Cardiac arrhythmia detection using deep learning approach and time frequency representation of ECG signals

BACKGROUND: Cardiac arrhythmia is a cardiovascular disorder characterized by disturbances in the heartbeat caused by electrical conduction anomalies in cardiac muscle. Clinically, ECG machines are utilized to diagnose and monitor cardiac arrhythmia noninvasively. Since ECG signals are dynamic in nature and depict various complex information, visual assessment and analysis are time consuming and very difficult. Therefore, an automated system that can assist physicians in the easy detection of arrhythmia is needed. METHOD: The main objective of this study was to create an automated deep learning model capable of accurately classifying ECG signals into three categories: cardiac arrhythmia (ARR), congestive heart failure (CHF), and normal sinus rhythm (NSR). To achieve this, ECG data from the MIT-BIH and BIDMC databases available on PhysioNet were preprocessed and segmented before being utilized for deep learning model training. Pretrained models, ResNet 50 and AlexNet, were fine-tuned and configured to achieve optimal classification results. The main outcome measures for evaluating the performance of the model were F-measure, recall, precision, sensitivity, specificity, and accuracy, obtained from a multi-class confusion matrix. RESULT: The proposed deep learning model showed overall classification accuracy of 99.2%, average sensitivity of 99.2%, average specificity of 99.6%, average recall, precision and F- measure of 99.2% of test data. CONCLUSION: The proposed work introduced a robust approach for the classification of arrhythmias in comparison with the most recent state of the art and will reduce the diagnosis time and error that occurs in the visual investigation of ECG signals.