Wu Ziqian, Feng Xujian, Yang Cuiwei
Annu Int Conf IEEE Eng Med Biol Soc. 2019 Jul;2019:1908-1912. doi: 10.1109/EMBC.2019.8856834.
Atrial fibrillation (AF) is one of the most common arrhythmias. The automatic AF detection is of great clinical significance but at the same time it remains a big problem to researchers. In this study, a novel deep learning method to detect AF was proposed. For a 10 s length single lead electrocardiogram (ECG) signal, the continuous wavelet transform (CWT) was used to obtain the wavelet coefficient matrix, and then a convolutional neural network (CNN) with a specific architecture was trained to discriminate the rhythm of the signal. The ECG data in multiple databases were divided into 4 classes according to the rhythm annotation: normal sinus rhythm (NSR), atrial fibrillation (AF), other types of arrhythmia except AF (OTHER), and noise signal (NOISE). The method was evaluated using three different wavelet bases. The experiment showed promising results when using a Morlet wavelet, with an overall accuracy of 97.56%, an average sensitivity of 97.56%, an average specificity of 99.19%. Besides, the area under curve (AUC) value is 0.9983, which showed that the proposed method was effective for detecting AF.
心房颤动(AF)是最常见的心律失常之一。自动房颤检测具有重大的临床意义,但同时对研究人员来说仍然是一个大问题。在本研究中,提出了一种用于检测房颤的新型深度学习方法。对于时长为10秒的单导联心电图(ECG)信号,使用连续小波变换(CWT)获得小波系数矩阵,然后训练具有特定架构的卷积神经网络(CNN)来判别信号的节律。多个数据库中的心电图数据根据节律标注分为4类:正常窦性心律(NSR)、心房颤动(AF)、除房颤外的其他类型心律失常(OTHER)和噪声信号(NOISE)。该方法使用三种不同的小波基进行评估。实验表明,使用莫雷小波时结果很有前景,总体准确率为97.56%,平均灵敏度为97.56%,平均特异性为99.19%。此外,曲线下面积(AUC)值为0.9983,表明所提出的方法对检测房颤有效。