Integrating ECG Monitoring and Classification via IoT and Deep Neural Networks

AI-Driven Real-Time Classification of ECG Signals for Cardiac Monitoring Using i-AlexNet Architecture

The healthcare industry has evolved with the advent of artificial intelligence (AI), which uses advanced computational methods and algorithms, leading to quicker inspection, forecasting, evaluation and treatment. In the context of healthcare, artificial intelligence (AI) uses sophisticated computational methods to evaluate, decipher and draw conclusions from patient data. AI has the potential to revolutionize the healthcare industry in several ways, including better managerial effectiveness, individualized treatment regimens and diagnostic improvements. In this research, the ECG signals are preprocessed for noise elimination and heartbeat segmentation. Multi-feature extraction is employed to extract features from preprocessed data, and an optimization technique is used to choose the most feasible features. The i-AlexNet classifier, which is an improved version of the AlexNet model, is used to classify between normal and anomalous signals. For experimental evaluation, the proposed approach is applied to PTB and MIT_BIH databases, and it is observed that the suggested method achieves a higher accuracy of 98.8% compared to other works in the literature.

Electrocardiogram Heartbeat Classification for Arrhythmias and Myocardial Infarction

An electrocardiogram (ECG) is a basic and quick test for evaluating cardiac disorders and is crucial for remote patient monitoring equipment. An accurate ECG signal classification is critical for real-time measurement, analysis, archiving, and transmission of clinical data. Numerous studies have focused on accurate heartbeat classification, and deep neural networks have been suggested for better accuracy and simplicity. We investigated a new model for ECG heartbeat classification and found that it surpasses state-of-the-art models, achieving remarkable accuracy scores of 98.5% on the Physionet MIT-BIH dataset and 98.28% on the PTB database. Furthermore, our model achieves an impressive F1-score of approximately 86.71%, outperforming other models, such as MINA, CRNN, and EXpertRF on the PhysioNet Challenge 2017 dataset.

Development and Validation of Embedded Device for Electrocardiogram Arrhythmia Empowered with Transfer Learning

With the emergence of the Internet of Things (IoT), investigation of different diseases in healthcare improved, and cloud computing helped to centralize the data and to access patient records throughout the world. In this way, the electrocardiogram (ECG) is used to diagnose heart diseases or abnormalities. The machine learning techniques have been used previously but are feature-based and not as accurate as transfer learning; the proposed development and validation of embedded device prove ECG arrhythmia by using the transfer learning (DVEEA-TL) model. This model is the combination of hardware, software, and two datasets that are augmented and fused and further finds the accuracy results in high proportion as compared to the previous work and research. In the proposed model, a new dataset is made by the combination of the Kaggle dataset and the other, which is made by taking the real-time healthy and unhealthy datasets, and later, the AlexNet transfer learning approach is applied to get a more accurate reading in terms of ECG signals. In this proposed research, the DVEEA-TL model diagnoses the heart abnormality in respect of accuracy during the training and validation stages as 99.9% and 99.8%, respectively, which is the best and more reliable approach as compared to the previous research in this field.

Internet of things-based health monitoring system for early detection of cardiovascular events during COVID-19 pandemic

The coronavirus disease 2019 (COVID-19) has currently caused the mortality of millions of people around the world. Aside from the direct mortality from the COVID-19, the indirect effects of the pandemic have also led to an increase in the mortality rate of other non-COVID patients. Evidence indicates that novel COVID-19 pandemic has caused an inflation in acute cardiovascular mortality, which did not relate to COVID-19 infection. It has in fact increased the risk of death in cardiovascular disease (CVD) patients. For this purpose, it is dramatically inevitable to monitor CVD patients’ vital signs and to detect abnormal events before the occurrence of any critical conditions resulted in death. Internet of things (IoT) and health monitoring sensors have improved the medical care systems by enabling latency-sensitive surveillance and computing of large amounts of patients’ data. The major challenge being faced currently in this problem is its limited scalability and late detection of cardiovascular events in IoT-based computing environments. To this end, this paper proposes a novel framework to early detection of cardiovascular events based on a deep learning architecture in IoT environments. Experimental results showed that the proposed method was able to detect cardiovascular events with better performance (95.30% average sensitivity and 95.94% mean prediction values).

ECG Classification for Detecting ECG Arrhythmia Empowered with Deep Learning Approaches

According to the World Health Organization (WHO) report, heart disease is spreading throughout the world very rapidly and the situation is becoming alarming in people aged 40 or above (Xu, 2020). Different methods and procedures are adopted to detect and diagnose heart abnormalities. Data scientists are working on finding the different methods with the required accuracy (Strodthoff et al., 2021). Electrocardiogram (ECG) is the procedure to find the heart condition in the waveform. For ages, the machine learning techniques, which are feature based, played a vital role in the medical sciences and centralized the data in cloud computing and having access throughout the world. Furthermore, deep learning or transfer learning widens the vision and introduces different transfer learning methods to ensure accuracy and time management to detect the ECG in a better way in comparison to the previous and machine learning methods. Hence, it is said that transfer learning has turned world research into more appropriate and innovative research. Here, the proposed comparison and accuracy analysis of different transfer learning methods by using ECG classification for detecting ECG Arrhythmia (CAA-TL). The CAA-TL model has the multiclassification of the ECG dataset, which has been taken from Kaggle. Some of the healthy and unhealthy datasets have been taken in real-time, augmented, and fused with the Kaggle dataset, i.e., Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH dataset). The CAA-TL worked on the accuracy of heart problem detection by using different methods like ResNet50, AlexNet, and SqueezeNet. All three deep learning methods showed remarkable accuracy, which is improved from the previous research. The comparison of different deep learning approaches with respect to layers widens the research and gives the more clarity and accuracy and at the same time finds it time-consuming while working with multiclassification with massive dataset of ECG. The implementation of the proposed method showed an accuracy of 98.8%, 90.08%, and 91% for AlexNet, SqueezeNet, and ResNet50, respectively.

Aziz NA, Ibrahim SZ, Nawawi SW, Alelyani S, Mohana M, Chia Chun L. Evaluation of electrocardiogram: numerical vs. image data for emotion recognition system

Background: The electrocardiogram (ECG) is a physiological signal used to diagnose and monitor cardiovascular disease, usually using 2- D ECG. Numerous studies have proven that ECG can be used to detect human emotions using 1-D ECG; however, ECG is typically captured as 2-D images rather than as 1-D data. There is still no consensus on the effect of the ECG input format on the accuracy of the emotion recognition system (ERS). The ERS using 2-D ECG is still inadequately studied. Therefore, this study compared ERS performance using 1-D and 2-D ECG data to investigate the effect of the ECG input format on the ERS.

Methods: This study employed the DREAMER dataset, which contains 23 ECG recordings obtained during audio-visual emotional elicitation. Numerical data was converted to ECG images for the comparison. Numerous approaches were used to obtain ECG features. The Augsburg BioSignal Toolbox (AUBT) and the Toolbox for Emotional feature extraction from Physiological signals (TEAP) extracted features from numerical data. Meanwhile, features were extracted from image data using Oriented FAST and rotated BRIEF (ORB), Scale Invariant Feature Transform (SIFT), KAZE, Accelerated-KAZE (AKAZE), Binary Robust Invariant Scalable Keypoints (BRISK), and Histogram of Oriented Gradients (HOG). Dimension reduction was accomplished using linear discriminant analysis (LDA), and valence and arousal were classified using the Support Vector Machine (SVM).

Results: The experimental results show 1-D ECG-based ERS achieved 65.06% of accuracy and 75.63% of F1 score for valence, and 57.83% of accuracy and 44.44% of F1-score for arousal. For 2-D ECG-based ERS, the highest accuracy and F1-score for valence were 62.35% and 49.57%; whereas, the arousal was 59.64% and 59.71%.

Conclusions: The results indicate that both inputs work comparably well in classifying emotions, which demonstrates the potential of 1-D and 2-D as input modalities for the ERS.

Smart Electronic Textiles for Wearable Sensing and Display

Increasing demand of using everyday clothing in wearable sensing and display has synergistically advanced the field of electronic textiles, or e-textiles. A variety of types of e-textiles have been formed into stretchy fabrics in a manner that can maintain their intrinsic properties of stretchability, breathability, and wearability to fit comfortably across different sizes and shapes of the human body. These unique features have been leveraged to ensure accuracy in capturing physical, chemical, and electrophysiological signals from the skin under ambulatory conditions, while also displaying the sensing data or other immediate information in daily life. Here, we review the emerging trends and recent advances in e-textiles in wearable sensing and display, with a focus on their materials, constructions, and implementations. We also describe perspectives on the remaining challenges of e-textiles to guide future research directions toward wider adoption in practice.