Automated atrial fibrillation and ventricular fibrillation recognition using a multi-angle dual-channel fusion

Weiyi Yang1, Di Wang2, Wei Fan3

  • 1School of Artificial Intelligence, Nanjing University of Information Science and Technology, Nanjing 210044, China.

PubMed

Insights

A new multi-angle dual-channel fusion network (MDF-Net) accurately detects atrial fibrillation (AFIB) and ventricular fibrillation (VFIB) from ECGs. This AI tool offers faster training and reliable diagnosis, even with noisy or imbalanced data.

Area of Science:

  • Cardiovascular Medicine and Artificial Intelligence
  • Biomedical Signal Processing

Background:

  • Atrial fibrillation (AFIB) and ventricular fibrillation (VFIB) are leading causes of global mortality.
  • Electrocardiograms (ECGs) are crucial for diagnosing AFIB and VFIB, but subtle changes challenge visual interpretation.
  • Automated diagnostic tools are needed to improve accuracy and efficiency in detecting these arrhythmias.

Purpose of the Study:

  • To develop and validate a novel deep learning model for the automatic recognition of AFIB and VFIB heartbeats.
  • To enhance diagnostic accuracy by fusing multi-angle features extracted from two-lead ECG signals.
  • To create a computationally efficient diagnostic tool for clinical application.

Main Methods:

  • Proposed a multi-angle dual-channel fusion network (MDF-Net) integrating task-related component analysis (TRCA)-principal component analysis (PCA) and canonical correlation analysis (CCA)-PCA networks.
  • Employed TRPC-Net and CPC-Net for deep feature extraction from two-lead ECGs, enabling multi-angle feature-level fusion.
  • Utilized linear support vector machine-weighted softmax with average (LS-WSA) for decision-level fusion and classification.

Main Results:

  • Achieved high diagnostic accuracies of 99.39% in intra-patient and 97.17% in inter-patient experiments for distinguishing AFIB and VFIB.
  • Demonstrated robust performance on noisy ECG data, maintaining accuracy despite signal interference.
  • Showcased effectiveness on extremely imbalanced datasets, accurately identifying rare abnormal heartbeats.

Conclusions:

  • The proposed MDF-Net offers a highly accurate and efficient method for automated AFIB and VFIB detection from ECGs.
  • The fusion strategy effectively addresses challenges posed by subtle ECG variations and noisy data.
  • MDF-Net shows significant potential as a clinical diagnostic tool for improving cardiovascular disease management.