Cardioattentionnet: advancing ECG beat characterization with a high-accuracy and portable deep learning model

IntroductionThe risk of mortality associated with cardiac arrhythmias is considerable, and their diagnosis presents significant challenges, often resulting in misdiagnosis. This situation highlights the necessity for an automated, efficient, and real-time detection method aimed at enhancing diagnost...

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Main Authors: Youfu He, Yu Zhou, Yu Qian, Jingjie Liu, Jinyan Zhang, Debin Liu, Qiang Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1473482/full
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author Youfu He
Youfu He
Youfu He
Yu Zhou
Yu Zhou
Yu Qian
Jingjie Liu
Jinyan Zhang
Debin Liu
Qiang Wu
Qiang Wu
author_facet Youfu He
Youfu He
Youfu He
Yu Zhou
Yu Zhou
Yu Qian
Jingjie Liu
Jinyan Zhang
Debin Liu
Qiang Wu
Qiang Wu
author_sort Youfu He
collection DOAJ
description IntroductionThe risk of mortality associated with cardiac arrhythmias is considerable, and their diagnosis presents significant challenges, often resulting in misdiagnosis. This situation highlights the necessity for an automated, efficient, and real-time detection method aimed at enhancing diagnostic accuracy and improving patient outcomes.MethodsThe present study is centered on the development of a portable deep learning model for the detection of arrhythmias via electrocardiogram (ECG) signals, referred to as CardioAttentionNet (CANet). CANet integrates Bi-directional Long Short-Term Memory (BiLSTM) networks, Multi-head Attention mechanisms, and Depthwise Separable Convolution, thereby facilitating its application in portable devices for early diagnosis. The architecture of CANet allows for effective processing of extended ECG patterns and detailed feature extraction without a substantial increase in model size.ResultsEmpirical results indicate that CANet outperformed traditional models in terms of predictive performance and stability, as confirmed by comprehensive cross-validation. The model demonstrated exceptional capabilities in detecting cardiac arrhythmias, surpassing existing models in both cross-validation and external testing scenarios. Specifically, CANet achieved high accuracy in classifying various arrhythmic events, with the following accuracies reported for different categories: Normal (97.37 ± 0.30%), Supraventricular (98.09 ± 0.25%), Ventricular (92.92 ± 0.09%), Atrial Fibrillation (99.07 ± 0.13%), and Unclassified arrhythmias (99.68 ± 0.06%). In external evaluations, CANet attained an average accuracy of 94.41%, with the area under the curve (AUC) for each category exceeding 99%, thereby demonstrating its substantial clinical applicability and significant advancements over traditional models.DiscussionThe deep learning model proposed in this study has the potential to enhance the accuracy of early diagnosis for various types of arrhythmias. Looking ahead, this technology is anticipated to provide improved medical services for patients with heart disease through continuous, non-invasive monitoring and timely intervention.
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spelling doaj-art-d58f6551500c4b7fac0dda8aed02dfa42025-01-06T06:59:39ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-01-011110.3389/fcvm.2024.14734821473482Cardioattentionnet: advancing ECG beat characterization with a high-accuracy and portable deep learning modelYoufu He0Youfu He1Youfu He2Yu Zhou3Yu Zhou4Yu Qian5Jingjie Liu6Jinyan Zhang7Debin Liu8Qiang Wu9Qiang Wu10Medical College, Guizhou University, Guiyang, Guizhou, ChinaDepartment of Cardiology, Guizhou Provincial People’s Hospital, Guiyang, Guizhou, ChinaDepartment of Cardiology, Guizhou Provincial Cardiovascular Disease Clinical Medicine Research Center, Guiyang, Guizhou, ChinaDepartment of Cardiology, Guizhou Provincial People’s Hospital, Guiyang, Guizhou, ChinaDepartment of Cardiology, Guizhou Provincial Cardiovascular Disease Clinical Medicine Research Center, Guiyang, Guizhou, ChinaDepartment of Cardiology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaDepartment of Cardiology, First Affiliated Hospital of Dalian Medical University, Liaoyang, Liaoning, ChinaSchool of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, Sichuan, ChinaDepartment of Cardiology, The Second People’s Hospital of Shantou, Shantou, Guangdong, ChinaDepartment of Cardiology, Guizhou Provincial People’s Hospital, Guiyang, Guizhou, ChinaDepartment of Cardiology, Guizhou Provincial Cardiovascular Disease Clinical Medicine Research Center, Guiyang, Guizhou, ChinaIntroductionThe risk of mortality associated with cardiac arrhythmias is considerable, and their diagnosis presents significant challenges, often resulting in misdiagnosis. This situation highlights the necessity for an automated, efficient, and real-time detection method aimed at enhancing diagnostic accuracy and improving patient outcomes.MethodsThe present study is centered on the development of a portable deep learning model for the detection of arrhythmias via electrocardiogram (ECG) signals, referred to as CardioAttentionNet (CANet). CANet integrates Bi-directional Long Short-Term Memory (BiLSTM) networks, Multi-head Attention mechanisms, and Depthwise Separable Convolution, thereby facilitating its application in portable devices for early diagnosis. The architecture of CANet allows for effective processing of extended ECG patterns and detailed feature extraction without a substantial increase in model size.ResultsEmpirical results indicate that CANet outperformed traditional models in terms of predictive performance and stability, as confirmed by comprehensive cross-validation. The model demonstrated exceptional capabilities in detecting cardiac arrhythmias, surpassing existing models in both cross-validation and external testing scenarios. Specifically, CANet achieved high accuracy in classifying various arrhythmic events, with the following accuracies reported for different categories: Normal (97.37 ± 0.30%), Supraventricular (98.09 ± 0.25%), Ventricular (92.92 ± 0.09%), Atrial Fibrillation (99.07 ± 0.13%), and Unclassified arrhythmias (99.68 ± 0.06%). In external evaluations, CANet attained an average accuracy of 94.41%, with the area under the curve (AUC) for each category exceeding 99%, thereby demonstrating its substantial clinical applicability and significant advancements over traditional models.DiscussionThe deep learning model proposed in this study has the potential to enhance the accuracy of early diagnosis for various types of arrhythmias. Looking ahead, this technology is anticipated to provide improved medical services for patients with heart disease through continuous, non-invasive monitoring and timely intervention.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1473482/fullcardiac arrhythmiaselectrocardiogramportable deep learning modeltransformer modelLong Short-Term MemoryMobileNet
spellingShingle Youfu He
Youfu He
Youfu He
Yu Zhou
Yu Zhou
Yu Qian
Jingjie Liu
Jinyan Zhang
Debin Liu
Qiang Wu
Qiang Wu
Cardioattentionnet: advancing ECG beat characterization with a high-accuracy and portable deep learning model
Frontiers in Cardiovascular Medicine
cardiac arrhythmias
electrocardiogram
portable deep learning model
transformer model
Long Short-Term Memory
MobileNet
title Cardioattentionnet: advancing ECG beat characterization with a high-accuracy and portable deep learning model
title_full Cardioattentionnet: advancing ECG beat characterization with a high-accuracy and portable deep learning model
title_fullStr Cardioattentionnet: advancing ECG beat characterization with a high-accuracy and portable deep learning model
title_full_unstemmed Cardioattentionnet: advancing ECG beat characterization with a high-accuracy and portable deep learning model
title_short Cardioattentionnet: advancing ECG beat characterization with a high-accuracy and portable deep learning model
title_sort cardioattentionnet advancing ecg beat characterization with a high accuracy and portable deep learning model
topic cardiac arrhythmias
electrocardiogram
portable deep learning model
transformer model
Long Short-Term Memory
MobileNet
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1473482/full
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