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

Quazi Abidur Rahman1, Larisa G Tereshchenko2, Matthew Kongkatong3

  • 1Computational Biology and Machine Learning Lab, School of Computing, Queen's University, Kingston, ON, Canada.

Proceedings. IEEE International Conference on Bioinformatics and Biomedicine
|March 5, 2015
PubMed

Insights

Electrocardiogram (ECG) tests can detect hypertrophic cardiomyopathy (HCM). Our classifier identifies HCM using ECG signals, achieving high accuracy in distinguishing HCM patients from controls.

Area of Science:

  • Cardiology
  • Biomedical Engineering
  • Machine Learning

Background:

  • Hypertrophic cardiomyopathy (HCM) is a condition where heart muscle thickening obstructs blood flow.
  • Early detection of HCM is crucial for patient outcomes.
  • Electrocardiograms (ECG) offer a non-invasive method for assessing heart electrical activity.

Purpose of the Study:

  • To develop and evaluate a cardiovascular-patient classifier for identifying HCM patients.
  • To utilize standard 12-lead ECG signals for HCM detection.
  • To assess the performance of machine learning models in classifying HCM heartbeats.

Main Methods:

  • Extracted 504 morphological and temporal features from 10-second, 12-lead ECG signals.
  • Developed a classifier to identify HCM heartbeats, classifying patients based on the majority of beats.
  • Trained and tested random forest and support vector machine classifiers using 5-fold cross-validation.

Main Results:

  • Achieved patient-classification precision and F-measure close to 0.85.
  • Obtained recall (sensitivity) and specificity of approximately 0.90.
  • Demonstrated that a subset of 304 features can yield comparable performance to the full feature set.

Conclusions:

  • The developed ECG-based classifier effectively identifies patients with hypertrophic cardiomyopathy.
  • Machine learning models applied to ECG features show high diagnostic accuracy for HCM.
  • Feature selection can optimize the classifier without compromising performance, suggesting efficient diagnostic tools.

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