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Identifying Hypertrophic Cardiomyopathy Patients by Classifying Individual Heartbeats from 12-lead ECG Signals

机译:通过根据12导联心电图信号对单个心律进行分类来识别肥厚型心肌病患者

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摘要

Test based on electrocardiograms (ECG) that record the heart electrical activity can help in early detection of patients with hypertrophic cardiomyopathy (HCM) where the heart muscle is partially thickened and blood flow is (potentially fatally) obstructed. This paper presents a cardiovascular-patient classifier we developed to identify HCM patients using standard 10-seconds, 12-lead ECG signals. Patients are classified as having HCM if the majority of the heartbeats are recognized as HCM. Thus, the classifier's underlying task is to recognize individual heartbeats segmented from 12-lead ECG signals as HCM beats, where heartbeats from non-HCM cardiovascular patients are used as controls. We extracted 504 morphological and temporal features - both commonly used and newly-developed ones - from ECG signals for heartbeat classification. To assess classification performance, we trained and tested a random forest classifier and a support vector machine classifier using 5-fold cross validation. The patient-classification precision and F-measure of both classifiers are close to 0.85. Recall (sensitivity) and specificity are approximately 0.90. We also conducted feature selection experiments by gradually removing the least informative features; the results show that a relatively small subset of 304 highly informative features can achieve performance measures comparable to that achieved by using the complete set of features.
机译:基于记录心电活动的心电图(ECG)的测试可以帮助早期发现肥厚型心肌病(HCM)的患者,该患者的心肌部分增厚并且血流被阻塞(可能致命)。本文介绍了我们开发的一种心血管患者分类器,用于使用标准的10秒,12导联ECG信号识别HCM患者。如果大多数心跳被识别为HCM,则将患者分类为HCM。因此,分类器的基本任务是识别从12导联心电图信号中分割出的单个心跳为HCM心跳,其中将非HCM心血管患者的心跳用作对照。我们从心电图信号中提取了504种形态和时间特征-常用和新开发的特征,用于心跳分类。为了评估分类性能,我们使用5倍交叉验证训练并测试了随机森林分类器和支持向量机分类器。两个分类器的患者分类精度和F度量均接近0.85。召回率(敏感性)和特异性约为0.90。我们还通过逐渐删除信息量最少的特征进行了特征选择实验;结果表明,304个信息量较高的功能的相对较小的子集可以实现与使用完整功能集可比的性能指标。

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