Research Article |
Hybrid Learning Approach for Automated Identification and Categorization of Cardiovascular Disorders
Author(s): Padmavathi C*, and Veenadevi S V
Published In : International Journal of Electrical and Electronics Research (IJEER) Volume 12, Issue 4
Publisher : FOREX Publication
Published : 30 November 2024
e-ISSN : 2347-470X
Page(s) : 1301-1323
Abstract
Cardio Vascular Diseases (CVDs) pose an important global health challenge, contributing substantially to mortality rates worldwide. Electrocardiography (ECG) is a necessary diagnostic tool in the detection of CVDs. Manual analysis by medical experts, for ECG interpretation, is laborious and subject to interobserver variability. To overcome these limitations, automated categorization technique has gained prominence, enabling efficient CVDs classification. The major focus of this work is to utilize deep learning (DL) approach for the identification of CVDs using ECG signals. The presented work incorporates two hybrid models: one-dimensional convolutional neural network (1D-CNN) with Recurrent Hopfield Neural Network (1DCNN-RHNN) and with Residual Network (1D-CNN-ResNet), to obtain important features from raw data and categorize them into different groups that correlate to CVD situation. The 1D-CNN-RHNN model achieved classification accuracy of 96.62% in the 4-class classification of normal, coronary artery disease (CAD), myocardial infarction (MI), and congestive heart failure (CHF) and the 1DCNN-ResNet model achieved classification accuracy of 95.75% in the 5-class classification of normal, CAD, MI, CHF and cardiomyopathy. The proposed model's functionality is validated with medical ECG data, and its outcomes are evaluated using various measures. Experimental findings demonstrate that the proposed models outperform other existing approaches in categorizing multiple classes. Our suggested approach might potentially help doctors screen for CVDs using ECG signals and is capable of being verified with larger databases.
Keywords: Cardiovascular disease
, Electrocardiogram
, Convolutional neural network
, Residual neural network
, Recurrent hop field neural network
.
Padmavathi C*, Research Scholar, Electronics and Communication Engineering, Visvesvaraya Technological University, Belagavi, Karnataka, India; Email: padmavathic87@gmail.com
Veenadevi S V, Associate Professor, R V College of Engineering, Electronics and Communication Engineering, Visvesvaraya Technological University, Belagavi, Karnataka, India; Email: veenadevi@rvce.edu.in
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[1] World Health Organization (WHO). Cardiovascular Diseases (CVDs), https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds). [Accessed: Jun. 11, 2021].
-
[2] Hu, R.; Chen, J.; Zhou, L. A transformer-based deep neural network for arrhythmia detection using continuous ECG signals. Computers in Biology and Medicine. 2022, vol. 144, 105325.
-
[3] Hammad, M.; Chelloug, S.A.; Alkanhel, R.; Prakash, A.J.; Muthanna, A.; Elgendy, I.A.; Pławiak, P. Automated detection of myocardial infarction and heart conduction disorders based on feature selection and a deep learning model. Sensors. 2022, vol. 22, no. 17, 6503.
-
[4] Nguyen, J.T.; Li, X.; Lü, F. The electrocardiogram and clinical cardiac electrophysiology. Cardiac Electrophysiology Methods and Models. Springer, Boston, MA. 2010, pp. 91-116.
-
[5] Peterkova, A.; Stremy, M. The raw ECG signal processing and the detection of QRS complex. IEEE European modelling symposium, 2015, pp.80-85.
-
[6] Siontis, K.C.; Noseworthy, P.A.; Attia, Z.I.; Friedman, P.A. Artificial intelligence-enhanced electrocardiography in cardiovascular disease management. Nature Reviews Cardiology. 2021, vol.18, no.7, pp.465-478.
-
[7] Davenport, T.; Kalakota, R. The potential for artificial intelligence in healthcare. Future Healthcare Journal. 2019, vol. 6, no.2, pp.94-98.
-
[8] Liu, X.; Wang, H.; Li, Z.; Qin, L. Deep learning in ECG diagnosis: A review. Knowledge-Based Systems. 2021, vol.227, pp. 107-187.
-
[9] Shahid, A.H.; Singh, M.P. A novel approach for coronary artery disease diagnosis using hybrid particle swarm optimization based emotional neural network. Biocybernetics and Biomedical Engineering. 2020, vol. 4, no.4, pp.1568-1585.
-
[10] Hasan, N.I.; Bhattacharjee, A. Deep learning approach to cardiovascular disease classification employing modified ECG signal from empirical mode decomposition. Biomedical Signal Processing and Control. 2019, vol.52, pp. 128-140.
-
[11] Fatema, K.; Montaha, S.M.; Rony A.H.; Azam, S.; Hasan M.Z.; Jonkman, M.A. Robust Framework Combining Image Processing and Deep Learning Hybrid Model to Classify Cardiovascular Diseases Using a Limited Number of Paper-Based Complex ECG Images. Biomedicines. 2022, vol.10, no.11, 2835.
-
[12] Rai, H.M.; Chatterjee, K. Hybrid CNN-LSTM deep learning model and ensemble technique for automatic detection of myocardial infarction using big ECG data. Applied Intelligence. 2022, vol.52, no.5, pp. 5366 - 5384.
-
[13] Rath, A.; Mishra, D.; Panda, G.; Satapathy, S.C. Heart disease detection using deep learning methods from imbalanced ECG samples. Biomedical Signal Processing and Control. 2021, 68, 102820.
-
[14] Malik, J.; Devecioglu, O.C.; Kiranyaz, S.; Ince, T.; Gabbouj, M. Real-Time Patient-Specific ECG Classification by 1D Self-Operational Neural Networks. IEEE Transactions on Biomedical Engineering. 2022, vol.69, no.5, pp.1788-1801.
-
[15] Abdar, M.; Książek, W.; Acharya, U.R.; Tan, R.S.; Makarenkov, V.; Pławiak, P. A new machine learning technique for an accurate diagnosis of coronary artery disease. Computer Methods and Programs in Biomedicine. 2019, vol. 179, 104992.
-
[16] Butun, E.; Yildirim, O.; Talo, M.; Tan, R.S.; Rajendra Acharya U. 1D-CADCapsNet: One dimensional deep capsule network for coronary artery disease detection using ECG signals. Phys Med. 2020, vol. 70, pp. 39-48.
-
[17] Jahmunah, V.; Ng E.Y.K.; San T.R.; Acharya U.R. Automated detection of coronary artery disease, myocardial infarction, and congestive heart failure using Gabor CNN model with ECG signals. Computers in Biology and Medicine, 2021, vol.134, 104457.
-
[18] Petmezas, G.; Haris, K.; Stefanopoulos, L.; Kilintzis, V.; Tzavelis, A.; Rogers, J.A.; Katsaggelos A.K.; Maglaveras, N. Automated Atrial Fibrillation Detection using a Hybrid CNN-LSTM Network on Imbalanced ECG Datasets. Biomedical Signal Processing and Control. 2021, vol.63, 102194.
-
[19] Lih Oh Shu.; Jahmunah, V.; San, T.R.; Ciaccio, E.J.; Yamakawa, T.; Tanabe, M.; Kobayashi, M.; Faust, O.; Acharya, U.R. Comprehensive electrocardiographic diagnosis based on deep learning. Artificial Intelligence in Medicine. 2020, vol. 103, 101789.
-
[20] Zhang, X.; Gu, K.; Miao, S.; Yin, Y.; Wan, C.; Yu, Y.; Hu, J.; Wang, Z.; Shan, T.; Jing, S.; Wang, W.; Ge, Y.; Chen, Y.; Guo, J.; Liu, Y. Automated detection of cardiovascular disease by electrocardiogram signal analysis: a deep learning system. Cardiovascular Diagnosis and Therapy. 2020, vol.10, no. 2, pp. 227-235.
-
[21] Xu, X.; Jeong, S.; Li, J. Interpretation of Electrocardiogram (ECG) Rhythm by Combined CNN and BiLSTM. IEEE Access. 2020, vol. 8, pp. 125380-125388.
-
[22] Balaji, G.N.; Subashini, T.S.; Suresh, A.; Prashanth, S. Detection and diagnosis of dilated cardiomyopathy from the left ventricular parameters in echocardiogram sequence. International Journal of Biomedical Engineering and Technology. 2019, vol. 31, no. 4, pp. 346–364.
-
[23] Anand, R.; Vijaya Lakshmi, S.; Digvijay Pandey; Binay Kumar Pandey. An enhanced ResNet 50 deep learning model for arrhythmia detection using electrocardiogram biomedical indicators. Evolving Systems. 2024, vol. 15, no.1, pp.1-15.
-
[24] Nizar Sakli; Haifa Ghabri; Ben Othman Soufiene; Faris. A.; Almalki; Hedi Sakli; Obaid Ali; Mustapha Najjari. ResNet-50 for 12-Lead Electrocardiogram Automated Diagnosis. Computational Intelligence and Neuroscience. 2022, DOI: 10.1155/2022/7617551.
-
[25] Kingma, D.P.; Ba, J. Adam: A Method for Stochastic Optimization. 2015, pp.1–15. https://doi.org/10.48550/arXiv.1412.6980.
-
[26] Guo, L.; Sim, G.; Matuszewski, B. Inter-patient ECG classification with convolutional and recurrent neural networks. Biocybernetics and Biomedical Engineering. 2019, vol.39, no. 3, pp.868-879.
-
[27] Essa, E.; Xie, X. An ensemble of deep learning-based multi-model for ECG heartbeats arrhythmia classification. IEEE Access. 2021, vol. 9, no.1, pp. 103452-103464.
-
[28] Kachuee, M.; Fazeli, S.; Sarrafzadeh, M. ECG heartbeat classification A deep transferable representation. 2018 IEEE International Conference on Healthcare Informatics, ICHI 2018, New York, NY, USA, pp.443–444.
-
[29] Clement Virgeniya, S.; Ramaraj, E. A Novel Deep Learning based Gated Recurrent Unit with Extreme Learning Machine for Electrocardiogram (ECG) Signal Recognition. Biomedical Signal Processing and Control. 2021, vol.68, 102779.
-
[30] Khan, F.; Yu, X.; Yuan, Z.; Rehman Au. ECG classification using 1-D convolutional deep residual neural network. PLoS ONE. 2023, vol.18, no. 4, e0284791.
-
[31] Singh, V.; Reddy, US.; Bhargavia, GM. A Generic and Robust System for Automated Detection of Different Classes of Arrhythmia. Procedia Computer Science. 2020, vol. 167, pp. 1801-1810.
-
[32] Singh, S.; Pandey, SK.; Pawar, U.; Janghel, RR. Classification of ECG arrhythmia using recurrent neural networks. Procedia Comput. Sci. 2022, vol. 132, pp. 1290-1297.
-
[33] Guo, L.; Gao, C.; Yang, W.; Ma, Z.; Zhou, M.; Liu, J.; Shao, H.; Wang, B.; Hu, G.; Zhao, H.; Zhang, L.; Guo, X.; Huang, C.; Cui, Z.; Song, D.; Sun, F.; Liu, L.; Zhang, F.; Tao, L. Derivation and Validation of a Screening Model for Hypertrophic Cardiomyopathy Based on Electrocardiogram Features. Frontiers in Cardiovascular Medicine. 2022, 9:889523. doi: 10.3389/fcvm.2022.889523.
-
[34] Dey, M.; Omar, N.; Ullah, M.A. Temporal Feature-Based Classification into Myocardial Infarction and Other CVDs Merging CNN and Bi-LSTM from ECG Signal. IEEE Sensors Journal. 2021, vol. 21, no. 19, pp. 21688-21695, doi: 10.1109/JSEN.2021.3079241.
-
[35] Hao Dai.; Hsin-Ginn.; Hwang.; Vincent, S.; Tseng. Convolutional neural network based automatic screening tool for cardiovascular diseases using different intervals of ECG signals, Computer Methods and Programs in Biomedicine, 2021, vol. 203, 106035, ISSN 0169-2607, https://doi.org/10.1016/j.cmpb.2021.106035.
-
[36] Yao, L.; Liu, C.; Li, P.; Wang, J.; Liu, Y.; Li, W.; Wang, X.; Li, H.; Zhang, H. Enhanced automated diagnosis of coronary artery disease using features extracted from QT interval time series and ST–T waveform, IEEE Access, 2020, vol.8, 129510–129524, https://doi.org/10.1109/ACCESS.2020.3008965.
-
[37] Yang, W.; Yujuan Si.; Di Wang.; Zhang, G.; Xin Liu.; Liang Liang Li. Automated intra-patient and inter-patient coronary artery disease and congestive heart failure detection using EFAP-Net. Knowledge-Based Systems, 2020, vol. 201–202, 106083, ISSN 0950-7051.
-
[38] Zhizhong Wang.; Longlong, Qian,; Chuang Han, et ao.; Li Shi.Application of multi-feature fusion and random forests to the automated detection of myocardial infarction, Cognitive Systems Research, 2020, vol. 59, pp. 15-26, ISSN 1389-0417,
-
[39] Prabhakararao, E.; Dandapat. S. Attentive RNN-Based Network to Fuse 12-Lead ECG and Clinical Features for Improved Myocardial Infarction Diagnosis. IEEE Signal Processing Letters, 2020, vol. 27 pp.2029-2033.
-
[40] Xiong, P.; Xue, Y.; Zhang, J.; Liu, M.; Du, H.; Zhang, H.; Hou, Z.; Wang, H.; Liu, X. Localization of myocardial infarction with multi-lead ECG based on DenseNet. Computer methods and programs in biomedicine, 2021, 203, 106024.
-
[41] Riek, NT., Akcakaya, M.; Bouzid, Z.; Gokhale, T.; Helman, S.; Kraevsky-Philips, K.; et al. ECG-SMART-NET: a deep learning architecture for precise ECG diagnosis of occlusion myocardial infarction. 2024.
-
[42] Eleyan, A.; Alboghbaish, E. Electrocardiogram Signals Classification Using Deep-Learning-Based Incorporated Convolutional Neural Network and Long Short-Term Memory Framework. Computers. 2024, 13, 55. https://doi.org/10.3390/computers13020055.
-
[43] Parveen, N.; Gupta, M.; Kasireddy, S. et al. ECG based one-dimensional residual deep convolutional auto-encoder model for heart disease classification. Multimedia Tools and Applications. 2024, 83, 66107–66133. https://doi.org/10.1007/s11042-023-18009-7.
-
[44] Haobo Zhang.; Peng Zhang.; Fan Lin.; Lianying Chao.; Zhiwei Wang.; Fei Ma.; Qiang Li. Co-learning-assisted progressive dense fusion network for cardiovascular disease detection using ECG and PCG signals, Expert Systems with Applications, 2024, vol. 238, 122144, ISSN 0957-4174, https://doi.org/10.1016/j.eswa.2023.122144.
-
[45] Aarthy, S T.; Mazher Iqbal, J L. A novel deep learning approach for early detection of cardiovascular diseases from ECG signals, Medical Engineering & Physics, 2024, vol. 125, 104111, ISSN 1350-4533, https://doi.org/10.1016/j.medengphy.2024.104111.
-
[46] Immaculate Joy, S.; Moorthi, M.; Senthil Kumar, K. Detection and Classification of electrocardiography using hybrid deep learning models, Hellenic Journal of Cardiology, 2024, ISSN 1109-9666, https://doi.org/10.1016/j.hjc.2024.08.011.
-
[47] Revathi, T.K.; Balasubramaniam, S.; Sureshkumar, V.; Dhanasekaran, S. An Improved Long Short-Term Memory Algorithm for Cardiovascular Disease Prediction. Diagnostics, 2024, 14, 239. https://doi.org/10.3390/diagnostics14030239.
-
[48] Xia, B.; Innab, N.; Kandasamy, V. et al. Intelligent cardiovascular disease diagnosis using deep learning enhanced neural network with ant colony optimization. Scientific Reports, 2024, 14, 21777. https://doi.org/10.1038/s41598-024-71932-z.
-
[49] David Opeoluwa Oyewola.; Emmanuel Gbenga Dada.; Sanjay Misra. Diagnosis of Cardiovascular Diseases by Ensemble Optimization Deep Learning Techniques. International Journal of Healthcare Information Systems and Informatics, 2024, vol.19, no.1. https://doi.org/ 10.4018/IJHISI.334021.
-
[50] Guo C.; Yin B.; Hu J. An Electrocardiogram Classification Using a Multiscale Convolutional Causal Attention Network. Electronics. 2024, vol. 13, no. 2, 326. https://doi.org/10.3390/electronics13020326.