A framework for cardiac arrhythmia detection from IoT-based ECGs

Jinyuan He, Jia Rong, Le Sun, Hua Wang, Yanchun Zhang, Jiangang Ma

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Cardiac arrhythmia has been identified as a type of cardiovascular diseases (CVDs) that
causes approximately 12% of all deaths globally. The development of Internet-of-Things has spawned novel ways for heart monitoring but also presented new challenges for manual arrhythmia detection. An automated method is highly demanded to provide support for physicians. Current attempts for automatic arrhythmia detection can roughly be divided as feature-engineering based and deep-learning based methods. Most of the feature engineering based methods are suffering from adopting single classifier and use fixed features for classifying all five types of heartbeats. This introduces difficulties in identification of the problematic heartbeats and limits the overall classification performance. The deep-learning based methods are usually not evaluated in a realistic manner and report overoptimistic results which may hide potential limitations of the models. Moreover, the lack of consideration of frequency patterns and the heart rhythms can also limit the model performance. To fill in the gaps, we propose a framework for arrhythmia detection from IoT-based ECGs. The framework consists of two modules: a data cleaning module and a heartbeat classification module. Specifically, we propose two solutions for the heartbeat classification task, namely Dynamic Heartbeat Classification with Adjusted Features (DHCAF) and Multi-channel Heartbeat Convolution Neural Network (MCHCNN). DHCAF is a feature-engineering based approach, in which we introduce dynamic ensemble selection (DES) technique and develop a result regulator to improve classification performance. MCHCNN is deep-learning based solution that performs multi-channel convolutions to capture both temporal and frequency patterns from heartbeat to assist the classification. We evaluate the proposed framework with DHCAF and with MCHCNN on the well-known MIT-BIH-AR database, respectively. The results reported in this paper have proven the effectiveness of our framework.
Original languageEnglish
Number of pages16
JournalWorld Wide Web-Internet and Web Information Systems
Publication statusPublished - 28 Feb 2020


  • Internet-of-Things
  • ECG
  • Cardiac arrhythmia detection
  • ResNet
  • Dynamic ensemble selection
  • Deep learning
  • D-ECG: a dynamic framework for cardiac arrhythmia detection from IoT-based ECGs

    He, J., Rong, J., Sun, L., Wang, H., Zhang, Y. & Ma, J., 2018, Web Information Systems Engineering – WISE 2018: 19th International Conference Dubai, United Arab Emirates, November 12–15, 2018 Proceedings, Part II. Hacid, H., Cellary, W., Wang, H., Paik, H-Y. & Zhou, R. (eds.). Cham Switzerland: Springer, p. 85-99 15 p. (Lecture Notes in Computer Science ; vol. 11234 ).

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