Inter-patient arrhythmia identification method with RR-intervals and convolutional neural networks

Objective . The arrhythmia identification method based on the U-net has the potential for fast application. The RR-intervals have been proven to improve the performance of single-heartbeat identification methods. However, because both the heartbeats number and location in the input of the U-net are unfixed, the approach based on the U-net cannot use RR-intervals directly. To solve this problem, we proposed a novel method. The proposed method also can identify heartbeats of four classes, including non-ectopic (N), supraventricular ectopic beat (SVEB), ventricular ectopic beat (VEB), and fusion beat (F). Approach . Our method consists of the pre-processing and the two-stage identification framework. In the pre-processing part, we filtered input signals with a band-pass filter and created the auxiliary waveforms by RR-intervals. In the first stage of the framework, we designed a network to handle input signals and auxiliary waveforms. We proposed a masking operation to separate the input signal into two signals according to the result of the network. The first signal contains heartbeats of SVEB and VEB. The second signal includes heartbeats of N and F. The second stage consists of two networks and can further identify the heartbeats of SVEB, VEB, N, and F from these two signals. Main result . We validated our method on the MIT-BIH arrhythmia database with the inter-patient model. For classes N, SVEB, VEB, and F, our approach achieved F1 scores of 98.26, 68.61, 95.99, and 47.75, respectively. Significance . Our method not only can effectively utilize RR intervals but also can identify multiple arrhythmias.