_3 @cite_2
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In this paper, we propose a novel approach based on deep learning for active classification of electrocardiogram (ECG) signals. To this end, we learn a suitable feature representation from the raw ECG data in an unsupervised way using stacked denoising autoencoders (SDAEs) with sparsity constraint. After this feature learning phase, we add a softmax regression layer on the top of the resulting hidden representation layer yielding the so-called deep neural network (DNN). During the interaction phase, we allow the expert at each iteration to label the most relevant and uncertain ECG beats in the test record, which are then used for updating the DNN weights. As ranking criteria, the method relies on the DNN posterior probabilities to associate confidence measures such as entropy and Breaking-Ties (BT) to each test beat in the ECG record under analysis. In the experiments, we validate the method on the well-known MIT-BIH arrhythmia database as well as two other databases called INCART, and SVDB, respectively. Furthermore, we follow the recommendations of the Association for the Advancement of Medical Instrumentation (AAMI) for class labeling and results presentation. The results obtained show that the newly proposed approach provides significant accuracy improvements with less expert interaction and faster online retraining compared to state-of-the-art methods. Classification of electrocardiogram (ECG) signals plays an important role in diagnoses of heart diseases. An accurate ECG classification is a challenging problem. This paper presents a survey of ECG classification into arrhythmia types. Early and accurate detection of arrhythmia types is important in detecting heart diseases and choosing appropriate treatment for a patient. Different classifiers are available for ECG classification. Amongst all classifiers, artificial neural networks (ANNs) have become very popular and most widely used for ECG classification. This paper discusses the issues involved in ECG classification and presents a detailed survey of preprocessing techniques, ECG databases, feature extraction techniques, ANN based classifiers, and performance measures to address the mentioned issues. Furthermore, for each surveyed paper, our paper also presents detailed analysis of input beat selection and output of the classifiers. The University of Glasgow 12 15 lead ECG analysis program has been in continuous development for over 20 years. It has been adapted to meet the needs of different users and keep abreast of changes in terminology as well as new morphological features described in the literature. It is applicable to neonates as well as adults and takes account of racial variation in wave amplitudes. It has a capability for comparing serially recorded ECGs using one of two different approaches. The many varying features of the software have led to the introduction of the descriptor Uni-G (unique) ECG analysis program