A Review: Arrhythmia Features Detection Analysis and Deep Learning Method for Wearable Devices
Abstract
Arrhythmia is one of the heart abnormalities which probably not a life threat in a short time but could cause a long-term interference in electricity of the heart. Even so, it should be detected earlier to have proper treatment and suggest a better lifestyle. Arrhythmia diagnosis is usually made by performing a long recording ECG by using Holter monitoring then analyzing the rhythm. Nevertheless, the observation takes time, and using Holter in several days may affect the patient’s physiological condition. Previous research has been conducted to build an auto-detection of arrhythmia by using various datasets, different features, and detection methods. However, the biggest challenges faced by the researcher were the computation and the complex features used as the algorithm input. This study aims to review the latest research on the data used, features, and deep learning methods that can solve the time computation problem and be applied in wearable devices. The review method started by searching the related paper, then studied on the data used. The second step was to review the used ECG features and the deep learning method implemented to detect arrhythmia. The review shows that most researchers used the MIT-BIH database, even it requires a lot of effort on the pre-processing. The CNN is the most used deep learning method, but time computation is one of the considerations. The ECG interval features in the time domain are the best feature analysis for rhythm abnormality detection and have a low computation cost. These features will be the input of the deep learning process to reduce computation time, especially on wearable device applications.
References
P. Rossignol, A.F. Hernandez, S.D. Solomon, and F. Zannad, “Heart Failure Drug Treatment,” Lancet, Vol. 393, No. 10175, pp. 1034–1044, 2019.
J. Mackay, G.A. Mensah, and K. Greenlund, The Atlas of Heart Disease and Stroke. Geneva, Swiss: World Health Organization, 2004.
M.B. Hossain, et al., “An Accurate QRS Complex and P Wave Detection in ECG Signals Using Complete Ensemble Empirical Mode Decomposition with Adaptive Noise Approach,” IEEE Access, Vol. 7, pp. 128869–128880, 2019.
N. Kakouros and D.V Cokkinos, “Right Ventricular Myocardial Infarction: Pathophysiology, Diagnosis, and Management,” Postgrad. Med. J., Vol. 86, No. 1022, pp. 719–728, 2010.
M. Wasimuddin, et al., “Stages-based ECG Signal Analysis from Traditional Signal Processing to Machine Learning Approaches: A Survey,” IEEE Access, Vol. 8, pp. 177782–177803, 2020.
G.E. Burch, “History of Precordial Leads in Electrocardiography,” Eur. J. Cardiol., Vol. 8, No. 2, pp. 207–236, 1978.
A. Gacek, “An Introduction to ECG Signal Processing and Analysis,” in ECG Signal Processing, Classification and Interpretation: A Comprehensive Framework of Computational Intelligence, A. Gacek dan W. Pedrycz, Eds., London, Inggris: Springer London, 2012, pp. 21–46.
S.F. Abtahi, “Feasibility of Fetal EEG Recording,” Master thesis, Chalmers University of Technology, Göteborg, Sweden, 2012.
K.G. Reddy, P.A. Vijaya, and S. Suhasini, “ECG Signal Characterization and Correlation to Heart Abnormalities,” Int. Res. J. Eng. Technol., Vol. 4, No. 5, pp. 1212–1216, 2017.
B. Jankowska-Polańska, et al., “Symptoms, Acceptance of Illness and Health-Related Quality of Life in Patients with Atrial Fibrillation,” Eur. J. Cardiovasc. Nurs., Vol. 17, No. 3, pp. 262–272, 2018.
A.E. Aubert, B. Seps, and F. Beckers, “Heart Rate Variability in Athletes,” Sport. Med., Vol. 33, No. 12, pp. 889–919, 2003.
B.M. Pluim, A.H. Zwinderman, A. van der Laarse, and E.E. van der Wall, “The Athlete’s Heart: A Meta-Analysis of Cardiac Structure and Function,” Circulation, Vol. 101, No. 3, pp. 336–344, 2000.
F. Furlanello et al., “Atrial Fibrillation in Elite Athletes,” J. Cardiovasc. Electrophysiol., Vol. 9, No. 8 Suppl, pp. S63-S68, 1998.
M.S. Link and N.A.M. Estes, “Athletes and Arrhythmias,” J. Cardiovasc. Electrophysiol., Vol. 21, No. 10, pp. 1184–1189, 2010.
C. Antzelevitch and A. Burashnikov, “Overview of Basic Mechanisms of Cardiac Arrhythmia,” Card. Electrophysiol. Clin., Vol. 3, No. 1, pp. 23-45, 2011.
D. Ludhwani and J.S. Wieters, Paroxysmal Atrial Fibrillation. Treasure Island, AS: StatPearls Publishing, 2018. Access date: 15-Oct-021. [Online]. https://europepmc.org/article/nbk/nbk535439.
S.M.P. Dinakarrao, A. Jantsch, and M. Shafique, “Computer-Aided Arrhythmia Diagnosis with Bio-Signal Processing: A Survey of Trends and Techniques,” ACM Comput. Surv., Vol. 52, No. 2, pp. 1–37, 2019.
A.H. Kashou, A. Goyal, T. Nguyen, and L. Chhabra, Atrioventricular Block. Treasure Island, AS: StatPearls Publishing, 2017. Access date: 15-Oct-2021. [Online]. https://europepmc.org/article/nbk/nbk459147.
Y. Lim, D. Singh, and K.K. Poh, “High-Grade Atrioventricular Block,” Singapore Med. J., Vol. 59, No. 7, pp. 346-350, 2018.
M. Dohadwala, F. Kamili, N.A.M. Estes 3rd, and M. Homoud, “Atrioventricular Block and Pause-Dependent Torsade de Pointes,” HeartRhythm Case Rep., Vol. 3, No. 2, pp. 115-119, 2017.
J.M. Mangrum and J.P. DiMarco, “The Evaluation and Management of Bradycardia,” N. Engl. J. Med., Vol. 342, No. 10, pp. 703–709, 2000.
(2016) “Basics of ECG- Interpretation of waves and intervals,” [Online], https://epomedicine.com/medical-students/ecg-interpretation-waves-intervals/, access date: 22-Jun-2021.
Z.F.M. Apandi, R. Ikeura, and S. Hayakawa, “Arrhythmia Detection Using MIT-BIH Dataset: A Review,” 2018 Int. Conf. Comput. Approach Smart Syst. Design, Appl. (ICASSDA), 2018, pp. 1–5.
G.D. Giebel and C. Gissel, “Accuracy of mHealth Devices for Atrial Fibrillation Screening: Systematic Review,” JMIR Mhealth Uhealth, Vol. 7, No. 6, pp. 1-13, 2019.
Z. Ebrahimi, M. Loni, M. Daneshtalab, and A. Gharehbaghi, “A Review on Deep Learning Methods for ECG Arrhythmia Classification,” Expert Syst. with Appl. X, Vol. 7, pp. 1-23, 2020.
O. Yildirim, et al., “Accurate Deep Neural Network Model to Detect Cardiac Arrhythmia on More Than 10,000 Individual Subject ECG Records,” Comput. Methods Programs Biomed., Vol. 197, pp. 1-12, 2020.
G.B. Moody and R.G. Mark, “The Impact of the MIT-BIH Arrhythmia Database,” IEEE Eng. Med. Biol. Mag., Vol. 20, No. 3, pp. 45–50, 2001.
A.L. Goldberger et al., “PhysioBank, PhysioToolkit, and PhysioNet,” Circulation, Vol. 101, No. 23, pp. e215–e220, Jun. 2000.
F.M. Nolle, et al., “CREI-GARD, a New Concept in Computerized Arrhythmia Monitoring Systems,” Comput. Cardiol., Vol. 13, pp. 515–518, 1986.
D.K. Atal and M. Singh, “Arrhythmia Classification with ECG Signals Based on the Optimization-Enabled Deep Convolutional Neural Network,” Comput. Methods Programs Biomed., Vol. 196, pp. 1-19, 2020.
G. Sannino and G. De Pietro, “A Deep Learning Approach for ECG-Based Heartbeat Classification for Arrhythmia Detection,” Futur. Gener. Comput. Syst., Vol. 86, pp. 446–455, 2018.
Z. Zhang, Z. Li, and Z. Li, “An Improved Real-Time R-Wave Detection Efficient Algorithm in Exercise ECG Signal Analysis,” J. Healthc. Eng., Vol. 2020, pp. 1-7, 2020.
L. Maršánová, et al., “Advanced P Wave Detection in ECG Signals During Pathology: Evaluation in Different Arrhythmia Contexts,” Sci. Rep., Vol. 9, No. 1, pp. 1–11, 2019.
R. Nanjundegowda and V.A. Meshram, “Arrhythmia Detection Based on Hybrid Features of T-Wave in Electrocardiogram,” Int. J. Intell. Eng. Syst., Vol. 11, No. 1, pp. 153–162, 2018.
E. Alickovic and A. Subasi, “Medical Decision Support System for Diagnosis of Heart Arrhythmia Using DWT and Random Forests Classifier,” J. Med. Syst., Vol. 40, No. 4, pp. 1-12, 2016.
S. Savalia and V. Emamian, “Cardiac Arrhythmia Classification by Multi-Layer Perceptron and Convolution Neural Networks,” Bioengineering, Vol. 5, No. 2, pp. 1-12, 2018.
R. Ceylan and Y. Özbay, “Comparison of FCM, PCA and WT Techniques for Classification ECG Arrhythmias Using Artificial Neural Network,” Expert Syst. Appl., Vol. 33, No. 2, pp. 286–295, 2007.
A.J. Joshi, S. Chandran, V.K. Jayaraman, and B.D. Kulkarni, “Hybrid SVM for Multiclass Arrhythmia Classification,” 2009 IEEE Int. Conf. Bioinf., Biomedicine, 2009, pp. 287–290.
S. Ross-Howe and H.R. Tizhoosh, “Atrial Fibrillation Detection Using Deep Features and Convolutional Networks,” 2019 IEEE EMBS Int. Conf. Biomed., Health Inform. (BHI), 2019, pp. 1–4.
U.R. Acharya, et al., “A Deep Convolutional Neural Network Model to Classify Heartbeats,” Comput. Biol. Med., Vol. 89, pp. 389–396, 2017.
U.R. Acharya, et al., “Automated Detection of Arrhythmias Using Different Intervals of Tachycardia ECG Segments with Convolutional Neural Network,” Inf. Sci., Vol. 405, pp. 81–90, 2017.
U.R. Acharya, et al., “Automated Identification of Shockable and Non-Shockable Life-Threatening Ventricular Arrhythmias Using Convolutional Neural Network,” Futur. Gener. Comput. Syst., Vol. 79, pp. 952–959, 2018.
R.S. Andersen, A. Peimankar, and S. Puthusserypady, “A Deep Learning Approach for Real-Time Detection of Atrial Fibrillation,” Expert Syst. Appl., Vol. 115, pp. 465–473, 2019.
M.M. Al Rahhal, et al., “Convolutional Neural Networks for Electrocardiogram Classification,” J. Med. Biol. Eng., Vol. 38, No. 6, pp. 1014–1025, 2018.
S. Chakroborty and M.A. Patil, “Real-Time Arrhythmia Classification for Large Databases,” 2014 36th Annu. Int. Conf. IEEE Eng. Medicine, Biol. Soc., 2014, pp. 1448–1451.
J.M. Bumgarner, et al., “Smartwatch Algorithm for Automated Detection of Atrial Fibrillation,” J. Am. Coll. Cardiol., Vol. 71, No. 21, pp. 2381–2388, 2018.
T. Ahmed, et al., “eHealth and mHealth Initiatives in Bangladesh: A Scoping Study,” BMC Health Services Research, Vol. 14, pp. 1-9, 2014.
S. Sakib, et al., “A Proof-of-Concept of Ultra-Edge Smart IoT Sensor: A Continuous and Lightweight Arrhythmia Monitoring Approach,” IEEE Access, Vol. 9, pp. 26093–26106, 2021.
A. Singhal and M.R. Cowie, “The Role of Wearables in Heart Failure,” Curr. Heart Fail. Rep., Vol. 17, No. 4, pp. 125–132, 2020.
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