Life-Threatening Ventricular Arrhythmia Identification Based on Multiple Complex Networks

Ventricular arrhythmias (VAs) are critical cardiovascular diseases that require rapid and accurate detection. Conventional approaches relying on multi-lead ECG or deep learning models have limitations in computational cost, interpretability, and real-time applicability on wearable devices. To address these issues, a lightweight and interpretable framework based on multiple complex networks was proposed for the detection of life-threatening VAs using short-term single-lead ECG signals. The input signals were decomposed using the fixed-frequency-range empirical wavelet transform, and sub-bands were subsequently analyzed through multiscale visibility graphs, recurrence networks, cross-recurrence networks, and joint recurrence networks. Eight topological features were extracted and input into an XGBoost classifier for VA identification. Ten-fold cross-validation results on the MIT-BIH VFDB and CUDB databases demonstrated that the proposed method achieved a sensitivity of 99.02 ± 0.53%, a specificity of 98.44 ± 0.43%, and an accuracy of 98.73 ± 0.02% for 10 s ECG segments. The model also maintained robust performance on shorter segments, with 97.23 ± 0.76% sensitivity, 98.85 ± 0.95% specificity, and 96.62 ± 0.02% accuracy on 2 s segments. The results outperformed existing feature-based and deep learning approaches while preserving model interpretability. Furthermore, the proposed method supports mobile deployment, facilitating real-time use in wearable healthcare applications.