Key result
An SVM classifier using synchrosqueezing transform-derived instantaneous phase and simple features from a single ECG lead achieved an overall accuracy of 83.25% for classifying AAMI beat types.
Why the study?
Does a single-lead ECG classification algorithm using the synchrosqueezing transform and SVM achieve comparable performance to multi-lead algorithms for heart beat classification?
Does a single-lead ECG classification algorithm using the synchrosqueezing transform and SVM achieve comparable performance to multi-lead algorithms for heart beat classification?
A novel single-lead ECG classification algorithm using the synchrosqueezing transform achieves comparable performance to multi-lead algorithms for detecting and classifying abnormal heart rhythms.
May support single-lead arrhythmia detection in constrained settings; leaves open prospective validation versus multi-lead standards.
The processing of ECG signal provides a wealth of information on cardiac function and overall cardiovascular health. While multi-lead ECG recordings are often necessary for a proper assessment of cardiac rhythms, they are not always available or practical, for example in fetal ECG applications. Moreover, a wide range of small non-obtrusive single-lead ECG ambulatory monitoring devices are now available, from which heart rate variability (HRV) and other health-related metrics are derived. Proper beat detection and classification of abnormal rhythms is important for reliable HRV assessment and can be challenging in single-lead ECG monitoring devices. In this manuscript, we modeled the heart rate signal as an adaptive non-harmonic model and used the newly developed synchrosqueezing transform (SST) to characterize ECG patterns. We show how the proposed model can be used to enhance heart beat detection and classification between normal and abnormal rhythms. In particular, using the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) arrhythmia database and the Association for the Advancement of Medical Instrumentation (AAMI) beat classes, we trained and validated a support vector machine (SVM) classifier on a portion of the annotated beat database using the SST-derived instantaneous phase, the R-peak amplitudes and R-peak to R-peak interval durations, based on a single ECG lead. We obtained sensitivities and positive predictive values comparable to other published algorithms using multiple leads and many more features.
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Herry et al. (2015) studied Arrhythmia (n=48). Synchrosqueezing Transform (SST) based SVM classifier vs. Other published algorithms was evaluated on Overall accuracy for classifying AAMI beat types using lead II features. An SVM classifier using synchrosqueezing transform-derived instantaneous phase and simple features from a single ECG lead achieved an overall accuracy of 83.25% for classifying AAMI beat types.
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