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用于多导联心电图心律失常检测的轻量级深度学习架构

Lightweight Deep Learning Architecture for Multi-Lead ECG Arrhythmia Detection.

作者信息

Elsheikhy Donia H, Hassan Abdelwahab S, Yhiea Nashwa M, Fareed Ahmed M, Rashed Essam A

机构信息

Department of Mathematics, Faculty of Science, Suez Canal University, Ismailia 41522, Egypt.

Faculty of Informatics and Computer Science, The British University in Egypt (BUE), Cairo 11837, Egypt.

出版信息

Sensors (Basel). 2025 Sep 5;25(17):5542. doi: 10.3390/s25175542.

DOI:10.3390/s25175542
PMID:40942969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12431083/
Abstract

Cardiovascular diseases are known as major contributors to death globally. Accurate identification and classification of cardiac arrhythmias from electrocardiogram (ECG) signals is essential for early diagnosis and treatment of cardiovascular diseases. This research introduces an innovative deep learning architecture that integrates Convolutional Neural Networks with a channel attention mechanism, enhancing the model's capacity to concentrate on essential aspects of the ECG signals. Unlike most prior studies that depend on single-lead data or complex hybrid models, this work presents a novel yet simple deep learning architecture to classify five arrhythmia classes that effectively utilizes both 2-lead and 12-lead ECG signals, providing more accurate representations of clinical scenarios. The model's performance was evaluated on the MIT-BIH and INCART arrhythmia datasets, achieving accuracies of 99.18% and 99.48%, respectively, along with F1 scores of 99.18% and 99.48%. These high-performance metrics demonstrate the model's ability to differentiate between normal and arrhythmic signals, as well as accurately identify various arrhythmia types. The proposed architecture ensures high accuracy without excessive complexity, making it well-suited for real-time and clinical applications. This approach could improve the efficiency of healthcare systems and contribute to better patient outcomes.

摘要

心血管疾病是全球已知的主要死因。从心电图(ECG)信号中准确识别和分类心律失常对于心血管疾病的早期诊断和治疗至关重要。本研究引入了一种创新的深度学习架构,该架构将卷积神经网络与通道注意力机制相结合,增强了模型专注于ECG信号关键方面的能力。与大多数依赖单导联数据或复杂混合模型的先前研究不同,这项工作提出了一种新颖且简单的深度学习架构,用于对五种心律失常类别进行分类,该架构有效利用了双导联和12导联ECG信号,更准确地呈现临床情况。该模型在麻省理工学院 - 贝斯以色列女执事医疗中心(MIT - BIH)和INCART心律失常数据集上进行了评估,准确率分别达到99.18%和99.48%,F1分数分别为99.18%和99.48%。这些高性能指标证明了该模型区分正常和心律失常信号的能力,以及准确识别各种心律失常类型的能力。所提出的架构确保了高精度且不过度复杂,使其非常适合实时和临床应用。这种方法可以提高医疗系统的效率,并有助于改善患者的治疗效果。

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本文引用的文献

1
DeepECG-Net: a hybrid transformer-based deep learning model for real-time ECG anomaly detection.深度心电图网络:一种基于混合变压器的用于实时心电图异常检测的深度学习模型。
Sci Rep. 2025 Jul 1;15(1):20714. doi: 10.1038/s41598-025-07781-1.
2
Research on a Lightweight Arrhythmia Classification Model Based on Knowledge Distillation for Wearable Single-Lead ECG Monitoring Systems.基于知识蒸馏的可穿戴单导联心电图监测系统轻量级心律失常分类模型研究
Sensors (Basel). 2024 Dec 10;24(24):7896. doi: 10.3390/s24247896.
3
3DECG-Net: ECG fusion network for multi-label cardiac arrhythmia detection.
3DECG-Net:用于多标签心脏心律失常检测的 ECG 融合网络。
Comput Biol Med. 2024 Nov;182:109126. doi: 10.1016/j.compbiomed.2024.109126. Epub 2024 Sep 9.
4
Cardiac Arrhythmia Classification Using Advanced Deep Learning Techniques on Digitized ECG Datasets.基于数字化心电图数据集运用先进深度学习技术进行心律失常分类
Sensors (Basel). 2024 Apr 12;24(8):2484. doi: 10.3390/s24082484.
5
ECG-based cardiac arrhythmias detection through ensemble learning and fusion of deep spatial-temporal and long-range dependency features.基于 ECG 的心脏心律失常检测,通过深度时空和长距离依赖特征的集成学习和融合。
Artif Intell Med. 2024 Apr;150:102818. doi: 10.1016/j.artmed.2024.102818. Epub 2024 Feb 24.
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Clinical Applications, Methodology, and Scientific Reporting of Electrocardiogram Deep-Learning Models: A Systematic Review.心电图深度学习模型的临床应用、方法学及科学报告:一项系统评价
JACC Adv. 2023 Dec;2(10). doi: 10.1016/j.jacadv.2023.100686. Epub 2023 Nov 8.
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Automated inter-patient arrhythmia classification with dual attention neural network.基于双注意力神经网络的患者间心律失常自动分类。
Comput Methods Programs Biomed. 2023 Jun;236:107560. doi: 10.1016/j.cmpb.2023.107560. Epub 2023 Apr 20.
8
ECG Heartbeat Classification Using Machine Learning and Metaheuristic Optimization for Smart Healthcare Systems.基于机器学习和元启发式优化的智能医疗系统心电图心跳分类
Bioengineering (Basel). 2023 Mar 28;10(4):429. doi: 10.3390/bioengineering10040429.
9
Uncertainty estimation for deep learning-based automated analysis of 12-lead electrocardiograms.基于深度学习的12导联心电图自动分析的不确定性估计
Eur Heart J Digit Health. 2021 May 8;2(3):401-415. doi: 10.1093/ehjdh/ztab045. eCollection 2021 Sep.
10
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Sensors (Basel). 2022 Jul 23;22(15):5493. doi: 10.3390/s22155493.