Application of Meta Learning in Quality Assessment of Wearable Electrocardiogram Recordings

The high rates of mortality provoked by cardiovascular disorders (CVDs) have been rated by the OMS in the top among non-communicable diseases, killing about 18 million people annually. It is crucial to detect arrhythmias or cardiovascular events in an early way. For that purpose, novel portable acquisition devices have allowed long-term electrocardiographic (ECG) recording, being the most common way to discover arrhythmias of a random nature such as atrial fibrillation (AF). Nonetheless, the acquisition environment can distort or even destroy the ECG recordings, hindering the proper diagnosis of CVDs. Thus, it is necessary to assess the ECG signal quality in an automatic way. The proposed approach exploits the feature and meta-feature extraction of 5-s ECG segments with the ability of machine learning classifiers to discern between high- and low-quality ECG segments. Three different approaches were tested, reaching values of accuracy close to 83% using the original feature set and improving up to 90% when all the available meta-features were utilized. Moreover, within the high-quality group, the segments belonging to the AF class outperformed around 7% until a rate over 85% when the meta-features set was used. The extraction of meta-features improves the accuracy even when a subset of meta-features is selected from the whole set.