Development and Validation of a Real-Time Service Model for Noise Removal and Arrhythmia Classification Using Electrocardiogram Signals

Author:

Park Yeonjae1ORCID,Park You Hyun12,Jeong Hoyeon1ORCID,Kim Kise3,Jung Ji Ye4,Kim Jin-Bae5,Kang Dae Ryong26ORCID

Affiliation:

1. Department of Medical Informatics and Biostatistics, Graduate School, Yonsei University, Seoul 03722, Republic of Korea

2. National Health BigData Clinical Research Institute, Yonsei University Wonju Industry-Academic Cooperation Foundation, Wonju 26426, Republic of Korea

3. School of Health and Environmental Science, Korea University, Seoul 02841, Republic of Korea

4. Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea

5. Division of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, School of Medicine, Kyung Hee University, Seoul 02447, Republic of Korea

6. Department of Precision Medicine and Biostatistics, Yonsei University Wonju College of Medicine, Wonju 26426, Republic of Korea

Abstract

Arrhythmias range from mild nuisances to potentially fatal conditions, detectable through electrocardiograms (ECGs). With advancements in wearable technology, ECGs can now be monitored on-the-go, although these devices often capture noisy data, complicating accurate arrhythmia detection. This study aims to create a new deep learning model that utilizes generative adversarial networks (GANs) for effective noise removal and ResNet for precise arrhythmia classification from wearable ECG data. We developed a deep learning model that cleans ECG measurements from wearable devices and detects arrhythmias using refined data. We pretrained our model using the MIT-BIH Arrhythmia and Noise databases. Least squares GANs were used for noise reduction, maintaining the integrity of the original ECG signal, while a residual network classified the type of arrhythmia. After initial training, we applied transfer learning with actual ECG data. Our noise removal model significantly enhanced data clarity, achieving over 30 dB in a signal-to-noise ratio. The arrhythmia detection model was highly accurate, with an F1-score of 99.10% for noise-free data. The developed model is capable of real-time, accurate arrhythmia detection using wearable ECG devices, allowing for immediate patient notification and facilitating timely medical response.

Funder

Korea Ministry of Environment

Publisher

MDPI AG

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