Patient specific higher order tensor based approach for the detection and localization of myocardial infarction using 12-lead ECG

Myocardial Infarction (MI) is an emergency condition that requires immediate medical treatment. The rapid and accurate diagnosis of MI using a 12-lead electrocardiogram (ECG) is extremely important in a clinical study to save the patient's life. The manual interpretation of MI using a 12-lead ECG is tedious and time-consuming. Therefore, a patient-specific software-based computer-aided diagnosis framework is helpful to detect and localize MI disease accurately. This paper proposes a patient-specific higher-order tensor-based approach to detect and localize MI automatically using 12-lead ECG recordings. The 12-lead ECG recordings are segmented into 12-lead ECG beats using the multi-lead fusion-based QRS detection algorithm. The fast and adaptive multivariate empirical mode decomposition (FA-MVEMD) based multiscale analysis method decomposes 12 -lead ECG beat into a third-order tensor containing the information from the samples, beat, and intrinsic mode functions (IMFs). Furthermore, a fourth-order tensor is formulated by considering beats, samples, lead, and IMFs information of 12-lead ECG recording. The multilinear singular value decomposition (MLSVD) extracts features from the fourth-order tensors and third-order tensors of 12-lead ECG. The K-nearest neighbor (KNN), support vector machine (SVM), and stacked autoencoder-based deep neural network (SAE-DNN) models are used for the detection and localization of MI using fourth-order and third-order tensor domain features. The proposed approach is evaluated using 73 healthy control (HC) and 100 different types of MI-based 12-lead ECG recordings from a public database. The proposed approach has obtained the classification accuracy values of (98.84%, 98.27%, 98.27%) and (86.64%, 83.17%, and 81.98%) using (KNN, SVM, and SAE-DNN) models for MI detection, and localization, respectively using 30-min duration of 12-lead ECG recordings. For MI detection and localization, the suggested approach has obtained accuracy values of 96.53% and 93.32%, respectively, using the 4-s duration of 12-lead ECG recordings. Our approach outperformed existing MI detection and localization methods using 12-lead ECG recordings regarding classification performance.