School of Information Engineering, Zhengzhou University, Zhengzhou 450000, China.
Cooperative Innovation Center of Internet Healthcare, Zhengzhou University, Zhengzhou 450000, China.
J Healthc Eng. 2021 Jan 28;2021:8811837. doi: 10.1155/2021/8811837. eCollection 2021.
Arrhythmia is one of the most common abnormal symptoms that can threaten human life. In order to distinguish arrhythmia more accurately, the classification strategy of the multifeature combination and Stacking-DWKNN algorithm is proposed in this paper. The method consists of four modules. In the preprocessing module, the signal is denoised and segmented. Then, multiple different features are extracted based on single heartbeat morphology, P length, QRS length, length, PR interval, ST segment, QT interval, RR interval, amplitude, and amplitude. Subsequently, the features are combined and normalized, and the effect of different feature combinations on heartbeat classification is analyzed to select the optimal feature combination. Finally, the four types of normal and abnormal heartbeats were identified using the Stacking-DWKNN algorithm. This method is performed on the MIT-BIH arrhythmia database. The result shows a sensitivity of 89.42% and a positive predictive value of 94.90% of S-type beats and a sensitivity of 97.21% and a positive predictive value of 97.07% of V-type beats. The obtained average accuracy is 99.01%. Compared to other models with the same features, this method can improve accuracy and has a higher positive predictive value and sensitivity, which is important for clinical decision-making.
心律失常是最常见的能威胁人类生命的异常症状之一。为了更准确地区分心律失常,本文提出了多特征组合和Stacking-DWKNN 算法的分类策略。该方法由四个模块组成。在预处理模块中,对信号进行去噪和分段。然后,基于单个心跳形态、P 长度、QRS 长度、T 长度、PR 间隔、ST 段、QT 间隔、RR 间隔、振幅和 振幅提取多个不同的特征。随后,对特征进行组合和归一化,并分析不同特征组合对心跳分类的影响,以选择最佳特征组合。最后,使用 Stacking-DWKNN 算法识别四种正常和异常心跳。该方法在 MIT-BIH 心律失常数据库上进行。结果表明,S 型心跳的灵敏度为 89.42%,阳性预测值为 94.90%,V 型心跳的灵敏度为 97.21%,阳性预测值为 97.07%,平均准确率为 99.01%。与具有相同特征的其他模型相比,该方法可以提高准确性,具有更高的阳性预测值和灵敏度,这对临床决策具有重要意义。