ECG BEAT DETECTION AND CLASSIFICATION SYSTEM USING WAVELET TRANSFORM AND ONLINE SEQUENTIAL ELM

A heart disease called cardiovascular diseases (CVD) is another leading cause for the death. There are several reasons that lead the CVD in human beings. The early detect of CVD helps to take necessary medical attentions to prevent the harms. The conventional techniques for CVD detection were manual and expensive which often delivers the inaccurate diagnosis. Since from the last decade the other inexpensive Computer Aided Diagnosis (CAD) based methods gained significant medical attentions. The CAD based techniques mainly based on raw Electro Cardiogram (ECG) signals of patient for the accurate and economical detection of CVD at early stage. In recent past, there are several CAD systems designed for CVD diagnosis utilizing raw ECG signals, however accuracy of CVD detection utilizing ECG bothered through several issues of research like QRS beats extraction, artefacts, efficient features extraction. This research paper present CVD novel framework, utilizing raw ECG signals and designed hybrid pre-processing algorithm for extracting artefacts and noise through raw ECG signal. Further designed simple and efficient dynamic thresholding based technique to extract the beats such as Q, R, S, and ST segment through pre-processing ECG signal. Third step perform the fusion of extracted beats and apply the feature extraction method called Normalized Higher Order Statistic (NHOS). The normalized HOS techniques asses the complexity among all the QRS based beats and delivers the more unique features for the accuracy enhancement. The final step is the classification by using five different classifiers for the CVD detection. The simulation results presented in this paper demonstrate that proposed framework achieved the significant accuracy improvement.

Electrocardiogram (ECG) signal quality indices (SQIs) are essential for improving diagnostic accuracy and reliability of ECG analysis systems. In various practical applications, the ECG signals are corrupted by different types of noise. These corrupted ECG signals often provide insufficient and incorrect information regarding a patient’s health. To solve this problem, signal quality measurements should be made before an ECG signal is used for decision-making. This paper investigates the robustness of existing popular statistical signal quality indices (SSQIs): relative power of QRS complex (SQIp), skewness (SQIskew), signal-to-noise ratio (SQIsnr), higher order statistics SQI (SQIhos) and peakedness of kurtosis (SQIkur). We analysed the robustness of these SSQIs against different window sizes across diverse datasets. Results showed that the performance of SSQIs considerably fluctuates against varying datasets, whereas the impact of varying window sizes was minimal. This fluctuation occurred due to the use of a static threshold value for classifying noise-free ECG signals from the raw ECG signals. Another drawback of these SSQIs is the bias towards noise-free ECG signals, that limits their usefulness in clinical settings. In summary, the fixed threshold-based SSQIs cannot be used as a robust noise detection system. In order to solve this fixed threshold problem, other techniques can be developed using adaptive thresholds and machine-learning mechanisms.

Heart disease is still a heavy hitter on the list of leading causes of death around the globe, so getting ahead of the game with early and accurate predictions is crucial for effective treatment. Traditional diagnostic systems often put all their eggs in one basket, relying solely on clinical data or electrocardiogram (ECG) signals. This one-track approach can really throw a wrench in the works, limiting their predictive power. To tackle this head-on, we suggest a Hybrid Deep Learning Framework for Heart Disease Prediction Using Multi-Modal Clinical and ECG Data, which weaves together cutting-edge neural architectures, attention mechanisms, and ensemble strategies to boost performance and clarity.The framework gets the ball rolling by preprocessing UCI Cleveland clinical features with a bit of normalization and encoding, while ECG signals are put through the wringer with noise removal, segmentation, and scaling. Clinical data are shaped using machine learning classifiers and ANN, while ECG features are pulled together with CNN, BiLSTM, and Transformer layers to snag local, temporal, and contextual insights. A Graph Neural Network (GNN) weaves together the threads of clinical and ECG features, while a cross-attention fusion module dances to the rhythm of dynamically aligning and prioritizing the key features from both modalities. Predictions are cooked up using a stacked ensemble classifier, and model interpretability is kept in the clear through SHAP values, attention heatmaps, and graph attention visualization.The experimental evaluation reveals that the proposed method takes the cake, leaving the baseline models in the dust. Our framework hit the nail on the head with a whopping 94.8% accuracy, 93.5% precision, 95.1% recall, and 94.3% F1-score, leaving traditional machine learning in the dust at a mere 86.5%, and unimodal deep learning methods like CNN-BiLSTM and Transformer trailing behind at 89.7% and 90.4%, respectively. Talk about raising the bar!To wrap it all up, the suggested hybrid method hits the nail on the head by blending structured clinical data with ECG signals, providing top-notch predictive accuracy and clarity that’s second to none. This positions it as a strong contender for practical clinical decision support and the early detection of cardiovascular disease. Keywords: Heart Disease Prediction, Hybrid Deep Learning, Multi-Modal Fusion, ECG Signals, Cross-Attention, Graph Neural Network, Explainable AI,

Matlab-based tool for ECG and HRV analysis

Electrocardiogram (ECG) signals are significantly distorted during recording by muscle artifact (MA), causing signal frequency overlap and making it difficult to interpret ECG data correctly. Deep learning (DL) methods for signal processing have shown promising results. However, there is a significant necessity in building proper DL models with appropriate datasets. We propose an enhanced hybrid deep learning framework called HRGB-Net based on residual neural network (ResNet), global channel attention block (GCAB), and bidirectional-long-short-term memory (Bi-LSTM) blocks for filtering the MA noise from ECG by using three distinctive MIT-BIH real-time datasets from the PhysioNet repository by creating suitable datasets for training. We use both raw ECG data and short-time Fourier-transformed (STFT) ECG data for comparative analysis with three neural network models: a convolutional neural Network (CNN), a fully connected neural network (FCNN), and a regression-based LSTM (Reg-LSTM-DNN) model to assess the proposed model. The signal-to-noise ratio (SNR) of noisy ECG signals is varied from - 7dB to 2dB to analyze the mean square error (MSE) and correlation coefficient (CC) performances after the denoising process. Our proposed method utilizes the regression ability to remove MA noise and generate a clean ECG signal with improved values of these signal parameters. The STFT-trained and tested ECG data shows better results than the raw ECG data for efficiently eliminating the MA with a 98.82% correlation coefficient and optimal MSE value of 0.053068. The results prove our proposed HRGB-Net model's remarkable ability to outperform the neural network models and other standard techniques.

Although fingerprint-based systems are the commonly used biometric systems, they suffer from a critical vulnerability to a presentation attack (PA). Therefore, several approaches based on a fingerprint biometrics have been developed to increase the robustness against a PA. We propose an alternative approach based on the combination of fingerprint and electrocardiogram (ECG) signals. An ECG signal has advantageous characteristics that prevent the replication. Combining a fingerprint with an ECG signal is a potentially interesting solution to reduce the impact of PAs in biometric systems. We also propose a novel end-to-end deep learning-based fusion neural architecture between a fingerprint and an ECG signal to improve PA detection in fingerprint biometrics. Our model uses state-of-the-art EfficientNets for generating a fingerprint feature representation. For the ECG, we investigate three different architectures based on fully-connected layers (FC), a 1D-convolutional neural network (1D-CNN), and a 2D-convolutional neural network (2D-CNN). The 2D-CNN converts the ECG signals into an image and uses inverted Mobilenet-v2 layers for feature generation. We evaluated the method on a multimodal dataset, that is, a customized fusion of the LivDet 2015 fingerprint dataset and ECG data from real subjects. Experimental results reveal that this architecture yields a better average classification accuracy compared to a single fingerprint modality.

Present paper deals with design and development of digital FIR filters. Heart diseases, which are one of the death reasons, are among the several serious problems in this century and as per the latest survey, 60% of the patients die due to Heart diseases. Electrocardiogram (ECG) signal plays a vital role in the monitoring and diagnosis of the health conditions of human heart. The basic ECG signal has the frequency range from .5Hz to 100Hz. The most significant noises that corrupt ECG signal are power line interference and baseline wanders. It becomes difficult for the Specialist to diagnose the diseases if artifacts are present in the ECG signal. Designing digital filters to reduce these noises is very important in ECG signal processing. In this work a digital FIR filter for reducing 50Hz power line noise in ECG signal is designed and implemented with different windowing methods as of Hamming, Kaiser, and Chebyshev. The work has been done in MATLAB environment. The result obtained for all FIR filters are compared by comparing the waveforms of the original and filtered ECG signals. The filter which gives the best results is the one using Chebyshev Window.

Coronary artery disease (CAD) is one of the most common causes of heart ailments; many patients with CAD do not exhibit initial symptoms. An electrocardiogram (ECG) is a diagnostic tool widely used to capture the abnormal activity of the heart and help with diagnoses. Assessing ECG signals may be challenging and time-consuming. Identifying abnormal ECG morphologies, especially in low amplitude curves, may be prone to error. Hence, a system that can automatically detect and assess the ECG and treadmill test ECG (TMT-ECG) signals will be helpful to the medical industry in detecting CAD. In the present work, we developed an intelligent system that can predict CAD, based on ECG and TMT signals more accurately than any other system developed thus far. The distinct convolutional neural network (CNN) architecture deals with single-lead and multi-lead (12-lead) ECG and TMT-ECG data effectively. While most artificial intelligence-based systems rely on the universal dataset, the current work used clinical lab data collected from a renowned hospital in the neighborhood. ECG and TMT-ECG graphs of normal and CAD patients were collected in the form of scanned reports. One-dimensional ECG data with all possible features were extracted from the scanned report with the help of a modified image processing method. This feature extraction procedure was integrated with the optimized architecture of the CNN model leading to a novel prediction system for CAD. The automated computer-assisted system helps in the detection and medication of CAD with a high prediction accuracy of 99%.

Effective and powerful methods for denoising real electrocardiogram (ECG) signals are important for wearable sensors and devices. Deep Learning (DL) models have been used extensively in image processing and other domains with great success but only very recently have been used in processing ECG signals. This paper presents several DL models namely Convolutional Neural Networks (CNNs), Long Short-Term Memory (LSTM), Restricted Boltzmann Machine (RBM) together with the more conventional filtering methods (low pass filtering, high pass filtering, Notch filtering) and the standard wavelet-based technique for denoising EEG signals. These methods are trained, tested and evaluated on different synthetic and real ECG datasets taken from the MIT PhysioNet database and for different simulation conditions (i.e. various lengths of the ECG signals, single or multiple records). The results show the CNN model is a performant model that can be used for off-line denoising ECG applications where it is satisfactory to train on a clean part of an ECG signal from an ECG record, and then to test on the same ECG signal, which would have some high level of noise added to it. However, for real-time applications or near-real time applications, this task becomes more cumbersome, as the clean part of an ECG signal is very probable to be very limited in size. Therefore the solution put forth in this work is to train a CNN model on 1 second ECG noisy artificial multiple heartbeat data (i.e. ECG at effort), which was generated in a first instance based on few sequences of real signal heartbeat ECG data (i.e. ECG at rest). Afterwards it would be possible to use the trained CNN model in real life situations to denoise the ECG signal.

This paper investigates the application of the newly proposed Kronecker-based method for the reconstruction of compressively sensed electrocardiogram (ECG) signals. By applying the Kronecker-based method, ECG signal acquisition is done in smaller lengths. Collection of smaller length of ECG signals leads to fewer arithmetic operations during the compression phase. Instead of recovering individually in smaller lengths, recovery is done over several concatenated segments. This newly proposed recovery method improves the quality of the reconstructed signal when compared to the traditional recovery done without concatenation. Two random measurement matrices, namely the Gaussian and the Bernoulli matrices, are considered as sensing matrices in this study and the methodology is evaluated using 10 ECG signals acquired from the MIT arrhythmia database. The random Bernoulli matrix is found to provide better quality of recovered compressed ECG signal even with the traditional compressive recovery techniques. Recovery by the newly proposed Kroneckerbased method results in higher SNR in all the ECG signals when the compression ratio (CR) is 25% or 50% and when the CR is 75%, improvement is observed in majority of the ECG signals. Lower CRs provide better reconstruction than higher CRs. The Kronecker-based recovery method may be useful for wearable ECG devices.

Electrocardiogram (ECG) signal processing aims basically 1) at artifact reduction to make the ECG signals cleaner and better interpretable by human or machine observers, 2) at revealing aspects not immediately observable in plain measured ECG signals even after artifact reduction, or 3) at diagnostics decision support and automated ECG signal interpretation, including classification of ECG signals into different classes associated with normal or pathological heart function. Thus, sports related applications aside, body surface ECG signal processing aims at enhancing ECG based diagnostics. In this Chapter, we review and demonstrate a statistical signal processing approach, independent component analysis (ICA), which is inherently very suitable for ECG signal processing regarding the aims 1) and 2) above, and also equally applicable as a component in systems aimed at accomplishing the aim 3). For more on general ECG signal processing, the reader is directed to the textbook written by Sornmo & Laguna (2005), and for a thorough treatment of ICA to the Hyvarinen’s book (Hyvarinen et al., 2001). A concise review on ICA in ECG signal processing has been presented by Castells et al. (2007a). In this Chapter, we describe and illustrate several widely adopted applications of ICA in ECG signal processing, and discuss associated practical aspects, some of which are not generally found in the literature. The treatment of the matter is aimed at conceptual and practical understanding, leaving the mathematical derivations and proofs far mostly for the interested reader to find in the references. ICA (Castells et al., 2007a; Comon, 1994; Hyvarinen et al., 2001; Hyvarinen & Oja, 2000; Naik & Kumar, 2011) is a statistical signal processing method for decomposing a set of signals into a set of mutually independent component signals. In general, in the applications of ICA, including in ECG signal processing, the objective is that the resulting independent component signals are the original source signals. Since ICA operates purely based on the input signals and a few assumptions, ICA belongs to the class of methods called blind source separation methods. For ICA, a source signal is called an independent component (IC). The terms ‘IC’ and ‘source signal’ are here used interchangeably. For ECG, the source signals are the bioelectrical signals generated by the heart, and all the possible artifact signals. Generally, ICA input signals are the observed signals, which may be measurement time series, such as sampled voltage values in time as in the case of ECGs, image pixel values, or basically any sets of values fulfilling the assumptions of ICA. In the sequel, the term

PurposeSurface electromyography (sEMG) is vulnerable to environmental interference, low recognition rate and poor stability. Electrocardiogram (ECG) signals with rich information were introduced into sEMG to improve the recognition rate of fatigue assessment in the process of rehabilitation.MethodsTwenty subjects performed 150 min of Pilates rehabilitation exercise. Twenty subjects performed 150 min of Pilates rehabilitation exercise. ECG and sEMG signals were collected at the same time. Aftering necessary preprocessing, the classification model of improved particle swarm optimization support vector machine base on sEMG and ECG data fusion was established to identify three different fatigue states (Relaxed, Transition, Tired). The model effects of different classification algorithms (BPNN, KNN, LDA) and different fused data types were compared.ResultsIPSO-SVM had obvious advantages in the classification effect of sEMG and ECG signals, the average recognition rate was 87.83%. The recognition rates of sEMG and ECG fusion feature classification models were 94.25%, 92.25%, 94.25%. The recognition accuracy and model performance was significantly improved.ConclusionThe sEMG and ECG signal after feature fusion form a complementary mechanism. At the same time, IPOS-SVM can accurately detect the fatigue state in the process of Pilates rehabilitation. On the same model, the recognition effect of fusion of sEMG and ECG(Relaxed: 98.75%, Transition:92.25%, Tired:94.25%) is better than that of only using sEMG signal or ECGsignal. This study establishes technical support for establishing relevant man–machine devices and improving the safety of Pilates rehabilitation.

PO-04-175 RECONSTRUCTING TWELVE-LEAD ELECTROCARDIOGRAM SIGNALS FROM A SINGLE-LEAD SIGNAL USING GENERATIVE ADVERSARIAL NETWORKS

Electrocardiogram (ECG) is acquired during Magnetic Resonance Imaging (MRI) to monitor patients and synchronize image acquisition with the heart motion. ECG signals are highly distorted during MRI due to the complex electromagnetic environment. Automated ECG analysis is therefore complicated in this context and there is no reference technique in MRI to classify pathological heartbeats. Imaging arrhythmic patients is hence difficult in MRI. Deep Learning based heartbeat classifier have been suggested but require large databases whereas existing annotated sets of ECG in MRI are very small. We proposed a Siamese network to leverage a large database of unannotated ECGs outside MRI. This was used to develop an efficient representation of ECG signals, further used to develop a heartbeat classifier. We extensively tested several data augmentations and self-supervised learning (SSL) techniques and assessed the generalization of the obtained classifier to ECG signals acquired in MRI. These augmentations included random noises and a model simulating MRI specific artefacts. SSL pretraining improved the generalizability of heartbeat classifiers in MRI (F1=0.75) compared to Deep Learning not relying on SSL (F1=0.46) and another classical machine learning approach (F1=0.40). These promising results seem to indicate that the use of SSL techniques can learn efficient ECG signal representation, and are useful for the development of Deep Learning models even when only scarce annotated medical data are available.

This paper discusses the circuit comparison of the electrocardiogram (ECG) heart rate detector for wearable biomedical devices. In this work, the QRS complex is used to calculate heart rate, representing the main component of the ECG signal. In order to achieve a high level of accuracy by the detector, the measured ECG signal must be free of noise. Typically, such noise originates from power line interferences and baseline wandering. To eliminate these noises, the ECG signal must be processed using the signal processing method. The ECG detection process can be divided into a preprocessing stage, which eliminates noise from the raw ECG signal, and the feature extraction stage, which extracts the QRS complex for heart rate calculation. Based on our analysis, the trade-off between complexity and accuracy in ECG signal architecture is important when designing a high-efficiency system.