Automated Arrhythmia Detection Based on RR Intervals

被引:32
作者
Faust, Oliver [1 ]
Kareem, Murtadha [1 ]
Ali, Ali [2 ]
Ciaccio, Edward J. [3 ]
Acharya, U. Rajendra [4 ,5 ,6 ]
机构
[1] Sheffield Hallam Univ, Dept Engn & Math, Sheffield S1 1WB, S Yorkshire, England
[2] Sheffield Teaching Hosp NIHR Biomed Res Ctr, Sheffield S10 2JF, S Yorkshire, England
[3] Columbia Univ, Dept Med Cardiol, New York, NY 10027 USA
[4] Ngee Ann Polytech, Sch Engn, Singapore 599489, Singapore
[5] Asia Univ, Dept Bioinformat & Med Engn, Taichung 41354, Taiwan
[6] Singapore Univ Social Sci, Sch Sci & Technol, Clementi 599494, Singapore
关键词
arrhythmia detection; heart rate; RR interval; atrial fibrillation; atrial flutter; deep learning; residual neural network; detrending; ATRIAL-FIBRILLATION; CLASSIFICATION; VARIABILITY;
D O I
10.3390/diagnostics11081446
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Abnormal heart rhythms, also known as arrhythmias, can be life-threatening. AFIB and AFL are examples of arrhythmia that affect a growing number of patients. This paper describes a method that can support clinicians during arrhythmia diagnosis. We propose a deep learning algorithm to discriminate AFIB, AFL, and NSR RR interval signals. The algorithm was designed with data from 4051 subjects. With 10-fold cross-validation, the algorithm achieved the following results: ACC = 99.98%, SEN = 100.00%, and SPE = 99.94%. These results are significant because they show that it is possible to automate arrhythmia detection in RR interval signals. Such a detection method makes economic sense because RR interval signals are cost-effective to measure, communicate, and process. Having such a cost-effective solution might lead to widespread long-term monitoring, which can help detecting arrhythmia earlier. Detection can lead to treatment, which improves outcomes for patients.
引用
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页数:18
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