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April 19, 20260 citationsOpen Access

Cardio-AI: Real-Time ECG-Based Arrhythmia Detection and Classification Using Deep Learning algorithm

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KBKhaled Hussam BurhanShatt Al-Arab University College

Key Result

The Cardio-AI system, utilizing a 1D-CNN deep learning algorithm, achieved 98.13% overall accuracy for real-time ECG arrhythmia classification across 20,261 independent test heartbeats.

Key Points

  • The research aims to create a real-time system for the detection and classification of cardiac arrhythmias using deep learning.
  • Developed a custom Arduino-based ECG acquisition module with AD8232 sensor.
  • Implemented a 1D-Convolutional Neural Network (1D-CNN) trained on the MIT-BIH Arrhythmia Database.
  • Classified heartbeats into seven categories such as Normal, LBBB, RBBB, and PVC.
  • Achieved a 250 Hz sampling rate for real-time signal acquisition.
  • Achieved 98.13% overall accuracy on a test set of 20,261 heartbeats.
  • F1-score of 0.95 for detecting critical PVC arrhythmias.
  • Introduced a severity-hierarchy algorithm enhancing clinical relevance.

Structured PICO

Does the Cardio-AI system accurately detect and classify cardiac arrhythmias from ECG signals?

P
Population
MIT-BIH Arrhythmia Database (test set of 20,261 independent heartbeats)
I
Intervention
Cardio-AI system combining custom Arduino-based ECG acquisition module (AD8232 sensor) and 1D-Convolutional Neural Network (1D-CNN)
O
Outcome
Overall accuracy and F1-score for classifying heartbeats into seven categories (Normal, LBBB, RBBB, APC, PVC, SVE, and Fusion beats)

The Cardio-AI system demonstrates high accuracy (98.13%) in real-time ECG arrhythmia detection and classification using a 1D-CNN model and custom hardware.

Abstract

Cardiac arrhythmias represent a critical healthcare challenge, affecting millions worldwide and requiring rapid, accurate diagnosis for effective clinical intervention. This comprehensive thesis presents Cardio-AI, an integrated system combining custom hardware signal acquisition with advanced deep learning algorithms for real-time electrocardiogram (ECG) arrhythmia detection and classification. Our approach implements a custom Arduino-based ECG acquisition module utilizing an AD8232 sensor with dual transmission pathways (USB and Bluetooth). The system was optimized to acquire signals at a 250 Hz sampling rate, ensuring real-time stability. On the software side, a 1D-Convolutional Neural Network (1D-CNN) was developed and trained on the MIT-BIH Arrhythmia Database. The system classifies heartbeats into seven clinically relevant categories: Normal, Left Bundle Branch Block (LBBB), Right Bundle Branch Block (RBBB), Atrial Premature Contraction (APC), Premature Ventricular Contraction (PVC), Supraventricular Ectopic Beat (SVE), and Fusion beats. The 1D-CNN model achieves 98.13% overall accuracy on a test set of 20,261 independent heartbeats, with an F1-score of 0.95 for critical PVC arrhythmias. A novel feature of this implementation is the severity-hierarchy algorithm that prioritizes the most dangerous arrhythmia detected within an ECG strip, significantly enhancing clinical relevance. The complete system—comprising custom hardware, the AI model, and a user-friendly desktop application—represents a cost-effective, deployable solution for cardiac rhythm monitoring.

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Cite This Study

Khaled Hussam Burhan (2026) studied Cardiac arrhythmias. Cardio-AI (1D-CNN deep learning algorithm and custom ECG hardware) was evaluated on Arrhythmia detection and classification accuracy. The Cardio-AI system, utilizing a 1D-CNN deep learning algorithm, achieved 98.13% overall accuracy for real-time ECG arrhythmia classification across 20,261 independent test heartbeats.

synapsesocial.com/papers/69e47282010ef96374d8e773https://doi.org/10.5281/zenodo.19637063
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