Why the study?
Existing arrhythmia classification methods fail to utilize spatial-temporal interactions, temporal dependencies, and handle class imbalance, leaving room for accuracy improvements.
The DRGCN-BiLSTM model combined with SMOTE-Tomek achieves highly accurate automated ECG heartbeat classification, potentially improving arrhythmia diagnosis.
Advances automated ECG classification techniques; leaves open prospective clinical validation before deployment.
An automated cardiac rhythm classification using electrocardiograms is crucial for accurate and timely diagnosis of cardiovascular disease. Recent advances in deep learning have facilitated automated arrhythmias recognition, surpassing traditional ECG methods that depend on manual feature extraction. Despite significant progress in existing arrhythmias classification techniques, the current method fails to utilize spatial-temporal interaction and task-specific features include temporal dependencies among observations and a significantly imbalanced class distribution in the dataset. Thus, the accuracy of network-based ECG heart-beat classification still requires improvements. To address this issue, an effective classification algorithm combined with synthetic minority oversampling technique (SMOTE)-Tomek, dynamic perceptive region spatial-temporal graph convolutional network with bidirectional long-short term memory (DRGCN-BiLSTM) is proposed for effective intelligent arrhythmia recognition. This <tex-math notation="LaTeX">DRGCNBiLSTM </tex-math> model employs a trainable weighted <tex-math notation="LaTeX">ε </tex-math>-neighborhood graph to capture the pattern of time series within ECG segments. The SMOTE-Tomek technique addresses data imbalance, while BiLSTM captures temporal features from the graph network. The presented technique was validated on the MIT-BIH arrhythmia database, comprising a total of 109,253 ECG beats and the experimental results demonstrate the average accuracy of 99.92% respectively. The proposed method achieves superior performance as compared to state-of-the-art techniques, which results in better diagnosis of heart-related problems.
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Sharma et al. (2025) studied this question.
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