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Published on: December 11, 2019
Overview on prediction, detection, and classification of atrial fibrillation using wavelets and AI on ECG
Hassan Serhal1, Nassib Abdallah1, Jean-Marie Marion1
1Univ Angers, LARIS, SFR MATHSTIC, F-49 000, Angers, France.
Insights
Early detection of atrial fibrillation (AF) is crucial for patient outcomes. This review highlights wavelets and artificial intelligence (AI) for predicting, detecting, and classifying AF episodes, showing significant recent research growth.
Area of Science:
- Cardiology and Biomedical Engineering
- Signal Processing and Machine Learning
Background:
- Atrial fibrillation (AF) is a prevalent cardiac arrhythmia linked to increased stroke and heart attack risks.
- Timely and automated detection of AF is critical for effective patient management, especially given its often asymptomatic and paroxysmal nature.
Purpose of the Study:
- To review recent advancements in predicting, detecting, and classifying atrial fibrillation episodes.
- To focus on methodologies employing wavelet transforms (WT) and artificial intelligence (AI) over the past decade.
Main Methods:
- Systematic review of 45 articles published in the last decade.
- Analysis of studies utilizing wavelet transforms (WT) combined with artificial intelligence (AI), including deep learning (DL) and conventional machine learning (ML).
- Comparison of WT with Fourier Transform (FT) in signal analysis for AF.
Main Results:
- A significant increase in research on WT and AI for AF detection, classification, and prediction, with 30 of 36 relevant studies published after 2015.
- Wavelet transform combined with AI shows promise for addressing the challenges of early AF detection.
- Deep learning and conventional machine learning approaches are both actively explored within this domain.
Conclusions:
- The integration of wavelet transforms and AI represents a rapidly advancing and promising area for improving atrial fibrillation management.
- Future research holds significant potential for developing more effective AF prediction, detection, and classification tools.
- The growing body of literature underscores the clinical importance and technical viability of AI-driven AF analysis.
Abstract:
Atrial fibrillation (AF) is the most common supraventricular cardiac arrhythmia, resulting in high mortality rates among affected patients. AF occurs as episodes coming from irregular excitations of the ventricles that affect the functionality of the heart and can increase the risk of stroke and heart attack. Early and automatic prediction, detection, and classification of AF are important steps for effective treatment. For this reason, it is the subject of intensive research in both medicine and engineering fields. The latter research focuses on three axes: prediction, classification, and detection. Knowing that AF is often asymptomatic and that its episodes are often very short, its automatic early detection is a very complicated but clinically important task to improve AF treatment and reduce the risks for the patients. This article is a review of publications from the past decade, focusing on AF episode prediction, detection, and classification using wavelets and artificial intelligence (AI). Forty-five articles were selected of which five are about AF in general, four articles compare accuracy, recall and precision between Fourier transform (FT) and wavelets transform (WT), and thirty-six are about detection, classification, and prediction of AF with WT: 15 are based on deep learning (DL) and 21 on conventional machine learning (ML). Of the thirty-six studies, thirty were published after 2015, confirming that this particular research area is very important and has great potential for future research.
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