EasiECG: A Novel Inter-Patient Arrhythmia Classification Method using ECG Waves

2021 
In an ECG record, the PQRST waves are of important medical significance which provide ample information reflecting heartbeat activities. In this paper, we propose a novel arrhythmia classification method namely EasiECG, characterized by simplicity and accuracy. Compared with other works, the EasiECG takes the configuration of these five key waves into account and does not require complicated feature engineering. Meanwhile, an additional encoding of the extracted features makes the EasiECG applicable even on samples with missing waves. To automatically capture interactions that contribute to the classification among the processed features, a novel adapted classification model named Attention-based Convolution Factorization Machines (ACFM) is proposed. In detail, the ACFM can learn both linear and high-order interactions from linear regression and convolution on outer-product feature interaction maps, respectively. After that, an attention mechanism implemented in the model can further assign different importance of these interactions when predicting certain types of heartbeats. To validate the effectiveness and practicability of our EasiECG, extensive experiments of inter-patient paradigm on the benchmark MIT-BIH arrhythmia database are conducted. To tackle the imbalanced sample problem in this dataset, an ingenious loss function: focal loss is adopted when training. The experiment results show that our method is competitive compared with other state-of-the-arts, especially in classifying the Supraventricular ectopic beats. Besides, the EasiECG achieves an overall accuracy of 87.6% on samples with a missing wave in the related experiment, demonstrating the robustness of our proposed method.
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