Haotian Shi1, Haoren Wang1, Yixiang Huang1, Liqun Zhao2, Chengjin Qin1, Chengliang Liu3. 1. School of Mechanical Engineering, Shanghai Jiao Tong University, 800 Dongchuan Road, Shanghai 200240, PR China. 2. Department of Cardiology, Shanghai First People's Hospital Affiliated to Shanghai Jiao Tong University, 100, Haining Road, Shanghai 200080, PR China. 3. School of Mechanical Engineering, Shanghai Jiao Tong University, 800 Dongchuan Road, Shanghai 200240, PR China. Electronic address: chlliu@sjtu.edu.cn.
Abstract
BACKGROUND AND OBJECTIVE: Electrocardiogram (ECG) is a useful tool for detecting heart disease. Automated ECG diagnosis allows for heart monitoring on small devices, especially on wearable devices. In order to recognize arrhythmias automatically, accurate classification method for electrocardiogram (ECG) heartbeats was studied in this paper. METHODS: Based on weighted extreme gradient boosting (XGBoost), a hierarchical classification method is proposed. A large number of features from 6 categories are extracted from the preprocessed heartbeats. Then recursive feature elimination is used for selecting features. Afterwards, a hierarchical classifier is constructed in classification stage. The hierarchical classifier is composed of threshold and XGBoost classifiers. And the XGBoost classifiers are improved with weights. RESULTS: The method was applied to an inter-patient experiment conforming AAMI standard. The obtained sensitivities for normal (N), supraventricular (S), ventricular (V), fusion (F), and Unknown beats (Q) were 92.1%, 91.7%, 95.1%, and 61.6%. Positive predictive values of 99.5%, 46.2%, 88.1%, and 15.2% were also provided for the four classes. CONCLUSIONS: XGBoost was improved and firstly introduced in single heartbeat classification. A comparison showed the effectiveness of the novel method. The method was more suitable for clinical application as both high positive predictive value for N class and high sensitivities for abnormal classes were provided.
BACKGROUND AND OBJECTIVE: Electrocardiogram (ECG) is a useful tool for detecting heart disease. Automated ECG diagnosis allows for heart monitoring on small devices, especially on wearable devices. In order to recognize arrhythmias automatically, accurate classification method for electrocardiogram (ECG) heartbeats was studied in this paper. METHODS: Based on weighted extreme gradient boosting (XGBoost), a hierarchical classification method is proposed. A large number of features from 6 categories are extracted from the preprocessed heartbeats. Then recursive feature elimination is used for selecting features. Afterwards, a hierarchical classifier is constructed in classification stage. The hierarchical classifier is composed of threshold and XGBoost classifiers. And the XGBoost classifiers are improved with weights. RESULTS: The method was applied to an inter-patient experiment conforming AAMI standard. The obtained sensitivities for normal (N), supraventricular (S), ventricular (V), fusion (F), and Unknown beats (Q) were 92.1%, 91.7%, 95.1%, and 61.6%. Positive predictive values of 99.5%, 46.2%, 88.1%, and 15.2% were also provided for the four classes. CONCLUSIONS: XGBoost was improved and firstly introduced in single heartbeat classification. A comparison showed the effectiveness of the novel method. The method was more suitable for clinical application as both high positive predictive value for N class and high sensitivities for abnormal classes were provided.
Authors: Congyu Zou; Alexander Muller; Utschick Wolfgang; Daniel Ruckert; Phillip Muller; Matthias Becker; Alexander Steger; Eimo Martens Journal: IEEE J Transl Eng Health Med Date: 2022-08-29