Wuhan University of Science & Technology, Hanyang Hospital, Department of Cardiology, Wuhan 430050, China.
J Healthc Eng. 2021 Nov 3;2021:5802722. doi: 10.1155/2021/5802722. eCollection 2021.
Usually, heart failure occurs when heart-related diseases are developed and continue to deteriorate veins and arteries. Heart failure is the final stage of heart disease, and it has become an important medical problem, particularly among the aging population. In medical diagnosis and treatment, the examination of heart failure contains various indicators such as electrocardiogram. It is one of the relatively common ways to collect heart failure or attack related information and is also used as a reference indicator for doctors. Electrocardiogram indicates the potential activity of patient's heart and directly reflects the changes in it. In this paper, a deep learning-based diagnosis system is presented for the early detection of heart failure particularly in elderly patients. For this purpose, we have used two datasets, Physio-Bank and MIMIC-III, which are publicly available, to extract ECG signals and thoroughly examine heart failure. Initially, a heart failure diagnosis model which is based on attention convolutional neural network (CBAM-CNN) is proposed to automatically extract features. Additionally, attention module adaptively learns the characteristics of local features and efficiently extracts the complex features of the ECG signal to perform classification diagnosis. To verify the exceptional performance of the proposed network model, various experiments were carried out in the realistic environment of hospitals. Influence of signal preprocessing on the performance of model is also discussed. These results show that the proposed CBAM-CNN model performance is better for both classifications of ECG signals. Likewise, the CBAM-CNN model is sensitive to noise, and its accuracy is effectively improved as soon as signal is refined.
通常情况下,心力衰竭是在相关心脏病发展并持续恶化静脉和动脉时发生的。心力衰竭是心脏病的终末阶段,它已成为一个重要的医学问题,特别是在老年人群中。在医学诊断和治疗中,心力衰竭的检查包含了各种指标,如心电图。它是收集心力衰竭或发作相关信息的相对常见方法之一,也是医生的参考指标之一。心电图表示患者心脏的潜在活动,并直接反映其变化。在本文中,提出了一种基于深度学习的诊断系统,用于早期检测心力衰竭,特别是老年患者。为此,我们使用了两个公开数据集,Physio-Bank 和 MIMIC-III,来提取 ECG 信号并深入检查心力衰竭。最初,提出了一种基于注意力卷积神经网络(CBAM-CNN)的心力衰竭诊断模型,用于自动提取特征。此外,注意力模块自适应地学习局部特征的特征,并有效地提取 ECG 信号的复杂特征,以进行分类诊断。为了验证所提出的网络模型的卓越性能,在医院的实际环境中进行了各种实验。还讨论了信号预处理对模型性能的影响。这些结果表明,所提出的 CBAM-CNN 模型在 ECG 信号的分类方面表现更好。同样,CBAM-CNN 模型对噪声敏感,并且一旦信号得到细化,其准确性就会有效提高。