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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.
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.
Abstract:
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.
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